01 · Who Karisha works with

Karisha works with stress, Anxiety, relationship issues and trauma and abuse

Karisha lists 16 specialisms and 37 further focus areas. Specialisms are the subjects Karisha chose to list first, which is the closest a listing gets to “this is my actual practice”.

02 · In Karisha's own words

What Karisha says about the work

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

Welcome and thank you for visiting my profile! I am a fully Licensed Professional Counselor with approximately 15 years of experience working with children, adolescents, and adults. My specialty is transforming unhealthy outlooks, behaviors, and beliefs that were developed by difficult life experiences. I love to help my clients deconstruct these patterns and create more healthy, realistic ones. My mission is rooted in education, clinical experience, as well as spirituality and inner growth, not to be confused with religion.

The focus is building a relationship with The Creator and following His Word here on earth. I ask the questions that uncover the underlying meaning of your issue and what needs to be released in order to restore your energy, faith, health, mind, body, soul, relationships, motivation, self love, trust, and grace.

Rest assured my approach includes a focus on holistic care in addition to Spirit led assessment and compassion...we will review the whole you, without judgement or criticism. Assessing and creating goals in each area of your life often leads to improved mental health outcomes and a fulfilling quality of life. I utilize various tools such as active listening, paraphrasing, reflecting, and prayer in session. In between sessions, I offer personalized handouts, videos, and books for your review and reflection. offering new ideas and points of awareness to stretch the scope of your issue. I often apply Biblical Guidance, Trauma Focused Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, and Mindfulness Based Stress Reduction techniques in each session.

If you are in need of counseling with a professional who is supportive, ethical, trustworthy, confidential, and reliable, then I am the counselor for you.

Karisha Richards, on the BetterHelp listing · read 8 Nov 2026

03 · How Karisha works

The 4 approaches Karisha lists, in plain English

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

Dialectical Behaviour TherapyDBT

A structured skills-led adaptation of CBT built around holding two things at once: accepting yourself as you are and working to change. Teaches concrete skills for distress tolerance, emotion regulation and relationships. Developed for people whose feelings arrive at overwhelming intensity, and strongest-evidenced there.

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.

Also listed

• Jungian Therapy

04 · What happens next

From this page to a first session

Karisha 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 Karisha'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 Karisha at this point.

2. Naming Karisha specifically

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

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

4 questions worth asking Karisha

Built from what Karisha actually lists, so they are answerable and specific rather than generic. Maker Therapy's, not Karisha's - Karisha 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.

• “With 15 years in, what has changed most in how you work?”

  Long experience is only an advantage if it has been examined. This tends to surface whether it has.

• “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

LPC

Licensed in

Texas

Licence

TX LPC 72424

Licence number

72424

Licence expires

31 Oct 2027

NPI

1033569298

Years in practice

15

Gender

Female

Languages

English

International clients

Not accepted

Listed since

9 Jun 2026

07 · Provenance

Where every line on this page came from

Karisha'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 8 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 Karisha. 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.