Anne Karsian , LCSW, CSW

Anne Karsian is a Licensed Clinical Social Worker who brings focused experience in grief, loss and life transition counseling. She has provided support in acute care hospital settings as well as palliative and hospice care organizations, working alongside families and individuals at pivotal moments. Her practice includes a particular emphasis on older adults facing complex choices about advanced care planning and downsizing, and she is familiar with the isolation and shifts in independence that often accompany these changes.

She begins by learning each person’s story at their own pace, using curiosity to guide the conversation so individuals feel heard and seen. That approach helps uncover what motivates a person and can reveal possibilities for renewed interest and joy even after a painful event. Anne holds LCSW and CSW credentials, indicating her qualifications to provide clinical social work and supportive counseling.

Anne recognizes that grief and life transitions demand courage - emotions may range from overwhelm to numbness and can arrive suddenly or alongside trauma. Her experience helping people navigate difficult, sad, or confusing times informs a compassionate, steady approach to care. She welcomes the opportunity to listen and to support people as they work through the emotions and practical decisions that follow loss and major life changes.

Therapeutic Approaches for Online Support and Change

Client-centered therapy focuses on listening and creating a supportive space where the person’s experiences and choices guide the work. This approach helps with grief, life transitions, and decisions that feel overwhelming by emphasizing empathy and the client’s own goals.

Cognitive Behavioral Therapy, or CBT, helps identify patterns of thought and behavior that contribute to anxiety, depression, and stress. By working together to test and adjust unhelpful thinking and to develop practical coping strategies, clients often gain tools for managing difficult emotions and everyday challenges.

Emotionally-Focused Therapy (EFT) attends to core emotions and attachment needs, making it useful for relationship concerns, intimacy-related issues, and the emotional impact of loss. EFT supports deeper emotional understanding and improved ways of connecting with others.

Finding the right approach is part of the therapeutic process, and Anne will collaborate with clients to determine which methods fit their needs, goals, and preferences. That collaborative stance helps ensure therapy feels relevant and workable.

Online sessions - through video calls, phone sessions, live chat, or text-based messaging - make it easier to fit therapy into busy lives, reduce travel needs, and offer continuity when in-person meetings are difficult. Licensed professionals can deliver effective care using these flexible formats, helping clients access support from their own settings.