- ACT based tools
- CBT techniques
- Guilt and shame focus
About Kathryn
Kathryn "Katie" Carson-Decker is a New York licensed clinical social worker (LCSW) with 15 years of experience. She works with adults facing stress, anxiety, depression, relationship difficulties, and trauma. She also helps people who carry guilt and shame and those coping with self-esteem and loneliness.
Katie focuses on clear, practical steps in sessions. She uses talk therapy and evidence-based methods to help people notice patterns, test new behaviors, and practice different ways of relating. Sessions often include moments of reflection and concrete exercises to try between meetings.
Clients who bring concerns about communication, control, emptiness, or forgiveness will find work aimed at real-world changes. She also addresses life purpose, mood issues, and post-traumatic stress in straightforward ways. She combines short-term skills with deeper work when needed.
The practice integrates approaches like acceptance and commitment work, cognitive behavioral techniques, and mindfulness to help reduce avoidance and build choices consistent with personal values. The Gottman Method is used for relationship skills and communication practice when relationship issues are part of the work.
Katie notes that faith can be part of the conversation for those who want it included, and she respects how beliefs shape guilt, shame, and identity. To begin, clients complete an intake and plan the initial steps together.
How her approaches translate to online work
Acceptance and Commitment Therapy (ACT) helps people notice painful thoughts and choose actions that match their values. It focuses on clarity about what matters and small steps toward those values. Cognitive Behavioral Therapy (CBT) looks at how thoughts and behaviors keep problems going and uses exercises to test and change those patterns. Mindfulness therapy teaches simple attention practices to reduce reactivity and increase present-moment noticing.Deciding which approach to use is collaborative. The therapist will talk with the client about goals, try methods that fit the issue, and adjust based on what helps. That process can include mixing skills work with deeper reflective sessions as needed.
The original biography does not list specific session formats here, so confirm current online options before booking. Online sessions can make it easier to fit therapy into a busy schedule, shorten check-ins when time is limited, and allow work from wherever a person is able to focus. Licensed professionals can use the same ACT, CBT, and mindfulness exercises over a video or phone session as they would in person, while adapting homework and communication practices to everyday life.
Areas of expertise
Primary focus
Additional focus areas
Therapeutic approaches
Experience
15+ years
Listed in
New York
Languages
English
Frequently asked questions
What kinds of concerns does she help with?
She helps people with stress, anxiety, depression, relationship issues, trauma, and struggles with self-esteem. Guilt and shame are listed as particular focus areas.
How would she approach a case of persistent guilt?
She draws on acceptance and commitment strategies and cognitive behavioral techniques to identify unhelpful thoughts and try new actions. Sessions mix reflection with practical exercises to change patterns over time.
What is her professional background?
She has 15 years of clinical experience working with adults on mood, trauma, and relationship concerns. The biography notes experience with both short-term skills and deeper therapeutic work.
What are her credentials and where does she practice?
She is a New York LCSW and practices in New York. The LCSW credential is shown exactly as provided.
Does she work in other languages or with international clients?
Sessions are offered in English. She is not currently accepting international clients.
What session formats are offered?
The original biography does not specify session formats. Confirm current session options before booking to know whether sessions are in person or remote.
How much do sessions cost?
Cost varies with location. Sessions use a subscription 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.