Karishma Sarfani, LPC

Texas · 5 years in practice

Karishma Sarfani is a Licensed Professional Counselor (LPC) based in Texas who centers therapy on practical skills and real change.

License and registration

LPC, Texas: 86731 · expires April 2027
NPI: 1407531882 · national provider identifier
Years in practice: 5
Languages: English

Details are as listed on the therapist's public professional profile. You can check the license with the issuing state board, and the NPI with the national registry.

About Karishma

Karishma Sarfani is a Licensed Professional Counselor (LPC) based in Texas who centers therapy on practical skills and real change. She focuses on anxiety, stress, addictions, trauma, low self-esteem, and depression. Karishma emphasizes that clients know their own stories and brings steady support as they take steps toward feeling better.

She uses a mix of approaches to match each person's needs. Cognitive Behavioral Therapy helps identify unhelpful thoughts and build new habits.

Background and approach

Acceptance and Commitment Therapy encourages values-driven actions even when feelings are hard. Attachment-based work looks at how past relationships shape current patterns. Karishma has five years of clinical experience working with people facing chronic relapse, process addictions, substance use, dissociation, and post-traumatic stress.

She also addresses obsessive-compulsive symptoms, intense phobias, and grief. Her practice includes helping people reduce urges to use substances or behaviors that disrupt daily life. In sessions, she takes a collaborative and practical stance.

She listens for strengths and small wins, then helps clients try manageable steps between meetings. Sessions often include skills practice, behavioral experiments, and reflection on what worked. Karishma offers therapy in English and conducts sessions online by message, phone, video, or chat.

She aims to respond thoughtfully and to build a record of progress clients can revisit. Starting therapy begins with a short matching questionnaire and scheduling based on availability.

Focus areas and approaches

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

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 Karishma names

Naming an approach is not evidence of training in it. This directory copies what each therapist lists and does not check training records.

Online support

How therapy approaches translate to online care

Acceptance and Commitment Therapy (ACT) helps people notice difficult thoughts and feelings without letting them drive behavior, and then choose actions that match personal values. It is often used for anxiety, low motivation, and problems that persist despite repeated attempts to control feelings. Cognitive Behavioral Therapy (CBT) focuses on identifying patterns of thinking and behavior that keep problems going, then testing new ways of acting and thinking to reduce symptoms like worry or compulsions. Attachment-Based Therapy looks at how early relationship experiences affect current patterns in close relationships and self-image, and it helps people build more reliable ways of relating.

Finding the right approach is part of the work. The therapist will talk with the client about goals, preferences, and what has or has not helped in the past. Together they will choose methods to try, and adjust the plan based on what proves useful in sessions and daily life.

Online therapy offers several practical benefits. Video calls let people use visual cues and more natural conversation, while phone sessions can fit a break at work or use less bandwidth. Live chat and text-based messaging allow for shorter check-ins, ongoing reflections, and a written record of progress that clients can revisit. These options make scheduling more flexible and can help therapy fit a busy life.

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Questions people ask

What issues does she help with?

She focuses on stress, anxiety, addictions, trauma and abuse, self-esteem, and depression, plus related concerns like OCD, dissociation, and grief.

How would you describe her therapeutic style?

Her style is collaborative and practical, combining skills work with reflective conversation to help people make small, steady changes.

What kind of experience does she bring?

She has five years of professional experience working with people coping with relapse, process addictions, substance use, trauma, and obsessive symptoms.

Where is she licensed and based?

She holds a Licensed Professional Counselor credential in Texas and practices from that state.

Do sessions take place in other languages or internationally?

Sessions are offered in English and she is not accepting international clients.

What session formats are available?

Sessions can be conducted by video calls, phone sessions, live chat, or text-based messaging depending on what fits the client.

How are session fees handled?

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

How do I begin therapy with her?

Begin by selecting the Start Therapy button, completing a short matching questionnaire, and then scheduling according to therapist availability.

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