Anne Karsian , LCSW, CSW

Anne Karsian is a Licensed Clinical Social Worker (LCSW) and CSW who brings focused experience supporting people through grief, loss, and life transitions. Licensed in Colorado and New Mexico, she has spent years working in acute care hospital settings as well as in palliative and hospice organizations, helping individuals and families navigate pivotal moments and complex decisions.

She has particular experience with older adults facing advanced care planning and downsizing, and she understands how isolation, loss of independence, and increased reliance on others can occur all at once. Anne recognizes that transitions often arrive suddenly and may be accompanied by traumatic events, and she approaches those moments with sensitivity and practical support.

Her work begins by listening to each person’s story at their own pace, using curiosity to guide conversations so clients feel seen and understood rather than judged by outside expectations. Through increased self-understanding and attention to what motivates behavior, she helps people rediscover interest and meaning in daily life. Anne values the courage it takes to face the wide range of emotions that accompany loss, and she offers steady support for those working through overwhelm, numbness, sadness, or confusion.

Therapeutic Approaches for Remote Support

Anne uses client-centered therapy to create a respectful, collaborative environment where the client’s priorities guide each session. This approach focuses on listening, empathy, and understanding so individuals feel acknowledged as they work through grief, role changes, or difficult decisions.

Emotionally-Focused Therapy (EFT) helps people identify and explore core emotions and attachment needs, which can be particularly useful for relationship strain, intimacy-related concerns, or family conflict. EFT supports deeper connection by clarifying emotional patterns and encouraging new ways of relating.

Mindfulness therapy introduces practices to help people notice thoughts and feelings without becoming overwhelmed, offering tools for managing anxiety, stress, and waves of grief. These approaches can be adapted to individual needs and combined with practical coping strategies.

Finding the right therapeutic approach is part of the process, and Anne works collaboratively with each person to determine what fits best based on needs, goals, and preferences. Licensed professionals and therapists often blend methods to create a personalized plan.

Online therapy offers flexibility through video calls, phone sessions, live chat, or text-based messaging, making it easier to schedule care around work, caregiving, or mobility limitations. These options help maintain continuity of support and allow clients to access therapy from their own environments.