Karen Delos Santos, LMHC

How evidence-based approaches work for online care

Many of Karen's methods draw from practical, evidence-based techniques that focus on skills people can use right away. Cognitive-based strategies help identify unhelpful thought patterns and test new, more balanced ways of thinking; these are useful for anxiety, depression, and persistent self-criticism. Behavioral techniques focus on small, doable changes in daily routines and interactions to reduce stress and build confidence in relationships. Another common approach emphasizes emotion-focused work to notice and name feelings, understand their triggers, and practice tolerating strong emotion without reacting in ways that undermine personal needs. This can help with codependency patterns, relationship reactivity, and unresolved shame or guilt. Finding the right combination of techniques is part of the process. Karen will collaborate with each person to pick approaches that match their goals and preferences, adjusting methods as progress is made. The work is shared and practical, with regular check-ins about what is and isn't helping. The biography does not specify which session formats are offered, so confirm current online options before booking. Online sessions can make it easier to fit therapy into a busy week, shorten commute time, and allow for brief check-ins when a full in-person visit is difficult. They also let people practice skills in their everyday settings and then reflect on how those moments went with their therapist.