Anne Karsian, LCSW, CSW

Anne Karsian is a Licensed Clinical Social Worker (LCSW) who helps people facing grief, loss, and major life changes. She listens first and asks questions that let clients tell their story in their own words. Her approach is calm and patient, and she focuses on helping people feel seen and understood during hard moments.

She has seven years of professional experience and has worked in acute care hospitals as well as palliative and hospice settings. That background means she has spent lengthy time supporting people and families at pivotal points, including end-of-life conversations and complex care decisions. She also has experience with older adults navigating downsizing, loss of independence, and increased reliance on others.

In sessions she uses curiosity to guide conversations and to help clients name feelings they may not have felt safe to express before. This often helps people notice what motivates them and find small ways back to interest or joy. She also helps clients cope with isolation, trauma, and the mix of overwhelming and numbing emotions that grief can bring.

Her methods draw on client-centered work alongside evidence-informed tools such as cognitive behavioral and mindfulness approaches. She supports practical planning as well as emotional processing, so people can make clearer decisions and feel more steady during transitions.

Anne works from Colorado and conducts therapy in English. If you want to explore whether her style fits your needs, she asks that you start by sharing your story so she can learn where to begin.

How her approaches translate to online care

Client-Centered Therapy focuses on listening and following the client’s lead. The therapist creates a space where people can tell their story and feel heard, which helps when processing grief and big life decisions.

Cognitive Behavioral Therapy (CBT) offers straightforward tools to notice unhelpful thoughts and try small behavior changes. This can help reduce anxiety, manage mood shifts, and build problem-solving when facing practical challenges like caregiving or downsizing.

Emotionally-Focused Therapy (EFT) helps name and work with strong feelings in relationships and personal loss. It supports clearer communication about needs and can help rebuild connection with others when intimacy or relationship stress is present.

Deciding which approach to use is a collaborative step. The therapist will work with each person to identify goals, try approaches, and adjust based on what helps most. Clients are invited to give feedback so the work stays practical and relevant.

If you are considering online sessions, confirm the available session formats before booking. Online therapy can make it easier to fit sessions into a busy day, reduce travel time, and allow shorter check-ins when needed. It can also make it simpler to include discussion of practical planning, paperwork, or advance-care topics that benefit from flexible scheduling.