Anne Karsian, LCSW, CSW

Anne Karsian, LCSW, CSW, offers gentle, practical support for people facing major life changes and loss. She listens first and asks questions that help someone tell their story in their own words. Sessions move at a person’s pace so they feel heard rather than rushed. With seven years of clinical experience, Anne draws on work in hospitals, palliative care, and hospice settings. That background informs her approach to grief, end-of-life decision making, caregiver stress, and the emotional effects of serious illness. She often helps people who are coping with loss of independence, downsizing, chronic illness, or major role changes in the family. Anne uses client-centered methods that focus on the person's needs and values. She also integrates mindfulness practices and techniques from cognitive behavioral therapy to address stress, anxiety, and low mood. Emotionally focused ideas help with relationship strain and intimacy-related concerns. In sessions she emphasizes curiosity and understanding rather than judgment. Conversations aim to clarify what matters to each person and to identify small, manageable steps forward. Practical topics such as advanced care planning, communicating with medical teams, or adjusting daily routines are addressed when relevant. People describe the work as straightforward and humane. Anne is licensed in Colorado and brings real-world experience from acute and hospice care into the counseling room. She supports adults navigating grief, caregiver roles, health-related changes, and life transitions.

How Anne’s approaches translate to online care

Anne often uses client-centered therapy to begin work by listening closely to each person’s story and priorities. This approach helps clarify what matters most and builds a plan that fits daily life.

She also draws on cognitive behavioral therapy to spot unhelpful thought and behavior patterns and to practice small changes that reduce anxiety and low mood. Emotionally focused ideas are used when relationship or intimacy concerns come up, helping people name emotions and improve communication.

Choosing the right approach is part of the work. Anne collaborates with each person to see which methods match their goals and comfort level, and she adjusts course as needs change. That collaboration helps set priorities and choose practical next steps.

If you are considering online therapy, confirm the session formats Anne currently offers before booking. Online care can make it easier to fit sessions into a busy week, allow shorter check-ins when schedules are tight, and reduce travel time for people balancing medical appointments or caregiving duties. Licensed professionals can adapt mindfulness practices and CBT exercises to an online setting so the work remains focused on daily functioning and coping.