Karishma Sarfani, LPC
Experienced mental health professional
Provides online counseling through BetterHelp
At a glance
Karishma is an experienced, licensed Mental Health Professional who specializes in affordable online therapy offered through our partner, BetterHelp.
- FSA/HSA accepted
- Great news, Karishma is accepting new clients!
- She is normally fully-booked.
- Offers Telehealth visits
- Licensed in Texas
More about Karishma
- 5 years' experience
- Female
- LPC
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.
Specialties
Treatment 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
Licenses
Karishma Sarfani's National Provider Identifier (NPI) is 1407531882.
- LPC · Texas · 86731 · Renews April 2027
About online counseling
- Affordable.
- Pay a low flat fee.
- Convenient.
- Do it at your own time and at your own pace. Communicate whenever you feel it's needed.
- Available now.
- There is no waiting list and no calls to make. Simply fill out a short questionnaire and send your first message.
Online counseling allows you to receive care from a mental health practitioner via phone, video chat, or instant messaging. It is convenient for those who may have trouble getting to or would prefer not to have in-person therapy appointments. Starting at $65 per week, online counseling is generally more affordable than in-person counseling. A study by researchers at University of California, Berkeley found that online counseling can be just as effective as face-to-face therapy while being more convenient, affordable, and accessible.
Reviews for Karishma Sarfani
Frequently asked questions
Does Karishma Sarfani offer telehealth visits?
Yes. Karishma Sarfani works with clients by exchanging messages, chatting live, speaking over the phone, or video conferencing based on what works for the client at that particular time.
What language(s) does Karishma Sarfani speak?
Karishma Sarfani speaks English.
How many years of experience does Karishma Sarfani have?
Karishma Sarfani has 5 years of experience.
Where is Karishma Sarfani licensed to practice?
Karishma Sarfani is licensed to practice in Texas.
Does Karishma Sarfani accept FSA/HSA?
Yes, Karishma Sarfani accepts FSA/HSA meaning you can pay for sessions with your pre-tax healthcare dollars. Every year hundreds of thousands of people use their FSA/HSA to pay for therapy.
Does Karishma Sarfani accept clients outside of the United States?
No, Karishma Sarfani does not accept clients outside of the United States.
Is online therapy as effective as in-person therapy?
Numerous studies support the effectiveness of online platforms in facilitating life changes. For instance, research published by JMIR Publications, conducted by teams from the University of Berkeley, UCSF, and SF General Hospital, found that "users of BetterHelp experienced significantly reduced depression symptom severity after engaging with the platform."
What treatment approaches does Karishma Sarfani offer?
Karishma Sarfani offers clients 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, and Internal Family Systems.
How can I communicate with Karishma Sarfani?
Karishma Sarfani can be engaged in any one of four ways: (1) Exchanging messages, (2) chatting live, (3) speaking over the phone, or (4) video conferencing. You can use different ways at different times as you wish, based on your needs, availability, and convenience.
How do I get started with Karishma Sarfani?
Just tap the BOOK NOW button or tap here: A new window will open and you'll be directed to a simple form that will help start the conversation.
Mental health conditions are real, common, and treatable.
And recovery is possible.
When you tap BOOK NOW a new window will open and you'll be directed to a simple form that will help start the conversation.