Anne Karsian

Anne Karsian, LCSW, CSW, offers calm support for people navigating loss and big life changes. She listens first and asks questions that let clients tell their story at a comfortable pace. Her focus is on helping people feel heard and on finding small steps that bring back interest and joy.

She has seven years of clinical experience and has worked in acute hospital settings as well as palliative and hospice care organizations. That background informs her approach when someone faces sudden changes, chronic illness, or the planning decisions that come with aging. She understands how isolation, loss of independence, and increased reliance on others can arrive all at once.

Anne begins by learning what matters most to each person. Conversations are led by curiosity and aimed at helping people recognize what motivates them. That process often uncovers practical ways to cope and re-engage with life.

Her work often addresses grief, caregiving strain, chronic illness, and decisions about advanced care planning or downsizing. She also supports people dealing with anxiety, depression, relationship and intimacy-related issues, stress, parenting concerns, and career transitions.

Sessions draw on straightforward strategies from client-centered work, cognitive behavioral ideas, emotionally-focused and mindfulness practices, and motivational interviewing. She works at a gentle pace and helps people try new ways of thinking and acting without pressure.

Anne practices in Colorado and conducts sessions in English. To begin, people complete a brief matching questionnaire and schedule according to the therapist's availability.

How these approaches translate to online sessions

Client-centered work focuses on hearing your story and following what matters to you. In practice this means sessions start with open questions and reflections so you feel understood before trying new strategies.

Cognitive behavioral ideas look at patterns in thoughts and behaviors and suggest concrete experiments to try between sessions. This approach can help with anxiety, low mood, stress, and practical coping around illness or caregiving responsibilities.

Emotionally-focused techniques help people name and map emotional responses in relationships and in times of loss. They can be useful when grief, intimacy issues, or family tensions make it hard to connect with what you need.

Finding the right mix of approaches is part of the work. The therapist will collaborate with each person to choose methods that match their goals and comfort level, and will adjust the plan as needs change.

Confirm the available session formats before booking, since the biography does not list specific options. Online therapy can make it easier to fit sessions into a busy week, reduce travel time, allow shorter check-ins when needed, or avoid video if bandwidth is limited. Licensed professionals can use these options to help therapy fit into everyday life rather than force a schedule change.