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 to understand each person’s story. Her approach aims to help people feel heard and to find small steps toward renewed interest and joy.

She has seven years of experience and has worked in acute care hospitals as well as palliative and hospice settings. This background gives her experience supporting people during sudden or expected changes, and during decisions about advanced care planning and downsizing. Anne is familiar with the stress that can come from increased reliance on others and the isolation that sometimes follows major life changes.

Anne begins sessions by letting clients set the pace and share their story in their own words. She uses curiosity to guide the conversation so people feel seen rather than judged. That listening is paired with practical conversation about what motivates someone and what might bring more meaning into daily life.

Her work addresses a range of concerns including family struggles, parenting stress, career transitions, anxiety, depression, anger, and compassion fatigue. She also supports people dealing with chronic illness, caregiver strain, cancer, body image, and issues that often accompany aging.

Therapeutic approaches she draws on include Client-Centered Therapy, Cognitive Behavioral Therapy (CBT), Emotionally-Focused Therapy (EFT), mindfulness therapy, and Motivational Interviewing. These methods are used to help people manage stress, process grief, improve communication, and find practical next steps during hard times.

How Anne’s Approaches Translate to Online Support

Client-Centered Therapy focuses on listening and following the person’s lead. In practice this means sessions begin with the client’s story and move at a pace that feels manageable. Cognitive Behavioral Therapy (CBT) looks at how thoughts and behaviors interact and uses practical exercises to change unhelpful patterns, which can help with anxiety, depression, and anger. Emotionally-Focused Therapy (EFT) helps people identify and name emotions and the patterns that keep them stuck, which can improve how they relate to others and to themselves.

Finding the right approach is part of the work. Anne collaborates with each person to decide which methods fit their needs and goals. She reviews options together, adapts techniques when necessary, and checks in regularly to make sure the plan is working for the client.

If you are considering online sessions, confirm the available session formats before booking. Online options can make it easier to fit therapy into a busy day, allow shorter check-ins when needed, and reduce travel time. For some people, video sessions help with visual connection while phone sessions can work better when bandwidth or quiet time is limited. Discussing these preferences at the start helps shape a plan that fits everyday life.