Anne Karsian , LCSW, CSW

Anne Karsian is a Licensed Clinical Social Worker with a focused practice in grief, loss, and life transitions. She brings experience from acute care hospital settings as well as palliative and hospice organizations, where she supported individuals and families at pivotal moments. Her work often centers on older adults facing complex decisions such as advanced care planning and downsizing, and on people navigating the simultaneous experience of isolation, changing independence, and sudden, sometimes traumatic life events.

Anne begins by listening to each person’s story at their own pace, using curiosity to guide conversations so clients feel genuinely heard and seen rather than shaped by external expectations. Through clearer self-understanding and exploration of motivations, she helps people rediscover interest and joy in daily life. She acknowledges the courage it takes to face the wide range of emotions that accompany loss and transition, including overwhelm, numbness, and difficulty experiencing pleasure.

Drawing on years of work with families and individuals during high-stress health and life changes, Anne offers steady support for those working through sadness, confusion, and practical decisions. She holds the LCSW credential, which denotes Licensed Clinical Social Worker, and the CSW credential, and applies a compassionate, paced approach to help people move through difficult periods toward renewed engagement with life.

Approaches for online grief, relationships, and life changes

Anne integrates client-centered therapy, cognitive behavioral therapy, and emotionally-focused therapy to address grief, relationship concerns, and the stress of life transitions. Client-centered therapy emphasizes listening, empathy, and pacing to help people feel understood and to explore values and meaning during difficult moments. Cognitive behavioral therapy (CBT) focuses on identifying and adjusting unhelpful thoughts and behaviors, which can ease anxiety, low mood, and overwhelm during transitions. Emotionally-focused therapy (EFT) helps people recognize and process underlying emotions, strengthen attachment and communication in relationships, and navigate intimacy-related concerns.

Finding the right approach is part of the process. Anne collaborates with each person to determine which methods best match their needs, goals, and preferences, adapting techniques over time as progress and priorities evolve. This collaborative process helps ensure therapy aligns with what matters most to the individual.

Online therapy offers flexible ways to engage with care through video calls, phone sessions, live chat, or text-based messaging. These options make it easier to fit sessions into busy schedules, maintain continuity during life transitions, and access licensed professionals from home or other convenient locations, while preserving the core therapeutic relationship and supports that guide healing and decision making.