About Karen
Karen Possessky is a licensed clinical social worker in Texas with three decades of experience. She takes a warm, direct approach and keeps sessions focused on the problems you bring. Karen is especially familiar with stress, anxiety, grief, trauma, parenting pressures, workplace strain, and ADHD concerns.
She uses a client-centered stance that puts the person's goals first. That means she listens closely, reflects what she hears, and helps people decide what matters most.
Background and approach
She pairs that with practical tools from cognitive behavioral therapy to identify unhelpful thoughts and try new behaviors. Her background includes long work with first responders, healthcare workers, military-connected people, caregivers, and legal professionals. She also helps people facing life transitions, burnout, compassion fatigue, and end-of-life or hospice issues.
Her style is candid and supportive rather than clinical and distant. Sessions are conversational and often include short skills practice. Clients can expect straightforward strategies for managing anxiety, handling family conflict, or coping with grief alongside deeper reflection about values and meaning.
She will work with you to set goals and check progress along the way. Outside of work she is known for a sense of humor and a fondness for animals. That easygoing presence shows up in sessions as calm steadiness and a gentle push toward practical change.
Approach and Options for Online Therapy
Client-centered therapy focuses on listening and following each person's goals. The therapist creates space to name what matters, reflect back what she hears, and help people choose the steps they want to try. Cognitive behavioral therapy, or CBT, teaches practical strategies to notice unhelpful thoughts and test new behaviors for anxiety, depression, and stress management.Finding the right approach is part of the work. Karen will discuss options and collaborate on what feels most useful based on your needs, goals, and preferences. That may mean trying CBT techniques for day-to-day skills while also using client-centered listening to explore values and life meaning.
Online sessions are offered by video call, phone, live chat, or text-based messaging to make therapy fit your life. Video calls allow face-to-face conversation and visual cues. Phone sessions need less bandwidth and can be easier on busy days. Live chat or messaging is useful for brief check-ins, quick coaching, or when writing helps you process. These options support regular contact and flexible scheduling so work, caregiving, or travel are easier to manage.
Questions people ask
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What this therapist works with
Most often
- Stress, Anxiety
- Family conflicts
- Trauma and abuse
Also listed
- ADHD
- Aging and geriatric issues
- Anger management
- Career difficulties
- Caregiver issues and stress
- Coaching
- Compassion fatigue
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Depression
- Divorce and separation
- Family of origin issues
- Family problems
- First responder issues
- Grief
- Guilt and shame
- Hospice and end-of-life counseling
- Life purpose
- Men's issues
- Midlife crisis
- Parenting issues
- Post-traumatic stress
- Postpartum depression
- Pregnancy and childbirth
- Relationship issues
- Self esteem
- Veteran and Armed Forces Issues
- Women's issues
- Workplace issues
Therapeutic approaches
- Experience
- 30 years
- Licensed
- Texas
- Languages
- English
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