01 · Who Karen works with

Karen works with stress, Anxiety, relationship issues and family conflicts

Karen lists 18 specialisms and 14 further focus areas. Specialisms are the subjects Karen chose to list first, which is the closest a listing gets to “this is my actual practice”.

02 · In Karen's own words

What Karen says about the work

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

Hello, I am a licensed mental health counselor and certified rehabilitation counselor in Florida. I graduated from the University of South Florida in 2011. I began my career as a career counselor and then moved into mental health counseling. I have worked with clients with anxiety, depression, coping with disabilities, trauma, career difficulties, family and marriage conflicts, etc. I have over 8 years’ experience with counseling adults, families and children. I am a Solution Focused, Cognitive Behavioral and Client Centered Therapist.

In my sessions, I provide a safe environment with open communication. I tailor my sessions to my client’s needs. I believe in taking counseling one session at a time. I help my clients develop progress goals, so they can track the progress they have made in the sessions. I take time at the end of every session for the client to take time to reflect on how they have felt the session was. I have utilized various techniques such as cognitive behavioral therapy, art therapy, motivational interviewing, behavior modification, etc. I believe in working together with my clients and creating an individualized treatment plan for them.

I work with you to help you discover the next steps you need to take to improve yourself. I promote change through personal growth. I cannot wait to work with you.

Karen Schwartz Triana, on the BetterHelp listing · read 9 Oct 2026

03 · How Karen works

The 6 approaches Karen lists, in plain English

These are the clinical methods Karen lists. The descriptions are Maker Therapy's, not Karen'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 Karen 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.

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.

Trauma-Focused TherapyTF-CBT · trauma-informed

CBT adapted for people whose difficulty is rooted in a frightening or overwhelming event. Pacing is the point: safety and stabilisation come first, the memory itself is approached gradually and only when you are ready, and the aim is that recalling it stops hijacking the present.

04 · What happens next

From this page to a first session

Karen 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 Karen'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 Karen at this point.

2. Naming Karen specifically

   BetterHelp matches algorithmically by default, so asking for Karen 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 Karen.

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

3 questions worth asking Karen

Built from what Karen actually lists, so they are answerable and specific rather than generic. Maker Therapy's, not Karen's - Karen 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 decide when someone is ready to work on a traumatic memory itself?”

  Pacing is the biggest safety question in trauma work. A clear, unhurried answer here matters more than any credential.

• “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

LCPC

Licensed in

Florida

Licence

MD LCPC LC15777, NY LMHC 014828

Licence number

MH15765

Licence expires

31 Mar 2027

NPI

1275023327

Years in practice

14

Gender

Female

Languages

English

International clients

Not accepted

Listed since

15 May 2026

07 · Provenance

Where every line on this page came from

Karen'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 9 Oct 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 Karen. 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.