About Karen
Karen Cash, LCSW, focuses on helping people who feel overwhelmed by anxiety, stress, grief, or relationship difficulties. She speaks plainly and listens closely to what matters most to each person. Her approach aims to build skills that make day-to-day life easier and more manageable.
Karen draws on a mix of approaches to match the needs of each person. She uses cognitive behavioral ideas to spot unhelpful thinking and make small behavior changes.
Background and approach
Acceptance and Commitment Therapy helps people live in line with their values even when strong emotions show up. She has 15 years of clinical experience working in California and has supported people facing trauma, loss, and addiction. That background informs how she helps people develop coping skills after events like childhood abuse, domestic violence, sexual assault, or major life changes.
She also helps with parenting stress, career strain, and issues related to ADHD and mood disorders. Karen emphasizes practical tools alongside steady listening. Sessions often include skill practice, communication strategies, and steps to reduce distress between appointments.
She aims to create clear goals and simple ways to track progress. People who choose Karen can expect a collaborative process. She works with each person to identify what they want to change, then tries different strategies until a useful mix is found.
The focus is on steady, usable change rather than quick fixes.
How Karen’s approaches translate to online work
Karen commonly uses Acceptance and Commitment Therapy and Cognitive Behavioral Therapy in sessions. ACT focuses on clarifying personal values and learning to act in ways that matter, even when painful thoughts or feelings appear. It can help with anxiety, stress, and making life changes. CBT looks at patterns of thought and behavior, and teaches concrete strategies to reduce worry, manage mood, and change unhelpful routines.Finding the right approach is part of the work. The therapist will collaborate with each person to choose methods that fit their goals and daily life. That might mean trying a skill-focused CBT technique for a few weeks, then adding ACT exercises to strengthen values-based action.
Online formats offer flexibility for this process. Video calls allow face-to-face conversation and screen-sharing for worksheets. Phone sessions can be a good option when video is difficult or bandwidth is limited. Live chat and text-based messaging support shorter check-ins, quick practice reminders, or ongoing coaching between scheduled sessions. These options make it easier to fit consistent sessions into a busy routine.
Questions people ask
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What this therapist works with
Most often
- Stress, Anxiety
- Relationship issues
- Parenting issues
Also listed
- Abandonment
- Addictions
- ADHD
- Adoption and foster care
- Anger management
- Attachment issues
- Autism and Asperger Syndrome
- Bipolar disorder
- Blended family issues
- Body image
- Cancer
- Career difficulties
- Caregiver issues and stress
- Coaching
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Eating and food-related issues
- Emptiness
- Family conflicts
- Family of origin issues
- Family problems
- First responder issues
- Forgiveness
- Gender dysphoria
- Grief
- Guilt and shame
- Impulsivity
- Infidelity
- Intellectual disability
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- LGBT
- Life purpose
- Midlife crisis
- Money and financial issues
- Mood disorders
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Phobias
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Pregnancy and childbirth
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-love
- Sex addiction
- Sexual assault and abuse
- Sexuality
- Social anxiety and phobia
- Trauma and abuse
- Women's issues
- Young adult issues
Therapeutic approaches
- Experience
- 15 years
- Licensed
- California
- Languages
- English
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