Karishma Sarfani, LPC

Karishma Sarfani, LPC, approaches therapy with a practical, person-centered style. She emphasizes clear goals and small, doable steps to reduce stress and anxiety. She encourages clients to use their own strengths while learning new skills for everyday life.

She has five years of clinical experience working with addiction-related concerns, trauma and abuse, and mood challenges such as depression. Karishma helps people who struggle with compulsive behaviors, relapse, and obsessive thoughts. She also supports those coping with grief, attachment difficulties, and overwhelming phobias.

Her sessions focus on building motivation, improving self-esteem, and developing coping strategies that fit daily routines. She draws on cognitive behavioral ideas to identify unhelpful thoughts and behaviors. Acceptance and Commitment Therapy techniques help people clarify values and take small steps toward meaningful change.

Karishma also uses approaches that center relationships and emotional connection to address attachment issues and patterns like codependency. Dialectical behavior ideas are used to teach distress-tolerance and emotion-regulation skills when feelings become intense. These methods are presented in straightforward language and practiced with concrete exercises.

Clients can expect a supportive, collaborative atmosphere that treats them as experts on their own lives. Karishma encourages honest conversation and steady progress rather than quick fixes. She aims to help people build routines and skills that make daily life more manageable and purposeful.

Therapeutic approaches and how they work online

Acceptance and Commitment Therapy (ACT) helps people notice unhelpful thoughts and connect with personal values. It focuses on small steps that add up to meaningful change, which can reduce anxiety and increase motivation. Cognitive Behavioral Therapy (CBT) breaks down how thoughts, feelings, and behaviors interact and teaches practical strategies to change unhelpful patterns. CBT is often used for anxiety, OCD, and mood concerns. Attachment-Based Therapy focuses on relationships and how early patterns shape current connections and coping. It can help people understand attachment wounds and practice healthier ways of relating.

Finding the right approach is a collaborative process. The therapist will work with each person to identify goals, try techniques, and adjust methods based on what helps most. Clients and the therapist decide together which approaches to emphasize as work progresses.

The therapist's stated practice uses written messaging as the format for sessions. Please confirm the current session options before booking to make sure they meet your needs. One practical benefit of messaging is that you can write when it suits your schedule and return to previous exchanges as a record of progress. Messaging can also make it easier to reflect in the moment, share updates, and receive thoughtful responses without arranging live sessions.