Anne Karsian, LCSW, CSW

Anne Karsian is a Licensed Clinical Social Worker (LCSW, CSW) based in Colorado who helps people navigate major life changes. She focuses on grief, loss, and transitions and listens closely to each person's story before suggesting next steps. Her manner is calm and curious, aiming to help clients feel seen and understood as they talk through difficult feelings.

She has seven years of experience in clinical settings, including acute care hospitals and palliative and hospice organizations. That background informs how she supports people facing sudden or expected changes like downsizing, advanced care decisions, or the layering losses that can come with aging.

Anne begins by learning what matters to each person and moves at their pace. She uses listening and simple questions to uncover what motivates someone and what gets in the way of joy. This approach helps people reconnect with small sources of meaning and regain a clearer sense of direction.

People often bring a mix of numbness, overwhelm, anger, and sadness during transitions. Anne acknowledges those feelings and helps clients name them and find manageable steps forward. She draws on methods such as client-centered work, mindfulness practice, and practical strategies to address distress and build coping skills.

Her areas of focus include family concerns, parenting stress, career shifts, relationship and intimacy issues, depression, anxiety, chronic illness, caregiver strain, and compassion fatigue. She offers a straightforward, humane approach for people moving through hard changes and decisions.

How Anne’s Approaches Translate to Online Work

Anne uses client-centered therapy to follow each person’s story and priorities, which means sessions begin with listening and learning what matters most to the client. This approach helps people feel heard and directs the rest of the work toward their goals.

She also uses Cognitive Behavioral Therapy in practical ways, helping clients notice unhelpful thoughts and try small behavior changes to reduce anxiety or low mood. Emotionally-focused ideas guide conversations about relationship patterns and the emotions that show up during transitions and loss.

Choosing the right approach is a collaborative process. The therapist will work with the client to match methods to needs, goals, and personal preferences rather than imposing a single technique. Together they can try different strategies and adjust what isn’t helpful.

The biography does not list specific session formats, so confirm current options before booking. In general, online work can make it easier to fit therapy into a busy week, allow shorter check-ins when needed, and reduce travel time. It can also let someone continue care after a hospital stay or during a period of caregiving, while keeping focus on practical steps and emotional processing.