Karishma Sarfani, LPC

About me

I am licensed in Texas with 5 years of professional work experience. I have experience in helping clients with stress and anxiety, coping with addictions, trauma and abuse, and building motivation, self-esteem, and confidence. I believe that you are the expert of your story and that you have many strengths that will assist you in overcoming challenges. Taking the first step toward a more fulfilling and happier life takes courage, and I am here to support you in that process.

Are you struggling with chronic relapse, binges, sex/love/porn addiction, excess substance use, dissociative disorder, attachment issues, or overwhelming OCD? Do you want to decrease your urge to vape, smoke marijuana/nicotine, or drink? Have you experienced social phobia, one or more addictions, sexual abuse, trauma, or intense phobias? Are you suffering from grief and loss or complex PTSD? If OCD or phobias are making everyday life feel overwhelming—whether it’s constant worries, exhausting rituals, or fears that hold you back—you’re not alone, and you don’t have to face it without help.

I provide therapy exclusively through messaging here on BetterHelp. This means all of our communication will take place in this secure message thread rather than through live video, phone, or chat sessions.

Here’s what you can expect:
- You can send me messages anytime that feels right for you—whether it’s sharing thoughts, questions, or updates.
- I check and respond to messages within 24-48 hours.
- Our written exchanges will serve as the foundation of your therapy, giving you space to reflect and revisit our conversations whenever you need.

I encourage you to use this space freely—whether it’s a quick note about your day or a longer reflection. Together, we’ll build a record of your progress and strategies that you can return to anytime.

I look forward to supporting you through this format.

Professional experience

Additional areas of focus: Abandonment, Attachment issues, Avoidant personality, Codependency, Dissociation, Divorce and separation, Drug and alcohol addiction, Guilt and shame, Life purpose, Narcissism, Obsessions, compulsions, and OCD, Personality disorders, Post-traumatic stress, Process addiction (porn, exercise, gambling), Self-harm, Self-love, Sex addiction, Social anxiety and phobia, Somatization

Clinical approaches: Acceptance and Commitment Therapy (ACT), Attachment-Based Therapy, Client-Centered Therapy, Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Eye Movement Desensitization and Reprocessing (EMDR), Motivational Interviewing, Narrative Therapy, Somatic Therapy, Trauma-Focused Therapy, Internal Family Systems

License information

TX LPC 86731