Karishma Sarfani, LPC

Karishma Sarfani is a Licensed Professional Counselor (LPC) in Texas with five years of clinical experience. She works with people facing stress, anxiety, addictions, trauma and abuse, low self-esteem, and depression. Karishma uses practical, written conversation to help clients notice what gets in the way and try different responses over time.

She focuses on patterns like abandonment, attachment struggles, codependency, dissociation, and issues tied to personality or compulsive behaviors. She also supports people dealing with drug and alcohol use, process addictions, and the fallout of past sexual abuse or loss. Karishma names specific concerns so people can find a clear starting point.

Her approach centers on helping clients recognize their strengths and make small, manageable changes. She draws on Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Attachment-Based methods, and client-centered principles. In practice this means noticing thoughts and urges, trying new behaviors, and tracking what helps.

Therapy with Karishma is carried out through written messaging. Clients send messages when it works for them, and she replies within a stated response window. The ongoing exchange creates a record of progress and strategies to review later.

She invites straightforward steps and steady work rather than quick fixes. The focus is on clear goals such as reducing urges, improving boundaries, managing anxiety, and building self-respect. People who prefer reflective, text-based communication tend to find this method useful.

How her approaches translate to online written therapy