Therapist profile
Karen Gudino-Gutierrez, LCSW
California
Licensed Clinical Social Worker - Anxiety and Codependency
Continue with KarenWhere Karen stands
- Credentials
- LCSW
- License
- LCSW, California / 108785
- NPI
- 1548786403
- Experience
- 7 years
- Languages
- English, Spanish
- Location
- California
About
- Anxiety management
- Codependency concerns
- CBT and DBT skills
About Karen
Karen Gudino-Gutierrez is a Licensed Clinical Social Worker (LCSW) in California with seven years of professional experience. She works with adults facing stress, anxiety, grief, anger, low self-esteem, and depression. Karen also focuses on concerns like abandonment, attachment issues, caregiver strain, chronic illness and pain, and codependency.
Her style is direct and practical. Sessions involve talking through current problems, learning coping tools, and setting small goals to test different ways of responding. She uses skills from cognitive behavioral therapy to notice and change unhelpful thoughts and behaviors.
Karen integrates techniques from dialectical behavior therapy to help with strong emotions and mindfulness practices to increase awareness and calm. Solution-focused strategies are used to identify what is already working and build on it. Motivational interviewing can help when people feel stuck or unsure about change.
She pays attention to how relationships shape stress and self-worth. Work may include practicing clearer communication, setting boundaries, and addressing patterns of people-pleasing or losing oneself in relationships. Sessions can also address guilt, shame, isolation, and life-purpose questions.
Karen speaks English and Spanish. She offers a practical approach that breaks problems into manageable steps. To begin, someone typically completes a brief questionnaire and schedules an initial session to clarify goals and next steps.
How sessions work
How Karen’s approaches translate to online work
Karen uses cognitive behavioral therapy to help people notice thought patterns that feed anxiety or low self-esteem and practice new ways of responding. CBT often involves short exercises, tracking thoughts, and trying out different behaviors between sessions. She also brings in dialectical behavior therapy skills to manage intense emotions and reduce impulsive reactions. DBT-style work teaches breathing and grounding techniques, emotion regulation, and skills for clearer communication. Mindfulness practices are used to build present-moment awareness and reduce rumination. Choosing the right approach is part of the work. Karen will collaborate with each person to identify which methods fit their goals and preferences, and she adjusts plans as needs change. This happens through discussion, brief assessments, and trying techniques to see what helps. The biography does not specify which online session formats are offered, so confirm the current options before booking. Many people find online sessions help fit therapy into busy schedules, make it easier to attend from different locations, or allow shorter check-ins when time is limited. Online work can also let someone practice skills in real-life contexts and bring those experiences back to sessions for review.Areas of focus
Areas of expertise
Primary focus
Additional focus areas
Therapeutic approaches
Experience
7+ years
Listed in
California
Languages
English, Spanish
Questions
Frequently asked questions
What issues does she help with?
She works with stress, anxiety, grief, anger, low self-esteem, and depression, plus related concerns like attachment, caregiver stress, chronic illness, and codependency.
What is her therapeutic style?
Her approach is practical and skills-based, mixing cognitive behavioral techniques, DBT skills, mindfulness, and solution-focused work to address immediate problems and emotions.
How much clinical experience does she have?
She has seven years of professional experience as a clinician working with the concerns listed above.
What are her credentials and where does she practice?
She is an LCSW licensed in California and practices from that state.
Can I work with her if I don’t speak English?
Sessions are offered in English and Spanish.
What session formats are available?
The original profile does not list specific session formats. Please confirm the current session options before booking.
How does payment work?
Cost varies by location and sessions use a subscription that can be canceled at any time.
How do I get started with her practice?
Select the See online therapy options button, complete a 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 at home, use the crisis and helpline numbers.