Karishma Sarfani, LPC

Karishma Sarfani is a Licensed Professional Counselor (LPC) based in Texas with five years of clinical experience supporting adults facing stress, anxiety, addictions, trauma and abuse, low self-esteem, and depression. She works with people who struggle with chronic relapse, binge behaviors, sex, love and porn addiction, problematic substance use, dissociative symptoms, attachment wounds, and overwhelming OCD, as well as grief, complex PTSD, and process addictions such as gambling or compulsive exercise. Karishma also addresses concerns related to abandonment, codependency, personality disorders, self-harm, and challenges tied to life transitions like divorce and separation.

She approaches therapy from a strengths-based stance, holding that each person is the expert of their own story and already carries resources that can be mobilized toward change. Her work focuses on building motivation, practical coping skills, and self-compassion so clients can reduce harmful patterns and increase confidence and life purpose. Taking the first step often requires courage, and Karishma provides steady support and collaborative guidance throughout that process.

Karishma provides therapy exclusively through messaging on the platform referenced in her original profile. Clients may send messages whenever it feels right to share thoughts, questions, or updates, and she checks and responds to messages within 24 to 48 hours. These written exchanges form the core of the work, creating a record clients can revisit while developing strategies and tracking progress over time.

Approaches that inform online care and personal growth

Acceptance and Commitment Therapy (ACT) invites clients to notice painful thoughts and feelings without being driven by them and to clarify what matters most so they can take meaningful action. This approach can be useful for anxiety, depression, obsessive concerns, and struggles with urges or addictive patterns.

Attachment-Based Therapy explores relationship patterns that developed early in life and how those patterns affect current connections and emotional regulation. It is often helpful for abandonment concerns, codependency, attachment wounds, and difficulties forming or maintaining close relationships.

Cognitive Behavioral Therapy (CBT) focuses on identifying and changing unhelpful thinking and behavior patterns through practical strategies and skill building. It can reduce symptoms of anxiety, obsessions and compulsions, low mood, and other everyday problems.

Finding the right blend of methods is part of the therapeutic journey. Licensed professionals often combine elements from different approaches, and Karishma works collaboratively with each person to determine which techniques best match their needs, goals, and preferences.

Online therapy offers flexibility and accessibility by supporting sessions through video calls, phone appointments, live chat, or text-based messaging. These options make it easier to fit therapy into busy schedules, maintain continuity of care from different locations, and choose the communication style that feels most comfortable while working toward meaningful change.