Karishma Sarfani, LPC

Karishma Sarfani is an LPC (Licensed Professional Counselor) in Texas with five years of clinical experience. She works with people who are dealing with stress, anxiety, addictions, trauma and abuse, low self-esteem, and depression. Karishma presents these issues plainly and focuses on practical steps a person can try between contacts.

She often addresses patterns such as codependency, attachment difficulties, avoidant personality traits, and compulsive behaviors. Karishma also assists people struggling with process or substance addictions, dissociation, self-harm, and grief. Her approach encourages clients to notice the habits and thoughts that keep problems going and to practice alternate responses.

Karishma uses a mix of Cognitive Behavioral Therapy and Acceptance and Commitment Therapy alongside attachment-based and client-centered techniques. Sessions emphasize concrete skills - for example, recognizing unhelpful thoughts, testing new behaviors, and building small routines that reduce urges or compulsions. She also draws on DBT strategies for emotion regulation when needed.

In work with trauma and post-traumatic stress, Karishma addresses intrusive memories and avoidance, and she offers approaches intended to reduce distress and improve day-to-day functioning. For addictions she focuses on relapse patterns, triggers, and strategies to reduce use and regain control.

Her messaging-based practice means much of the work happens in written exchanges that you can reread. Karishma checks and responds within the timeframe described in her service notes, and she uses the written record to track progress and practice new skills over time.

How CBT, ACT, and Attachment Work Online