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Anne Karsian, LCSW, CSW

Based in Colorado 7 years in practice Online sessions

Compassionate support through major life changes

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Works with

Practical facts

Credentials
LCSW, CSW
Licensed in
Colorado
Years in practice
7
Languages
English
Session format
Online, through our partner platform

About Anne

Anne Karsian, LCSW, CSW, helps people facing major life changes and intense emotions. She listens first, asking questions at a comfortable pace so people feel heard. She focuses on practical steps that reduce overwhelm and help restore a sense of direction.

Anne has seven years of clinical experience and practices in Colorado. Her background includes work in hospitals, palliative care, and hospice settings where she supported people through grief, loss, and medical transitions.

Background and approach

That experience shaped how she approaches difficult decisions and sudden changes. In sessions she begins by inviting clients to tell their story in their own words. Anne uses curious, straightforward conversation to uncover what matters most to each person.

From there she helps identify small, manageable changes to reduce stress and rebuild daily routines. Anne combines gentle skill-building with emotional recognition. She draws on Cognitive Behavioral Therapy to spot unhelpful thinking patterns and on Client-Centered Therapy to honor each person’s pace.

Mindfulness and Emotionally-Focused ideas are used to calm intense feelings and improve relationships when appropriate. Clients commonly bring concerns like grief, depression, anxiety, parenting stress, anger, and caregiver fatigue. Anne also works with people facing chronic illness, cancer care decisions, downsizing, and aging-related issues.

Her aim is to make therapy useful and understandable, so people can move through hard moments and find more balance.

What Anne works with

Everything Anne lists, in the therapist's own terms. Anger is the reason this directory exists; the rest tells you what usually sits alongside it in Anne's practice.

Approaches Anne lists

Listing an approach is not evidence of training in it. This directory copies what each therapist names and does not check training records.

Approaches that guide online care

Anne uses Client-Centered Therapy to follow each person’s lead, focusing on listening and reflecting so clients feel understood. This approach helps when someone needs space to make sense of grief, life changes, or emotional overwhelm.

She also uses Cognitive Behavioral Therapy, which breaks problems into thoughts, feelings, and actions. CBT offers concrete tools to challenge unhelpful thinking and try new behaviors, useful for anxiety, stress, anger, and low mood.

Finding the right approach is part of the work together. Anne will talk with clients about their goals and preferences, then try strategies that fit their needs. She checks in regularly and adjusts methods based on what helps most.

Online sessions are offered by video calls, phone, live chat, or text-based messaging to suit different schedules and needs. Video is helpful for deeper conversations and nonverbal cues. Phone sessions can be a good option when bandwidth is limited or a shorter check-in is needed. Live chat and messaging work well for brief updates, step-by-step coaching, or when someone prefers not to use audio or video. These options make it easier to fit therapy into a busy life and to keep momentum between appointments.

Questions people ask about Anne

What types of concerns can Anne help with?

She works with grief, loss, depression, anxiety, anger, parenting stress, relationship and intimacy issues, career and life changes, and compassion fatigue.

How would you describe her therapeutic style?

Her style is conversational and client-centered, starting by listening to a person’s story and moving at their pace. She blends practical skill-building with emotional support.

What is her professional background?

Anne has seven years of clinical experience and has worked in acute hospital settings as well as palliative and hospice care.

What credentials and location are listed?

She holds LCSW and CSW credentials and practices in Colorado.

Which languages are available for sessions?

Sessions are offered in English.

What session formats does she use?

Therapy is available by video calls, phone sessions, live chat, and text-based messaging.

How are session costs handled?

Cost varies with location and therapist availability, and sessions use a subscription that can be canceled at any time.

How do I begin working with her?

Click the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.

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