Anne Karsian, LCSW, CSW
LCSW specializing in grief and life transitions
- Grief and loss
- Older adult care
- Life transition support
About Anne Karsian
Anne Karsian is a Licensed Clinical Social Worker (LCSW) who also holds a CSW credential and has focused her practice on grief, loss, and life transitions. She has extensive experience in acute care hospital environments as well as in palliative and hospice care, supporting individuals and families during pivotal and often difficult moments. Her work frequently involves older adults navigating complex decisions around advanced care planning and downsizing, and she is attuned to the ways isolation, changes in independence, and sudden events can converge to create emotional strain.
Her approach begins with listening to each person’s story at their own pace, using curiosity to create a space where people feel seen and understood rather than judged by expectations. By exploring what motivates a person and uncovering deeper self-understanding, she helps clients discover new or renewed sources of interest and joy. Anne recognizes the courage it takes to face feelings that accompany loss and transition - from overwhelming distress to numbness or difficulty enjoying life - and she draws on her clinical background to guide people through those experiences.
Having worked closely with families and individuals in end-of-life and hospital settings, she brings compassion and practical insight to moments of grief, confusion, and change. Anne welcomes the opportunity to hear someone’s story and to support them as they work through sad, confusing, or painful life transitions.
Her approach begins with listening to each person’s story at their own pace, using curiosity to create a space where people feel seen and understood rather than judged by expectations. By exploring what motivates a person and uncovering deeper self-understanding, she helps clients discover new or renewed sources of interest and joy. Anne recognizes the courage it takes to face feelings that accompany loss and transition - from overwhelming distress to numbness or difficulty enjoying life - and she draws on her clinical background to guide people through those experiences.
Having worked closely with families and individuals in end-of-life and hospital settings, she brings compassion and practical insight to moments of grief, confusion, and change. Anne welcomes the opportunity to hear someone’s story and to support them as they work through sad, confusing, or painful life transitions.
Areas of Expertise
Primary Focus
Also Specializes In
Stress, AnxietyRelationship issuesIntimacy-related issuesParenting issuesAnger managementDepressionCompassion fatigue
Additional Focus Areas
Aging and geriatric issuesBody imageCancerCaregiver issues and stressChronic pain, illness, and disabilityCo-morbidityCodependencyCommitment issuesCommunication problemsDependent personalityDivorce and separationEmptinessFamily problemsFirst responder issuesForgivenessGuilt and shameHospice and end-of-life counselingIntellectual disabilityIsolation / lonelinessJealousyLife purposeMidlife crisisMoney and financial issuesPrejudice and discriminationSelf-loveSocial anxiety and phobiaWomen's issuesWorkplace issues
Therapeutic Approach
Client-Centered Therapy Cognitive Behavioral Therapy (CBT) Emotionally-Focused Therapy (EFT) Mindfulness Therapy Motivational Interviewing Narrative Therapy Solution-Focused Therapy
Frequently Asked Questions
How much experience does Anne Karsian have?
Anne Karsian has 7 years of professional experience.
Is Anne Karsian a licensed therapist?
Yes. She holds the credentials LCSW and CSW and is listed with license details CO LCSW CSW.09927339.
In which languages does Anne Karsian provide therapy?
Anne Karsian provides therapy in English.
Where is Anne Karsian located?
Anne Karsian is located in Colorado.
How can I work with Anne Karsian as my therapist?
You can work with Anne Karsian through video calls, phone sessions, live chat, or text-based messaging.
Does Anne Karsian work with international clients?
Anne Karsian does not currently work with international clients.
How much does therapy with Anne Karsian 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, click the "Start Therapy" button on this page.
How can I get started with therapy?
Getting started is quick and straightforward. Click the "Start Therapy" button and complete a short questionnaire that helps 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.
Therapeutic Approaches and Online Support
Anne Karsian blends client-centered therapy with cognitive behavioral therapy and mindfulness techniques to address grief, life transitions, stress, and related concerns. Client-centered therapy focuses on understanding each person’s unique story and priorities, creating a supportive environment where clients are heard and can explore what matters most to them. Cognitive behavioral therapy (CBT) helps identify patterns of thinking and behavior that contribute to distress and offers practical strategies to shift unhelpful habits and reduce symptoms of anxiety or depression. Mindfulness therapy encourages present-moment awareness and gentle acceptance of emotions, which can be useful for coping with overwhelming feelings and navigating change.Finding the right approach is part of the therapeutic process, and Anne works collaboratively with clients to determine which methods fit their needs, goals, and preferences. She combines techniques as appropriate and adjusts the plan over time based on what is most helpful for each person.
Online therapy offers flexibility and accessibility, allowing clients to meet by video call, phone session, live chat, or text-based messaging. These options make it easier to fit sessions into busy schedules, to connect from home during transitional times, and to maintain continuity of care when in-person meetings are difficult. Licensed professionals can still provide focused, compassionate support through these remote formats while tailoring pace and techniques to each client’s situation.