Karishma Sarfani, LPC
Texas LPC focused on trauma and addictions
- Trauma and abuse
- Addiction support
- Anxiety relief
About Karishma Sarfani
Karishma Sarfani is a Licensed Professional Counselor (LPC) licensed in Texas with 5 years of clinical experience. She works with people coping with stress and anxiety, substance and process addictions, trauma and abuse, and those seeking to strengthen motivation, self-esteem, and confidence. Karishma approaches therapy from the perspective that each person is the expert of their own story and that existing strengths can be leveraged to overcome current challenges. Taking an initial step toward a more fulfilling life often requires courage, and she aims to provide steady support throughout that process.
She addresses a wide range of concerns, including chronic relapse and binge behaviors, sex, love, and porn addiction, excess substance use, dissociative disorders, attachment difficulties, and overwhelming obsessive-compulsive symptoms. Clients who struggle with urges to vape, smoke marijuana or nicotine, or drink can work with her on strategies to reduce those behaviors. She also supports people facing social phobia, sexual abuse, grief and loss, complex PTSD, and process addictions such as gambling or exercise-related compulsion. When compulsive rituals, persistent worries, or intense fears interfere with daily life, she offers practical tools and collaborative planning to help regain function.
Karishma provides therapy exclusively through messaging on BetterHelp. Clients may send messages whenever it feels right to share thoughts, questions, or updates, and she checks and responds within 24-48 hours. Those written exchanges serve as the foundation of therapy and create an accessible record of progress and strategies that clients can revisit as needed. She welcomes individuals prepared to begin work toward healing and growth.
She addresses a wide range of concerns, including chronic relapse and binge behaviors, sex, love, and porn addiction, excess substance use, dissociative disorders, attachment difficulties, and overwhelming obsessive-compulsive symptoms. Clients who struggle with urges to vape, smoke marijuana or nicotine, or drink can work with her on strategies to reduce those behaviors. She also supports people facing social phobia, sexual abuse, grief and loss, complex PTSD, and process addictions such as gambling or exercise-related compulsion. When compulsive rituals, persistent worries, or intense fears interfere with daily life, she offers practical tools and collaborative planning to help regain function.
Karishma provides therapy exclusively through messaging on BetterHelp. Clients may send messages whenever it feels right to share thoughts, questions, or updates, and she checks and responds within 24-48 hours. Those written exchanges serve as the foundation of therapy and create an accessible record of progress and strategies that clients can revisit as needed. She welcomes individuals prepared to begin work toward healing and growth.
Areas of Expertise
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 Approach
Acceptance and Commitment Therapy (ACT) Attachment-Based Therapy Client-Centered Therapy Cognitive Behavioral Therapy (CBT) Dialectical Behavior Therapy (DBT) Eye Movement Desensitization and Reprocessing (EMDR) Motivational Interviewing Narrative Therapy Somatic Therapy Trauma-Focused Therapy Internal Family Systems
Frequently Asked Questions
How much experience does Karishma Sarfani have?
Karishma Sarfani has 5 years of professional experience.
Is Karishma Sarfani a licensed therapist?
Yes. She is a Licensed Professional Counselor (LPC). Her license is listed as TX LPC 86731.
In which languages does Karishma Sarfani provide therapy?
She provides therapy in English.
Where is Karishma Sarfani located?
She is located in Texas.
How can I work with Karishma Sarfani as my therapist?
You can work with Karishma Sarfani through video calls, phone sessions, live chat, or text-based messaging.
Does Karishma Sarfani work with international clients?
No. Karishma Sarfani does not currently work with international clients.
How much does therapy with Karishma Sarfani 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 a 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 Care
Karishma draws from Acceptance and Commitment Therapy (ACT) to help clients clarify personal values and take committed action toward a meaningful life - this approach is useful for anxiety, avoidance, and patterns that keep people stuck. She also uses Attachment-Based Therapy to explore how early relationships shape current connection styles and to strengthen emotional bonds and boundary setting in adult relationships. Cognitive Behavioral Therapy (CBT) is another core tool she employs, offering structured strategies to identify and change unhelpful thoughts and behaviors that contribute to anxiety, depression, and compulsive patterns.
Finding the right approach is part of the therapeutic process, and Karishma works collaboratively with each person to determine which methods best match their needs, goals, and preferences. She tailors interventions and adjusts course based on what proves most helpful for the individual.
Online therapy offers practical flexibility - sessions can take place by video calls, phone sessions, live chat, or text-based messaging - making it easier to fit consistent care into a busy life and to access therapists without geographic barriers. This variety of formats supports different communication styles and schedules while maintaining a therapeutic focus on progress and skill building.