About Anne
Anne Karsian is a Licensed Clinical Social Worker who helps people facing grief, loss, and big life changes. She speaks plainly and listens first, letting clients tell their story at a comfortable pace. She focuses on what matters to each person and on small steps that can make daily life feel more manageable.
Anne has spent years working in hospitals, palliative care, and hospice settings. That experience shaped how she supports people through sudden changes, serious illness, and end-of-life decisions.
Background and approach
She has particular experience with older adults dealing with downsizing, shifting independence, and practical planning for the future. In sessions she begins with curiosity and close listening. Anne aims to help people feel understood and to name the emotions that come with loss and transition.
She uses straightforward tools to manage stress, anxiety, and the fatigue that often follows long caregiving roles. Clients can expect a calm, steady presence and a focus on what they want to regain or protect in life. Conversations may cover relationships, parenting strains, work stress, and questions about meaning after loss.
Anne draws on approaches that help people understand their patterns and make clear choices. Her work reflects seven years of clinical practice and the perspective of someone familiar with medical and end-of-life settings. Anne practices in Colorado and offers work aimed at easing immediate worries while building longer-term coping skills.
Approaches adapted for online care and change
Client-Centered Therapy focuses on hearing a person’s story without pressure and building understanding from their own words; it helps when someone needs space to sort feelings after a loss or major change. Cognitive Behavioral Therapy (CBT) looks at thoughts and behaviors to reduce anxiety and depression by practicing simple, concrete skills that can be used between sessions. Emotionally-Focused Therapy (EFT) helps people name their emotions and repair connection in close relationships, which can be useful for intimacy-related troubles or communication problems.Finding the right approach is part of the work together. The therapist will talk with each person about goals, preferences, and what feels most useful. That conversation guides which methods are tried first, and adjustments are made as needed so people feel the approach fits their situation.
Online formats include video calls, phone sessions, live chat, and text-based messaging to offer more flexibility. Video is useful for deeper conversations that benefit from seeing facial cues. Phone sessions can be simpler when bandwidth is limited or for a focused check-in. Live chat and messaging let people share thoughts between sessions or fit support into a busy day. These options make it easier to keep regular contact and continue progress despite a hectic schedule.
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Specialties and expertise
Top specialties
- Family conflicts
- Grief
- Self esteem
Also works with
- Aging and geriatric issues
- Anger management
- Body image
- Cancer
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Coping with life changes
- Dependent personality
- Depression
- Divorce and separation
- Emptiness
- Family problems
- First responder issues
- Forgiveness
- Guilt and shame
- Hospice and end-of-life counseling
- Intellectual disability
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- Life purpose
- Midlife crisis
- Money and financial issues
- Parenting issues
- Prejudice and discrimination
- Relationship issues
- Self-love
- Social anxiety and phobia
- Stress, Anxiety
- Women's issues
- Workplace issues
Therapeutic approaches
- Experience
- 7 years
- Licensed
- Colorado
- Languages
- English