- Client-centered focus
- Mindfulness and CBT
- Support for caregivers
About Karen
Karen Possessky is a licensed clinical social worker (LCSW) based in Texas with 30 years of experience. She focuses on practical, person-centered care that helps people manage stress, anxiety, grief, and relationship strain. Karen speaks plainly, listens closely, and treats people with warmth and respect.
Her approach is grounded in client-centered work and cognitive behavioral techniques. She combines these with mindfulness and existential ideas to help people notice unhelpful thoughts, try new behaviors, and reflect on what matters most. Sessions aim to be down-to-earth and action-oriented when that fits the person's goals.
Karen has worked across many settings and with a wide range of concerns, including trauma and abuse, parenting and caregiver stress, workplace pressure, and issues veterans and first responders often face. She also supports people dealing with life transitions, midlife questions, and grief related to end-of-life care.
In the room she brings a direct but warm style, a sense of humor, and practical tools people can use between sessions. Her work includes coaching elements for career and life-purpose questions, along with therapeutic support for depression, anger, and self-esteem struggles.
She encourages anyone taking a first step toward change to name their goals and expectations. Karen focuses on collaboration, helping each person shape a plan that fits their life and values.
Her approach is grounded in client-centered work and cognitive behavioral techniques. She combines these with mindfulness and existential ideas to help people notice unhelpful thoughts, try new behaviors, and reflect on what matters most. Sessions aim to be down-to-earth and action-oriented when that fits the person's goals.
Karen has worked across many settings and with a wide range of concerns, including trauma and abuse, parenting and caregiver stress, workplace pressure, and issues veterans and first responders often face. She also supports people dealing with life transitions, midlife questions, and grief related to end-of-life care.
In the room she brings a direct but warm style, a sense of humor, and practical tools people can use between sessions. Her work includes coaching elements for career and life-purpose questions, along with therapeutic support for depression, anger, and self-esteem struggles.
She encourages anyone taking a first step toward change to name their goals and expectations. Karen focuses on collaboration, helping each person shape a plan that fits their life and values.
Areas of expertise
Primary focus
Also works with
Relationship issuesGriefAnger managementSelf esteemCareer difficultiesDepressionCoachingCompassion fatigueADHD
Additional focus areas
Aging and geriatric issuesCaregiver issues and stressControl issuesCoping with natural or human-caused disasterDivorce and separationFamily of origin issuesFamily problemsFirst responder issuesGuilt and shameHospice and end-of-life counselingLife purposeMen's issuesMidlife crisisVeteran and Armed Forces IssuesPostpartum depressionPost-traumatic stressPregnancy and childbirthWomen's issuesWorkplace issues
Therapeutic approaches
Client-Centered TherapyCognitive Behavioral Therapy (CBT)Existential TherapyJungian TherapyMindfulness TherapyMotivational InterviewingPsychodynamic TherapySolution-Focused TherapySomatic TherapyTrauma-Focused Therapy
Experience
30+ years
Credentials
Texas
Languages
English
How client-centered and CBT work in online therapy
Client-centered therapy focuses on listening, understanding your goals, and following your pace. The therapist offers empathy and reflection so you can name what matters and decide next steps. Cognitive behavioral therapy, or CBT, looks at the links between thoughts, feelings, and actions; it helps people try small behavior changes and test new ways of thinking to reduce anxiety or depression.Choosing the right approach is a team effort. The therapist will talk with you about your goals, strengths, and what you prefer. Together you can try an approach, adjust it, or blend methods so the work fits your life and needs.
Confirm available session options before booking so you know how sessions are delivered. Online work can make scheduling easier and help therapy fit into busy days. It can also allow shorter check-ins when time is tight, reduce travel time, and let you work from a quieter spot that fits your routine. Licensed professionals will discuss how often to meet and what homework or practice might support your progress.
Frequently asked questions
What concerns does Karen commonly address?
She works with stress, anxiety, depression, grief, parenting strain, trauma and abuse, relationship problems, work stress, ADHD, and related life changes.
What is her general therapy style?
Her style is client-centered and practical, with cognitive behavioral and mindfulness tools used to change unhelpful thoughts and behaviors.
How much experience does she have?
She has about 30 years of professional social work experience in a range of settings.
What credential and location should I know about?
She is an LCSW licensed in Texas and practices from that state.
Which languages are sessions offered in?
Sessions are offered in English.
Can people outside the United States work with her?
She does not accept international clients at this time.
How do fees and payment work?
Cost varies with location and therapist availability, and sessions use a subscription that can be canceled at any time.
What are the steps to begin therapy?
Click the Start Therapy button, fill out a short matching questionnaire, and then schedule according to therapist availability.