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LCSW

Karen Lago-Fairey, LCSW

  • Experience45 years
  • LocationNew York
  • Focus areasStress and Anxiety, Addictions, and Relationship
  • Therapy approachesInternal Family Systems and Client-Centered Therapy
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About Karen

Karen Lago-Fairey is a licensed clinical social worker (LCSW) with 45 years of experience in mental health care, including long-term independent practice and earlier roles in hospitals and clinics.

Background and approach

She has provided treatment for people affected by domestic violence and sexual assault and has extensive experience addressing mood disorders, addiction, personality disorders, and organic illnesses. Her background includes work with individuals, couples, and families across a variety of clinical settings in New York.

Her therapeutic stance is eclectic and holistic, blending evidence-informed and experiential approaches to meet each person where they are. Karen draws on methods such as Internal Family Systems, cognitive behavioral techniques, mindfulness, psychodynamic perspectives, and client-centered strategies to tailor treatment to presenting concerns.

Typical concerns she addresses include stress, anxiety, depression, trauma and abuse, relationship and family problems, intimacy and self-esteem difficulties, as well as addiction-related issues. Clients can expect a collaborative process that adapts modality and pace to their needs, with attention to both practical coping skills and deeper patterns that affect wellbeing.

Karen’s long clinical history supports a flexible, person-focused way of working aimed at fostering insight, resilience, and more satisfying relationships.

Integrative Approaches for Online Care

Karen integrates Internal Family Systems, Client-Centered Therapy, and Cognitive Behavioral Therapy into her online practice. Internal Family Systems helps people recognize and relate to different internal parts with curiosity rather than judgment, which can be useful for trauma responses and internal conflict. Client-Centered Therapy emphasizes empathy, acceptance, and the therapeutic relationship to promote self-exploration and personal growth. Cognitive Behavioral Therapy offers practical strategies to identify and change unhelpful thinking and behavior patterns, often helping with anxiety, depression, and mood concerns.

Finding the right combination of approaches is part of the collaborative work she does with each client. Karen will discuss goals, preferences, and life context to determine which methods to emphasize and will adjust the plan as therapy proceeds so the client’s needs remain central to decision-making.

Online therapy options include video calls, phone sessions, live chat, and text-based messaging, providing flexibility for scheduling and different communication styles. These formats make it easier to maintain continuity of care while balancing work, family, and other responsibilities, and they allow clients to engage in therapy in a way that best fits their daily life.

Frequently asked questions

What kinds of concerns does Karen address?
She works with stress, anxiety, depression, trauma and abuse, relationship and family problems, intimacy and self-esteem issues, addictions, and related mood and obsessive-compulsive concerns.
How would you describe Karen's therapeutic style?
Her approach is eclectic and holistic, combining client-centered, psychodynamic, mindfulness, CBT, and trauma-focused techniques to adapt to each client’s needs.
How much clinical experience does she have?
She has 45 years of work in mental health, including hospital and clinic settings and 23 years in independent practice.
What are her credentials and where is she based?
She is an LCSW licensed in New York with license number NY LCSW R031103-01 and maintains a practice in New York.
Can speakers of other languages work with her?
She conducts therapy in English and is not listed as accepting international clients at this time.
Which session formats are offered?
Sessions are available via video calls, phone sessions, live chat, or text-based messaging to accommodate different preferences.
How are fees and payment handled?
Cost varies with location and therapist availability; sessions use a subscription model that can be canceled at any time.
What steps are involved in beginning therapy?
To start, select the Start Therapy button, complete a short matching questionnaire, and then schedule sessions according to the therapist’s availability.

Areas of expertise

Primary focus

Stress, AnxietyAddictionsRelationship issuesFamily conflictsDepression

Additional focus areas

Aging and geriatric issuesBlended family issuesDrug and alcohol addictionFamily of origin issuesFamily problemsMood disordersObsessions, compulsions, and OCDSeasonal Affective Disorder (SAD)

Therapeutic approaches

Client-Centered TherapyCognitive Behavioral Therapy (CBT)Mindfulness TherapyPsychodynamic TherapySolution-Focused TherapyTrauma-Focused TherapyInternal Family Systems

Experience

45+ years

Licensed

New York

Languages

English