Anne Karsian, LCSW, CSW

Anne Karsian is a licensed social worker who focuses on supporting people through grief, loss, and major life transitions. She brings experience from acute care hospital settings as well as palliative and hospice work, guiding individuals and families during pivotal moments when decisions and emotions can feel overwhelming. Anne has particular expertise with older adults facing advanced care planning, downsizing, shifts in independence, and the complex emotions that accompany those changes.

She begins by listening to each person’s story at their own pace, using curiosity to shape conversations so people feel truly seen rather than fitting a role others expect. That collaborative, person-focused stance helps uncover what motivates someone and can reveal paths to renewed interest and meaning in life. Anne holds LCSW and CSW credentials; LCSW indicates Licensed Clinical Social Worker status and reflects training in clinical social work.

Acknowledging the full range of feelings that arise with loss and transition takes courage, and Anne understands how overwhelm and numbness can coexist. She values the decision to seek support and offers steady guidance through difficult, sad, or confusing periods. She looks forward to listening to each story and helping people navigate the practical and emotional steps that follow major life changes.

Therapeutic Approaches and Online Care

Anne uses client-centered therapy to put the individual’s experience at the center of treatment, creating space for people to tell their story and explore feelings at their own pace; this approach is helpful for grief, life transitions, and feeling heard during difficult decisions. She also draws on cognitive behavioral therapy (CBT), which focuses on identifying unhelpful thinking patterns and building practical skills to manage stress, anxiety, and mood concerns. Anne incorporates elements of emotionally-focused therapy (EFT) to help partners and family members understand emotional patterns and strengthen connection when relationships feel strained.

Finding the right approach is part of the therapeutic process, and Anne works collaboratively with each person to determine which methods fit their needs, goals, and preferences. Together they assess what feels most helpful and adjust the plan as progress unfolds.

Online therapy options include video calls, phone sessions, live chat, and text-based messaging, offering flexibility for those balancing caregiving, health appointments, work, or mobility challenges. These formats make it easier to access licensed professionals from home or on the go, supporting continuity of care during life transitions and times of stress.