Anne Karsian, LCSW, CSW

Anne Karsian, LCSW, CSW, helps people facing loss, big life changes, and intense emotions. She listens first and asks curious questions so people feel understood. Her style is warm and steady, and she focuses on practical steps people can use right away.

She has seven years of clinical experience and has spent time in acute hospital settings as well as palliative and hospice care. That background gives her practical experience with medical decisions, advanced care planning, and the stresses that come with illness and caregiving. She also pays attention to challenges that come with aging, like downsizing and shifting independence.

Anne begins by learning each person’s story at their pace. She uses conversation to help people make sense of feelings such as grief, overwhelm, numbness, or anger. The work often includes noticing what matters to someone and finding small ways to bring more meaning or pleasure back into daily life.

Her approach mixes client-centered listening with tools from cognitive behavioral techniques, emotion-focused work, mindfulness, and motivational interviewing. That blend supports both understanding feelings and trying out new behaviors. People who are tired, confused, or stuck often find the structure helpful.

Sessions are meant to be a space to talk through difficult decisions and emotions. Anne aims to help people move forward with clearer choices and a sense of regained agency.

How her approaches fit into online work

Client-centered therapy focuses on listening and understanding each person's experience. It helps when someone needs a respectful, nonjudgmental space to tell their story and make sense of loss or change.

Cognitive Behavioral Therapy, or CBT, looks at the links between thoughts, feelings, and actions. It offers clear exercises and experiments someone can try between sessions to reduce worry, low mood, or unhelpful reactions.

Emotionally-Focused Therapy helps people name and work with strong emotions so they feel less overwhelming. It can be useful for sadness, grief, and relationship or intimacy-related concerns where feelings keep getting stuck.

Finding the right approach is part of the work. The therapist will talk with each person about their goals, what has helped before, and what feels comfortable. Together they’ll choose or combine approaches so the plan fits the person’s needs and preferences.

If you plan to try online sessions, confirm the current session options before booking. This profile does not list specific session formats. Online work can make it easier to fit therapy into a busy life, shorten travel time, allow shorter check-ins when needed, and let people join from different locations when schedules are tight.