IFSTherapists

The therapist listings are provided by BetterHelp and we will earn a commission if you use our link - at no cost to you.

LPC

Karishma Sarfani, LPC

  • Experience5 years
  • LocationTexas
  • Focus areasStress and Anxiety, Addictions, and Trauma and abuse
  • Therapy approachesInternal Family Systems and Acceptance and Commitment Therapy (ACT)
Continue with Karishma

Review online therapy options and next steps on BetterHelp.

About Karishma

Karishma Sarfani is a Licensed Professional Counselor (LPC) in Texas who integrates Internal Family Systems with evidence-based therapies to help clients move through stress, anxiety, addiction, trauma, and low self-worth.

Background and approach

With five years of clinical experience, she emphasizes clients' inherent strengths and works collaboratively to build motivation, confidence, and clearer life purpose. She offers support for a wide range of concerns including substance and process addictions, obsessive-compulsive patterns, dissociation, attachment-related struggles, grief, and complex trauma.

Karishma frames therapy as a process of uncovering internal parts and developing practical skills, drawing on approaches such as ACT, CBT, and attachment-informed work to tailor interventions to each person's needs. Clients seeking relief from relapse cycles, overwhelming rituals, phobias, or the lingering effects of abuse will find a practitioner who values courageous steps and steady progress.

Her style centers on listening to each person's story, recognizing existing resources, and partnering to create sustainable strategies for change.

Therapeutic approaches for online healing and skill building

Internal Family Systems invites clients to explore different internal parts and their roles, helping people reduce inner conflict and relate to troubling thoughts or impulses with curiosity rather than judgment; this can be especially useful for work with trauma, addiction patterns, and chronic emotional struggles. Acceptance and Commitment Therapy (ACT) focuses on clarifying values, increasing psychological flexibility, and learning practical exercises to move toward a meaningful life even when difficult feelings persist. Attachment-Based Therapy emphasizes understanding relational patterns and early bonding experiences to improve current relationships and reduce attachment-related anxiety.

Finding the right approach is part of the therapeutic journey, and the therapist will work collaboratively with each person to determine which combination of methods best matches their goals, preferences, and presenting concerns. This collaborative process helps tailor interventions so they feel relevant and manageable.

Online sessions are offered via video calls, phone sessions, live chat, or text-based messaging to provide flexibility for different schedules and communication styles. These formats make it easier to access consistent support, practice new skills between sessions, and maintain continuity of care from a location that works for the client.

Frequently asked questions

What kinds of concerns does this therapist address?
Karishma focuses on stress, anxiety, addictions, trauma and abuse, low self-esteem, and depression, along with related issues like OCD, dissociation, attachment difficulties, and process addictions.
Which therapeutic styles guide her work?
Her practice integrates Internal Family Systems alongside therapies such as Acceptance and Commitment Therapy, CBT, attachment-based work, and client-centered techniques to blend parts-focused and skills-based care.
How much clinical experience does she have?
She has five years of professional experience providing counseling services in clinical settings.
What are her credentials and where is she licensed?
She holds the LPC credential and is licensed in Texas with license number TX LPC 86731.
Does she offer services in other languages or to international clients?
Therapy is provided in English, and she is not accepting international clients at this time.
Which session formats are available for working together?
Clients can connect through video calls, phone sessions, live chat, or text-based messaging depending on scheduling and preference.
How are sessions priced and paid for?
Cost varies by location and therapist availability; sessions use a subscription model that can be canceled at any time.
What are the steps to begin therapy with this clinician?
Begin by selecting 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, AnxietyAddictionsTrauma and abuseSelf esteemDepression

Additional focus areas

AbandonmentAttachment issuesAvoidant personalityCodependencyDissociationDivorce and separationDrug and alcohol addictionGuilt and shameLife purposeNarcissismObsessions, compulsions, and OCDPersonality disordersPost-traumatic stressProcess addiction (porn, exercise, gambling)Self-harmSelf-loveSex addictionSocial anxiety and phobiaSomatization

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Eye Movement Desensitization and Reprocessing (EMDR)Motivational InterviewingNarrative TherapySomatic TherapyTrauma-Focused TherapyInternal Family Systems

Experience

5+ years

Licensed

Texas

Languages

English