- Bilingual English Spanish
- Trauma informed approach
- Practical coping skills
About Karen
Karen Monsivais is a bilingual Licensed Professional Counselor (LPC) based in Texas who works in both English and Spanish. She helps people dealing with stress, anxiety, trauma and abuse, parenting struggles, low self-esteem, and depression. Karen aims to listen without judgment and to create a safe space for people to start healing.
With eight years of clinical experience, she adapts conversations and plans to fit each person's needs. She focuses on practical steps people can try between sessions, alongside reflective talk in the room. That mix aims to reduce overwhelm and build clearer coping skills over time.
Her work includes attention to attachment and abandonment concerns, blended family stress, codependency, caregiver strain, and family of origin issues. She also supports people facing communication problems, control issues, guilt and shame, impulsivity, and the effects of domestic violence.
Karen uses several approaches to guide sessions, including client-centered work, cognitive behavioral ideas, trauma-focused therapy, mindfulness practices, and EMDR. She explains tools in everyday language and helps clients pick what feels useful. Sessions are shaped around what a person wants to change and what feels manageable in daily life.
People who choose Karen can expect an empathetic, straightforward style. She encourages small, consistent steps and supports clients as they try new ways of coping and relating to others.
Approaches that guide online sessions
Client-centered therapy focuses on listening and following what matters most to the person. The therapist reflects concerns back and helps clients set their own goals, which can be useful for stress, parenting struggles, and self-esteem work.Cognitive Behavioral Therapy, or CBT, breaks problems into thoughts, feelings, and behaviors. Karen uses CBT-style tools to teach practical skills for anxiety, mood, and impulse-related concerns.
Eye Movement Desensitization and Reprocessing, EMDR, is a trauma-focused method that helps process distressing memories and feelings. It is offered to people who want a targeted way to address trauma and abuse history.
Finding the right approach is a team effort. Karen will talk through options with clients and try methods that match their needs and comfort level. She adjusts pace and tools as people notice what helps them most.
If you want online sessions, please confirm the current session options before booking. The therapist will help plan how therapy fits into everyday life, such as shorter check-ins that work around busy schedules or tools you can practice between meetings. Online work can make consistent care easier to arrange while focusing on progress and practical skill building.
Areas of expertise
Primary focus
Additional focus areas
Therapeutic approaches
Experience
8+ years
Credentials
Texas
Languages
English, Spanish
Frequently asked questions
What concerns does Karen commonly address?
She helps people with stress, anxiety, trauma and abuse, parenting challenges, low self-esteem, and depression. Additional focus areas include adoption and foster care, attachment and abandonment issues, caregiver stress, communication problems, and family of origin concerns.
How would you describe her therapeutic style?
Her style is empathetic and straightforward. She listens first, then tailors conversations and practical steps to each person's needs.
What is her professional background?
She has eight years of professional experience working with people on a range of emotional and relational issues. Her work emphasizes realistic coping strategies and steady progress.
What credentials and region are listed for the therapist?
She is a Licensed Professional Counselor, LPC, licensed in Texas. Her practice is based in Texas.
Which languages are supported in sessions?
Sessions are offered in both English and Spanish.
Can international clients schedule with her?
She is not currently accepting international clients.
How does cost and billing work?
Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.
What are the steps to begin working together?
Start by selecting the Start Therapy button, complete a short matching questionnaire, and then schedule according to therapist availability.