- Focus on codependency
- Skills for urges
- Trauma-informed care
About Karishma
Karishma Sarfani is an LPC based in Texas who uses practical, goal-focused therapy to help people manage stress, anxiety, depression, and addictions. She centers the client’s own experience and strengths and encourages small, steady steps toward clearer goals. Karishma writes that taking the first step takes courage, and she offers consistent support as people work through difficult patterns.
She draws on approaches such as Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, and Dialectical Behavior Therapy to address symptoms and everyday struggles. Sessions focus on identifying unhelpful habits, building coping skills, and increasing motivation and self-esteem. The work often includes tackling traumatic memories, substance or process addiction patterns, and compulsive behaviors.
Karishma also pays attention to attachment issues and codependency that can keep people stuck in harmful cycles. She helps clients notice repeated relationship patterns, manage dissociation, and set boundaries that support healthier choices. Practical tools are combined with a patient, nonjudgmental tone.
Her background includes five years of clinical experience working with people facing grief, complex PTSD, and intense phobias or OCD. Karishma supports those trying to reduce substance use or addictive behaviors and those recovering from sexual abuse or other trauma. The goal is clearer daily functioning and better emotional regulation.
Therapy is conversational and reflective, with written exchanges and homework used to reinforce progress. Karishma encourages clients to revisit notes and coping strategies between sessions to track growth and stay connected to their goals.
Therapeutic approaches and how online work can help
Acceptance and Commitment Therapy helps people notice painful thoughts without getting stuck in them and focus on values-driven actions. Cognitive Behavioral Therapy looks at the links between thoughts, feelings, and behaviors and offers exercises to change unhelpful patterns. Attachment-Based Therapy focuses on relationship patterns and helps people form safer ways of relating and setting boundaries.Finding the right approach is part of the process. The therapist will work together with the client to choose which methods match their goals, symptoms, and personal style. This is a collaborative decision and can shift as needs change.
Confirm the available session formats before booking, as options can vary by therapist. Online work can make it easier to fit therapy into a busy life by removing travel time, allowing shorter check-ins when schedules are tight, and offering more frequent written exchanges that clients can read again later. These practical benefits help people keep momentum between meetings and make it simpler to use coping tools in everyday moments.
Areas of expertise
Additional focus areas
Therapeutic approaches
Experience
5+ years
Credentials
Texas
Languages
English
Frequently asked questions
What kinds of problems does this therapist help with?
She works with stress, anxiety, depression, addictions, trauma and abuse, and self-esteem concerns, plus related issues such as codependency, attachment difficulties, OCD, and process addictions.
What is her general therapy style?
The approach is practical and collaborative, using written dialogue to identify patterns, build coping skills, and set achievable goals with a steady supportive tone.
What experience does she bring?
She has five years of professional experience helping people manage relapse, compulsive behaviors, trauma reactions, and mood symptoms.
What are her credentials and where is she located?
She holds the LPC credential and practices in Texas.
Which languages are sessions offered in?
Sessions are offered in English.
Can people outside the United States work with her?
International clients are not currently accepted.
How does pricing work for sessions?
Cost varies with location and therapist availability, and sessions use a subscription that can be canceled at any time.
How do I begin working with this therapist?
Select the Start Therapy button, complete the short matching questionnaire, and schedule according to the therapist's availability.
Profile details come from information the therapist supplied to BetterHelp. Credential and registration rules differ between the United States, the United Kingdom and Australia.