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LCSW

Karen Cash, LCSW

  • Experience15 years
  • LocationCalifornia
  • Focus areasADHD, Stress and Anxiety, and Relationship
  • Therapy approachesAcceptance and Commitment Therapy (ACT) and Attachment-Based Therapy
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About Karen

Karen Cash is a licensed clinical social worker (LCSW) based in California who emphasizes practical support for people coping with stress, anxiety, relationship difficulties, grief, and ADHD.

Background and approach

With 15 years of experience she combines empathic listening and collaborative goal-setting to help clients develop concrete skills for managing daily challenges, mood shifts, and life transitions. Her work addresses a broad range of concerns including trauma and abuse, addictions, self-esteem, career strain, and intimacy-related issues.

Her therapeutic approach blends evidence-based methods such as Cognitive Behavioral Therapy and Dialectical Behavior Therapy with Acceptance and Commitment Therapy and attachment-informed work, tailoring interventions to each person’s needs. Karen draws on this mix to teach coping techniques, improve communication, and support recovery from loss or difficult life events.

She also brings experience addressing complex topics like adoption and foster care issues, caregiver stress, and blended family dynamics. Clients can expect a warm, respectful environment where therapist and client collaborate to identify priorities and build practical steps toward change.

Therapeutic approaches for online healing and growth

Acceptance and Commitment Therapy (ACT) helps people notice difficult thoughts and feelings without getting tangled in them, and then choose actions that align with personal values; it can be useful for anxiety, life transitions, and challenges like ADHD that affect everyday functioning. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thinking patterns and practicing concrete behavior changes to reduce symptoms of depression, anxiety, and mood problems. Dialectical Behavior Therapy (DBT) teaches emotion regulation, distress tolerance, and interpersonal effectiveness skills that can support individuals coping with intense emotions, relationship difficulties, or addiction-related behaviors.

Finding the right approach is a collaborative process. The therapist will discuss goals, preferences, and the specific issues a client brings, and then recommend or combine methods that best fit those needs. Clients and therapist work together to adjust the plan as progress is made and priorities shift.

Online therapy offers flexible ways to connect through video calls, phone sessions, live chat, or text-based messaging, making it easier to schedule sessions around work, caregiving, or travel. These formats support ongoing skill practice, check-ins between live sessions, and accessibility for people living outside the therapist’s immediate area.

Frequently asked questions

What kinds of concerns does this therapist address?
Karen works with a wide range of issues including stress, anxiety, depression, relationship and intimacy problems, grief, trauma and abuse, addictions, ADHD, and career-related concerns.
How would you describe the therapeutic approach and style?
The style is practical and collaborative, combining client-centered listening with structured methods like CBT, DBT, ACT, and attachment-based techniques to develop coping skills and improve communication.
What is the therapist’s professional background?
She has 15 years of clinical experience working with individuals and couples on relationship challenges, trauma recovery, grief work, and other life changes.
Where is the therapist licensed and what credentials do they hold?
The clinician holds the California license CA LCSW 17777 and practices from California as a licensed clinical social worker (LCSW).
Are sessions available in languages other than English or to international clients?
Sessions are offered in English and the therapist is open to working with international clients.
What formats are available for sessions?
Clients can meet via video calls, phone sessions, live chat, or text-based messaging according to their preferences and schedules.
How is cost handled for therapy with this provider?
Cost varies with location and therapist availability; sessions are provided through a subscription model that can be canceled at any time.
How do I begin working with this therapist?
To get started, select the Start Therapy button, complete a short matching questionnaire, and schedule appointments based on the therapist’s availability.

Areas of expertise

Primary focus

Stress, AnxietyRelationship issuesParenting issuesSelf esteemDepression

Also works with

AddictionsLGBTFamily conflictsTrauma and abuseGriefIntimacy-related issuesAnger managementCareer difficultiesBipolar disorderCoping with life changesCoachingCompassion fatigueADHD

Additional focus areas

AbandonmentAdoption and foster careAttachment issuesAutism and Asperger SyndromeBlended family issuesBody imageCancerCaregiver issues and stressCommitment issuesCommunication problemsControl issuesDisruptive Mood Dysregulation Disorder (DMDD)Divorce and separationDomestic violenceDrug and alcohol addictionEating and food-related issuesEmptinessFamily of origin issuesFamily problemsFirst responder issuesForgivenessGender dysphoriaGuilt and shameImpulsivityInfidelityIntellectual disabilityIsolation / lonelinessJealousyLife purposeMidlife crisisMoney and financial issuesMood disordersObsessions, compulsions, and OCDPanic disorder and panic attacksParanoiaPhobiasPolyamory / non-monogamous relationshipsPost-traumatic stressPregnancy and childbirthProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-loveSex addictionSexual assault and abuseSexualitySocial anxiety and phobiaWomen's issuesYoung adult issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Solution-Focused TherapyTrauma-Focused Therapy

Experience

15+ years

Licensed

California

Languages

English

What Karen can help with

Karen Cash works with clients on stress and anxiety, relationship issues, parenting issues, self esteem, and depression.

Karen works with individuals and couples on relationships and challenges of daily living.

Karen works with victims of Trauma, such as Childhood abuse, Sexual abuse, Domestic Violence and Sexual Assault.

How Karen approaches therapy

Karen's clinical approaches include Acceptance and Commitment Therapy (ACT), Attachment-Based Therapy, Client-Centered Therapy, Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Solution-Focused Therapy, and Trauma-Focused Therapy.

Experience and training

Karen is a Licensed Clinical Social Worker practicing in California.

Therapy style

Karen aims to assist each client with what they would like to see their life evolve into.