Karen Camese , LMFT

Karen Camese is a California-based licensed marriage and family therapist (LMFT) with 20 years of experience. She focuses on helping people work through major life changes, grief, addiction, and relationship and intimacy concerns. Karen creates a calm, straightforward space where people can talk about what matters most and find practical ways to cope.

Her sessions often start by identifying current stressors and immediate goals. She uses clear tools to manage sleep problems, overwhelming emotions, and substance-related struggles. Conversations also cover family patterns and communication habits that affect everyday life.

Karen draws on approaches that emphasize connection, emotional awareness, and skill-building. She helps people notice how past relationships shape present reactions and practices simple skills to respond differently. The work includes exploring values, strengthening self-love, and increasing emotional regulation when stress spikes.

Her background includes long experience with grief, caregiving strain, hospice and end-of-life concerns, and post-traumatic stress. She routinely supports people facing midlife shifts, career crossroads, or isolation and loneliness. Karen also brings focused attention to women’s issues and the pressures many women carry.

Sessions are offered in English and are available by video calls, phone, live chat, or text-based messaging. Many people appreciate the flexibility of different formats for check-ins, skill practice, or deeper talk. Practical steps and clear homework are common parts of her work.

How therapy approaches translate online

Attachment-based work looks at how early relationships shape current reactions. Online sessions use conversation and guided exercises to help people spot patterns and try new ways of relating. Cognitive Behavioral Therapy, or CBT, focuses on the links between thoughts, feelings, and behaviors. In teletherapy CBT, the therapist and client identify unhelpful thinking, practice reframes, and set small behavior experiments to reduce symptoms.

Choosing the right approach is part of the process. The therapist will talk with each person about goals, preferences, and what feels most useful. Together they decide whether to focus on emotional processing, skills training, or a mix of methods and then adjust as progress is made.

Online formats include video calls, phone sessions, live chat, and text-based messaging. Video is useful for longer work and face-to-face conversation. Phone sessions can be easier when bandwidth or visuals are limited. Live chat and text messaging work well for brief check-ins, skills practice, and follow-up between sessions. These options offer flexibility to fit work schedules, caregiving responsibilities, or times when a shorter check-in is needed.