About Karishma
Karishma Sarfani is a Licensed Professional Counselor who focuses on somatic-informed work alongside evidence-based therapies. She helps people manage stress, anxiety, addiction, trauma, low self-esteem, and depression. Karishma writes plainly and centers the person’s experience as she supports practical steps toward change.
She combines body-focused awareness with cognitive and behavioral tools. That can mean noticing physical reactions during hard moments and learning simple ways to respond differently. Sessions also draw on acceptance and values-based techniques to help clients clarify what matters most to them.
Background and approach
Karishma has five years of clinical experience in Texas. She has worked with people facing substance and process addictions, obsessive-compulsive symptoms, dissociation, and the aftermath of abuse. She also helps with relationship wounds tied to attachment, abandonment, and codependency concerns.
Her style leans toward collaborative problem solving. Clients can expect plain talk, gentle curiosity, and practical homework to try between contacts. The goal is to reduce distress and increase skills for everyday life.
Therapy here can cover relapse prevention, urges to use substances or engage in compulsive behaviors, grief and loss, and complex trauma responses like post-traumatic stress. Karishma treats each person as the authority on their life while offering structure and tools to move forward.
How somatic and acceptance-focused work fits into online therapy
Somatic-informed work pays attention to how stress and emotions show up in the body, such as tightness, breath changes, or agitation, and uses gentle practices to help people notice and regulate those sensations. Acceptance and Commitment Therapy, or ACT, helps people clarify what matters to them and take small actions toward those values while learning to accept uncomfortable thoughts and feelings.Finding the right approach is part of the process. The therapist will work together with each person to decide which methods suit their needs and goals. That collaboration includes trying strategies, checking what helps, and adjusting the plan over time.
Online therapy via video, phone, live chat, or text-based messaging offers practical flexibility. Video and phone sessions allow face-to-face conversation and guided exercises, while chat and messaging make it possible to share reflections in the moment or between sessions. This range of options can make it easier to maintain continuity, practice new skills in daily life, and access support from home or work.
Frequently asked questions
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Specialties and expertise
Top specialties
Also works with
- Abandonment
- Attachment issues
- Avoidant personality
- Codependency
- Depression
- Dissociation
- Divorce and separation
- Drug and alcohol addiction
- Guilt and shame
- Life purpose
- Narcissism
- Obsessions, compulsions, and OCD
- Personality disorders
- Post-traumatic stress
- Process addiction (porn, exercise, gambling)
- Self esteem
- Self-harm
- Self-love
- Sex addiction
- Social anxiety and phobia
- Somatization
Therapeutic approaches
- Acceptance and Commitment Therapy (ACT)
- Attachment-Based Therapy
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavior Therapy (DBT)
- Eye Movement Desensitization and Reprocessing (EMDR)
- Motivational Interviewing
- Narrative Therapy
- Somatic Therapy
- Trauma-Focused Therapy
- Internal Family Systems
- Experience
- 5 years
- Licensed
- Texas
- Languages
- English