Anne Karsian

Anne Karsian is a Licensed Clinical Social Worker (LCSW) who focuses on grief, loss, and life transitions. She listens first and asks questions that help people tell their story in their own words. Her approach aims to help people feel heard and to find small shifts that bring back interest and joy.

Anne has seven years of clinical experience and has spent much of that time working in acute care hospitals and in palliative and hospice care settings. She has worked with individuals facing sudden changes and with older adults making decisions about advanced care planning and downsizing. These situations often come with isolation, loss of independence, or increased reliance on others, and she recognizes how quickly they can feel overwhelming.

In sessions she moves at each person’s pace and follows a curious, client-centered style. Conversations focus on what matters to the person in front of her, not on fitting into someone else’s expectations. That practical listening helps identify what motivates a person and where to try small, manageable changes.

Anne blends practical tools with emotional support. She uses Cognitive Behavioral Therapy to notice patterns of thought and behavior, and Mindfulness practices to help people reconnect to present-moment experience. Emotionally-Focused Therapy ideas guide work on close relationships and intimacy-related struggles.

People come for help with grief, stress, anxiety, depression, parenting strain, caregiver fatigue, chronic illness, cancer, and issues around communication and commitment. Anne invites a gentle, steady process for working through confusion, sadness, and hard decisions.

How her approaches translate to online work

Anne commonly uses Client-Centered Therapy to create a listening space where the person leads the conversation and is treated with curiosity and respect. This approach helps when someone needs to feel heard while sorting through grief or major life decisions.

She also uses Cognitive Behavioral Therapy to identify unhelpful thinking and behavior patterns and to try practical changes that reduce anxiety and low mood. Emotionally-Focused Therapy ideas are brought in when relationship or intimacy issues are part of the concern, to help understand emotional responses and improve connection.

Finding the right approach is a team effort. The therapist will talk with each person about their goals and preferences and try approaches that fit the situation. If something isn’t working, she adjusts the plan together with the client so therapy stays relevant and helpful.

Specific session formats are not listed in the biography, so please confirm current options before booking. In general, online work can make it easier to fit sessions into a busy life, shorten travel time, and allow check-ins from a quiet place. Some formats may also be chosen because they require less bandwidth or are better for shorter check-ins, which can help people maintain consistency during stressful times.