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Karishma Sarfani is a Licensed Professional Counselor (LPC) in Texas with five years of clinical experience.

01About Karishma

Karishma Sarfani is a Licensed Professional Counselor (LPC) in Texas with five years of clinical experience. She focuses on practical steps to reduce stress, manage anxiety, and address addictions and trauma. Karishma emphasizes each person’s strengths and works alongside them to build motivation, confidence, and better daily coping skills.

Her approach blends evidence-based strategies with a warm, person-focused style. She uses Cognitive Behavioral Therapy to help change unhelpful thoughts and behaviors.

Background and approach

Dialectical Behavior Therapy skills are used when emotion regulation and distress tolerance need strengthening. Karishma also draws on Acceptance and Commitment Therapy to help clients clarify values and commit to small, meaningful behavior changes. Attachment-Based Therapy informs work around relationship patterns, abandonment concerns, and attachment wounds.

Sessions aim to turn insight into specific steps clients can try between meetings. She has experience addressing a range of concerns including relapse and process addictions, substance use, obsessive-compulsive behaviors, dissociation, and post-traumatic stress. Karishma supports people dealing with guilt, shame, self-harm urges, and challenges to self-esteem.

Therapy with her focuses on clear goals, practical tools, and a collaborative plan. She encourages clients to use homework and short practices to build momentum. The tone in sessions is straightforward and supportive, with an emphasis on steady progress rather than quick fixes.

02Credentials

LPC (Texas)
License 86731 · expires April 2027
NPI
1407531882 · national provider identifier

Both are public records. A state board register will confirm a license and its standing, and the national registry will confirm an NPI. This directory copies what the counselor lists and checks neither.

03Focus areas and approaches

Everything Karishma lists on their public professional profile, in their own terms.

Methods Karishma names

These are the methods Karishma names on their own professional profile. Naming an approach is not evidence of training or certification in it, and this directory checks no training records. Ask directly if it matters to you.

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04Online support

How therapy approaches translate to online care

Acceptance and Commitment Therapy helps people notice difficult thoughts and feelings without getting stuck in them, then choose actions that match what matters to them. It is useful for anxiety, depression, avoidance, and addictions. Cognitive Behavioral Therapy focuses on changing patterns of thinking and behavior that keep problems going, and it often includes clear exercises to try between sessions. This approach helps with OCD, phobias, and mood concerns. Attachment-Based Therapy looks at how early relationship patterns affect current connections and trust, and it can guide work on abandonment, attachment issues, and relationship-driven anxiety.

Choosing the right approach is part of the work. The therapist will talk with the client about goals, symptoms, and preferences, then suggest methods to try. That decision is collaborative and can shift as needs change.

Online formats include video calls, phone sessions, live chat, and text-based messaging, giving options for different situations. Video is good for a full session with visual cues. Phone calls work when bandwidth is limited or a shorter check-in is needed. Live chat and text messaging make it easier to share quick updates, reflect in writing, and revisit exchanges later. These choices let people fit therapy into work, school, or caregiving schedules and make it easier to continue care when life is busy.

05Questions people ask

What concerns does she address most often?

She helps people with stress, anxiety, addictions, trauma and abuse, low self-esteem, and depression. Additional work includes OCD, dissociation, attachment wounds, and process or substance addictions.

What is her therapeutic style like?

The style is collaborative and practical. She uses clear tools, short practices, and goal-focused conversations.

What background does she bring to sessions?

She has five years of professional experience supporting clients through relapse, trauma, obsessive-compulsive behaviors, and addiction-related issues.

Where does she offer services and what license does she hold?

She is licensed in Texas as an LPC, and her practice is based in that state.

Which languages are supported?

Sessions are offered in English.

What session formats are available?

She provides therapy through video calls, phone sessions, live chat, and text-based messaging.

How does payment and cost work?

Cost varies with location and therapist availability; sessions use a subscription model that can be canceled at any time.

What are the steps to begin working together?

Start by selecting the Start Therapy button and completing a short matching questionnaire. After that you can schedule sessions according to therapist availability.

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