- Guilt and shame
- Addiction support
- CBT and ACT methods
About Karishma
Karishma Sarfani is a Licensed Professional Counselor (LPC) in Texas with five years of clinical experience. She works with people dealing with stress, anxiety, addictions, trauma and abuse, low self-esteem, and depression. Karishma names guilt and shame among the concerns she addresses and focuses on reducing behaviors that get in the way of daily life.
She invites clients to treat themselves as the expert of their own story. Sessions emphasize practical steps and regular check-ins. Karishma uses clear, behavior-focused techniques to help people notice patterns and try different responses to urges and intense feelings.
Her work often involves addiction-related struggles, including substance use and process addictions such as porn or gambling. She also supports people coping with obsessive-compulsive symptoms, panic, phobias, dissociation, and recovery after sexual or other trauma. She speaks directly about relapse, urges, and the ways shame can keep a problem going.
Karishma draws on approaches like Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Attachment-Based Therapy, and Client-Centered Therapy. She blends these to help clients change unhelpful behaviors and practice new ways of handling difficult emotions.
Her practice centers on written exchanges as the primary way to work together. Clients write about their day, cravings, or thoughts and receive thoughtful responses that outline next steps and skills to try. This creates a record of progress and concrete strategies to revisit between messages.
How her approaches translate to online work
Karishma uses Acceptance and Commitment Therapy and Cognitive Behavioral Therapy in ways that fit written exchanges. ACT helps people notice painful urges and decide what matters most, then take small steps toward chosen values. CBT breaks down unhelpful thoughts and behaviors into specific patterns, then practices alternatives and tests what changes.Finding the best approach is part of the work. She will collaborate with each client to decide which methods to try first based on needs, goals, and what feels manageable. That collaborative choice is revisited as things change so the plan stays practical and relevant.
Her practice is centered on messaging as the primary way to communicate. Clients write about cravings, thoughts, or events when it fits their day and receive responses with strategies, reflections, and skills to try. Messaging lets people keep a written record of interventions and return to suggestions between replies. If you need clarification about session formats, confirm the options before booking so you know how messages will be used in therapy.
Areas of expertise
Additional focus areas
Therapeutic approaches
Experience
5+ years
Listed in
Texas
Languages
English
Frequently asked questions
What kinds of concerns does she address?
She works with stress, anxiety, addictions, trauma and abuse, low self-esteem, and depression. Additional focus areas include OCD, dissociation, attachment issues, and guilt and shame.
How does she approach guilt and shame?
She uses behavior-focused therapies to notice how guilt and shame affect choices and urges. Practical steps and skill practice are used to reduce unhelpful patterns.
What is her professional background?
She has five years of professional work experience offering counseling for addiction, trauma, and anxiety-related concerns.
What credential and location should I know about?
She is a Licensed Professional Counselor (LPC) in Texas and practices under that credential in Texas.
Can sessions be conducted in other languages or from other countries?
Sessions are offered in English. She does not accept international clients.
What session formats are used?
The therapist uses a messaging-based format as the primary mode of communication. Confirm current session options before booking.
How are fees handled?
Cost varies with location and sessions use a subscription model that can be canceled at any time.
How do I begin working 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.