About
Karishma Sarfani is a Licensed Professional Counselor (LPC) in Texas with 5 years of experience supporting clients through stress and anxiety, addictions, trauma and abuse, and concerns related to motivation, self-esteem, and confidence. She approaches therapy with the belief that each person is the expert on their own life story and already carries strengths that can be built upon to meet challenges and move toward meaningful change.
She works with individuals who feel stuck in patterns such as chronic relapse and binges, process addictions (including sex, love, and porn addiction), and increased substance use, as well as people navigating dissociation, attachment concerns, or overwhelming OCD. Karishma also supports clients dealing with social phobia, intense phobias, grief and loss, complex PTSD, and the impacts of sexual abuse or other trauma. When worries, rituals, or fears start to take over daily life, she offers steady guidance and structured support to help clients feel less alone and more equipped to cope.
Karishma provides therapy through text-based messaging. Clients can write whenever it feels helpful, whether sharing a quick update or a longer reflection, and she responds within 24 to 48 hours. This written format creates an ongoing space to process experiences, track progress, and return to strategies and insights over time.
Therapeutic tools that translate well to online care
Karishma Sarfani draws from several evidence-informed approaches that can be used effectively in online therapy. Cognitive Behavioral Therapy (CBT) focuses on the connection between thoughts, feelings, and behaviors. It can be especially helpful for anxiety, depression, and OCD-related patterns by building practical skills for noticing unhelpful thinking loops and trying new responses over time.
Acceptance and Commitment Therapy (ACT) helps clients make room for difficult thoughts and feelings while taking steps toward what matters most to them. It can support people dealing with stress, trauma-related reactions, and urges connected to addiction by strengthening values-based choices and psychological flexibility.
Dialectical Behavior Therapy (DBT) emphasizes coping skills such as emotion regulation, distress tolerance, and interpersonal effectiveness. It can be useful for intense emotions, self-harm urges, and relationship conflicts by offering structured tools to practice between sessions.
Finding the right approach is part of the process. Karishma collaborates with clients to clarify goals, preferences, and day-to-day challenges, then adjusts the focus and tools to fit what is most helpful.
Online therapy also offers practical flexibility. Sessions and support can happen through video calls, phone sessions, live chat, or text-based messaging, making it easier to stay consistent with care and fit therapy into a busy schedule.How much experience does Karishma Sarfani have?
Karishma Sarfani has 5 years of professional experience providing therapy.
Is Karishma Sarfani a licensed therapist?
Yes. Karishma Sarfani is a Licensed Professional Counselor (LPC) in Texas. License: TX LPC 86731.
In which languages does Karishma Sarfani provide therapy?
Karishma Sarfani provides therapy in English.
Where is Karishma Sarfani located?
Karishma Sarfani is located in Texas.
How can I work with Karishma Sarfani as my therapist?
You can work with Karishma Sarfani through video calls, phone sessions, live chat, or text-based messaging.
Does Karishma Sarfani work with international clients?
No. Karishma Sarfani does not currently work with international clients.
How much does therapy with Karishma Sarfani cost?
The cost of therapy can vary depending on factors such as your location and the therapist's availability. Sessions are billed through a subscription that can be canceled at any time, for any reason. For current details, just click the "Start Therapy" button on this page.
How can I get started with therapy?
Getting started with therapy is quick and straightforward. Click the "Start Therapy" button and complete a short questionnaire to help match you with your therapist. Depending on availability, you can then schedule your first session, which may take place by phone, video call, live chat, or in-app messaging.