Profile / United States
Karen Possessky, LCSW
Texas
Licensed Clinical Social Worker - Stress and Trauma
See online therapy options- CBT for thought patterns
- Mindfulness skills
- Client-centered talks
About Karen
Karen Possessky is a Licensed Clinical Social Worker (LCSW) in Texas with 30 years of experience. She helps people manage stress and anxiety, cope with trauma and abuse, and address family and parenting concerns. She also works with clients facing grief, relationship strain, burnout, ADHD, and career-related stress.
Her approach centers on helping people notice unhelpful thoughts and habits and try practical alternatives. She uses Cognitive Behavioral Therapy to identify patterns that contribute to distress and to develop specific skills for changing those patterns. She also draws on client-centered work to keep conversations focused on each person's priorities.
Karen incorporates existential and Jungian perspectives when clients want to explore meaning, identity, and deeper life questions. Mindfulness-based techniques appear in sessions to teach simple attention and grounding exercises that reduce immediate overwhelm. Motivational Interviewing supports people who want clearer motivation for change.
Sessions tend to be direct and practical. Karen listens for recurring thinking and behavior patterns, then suggests small experiments to test new ways of responding. She checks progress and adjusts steps so goals remain realistic and manageable.
Her background includes long-term practice with healthcare workers, first responders, lawyers, other counselors, veterans, parents, caregivers, men, and postpartum women. People seeking help with midlife changes, end-of-life concerns, or caregiver stress will find those areas represented in her experience.
How Karen integrates CBT and related approaches online
Karen uses Cognitive Behavioral Therapy to help people identify recurring thoughts and behaviors that increase stress. CBT work online focuses on clear steps - noticing a thought, testing it, and practicing a different response - which can be tracked between sessions.She also practices client-centered therapy, which means conversations start with what the person wants to address. This approach keeps the work practical and goal-focused. When questions about meaning or identity arise, she may draw on existential ideas to explore values and life priorities in a straightforward way.
Choosing the right approach is a collaborative process. Karen will review goals and preferences with each person and adjust methods as needed. She helps clients decide which techniques to try and checks in on how those techniques fit their daily life.
Specific online session formats are not listed in the profile, so confirm available options when booking. Online work can make it easier to fit sessions around work or caregiving, allow shorter check-ins when needed, and reduce travel time. These practical benefits can help people keep momentum while trying new skills.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
30+ years
Listed in
Texas
Languages
English
Frequently asked questions
What concerns does she commonly address?
She works with stress, anxiety, trauma and abuse, family and parenting issues, grief, anger, self-esteem, career matters, and related concerns listed in her profile.
How does she use Cognitive Behavioral Therapy?
She uses CBT to spot unhelpful thoughts and behaviors and to practice concrete alternatives. Sessions focus on small, testable steps to change patterns that cause distress.
What is her professional background and experience?
She is an LCSW licensed in Texas with 30 years of social work experience and long-term practice with several clinical populations.
What are her credentials and where is she located?
She holds the LCSW credential and is licensed in Texas.
Which languages are offered for sessions?
Sessions are offered in English.
Can international clients work with her?
She does not accept international clients at this time.
What session formats are available?
Confirm current session options before booking, as specific formats are not listed in the profile.
How are fees handled and how do I begin?
Cost varies with location and sessions use a subscription that can be canceled at any time. To start, select the See online therapy options button, complete the short matching questionnaire, and schedule a first session.
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.