Karishma Sarfani

Karishma Sarfani is a Licensed Professional Counselor (LPC) in Texas with five years of clinical experience. She works with people dealing with stress, anxiety, addictions, trauma and abuse, low self-esteem, and depression. Karishma emphasizes collaboration and uses written exchanges as a core way to work through concerns like relapse, compulsive behaviors, and intense phobias.

She frames clients as experts on their own stories and looks for strengths to build on. Sessions focus on practical steps to reduce urges, manage intrusive thoughts, and stabilize mood. Karishma mentions support for problems such as dissociation, attachment struggles, process addictions, and complex post-traumatic stress.

Her approach draws on Acceptance and Commitment Therapy, Attachment-Based Therapy, Client-Centered Therapy, Cognitive Behavioral Therapy, and Dialectical Behavior Therapy. In practice this means discussing values and goals, noticing patterns of thinking and behavior, and developing concrete skills for emotion regulation and distress tolerance.

All communication in her described practice takes place through messaging within the therapy platform. Clients can send updates, short notes, or longer reflections, and Karishma responds within 24 to 48 hours. The written thread becomes a record clients can revisit as they work on problems like OCD rituals, substance use, or grief.

People looking for help with life purpose questions, struggles with codependency, or difficulties after separation can expect straightforward conversations and practical exercises. Prospective clients should confirm current session options and scheduling details before booking.

How therapeutic approaches translate to messaging-based work

Karishma uses Acceptance and Commitment Therapy (ACT) to help people clarify what matters to them and take small, committed steps toward those values. ACT involves noticing difficult thoughts and learning to act in ways that align with personal goals rather than being driven by avoidance.

She also draws on Attachment-Based Therapy, which looks at patterns in close relationships and how those patterns shape reactions to stress and loss. This approach helps people recognize and change repeated interaction styles that contribute to anxiety or isolation.

Finding the right approach is part of the work. She will collaborate with clients to choose methods that match their goals, needs, and preferences. That might mean combining ACT exercises with CBT-style skills or using DBT tools for emotion regulation when urges or intense impulses are present.

The therapist’s described format is messaging within the therapy platform. Prospective clients should confirm available session formats before booking. Messaging can fit into busy lives by allowing short updates or longer reflections at times that suit the client, and responses are typically provided within 24 to 48 hours. This format can make it easier to track progress over time and revisit written guidance and strategies without needing a live session.