Karen Cash, LCSW
Compassionate LCSW for trauma and relationships
- Trauma and abuse
- Relationships and parenting
- Anxiety and depression
About Karen Cash
Karen Cash is a Licensed Clinical Social Worker (LCSW) based in California with 15 years of clinical practice helping individuals and couples navigate relationship tensions and everyday challenges. She brings focused experience addressing anxiety and depression, including increased stress related to the COVID era, and she supports people facing losses and life transitions with compassionate care.
Karen has worked extensively with survivors of trauma, including childhood abuse, sexual abuse, domestic violence, and sexual assault. She assists clients in developing practical coping skills and applies trauma-focused cognitive behavioral therapy when appropriate to reduce distress and build resilience. Grief work is another core area of her practice, supporting people through losses such as the death of a loved one, job loss, changes in health, relationship endings, and the death of a pet.
Her approach centers on building a strong therapeutic relationship grounded in trust and open communication. Karen emphasizes attentive listening and empathy while collaborating with each person to create an individualized treatment plan that fits their goals. She aims to help clients clarify what they want their lives to look like and to support them in taking steps toward those changes.
Karen has worked extensively with survivors of trauma, including childhood abuse, sexual abuse, domestic violence, and sexual assault. She assists clients in developing practical coping skills and applies trauma-focused cognitive behavioral therapy when appropriate to reduce distress and build resilience. Grief work is another core area of her practice, supporting people through losses such as the death of a loved one, job loss, changes in health, relationship endings, and the death of a pet.
Her approach centers on building a strong therapeutic relationship grounded in trust and open communication. Karen emphasizes attentive listening and empathy while collaborating with each person to create an individualized treatment plan that fits their goals. She aims to help clients clarify what they want their lives to look like and to support them in taking steps toward those changes.
Areas of Expertise
Primary Focus
Also Specializes In
AddictionsLGBTFamily conflictsTrauma and abuseGriefIntimacy-related issuesAnger managementCareer difficultiesBipolar disorderCoping with life changesCoachingCompassion fatigueADHD
Additional Focus Areas
AbandonmentAdoption and foster careAttachment issuesAutism and Asperger SyndromeBlended family issuesBody imageCancerCaregiver issues and stressCommitment issuesCommunication problemsControl issuesDisruptive Mood Dysregulation Disorder (DMDD)Divorce and separationDomestic violenceDrug and alcohol addictionEating and food-related issuesEmptinessFamily of origin issuesFamily problemsFirst responder issuesForgivenessGender dysphoriaGuilt and shameImpulsivityInfidelityIntellectual disabilityIsolation / lonelinessJealousyLife purposeMidlife crisisMoney and financial issuesMood disordersObsessions, compulsions, and OCDPanic disorder and panic attacksParanoiaPhobiasPolyamory / non-monogamous relationshipsPost-traumatic stressPregnancy and childbirthProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-loveSex addictionSexual assault and abuseSexualitySocial anxiety and phobiaWomen's issuesYoung adult issues
Therapeutic Approach
Acceptance and Commitment Therapy (ACT) Attachment-Based Therapy Client-Centered Therapy Cognitive Behavioral Therapy (CBT) Dialectical Behavior Therapy (DBT) Solution-Focused Therapy Trauma-Focused Therapy
Frequently Asked Questions
How much experience does Karen Cash have?
Karen Cash has 15 years of experience as a therapist and clinical social worker.
Is Karen Cash a licensed therapist?
Yes. She holds the credential LCSW, which stands for Licensed Clinical Social Worker. License details are CA LCSW 17777.
In which languages does Karen Cash provide therapy?
Counseling is provided in English.
Where is Karen Cash located?
Karen practices in California.
How can I work with Karen Cash as my therapist?
You can work with Karen Cash through video calls, phone sessions, live chat, or text-based messaging.
Does Karen Cash work with international clients?
Yes. Karen Cash works with international clients.
How much does therapy with Karen Cash 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 for Online Care
Acceptance and Commitment Therapy (ACT) helps people clarify their values and take meaningful action even when difficult thoughts and feelings arise. It is often used for anxiety, stress, and life transitions to increase psychological flexibility and focus on what matters most.Attachment-Based Therapy explores how early relationships shape current patterns in connections and offers ways to create more secure, satisfying bonds. This approach can be especially helpful for relationship challenges, parenting concerns, and struggles rooted in abandonment or attachment wounds.
Karen treats the choice of approach as a collaborative process. She works with each person to identify goals, preferences, and the strategies that feel most helpful, adjusting the plan as needs evolve and progress is made.
Online therapy offers practical flexibility through video calls, phone sessions, live chat, or text-based messaging, making it easier to fit sessions into busy lives and to connect from different locations. Working remotely lets clients access licensed professionals and therapists with approaches that match their needs while maintaining convenience and continuity of care.