Anne Karsian , LCSW, CSW

Anne Karsian is a Licensed Clinical Social Worker (LCSW) who helps people facing grief, loss, and major life changes. She listens first and asks questions that let clients tell their story in their own words. Anne aims to make people feel heard so they can begin to make decisions that fit their values.

She has seven years of clinical experience and has worked in hospital, palliative, and hospice settings. That background shaped her work with people dealing with serious illness, caregiving burdens, and end-of-life choices. She often supports people navigating aging concerns such as downsizing and changes in independence.

In sessions Anne uses a client-centered approach that focuses on what matters most to each person. She also draws on cognitive behavioral techniques, emotionally-focused work, mindfulness, and motivational interviewing to help people find practical ways forward. Conversations are grounded and straightforward, with attention to feelings and everyday choices.

Many people come to her with stress, anxiety, depression, relationship and parenting concerns, or career and self-esteem questions. She also works with compassion fatigue, chronic illness and pain, body-image struggles, and challenges related to divorce or caregiving. Anne is based in Colorado and conducts sessions in English.

Her style emphasizes listening, curiosity, and working at a pace that feels manageable. She invites people to explore what they value, learn coping steps, and reconnect with sources of meaning and joy.

How Anne’s approaches translate to online care

Anne commonly combines client-centered work with cognitive behavioral therapy and emotionally-focused therapy in a way that fits online formats. Client-centered work means conversations begin with your story and priorities, which helps shape goals right away. Cognitive behavioral therapy focuses on noticing patterns of thought and behavior and trying small experiments to change them, which can be practiced between sessions. Emotionally-focused therapy helps identify and shift unhelpful interaction patterns and deepen emotional understanding in relationships, useful when addressing intimacy or communication problems.

Finding the right approach is part of the process. Anne collaborates with each person to see which methods feel most useful, adjusting strategies based on your goals and what you prefer. She talks through options and tests approaches together so the plan fits your life and pace.

Online sessions are available by video call, phone, live chat, or text-based messaging to provide flexibility. Video lets you see facial cues during deeper conversations, phone is good when bandwidth is limited, live chat can work for brief check-ins, and messaging supports ongoing reflection between appointments. These options help people fit therapy into busy schedules and different day-to-day needs.