Karishma Sarfani, LPC
Support for anxiety, addiction, and trauma recovery
- Messaging based therapy
- Strengths focused support
- Anxiety and OCD help
About Karishma Sarfani
Karishma Sarfani is a Licensed Professional Counselor (LPC) in Texas with 5 years of experience supporting people who are navigating stress and anxiety, addictions, trauma and abuse, and concerns related to motivation, self-esteem, and confidence. She works from the belief that each person is the expert on their own life story, with existing strengths that can be built upon to move through difficult seasons and create meaningful change.
Her work may be a fit for those dealing with chronic relapse patterns, binge behaviors, process addictions such as sex, love, or porn addiction, and drug and alcohol addiction, as well as individuals who feel overwhelmed by obsessive thoughts, compulsions, or OCD-related fears. She also supports clients facing dissociation, attachment issues, social phobia, intense phobias, grief and loss, post-traumatic stress, and complex trauma experiences, including sexual abuse. For those wanting to reduce urges such as vaping, marijuana or nicotine use, or drinking, she offers a steady therapeutic space to explore triggers, build coping strategies, and strengthen follow-through.
Karishma provides therapy through text-based messaging, using written exchanges as the core of the work. Clients can message when it feels helpful - whether sharing a brief update or a longer reflection - and she responds within 24 to 48 hours. This format creates an ongoing record of insights, progress, and practical tools that clients can revisit over time as they continue working toward a more fulfilling and happier life.
Her work may be a fit for those dealing with chronic relapse patterns, binge behaviors, process addictions such as sex, love, or porn addiction, and drug and alcohol addiction, as well as individuals who feel overwhelmed by obsessive thoughts, compulsions, or OCD-related fears. She also supports clients facing dissociation, attachment issues, social phobia, intense phobias, grief and loss, post-traumatic stress, and complex trauma experiences, including sexual abuse. For those wanting to reduce urges such as vaping, marijuana or nicotine use, or drinking, she offers a steady therapeutic space to explore triggers, build coping strategies, and strengthen follow-through.
Karishma provides therapy through text-based messaging, using written exchanges as the core of the work. Clients can message when it feels helpful - whether sharing a brief update or a longer reflection - and she responds within 24 to 48 hours. This format creates an ongoing record of insights, progress, and practical tools that clients can revisit over time as they continue working toward a more fulfilling and happier life.
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 providing therapy.
Is Karishma Sarfani a licensed therapist?
Yes. Karishma Sarfani is a Licensed Professional Counselor (LPC) in Texas. License number: TX LPC 86731.
In which languages does Karishma Sarfani provide therapy?
Karishma Sarfani provides therapy in English.
Where is Karishma Sarfani located?
Karishma Sarfani 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 to help match you with your 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.
Evidence-Based Approaches, Made Accessible Online
Karishma Sarfani integrates structured, practical therapy methods that translate well to online care. Cognitive Behavioral Therapy (CBT) focuses on the connection between thoughts, feelings, and behaviors, helping clients notice unhelpful patterns and practice new ways of responding - a useful fit for anxiety, depression, and OCD-related concerns. Dialectical Behavior Therapy (DBT) builds skills for emotion regulation, distress tolerance, and interpersonal effectiveness, which can be especially helpful when urges, impulsive behaviors, or self-harm are part of the picture. Acceptance and Commitment Therapy (ACT) supports clients in making room for difficult thoughts or feelings while taking steps toward what matters most, strengthening flexibility and follow-through during recovery and life transitions.Finding the right approach is part of the process. Karishma collaborates with clients to clarify goals, identify what is and is not working, and choose tools that fit each person’s needs and preferences. Over time, the work can be adjusted based on progress, feedback, and the challenges that show up in day-to-day life.
Online therapy also makes it easier to stay engaged. Sessions can happen through video calls, phone sessions, live chat, or text-based messaging, offering flexibility for busy schedules, limited transportation, or times when meeting in person feels like one more stressor.