Karishma Sarfani, LPC

Therapist in Texas

Karishma Sarfani is a Licensed Professional Counselor (LPC) in Texas with five years of clinical experience.

Licensed inTexas
License86731
NPI 1407531882
Experience5+ years
LanguagesEnglish

Details are as listed on the therapist's public professional profile. You can check any license with the state board and any NPI with the national registry.

About Karishma

Karishma Sarfani is a Licensed Professional Counselor (LPC) in Texas with five years of clinical experience. She focuses on helping people manage stress, anxiety, addictions, trauma, and low self-esteem. Karishma centers the work on each person's strengths and choices.

She offers steady support while clients take steps toward change. Her approach blends attachment-based ideas with practical therapies. Sessions look at how early relationships shape current patterns and how that affects anxiety, codependency, or avoidance.

Background and approach

She also uses techniques from Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, and Dialectical Behavior Therapy to teach coping skills and shift unhelpful habits. Karishma has particular experience addressing addictions and process behaviors like compulsive sexual behavior, gambling, or exercise patterns. She also helps people facing post-traumatic stress, dissociation, obsessive-compulsive symptoms, and intense shame.

The work often includes building distress tolerance, managing intrusive thoughts, and reducing urges tied to relapse. Conversations are collaborative and goal-focused. Clients can expect reflective listening, practical tools, and structured strategies to practice between sessions.

She encourages small, achievable steps that fit into daily life. Karishma provides services in English and works remotely with people located in Texas. She frames therapy as a partnership and aims to help clients feel more capable of handling life stressors and moving toward their values.

Credentials

LPC (Texas): License 86731 · expires April 2027
NPI: 1407531882 · national provider identifier

Both are public records. A state board register will confirm a license and its standing, and the national registry will confirm an NPI. This directory copies what the therapist lists and checks neither.

Focus areas and approaches

Everything Karishma lists on their public professional profile, in their own terms.

Stress, Anxiety
Addictions
Trauma and abuse
Self esteem
Depression
Abandonment
Attachment issues
Avoidant personality
Codependency
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-harm
Self-love
Sex addiction
Social anxiety and phobia
Somatization

Approaches Karishma names

Naming an approach is not evidence of training in it. This directory copies what each therapist lists and does not check training records.

Online support

How attachment work and skills-based therapy adapt online

Attachment-based therapy looks at how early relationships influence current feelings and behaviors, and helps people notice patterns that keep them stuck. It often focuses on building a steadier sense of safety in relationships and reducing repetitive reactions that cause distress. Acceptance and Commitment Therapy (ACT) teaches people to notice painful thoughts and feelings without getting pushed around by them, and to take values-based actions even when things feel hard. Cognitive Behavioral Therapy (CBT) helps identify unhelpful thoughts and behaviors and replace them with more effective habits using step-by-step exercises.

Finding the right approach is part of the work. The therapist will talk with each person about their needs, goals, and preferences and then tailor methods together. That collaborative planning makes sessions feel relevant and practical rather than one-size-fits-all.

Online therapy offers flexibility in how people connect. Video calls allow conversational depth and visual cues, phone sessions can be a lighter option with less bandwidth, and live chat or text-based messaging lets clients send updates or brief reflections throughout the day. These formats make it easier to fit therapy into work or family schedules and to practice skills between exchanges.

We will earn a commission if you sign up through our link, at no cost to you. It does not change what you pay or the order of the listings.

Frequently asked

What issues does she help with?

She helps people struggling with stress, anxiety, addictions, trauma and abuse, low self-esteem, and depression. Additional concerns include OCD, dissociation, codependency, and post-traumatic stress.

What is her therapeutic style like?

Her style is collaborative and straightforward, combining attachment-based ideas with practical skills from ACT, CBT, and DBT. Sessions focus on clear strategies and steady support.

How much experience does she have?

She has five years of professional counseling experience working with people on addiction, trauma, anxiety, and related issues.

Where is she licensed and located?

She is a Licensed Professional Counselor (LPC) licensed in Texas and provides services to clients based in that state.

What languages are supported?

Sessions are offered in English.

Which session formats are used?

Therapy is offered through video calls, phone sessions, live chat, and text-based messaging. The therapist communicates through these remote formats.

How does payment and cost work?

Cost varies with location and therapist availability. Sessions use a subscription model that can be canceled at any time.

What are the first steps to begin therapy?

Start by selecting the Start Therapy button and completing a short matching questionnaire. Then schedule sessions according to the therapist's availability.

Is this your profile?

Ask us to correct details or take the page down.