About Karina
Karina Fernandez is a licensed clinical social worker with 16 years of experience in mental health. She offers straightforward, compassionate support for people facing stress, anxiety, depression, grief, and trauma. Karina speaks English and Spanish and practices from Tennessee.
Her work emphasizes practical tools and steady, empathetic listening. She draws on client-centered methods to tailor sessions to each person’s needs. She also uses cognitive behavioral techniques to help change unhelpful thoughts and behaviors and mindfulness practices to build calm and attention in daily life.
How Karina works
Karina has spent years supporting people who have experienced violence, complex grief, and other serious losses. She helps clients unpack painful memories and learn skills to manage intense emotions. When trauma is part of the story, she uses approaches aimed at reducing distress around traumatic memories.
Sessions focus on skills you can use between appointments. That can mean practicing ways to manage anxiety, improving sleep routines, or working through relationship and family concerns as they affect an individual. She pays attention to strengths and helps clients notice what already works for them.
People who come to Karina often want clear, practical steps and a calm space to talk. She helps with addictions, compassion fatigue, caregiving stress, codependency, and issues around abandonment, guilt, and shame. Her style is steady, respectful, and goal-oriented.
Karina lists 7 ways of working on the entry:
What Karina works with
The areas below are the ones Karina selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
Also listed
- Abandonment
- Addictions
- Aging and geriatric issues
- Blended family issues
- Caregiver issues and stress
- Codependency
- Communication problems
- Compassion fatigue
- Coping with life changes
- Coping with natural or human-caused disaster
- Dependent personality
- Depression
- Domestic violence
- Emptiness
- Family conflicts
- Family of origin issues
- Family problems
- First responder issues
- Forgiveness
- Guilt and shame
- Hospice and end-of-life counseling
- Immigration issues
- Impulsivity
- Isolation / loneliness
- Life purpose
- Midlife crisis
- Mood disorders
- Multicultural concerns
- Panic disorder and panic attacks
- Paranoia
- Parenting issues
- Post-traumatic stress
- Prejudice and discrimination
- Relationship issues
- Self esteem
- Self-love
- Sexual assault and abuse
- Sleeping disorders
- Social anxiety and phobia
- Women's issues
- Workplace issues
- Young adult issues
Training and background
| Register | LCSW |
|---|---|
| Years in practice | 16 |
| Languages | English, Spanish |
| Session format | Online: video, phone, live chat or messaging |
| Country | Tennessee |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
Approaches that translate well to online therapy
Client-centered therapy focuses on what matters to the person in front of the therapist. It means sessions are shaped around the client's goals and what feels most useful. Cognitive Behavioral Therapy, or CBT, helps people spot and change unhelpful thoughts and patterns to reduce anxiety and depression symptoms. It is practical and skill-focused, so many techniques transfer easily to remote sessions. Dialectical Behavior Therapy, or DBT, teaches emotion regulation, distress tolerance, and interpersonal skills to manage intense feelings and improve relationships.Choosing an approach is a collaborative process. The therapist will talk with the client about goals, preferences, and what has or has not helped in the past. Together they will try methods that fit the person's needs and adjust the plan as progress is made.
Online therapy offers flexibility across formats. Video calls let people work face to face when visual interaction helps. Phone sessions require less bandwidth and can fit into tighter schedules. Live chat and text-based messaging are useful for brief check-ins, skill practice, or when writing feels easier than speaking. These options make it simpler to fit therapy into a busy life while using the same therapeutic tools one would use in person.
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Common questions
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A practical next step
Write down two things you would want to be different in six months. That is the most useful thing to bring to a first session, whoever it is with. If you would rather start now than keep reading, online sessions are the quickest route.
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