01 · Who Anne works with

Anne works with family conflicts, grief and self esteem

Anne lists 12 specialisms and 28 further focus areas. Specialisms are the subjects Anne chose to list first, which is the closest a listing gets to “this is my actual practice”.

02 · In Anne's own words

What Anne says about the work

Reproduced in full and unedited - not summarised, not tightened, not rewritten in a house voice.

I am a Licensed Clinical Social Worker in the states of Colorado and New Mexico. I specialize in grief, loss and life transition counseling. I have worked in acute care hospital settings, plus palliative and hospice care organizations for many years helping families and individuals at pivotal points in their life. I have a special interest and experience in older adults as they face difficult challenges and decisions regarding advanced care planning, and downsizing. Often people face isolation, loss of independence and increased independence on others, all at the same time. I understand these life transitions can happen in a moment, and are often paired with a traumatic life event.

I start by learning your story, in your words, at your pace. Curiosity leads the conversation and often results in feeling heard and seen as you truly are, not as you think others expect you to be. Through greater understanding of ourselves and what motivates us, we can often find new or renewed interest and joy in our life.

It takes courage to acknowledge the range of feelings that accompany loss, grief and life transitions. Feelings of overwhelm can mix with feeling dull and unable to find joy in our lives. I understand these feeling first hand and know the value of seeking help with moving through uncomfortable, painful times in our lives. I look forward to hearing your story and helping you as you work through difficult, sad or confusing times in your life.

Anne Karsian, on the BetterHelp listing · read 7 Nov 2026

03 · How Anne works

The 7 approaches Anne lists, in plain English

These are the clinical methods Anne lists. The descriptions are Maker Therapy's, not Anne's - a general explanation of what each method is, so the list means something before you have spoken to anybody. They are not a claim about how Anne runs a session.

Client-Centred TherapyPerson-centred · Rogerian

The therapist does not steer toward a technique or a diagnosis. They offer sustained, non-judgemental attention and reflect back what they hear, on the premise that people find their own direction when they are genuinely listened to. Often what people mean by “someone who just gets it”.

Cognitive Behavioural TherapyCBT

Structured, present-focused work on the loop between what you think, how you feel and what you then do. Usually means noticing a thought pattern in the room, testing it against evidence, and practising something different between sessions. Among the most heavily researched talking therapies for depression and anxiety.

Emotionally Focused TherapyEFT

Built for couples and rooted in attachment: the recurring argument is treated as a cycle two people are stuck in rather than as one person's fault. Sessions work to interrupt the cycle and get to what each person is actually asking for underneath it.

Mindfulness-Based TherapyMBCT

Trains attention on what is happening right now - body, breath, the thought as it arrives - so distress can be observed rather than automatically acted on. Strongest evidence is in preventing depression from recurring, and it is usually taught as a practice you keep doing outside the session.

Motivational InterviewingMI

A way of talking about change with somebody who is genuinely in two minds about it. The therapist does not argue for the change; they help you say your own reasons out loud, which is the part that predicts whether it happens. Common around substance use and health behaviour.

Narrative Therapy

Treats the story you tell about your life as something that can be examined and retold rather than as the plain facts. Separates the person from the problem - “the anxiety” rather than “your anxiety” - to make room for the parts the current story leaves out.

Solution-Focused Brief TherapySFBT

Starts from where you want to end up rather than from how you got here. Sessions look for the times the problem is already smaller and work out what is different about those, so the number of sessions tends to be short and the work concrete.

04 · What happens next

From this page to a first session

Anne practises through BetterHelp, so the route in is BetterHelp's. This is that sequence, written by Maker Therapy from the platform's published process - not a description of Anne's own practice, and not a promise about how quickly anything happens.

1. A questionnaire, not a booking form

   BetterHelp opens with a set of questions about what you are dealing with, what you want from therapy, and any preferences on the therapist. You are not booking Anne at this point.

2. Naming Anne specifically

   BetterHelp matches algorithmically by default, so asking for Anne is a step you have to take. There is a field for requesting a specific therapist during sign-up, and you can switch afterwards from your account. Starting from a link on this page does not by itself assign you to Anne.

3. If the caseload is full

   You will be offered somebody else rather than put on a waitlist. Worth knowing, because it is easy to assume a match is the person you asked for.

4. The first conversation

   A first session is typically history and orientation: what brought you, what has been tried, what you want to be different. It is also where the questions in the next section belong.

5. If the fit is wrong

   Changing therapist on BetterHelp does not need a reason. A first session that does not click is common and is not a verdict on therapy. That option existing is the main practical difference between a platform and a private practice.

05 · Before you commit

2 questions worth asking Anne

Built from what Anne actually lists, so they are answerable and specific rather than generic. Maker Therapy's, not Anne's - Anne has not seen them and is under no obligation to answer any of them.

• “You list both Cognitive Behavioural Therapy and Client-Centred Therapy. Which do you lean on with someone like me?”

  Those two point in different directions - one structured and led by the therapist, the other led by you. The answer tells you what the sessions will actually feel like.

• “How do you handle the gap between sessions if something comes up?”

  On BetterHelp this varies a great deal by therapist. Better to know the rhythm now than to discover it on a bad week.

06 · Practical details

Credentials and licensing

Credential

LCSW

Licensed in

Colorado

Licence

CO LCSW CSW.09927339

Licence number

CSW.09927339

Licence expires

31 Aug 2027

NPI

1346754306

Years in practice

7

Gender

Female

Languages

English

International clients

Not accepted

Listed since

15 May 2026

07 · Provenance

Where every line on this page came from

Anne's name, credential, state, subjects, approaches and biography are read from BetterHelp's therapist roster, which Maker Therapy re-reads once a day; this page reflects the reading taken on 7 Nov 2026. The licence number and NPI are cross-checked against public registers.

The plain-English method descriptions, the first-session walkthrough and the questions are written by Maker Therapy and labelled as such wherever they appear.

Maker Therapy is not BetterHelp, does not take bookings, and has not met Anne. There are no reviews or ratings on this page because we have no way to verify one. If you start therapy through a link here, we may be paid a commission - it does not change your price and it does not affect who appears here or in what order.

Something on this page wrong or out of date? Report it and it will be checked against the source.