About Karishma
Karishma Sarfani is a Licensed Professional Counselor (LPC) practicing in Texas. She brings five years of clinical experience to help people facing stress, anxiety, addictions, trauma, low self-esteem, and depression. Karishma emphasizes a collaborative approach and treats each person as the expert of their own life.
She focuses on practical tools that fit daily routines. Sessions aim to reduce urges, manage overwhelming thoughts, and rebuild motivation and confidence. People can expect clear steps and reflections they can use between conversations.
How Karishma works
Karishma has worked with a wide range of concerns related to addiction and trauma. This includes substance use, process addictions such as porn or gambling, relapse, dissociation, and recovery after sexual abuse. She also supports people dealing with obsessive-compulsive symptoms, intense phobias, and complex post-traumatic stress.
Her approach draws from evidence-informed methods to address how thoughts, behaviors, and relationships interact. She pays attention to attachment patterns and helps people develop new ways of relating to themselves and others. Practical skills for distress tolerance and emotional regulation are a key part of the work.
Karishma uses written exchanges as the core of her therapy practice. Messages create an ongoing record of progress and strategies to revisit. The format lets people share updates or reflections on their own schedule while receiving thoughtful responses from the therapist.
Karishma lists 11 ways of working on the entry:
- Acceptance and Commitment Therapy (ACT)
- Attachment-Based Therapy
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavior Therapy (DBT)
- Eye Movement Desensitization and Reprocessing (EMDR)
- Motivational Interviewing
- Narrative Therapy
- Somatic Therapy
- Trauma-Focused Therapy
- Internal Family Systems
What Karishma works with
The areas below are the ones Karishma selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
Also listed
- Abandonment
- Attachment issues
- Avoidant personality
- Codependency
- Depression
- Dissociation
- Divorce and separation
- Drug and alcohol addiction
- Guilt and shame
- Life purpose
- Narcissism
- Obsessions, compulsions, and OCD
- Personality disorders
- Post-traumatic stress
- Process addiction (porn, exercise, gambling)
- Self esteem
- Self-harm
- Self-love
- Sex addiction
- Social anxiety and phobia
- Somatization
Training and background
| Register | LPC |
|---|---|
| Years in practice | 5 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | Texas |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
Therapeutic approaches suited for online care
Acceptance and Commitment Therapy (ACT) focuses on clarifying what matters most to a person and taking committed action toward those values. It helps when anxiety, avoidance, or unhelpful thoughts keep someone from living the life they want. Cognitive Behavioral Therapy (CBT) looks at the links between thoughts, feelings, and actions and teaches concrete skills to change unhelpful patterns. CBT is useful for anxiety, OCD symptoms, and mood concerns. Attachment-Based Therapy explores how early relationship patterns show up now and helps people build new, healthier ways of relating to themselves and others.Finding the right approach is part of the process. The therapist works collaboratively to explore which methods fit a person's goals, needs, and preferences. Together they may combine techniques so sessions are practical and personally relevant.
Online therapy offers flexible ways to connect, including video calls, phone sessions, live chat, and text-based messaging. Video sessions are helpful when face-to-face conversation matters, phone sessions can be a simpler option when bandwidth is limited, and messaging allows short updates or longer reflections on the client's own schedule. These formats make it easier to fit therapy into busy lives and to continue work between sessions through written exchanges and tools provided by the therapist.
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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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