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AK Portrait of Anne Karsian

Anne Karsian

Compassionate guidance through grief and life transitions

LCSW, CSW Colorado

Experience
7 years in practice
Focus areas
Family, Grief, Self esteem
Approaches
Cognitive Behavioral Therapy (CBT), Client-Centered Therapy
Languages
English
Continue with Anne

About Anne

Anne Karsian is a Licensed Clinical Social Worker (LCSW, CSW) based in Colorado who focuses on grief, loss, and life transitions. She draws on seven years of professional experience supporting people through pivotal moments, particularly when sudden change or illness shifts daily life and relationships.

Background and approach

Her background includes work in acute care hospitals and in palliative and hospice settings, where she guided individuals and families through difficult decisions and emotional upheaval. Her practice begins by listening closely to each person’s story and following their pace, using curiosity to help clients feel seen and understood.

Anne uses approaches such as Cognitive Behavioral Therapy alongside client-centered and emotionally-focused methods to help people explore what motivates them and uncover new sources of meaning and joy. She has particular experience with issues that arise around aging, advanced care planning, downsizing, and the complex feelings that can accompany loss of independence.

Anne acknowledges how courage is required to face grief and other painful emotions and offers steady support for those navigating overwhelm, emptiness, or changes in identity. She welcomes conversations about difficult, sad, or confusing times and partners with clients to find practical and emotional pathways forward.

Approaches that guide online care and practical access



Anne frequently uses Cognitive Behavioral Therapy (CBT) and Client-Centered Therapy to support people working through loss, stress, and major life changes. CBT focuses on identifying thought patterns and behaviors that contribute to distress and testing practical strategies to reduce symptoms and improve daily functioning, which can help with anxiety, depression, and coping with change. Client-Centered Therapy emphasizes a nonjudgmental, empathic relationship where the therapist follows the client's lead to build understanding and self-directed growth, useful for grief, identity shifts, and relational concerns.

Choosing the right approach is part of the therapeutic process, and Anne partners with clients to determine what methods fit their goals, values, and present needs. She adjusts techniques collaboratively as therapy progresses so the work remains relevant and responsive.

Online sessions are offered by video call, phone, live chat, or text-based messaging to increase flexibility around schedules and geography. These formats make it easier to access consistent support during busy or transitional periods and allow clients to engage in therapy in ways that suit their comfort and logistics.

Frequently asked questions

What issues does Anne commonly address?
Anne works with concerns such as grief, family problems, stress, anxiety, depression, relationship and intimacy-related issues, parenting challenges, and compassion fatigue, among other areas listed in her specialties.
What is her therapeutic style like?
Her approach emphasizes listening and curiosity, blending client-centered care with Cognitive Behavioral Therapy, Emotionally-Focused Therapy, mindfulness, and motivational interviewing to match clients' needs.
How much clinical experience does she bring?
She has seven years of experience, including work in acute care hospitals and palliative and hospice organizations supporting individuals and families during critical transitions.
What credentials and location are listed for this clinician?
She is credentialed as LCSW, CSW with license identifier CO LCSW CSW.09927339 and is located in Colorado.
Does she provide services in languages other than English or accept international clients?
Sessions are offered in English, and she is not accepting international clients at this time.
Which session formats are available with this therapist?
She offers multiple online formats including video calls, phone sessions, live chat, and text-based messaging to fit different preferences and needs.
How are therapy costs handled?
Costs vary by location and therapist availability, and sessions are delivered through a subscription model that can be canceled at any time.
What steps are needed to begin working with her?
To get started, select the Start Therapy button, complete a short matching questionnaire, and schedule sessions according to the therapist's availability.

Areas of expertise

Primary focus

Family conflictsGriefSelf esteemCareer difficultiesCoping with life changes

Also works with

Stress, AnxietyRelationship issuesIntimacy-related issuesParenting issuesAnger managementDepressionCompassion fatigue

Additional focus areas

Aging and geriatric issuesBody imageCancerCaregiver issues and stressChronic pain, illness, and disabilityCo-morbidityCodependencyCommitment issuesCommunication problemsDependent personalityDivorce and separationEmptinessFamily problemsFirst responder issuesForgivenessGuilt and shameHospice and end-of-life counselingIntellectual disabilityIsolation / lonelinessJealousyLife purposeMidlife crisisMoney and financial issuesPrejudice and discriminationSelf-loveSocial anxiety and phobiaWomen's issuesWorkplace issues

Therapeutic approaches

Client-Centered TherapyCognitive Behavioral Therapy (CBT)Emotionally-Focused Therapy (EFT)Mindfulness TherapyMotivational InterviewingNarrative TherapySolution-Focused Therapy

Experience

7+ years

Licensed

Colorado

Languages

English