- Stress and anxiety
- Trauma and abuse
- Guilt and shame
About Karen
Karen Monsivais is an LPC - Licensed Professional Counselor in Texas with eight years of clinical experience. She communicates in English and Spanish. She works with people dealing with stress, anxiety, trauma and abuse, parenting concerns, self-esteem issues, depression, and feelings of guilt and shame.
Karen uses straightforward conversation to help clients name what feels heavy. She listens and responds in a way that fits each person. Sessions focus on practical steps, clearer thinking, and noticing what keeps old patterns going.
Her practice draws on client-centered methods that prioritize the client's perspective. She also uses cognitive behavioral tools to spot and change unhelpful thoughts and behaviors. For trauma-related concerns she integrates trauma-focused work and EMDR techniques when appropriate.
Karen brings a calm, direct style to sessions. She helps people break down big problems into smaller, manageable parts. That might mean building coping skills for anxiety, working through parenting stress, or looking at how guilt and shame shape daily life.
She offers therapy in both English and Spanish. People who choose to work with her start with a short intake so she can understand their situation and goals. From there she and the client create a plan for what to address in the weeks ahead.
How her approaches translate to online work
She frequently combines client-centered therapy with Cognitive Behavioral Therapy (CBT) to help people identify thoughts and actions that keep stress or shame active. Client-centered work focuses on listening and following the client's concerns, while CBT teaches concrete skills for changing thinking and behavior.She also uses Eye Movement Desensitization and Reprocessing (EMDR) for trauma-related issues when it fits the client's needs. EMDR involves structured processing of disturbing memories and can be useful for people coping with past abuse or intense traumatic reactions.
Choosing the right approach is part of the process. She will talk with each client about their goals and preferences and together decide which methods to try first. That collaborative decision guides how sessions are structured and what techniques are used.
Session formats are not listed in the biography, so confirm current online session options before booking. Online sessions can make scheduling easier, help fit therapy into a busy day, and reduce travel time. They may also allow for shorter check-ins on hectic days or sessions that do not require camera use, depending on offered formats.
Areas of expertise
Primary focus
Additional focus areas
Therapeutic approaches
Experience
8+ years
Listed in
Texas
Languages
English, Spanish
Frequently asked questions
What kinds of problems does she help with?
She works with stress, anxiety, trauma and abuse, parenting concerns, self-esteem, and depression, plus related issues such as abandonment, attachment, codependency, and guilt and shame.
How would she approach shame or guilt in sessions?
She uses conversational, practical methods including client-centered listening and cognitive behavioral techniques to identify thoughts and behaviors that keep shame or guilt active.
How much experience does she have?
She has eight years of professional experience working as a counselor in Texas.
What are her credentials and where is she based?
She is an LPC - Licensed Professional Counselor practicing in Texas.
Does she offer sessions in other languages?
Sessions are offered in English and Spanish.
Can people outside the United States work with her?
She is not accepting international clients at this time.
How much do sessions cost?
Cost varies with location and sessions use a subscription that can be canceled at any time.
How do I begin if I want to work with her?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.