Profile / United States
Karen Monsivais, LPC
Texas
Licensed Professional Counselor - Anxiety and Trauma
See online therapy options- Cognitive Behavioral Therapy
- EMDR for trauma
- Sessions in English and Spanish
About Karen
Karen Monsivais is a Licensed Professional Counselor, LPC, licensed in Texas with eight years of clinical experience. She works with people facing stress, anxiety, trauma and abuse, parenting concerns, low self-esteem, and depression. She speaks both English and Spanish and offers care in both languages.
Karen uses clear, practical conversations to help people notice unhelpful thoughts and habits. She draws on Cognitive Behavioral Therapy to identify patterns of thinking that keep problems going. She also uses client-centered methods to keep sessions focused on each person’s priorities.
For trauma-related concerns she uses approaches that include EMDR and trauma-focused work to address memories and reactions that interfere with daily life. Mindfulness-based techniques are added when grounding or present-moment attention is useful for stress and anxiety. Sessions aim to teach specific skills people can try between meetings.
Her style is direct and collaborative. She listens to what is most pressing and then crafts steps to test different responses. Progress is tracked through concrete goals and short-term exercises when that fits the person’s needs.
Karen often helps people sort through family-of-origin issues, abandonment and attachment problems, adoption and foster care questions, caregiver stress, codependency, and communication or control struggles. She also works with concerns like domestic violence effects, guilt and shame, impulsivity, and disruptive mood dysregulation disorder features.
To begin, prospective clients complete a brief matching questionnaire and schedule a first session. The therapist will review goals and agree on practical next steps during the initial meeting.
How therapeutic approaches are used in online sessions
CBT, or Cognitive Behavioral Therapy, focuses on identifying unhelpful thoughts and behaviors and trying concrete alternatives. It is often used for anxiety, stress, low mood, and problems that respond to skills practice such as thought records or behavioral experiments.Client-centered therapy centers the conversation on the person’s priorities. The therapist listens, reflects, and helps clarify what matters most so short-term goals can be set. EMDR addresses distressing memories and reactions by pairing focused recall with bilateral stimulation techniques to reduce memory-triggered responses.
Finding the right approach is part of the work. The therapist discusses your goals and symptoms, then suggests methods to try. This is a collaborative process and adjustments are made based on what is most helpful and practical for you.
Session formats are not specified in the biography, so confirm current options before booking. Online sessions can make it easier to fit therapy into a busy week, reduce travel time, and allow follow-up work between meetings. Many people appreciate being able to schedule sessions around work or caregiving responsibilities and to practice skills in their everyday routines.
Areas of expertise
Primary focus
Additional focus areas
Therapeutic approaches
Experience
8+ years
Listed in
Texas
Languages
English, Spanish
Frequently asked questions
What issues does she commonly address?
She works with stress, anxiety, trauma and abuse, parenting concerns, self-esteem difficulties, and depression. Additional focus areas include attachment, abandonment, family-of-origin issues, and caregiver stress.
How does she use Cognitive Behavioral Therapy?
She uses CBT to help people notice automatic thoughts and test alternative responses. Sessions often include brief exercises to practice new skills between meetings.
What is her background and experience?
She is an LPC with eight years of professional work experience. That experience includes trauma-focused approaches and work with parenting and family-related concerns.
Where is she licensed and where does she practice?
She is licensed as an LPC in Texas and practices there. Sessions and services are provided under that Texas licensure.
Which languages are supported for sessions?
Sessions are offered in English and Spanish.
Does she take international clients?
International clients are not currently accepted.
How are sessions paid for and what does it cost?
Cost varies with location and sessions use a subscription that can be canceled at any time. Specific pricing is provided during the sign-up process.
What should I do to start working with her?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session. The initial meeting will cover goals and next steps.
Details come from information the therapist supplied to BetterHelp. A license can be checked with the state board.
Online talk therapy is not emergency care. If you are not safe, use the crisis numbers.