About Karen
Karen Gano offers clear, steady support for people facing big life challenges. She focuses on helping individuals who feel stuck, overwhelmed, or burnt out. Karen speaks plainly and helps people find steps they can try right away.
She is listed with clinical social work credentials including LCSW and LCSW-C and brings decades of experience to sessions. Karen practices a collaborative, empowerment-focused style. Sessions often start with identifying small, doable goals and building on strengths.
Background and approach
She blends client-centered listening with motivational techniques to help people notice what matters most. Mindfulness and solution-focused strategies are used to shape practical next steps. Her background includes long experience in medical social work and crisis settings.
She has worked in areas such as oncology, palliative care, emergency medicine, and domestic abuse support. That history informs a calm, problem-solving approach when people face health, grief, or caregiving stress. People commonly bring relationship strains, grief, anxiety, depression, or career changes.
Karen also addresses addiction concerns, compassion fatigue, life transitions, and intimacy-related issues. Her practice emphasizes building coping skills and restoring a clearer sense of purpose. Sessions are offered from New Mexico and use a flexible mix of video, phone, chat, and messaging.
Karen aims to help people move from surviving toward a more balanced life by teaching tools, setting achievable goals, and supporting steady change.
Therapeutic approaches for online care
Client-centered therapy focuses on understanding each person's experience and building a collaborative relationship where the person's priorities guide the work. It is helpful for people who need a trusting, nonjudgmental space to sort through emotions and decisions.Motivational interviewing is a short-term, conversational approach that helps people resolve mixed feelings and find their own reasons to change. It is useful for goals like reducing substance use, improving self-care, or taking steps during life transitions.
Karen treats the choice of approach as a shared decision. She will talk with clients about what matters most, try methods that match their goals, and adjust the plan over time. Finding the right fit is part of the work together rather than a fixed prescription.
Online sessions are offered by video, phone, live chat, or text-based messaging to make counseling more flexible. Video works well for in-depth conversations and when visual cues matter. Phone sessions can be easier when bandwidth is limited or for shorter check-ins. Live chat and messaging suit quick coaching, check-ins, or people who prefer not to be on camera. These options help people fit therapy into work, caregiving, or busy schedules while keeping the focus on practical steps and steady progress.
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Specialties and expertise
Top specialties
- Relationship issues
- Trauma and abuse
- Grief
Also works with
- Abandonment
- Addictions
- Aging and geriatric issues
- Anger management
- Bipolar disorder
- Blended family issues
- Cancer
- Career difficulties
- Caregiver issues and stress
- Coaching
- Codependency
- Compassion fatigue
- Coping with life changes
- Depression
- Divorce and separation
- Domestic violence
- Family conflicts
- Family of origin issues
- Fertility issues
- Hospice and end-of-life counseling
- Infidelity
- Intimacy-related issues
- Isolation / loneliness
- Life purpose
- Midlife crisis
- Self esteem
- Stress, Anxiety
- Women's issues
Therapeutic approaches
- Experience
- 33 years
- Licensed
- New Mexico, Colorado, Pennsylvania, Virginia, Maryland, Maine
- Languages
- English