Karen Camese, LMFT

Karen Camese is a licensed marriage and family therapist who helps people facing major life changes and painful losses. She works with individuals dealing with addiction, trauma, grief, relationship struggles, and low self-esteem. Her style is warm and direct, aimed at helping people feel steadier and more in control of daily life.

She uses practical tools to address sleeping problems, compassion fatigue, and career stress. Many clients come for help with parenting challenges, caregiving strain, or feeling isolated. Karen emphasizes small, usable steps so progress feels manageable between sessions.

Her approach combines cognitive behavioral techniques with attachment-focused and client-centered ideas. That means she helps people notice unhelpful thinking patterns, understand how early relationships shape current reactions, and build therapy around each person’s goals. Karen also draws from dialectical behavior therapy and emotionally focused work when emotion regulation and relationships need attention.

With twenty years of clinical experience in California, she has supported people through substance use issues, domestic violence recovery, and end-of-life caregiving concerns. She pays attention to how family of origin dynamics and work stress affect day-to-day coping.

Sessions are offered in English. Karen aims to create a steady, respectful space where people can rebuild self-love, find clearer direction, and practice new ways of relating. She helps people take practical steps toward better sleep, healthier boundaries, and clearer life purpose.

Approaches that translate well to online therapy

CBT, Attachment-Based Therapy, and Client-Centered Therapy each bring clear, practical tools that work in remote sessions. Cognitive Behavioral Therapy focuses on identifying and changing unhelpful thoughts and behaviors; it is useful for anxiety, sleep problems, and coping with life changes. Attachment-Based Therapy looks at how early relationships shape current reactions and helps people build more secure ways of relating. Client-Centered Therapy centers the person's goals and experience, offering a respectful, nonjudgmental space to process emotions and make decisions.

Finding the right approach is part of the work together. The therapist discusses goals and preferences and then tries different techniques to see what fits. This collaborative process helps tailor sessions so exercises and conversations feel relevant and manageable.

Online formats include video calls, phone sessions, live chat, and text-based messaging, which can make scheduling easier and therapy more flexible. Video calls are close to an in-person session and work well for deeper conversations. Phone sessions use less bandwidth and can fit into a short break. Live chat and text messaging allow brief check-ins or reflection between sessions. These options help people keep therapy consistent around work, caregiving, and other daily demands.