Karishma Sarfani, LPC
Rewriting your story toward healthier choices
Details
| Name | Karishma Sarfani |
|---|---|
| Credentials | LPC |
| Based in | Texas |
| Licensed in | Texas |
| Session format | Online |
| Languages | English |
| Years in practice | 5 |
About Karishma
Karishma Sarfani, LPC, uses Narrative-informed therapy to help people rewrite the stories that hold them back. She focuses on stress, anxiety, addictions, trauma and abuse, low self-esteem, and depression. Karishma speaks plainly and centers each person’s own strengths when working toward change.
Karishma draws on Acceptance and Commitment Therapy and Cognitive Behavioral Therapy to teach practical skills. She helps people notice unhelpful thoughts, try small experiments, and take steps that match their values.
Background and approach
Sessions emphasize clear strategies you can use between meetings. Attachment-Based and client-centered approaches shape how she builds trust. She listens for patterns that began in early relationships and helps people see how those patterns affect current choices.
The work is collaborative and paced to fit each person’s needs. For people facing addictions or obsessive behaviors, Karishma blends practical tools with narrative work. That means looking at the stories around urges and relapses while also creating plans to reduce risky behaviors.
She supports efforts to address substance use, process addictions, and compulsive rituals without blaming the person. Karishma has five years of experience as a Licensed Professional Counselor in Texas. Sessions are offered in English.
She frames therapy as a step-by-step process and invites people to try approaches until they find what helps most.
What this therapist works with
Her listing names Stress, Anxiety, Addictions, Trauma and abuse among the things Karishma works with, alongside the areas below.
- Stress, Anxiety
- Addictions
- Trauma and abuse
- Self esteem
- Depression
- Abandonment
- Attachment issues
- Avoidant personality
- Codependency
- Dissociation
- Divorce and separation
- Drug and alcohol addiction
- Guilt and shame
- Life purpose
- Narcissism
- Obsessions, compulsions, and OCD
- Personality disorders
- Post-traumatic stress
- Process addiction (porn, exercise, gambling)
- Self-harm
- Self-love
- Sex addiction
- Social anxiety and phobia
- Somatization
Approaches listed
- Narrative Therapy: Named in her listing among her approaches.
- Acceptance and Commitment Therapy (ACT): Listed by Karishma among the ways she works.
- Attachment-Based Therapy: Listed by Karishma among the ways she works.
- Client-Centered Therapy: Listed by Karishma among the ways she works.
- Cognitive Behavioral Therapy (CBT): Listed by Karishma among the ways she works.
- Dialectical Behavior Therapy (DBT): Listed by Karishma among the ways she works.
- Eye Movement Desensitization and Reprocessing (EMDR): Listed by Karishma among the ways she works.
- Motivational Interviewing: Listed by Karishma among the ways she works.
- Somatic Therapy: Listed by Karishma among the ways she works.
- Trauma-Focused Therapy: Listed by Karishma among the ways she works.
- Internal Family Systems: Listed by Karishma among the ways she works.
- Training stated: This directory copies the approaches a therapist names and does not check training records. Ask Karishma directly how much of the work is narrative and what a session usually looks like.
Narrative Therapy in this listing
Narrative Therapy appears in this therapist's own list of approaches. That tells you it is part of how she works. It does not tell you how much of a session it shapes, and this directory does not check or rate training.
If a narrative approach is what you are looking for, it is worth asking Karishma directly how she uses it and what a session usually looks like.
Online session options
Approaches that translate well to online therapy
Acceptance and Commitment Therapy (ACT) helps people clarify what matters to them and take small actions toward those values. It teaches simple exercises to reduce avoidance and increase meaningful steps. Cognitive Behavioral Therapy (CBT) focuses on spotting unhelpful thoughts and testing them with real-life experiments to change routines and mood. It works well for anxiety, depression, and many habit-related concerns. Attachment-Based Therapy looks at early relationship patterns and how they shape current reactions, helping people name those patterns and try different responses.Finding the right approach is part of the work. Karishma will collaborate with each person to choose techniques that match their goals and preferences. That might mean blending narrative storytelling with ACT skills or using CBT tools to interrupt compulsive behavior. The plan can change as progress happens so the fit stays useful.
Online formats make it easier to fit therapy into a busy life. Video calls let people connect face to face when schedules allow. Phone sessions need less bandwidth and can be a shorter check-in. Live chat and text-based messaging let people share updates between sessions and reflect in writing. These options offer flexibility while keeping the focus on practical steps and steady progress.
Common questions about this listing
What concerns does this therapist commonly address?
She helps people manage stress, anxiety, depression, and low self-esteem. Addictions, trauma and abuse, and obsessive behaviors are also areas of focus.
What is the therapy style like in sessions?
Sessions mix Narrative ideas with practical therapies such as ACT and CBT. The style is collaborative and focused on real-life skills and story work.
How much clinical experience does she have?
She has five years of professional work experience as a counselor. That experience includes supporting people with addiction, trauma, and anxiety-related concerns.
What credentials and location are listed?
She is a Licensed Professional Counselor, credentialed as TX LPC, and practices in Texas.
In which languages are sessions offered?
Sessions are offered in English.
Are international clients supported?
International clients are not currently accepted.
What session formats are available?
Therapy is available through video calls, phone sessions, live chat, or text-based messaging. Different formats can fit various schedules and communication needs.
How does cost and scheduling work?
Cost varies by location and therapist availability and uses a subscription that can be canceled at any time. To begin, select the Start Therapy button, complete a short matching questionnaire, and schedule based on availability.
Contacting this therapist
Sessions with Karishma are arranged through our partner platform. It asks a few questions about what you are looking for, then shows you the therapists available to you, including Karishma where she has space. Ask about fees, and whether she holds a licence or registration where you live.
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