About Karen
Karen Schwartz Triana helps people manage stress, anxiety, depression, relationship and family concerns, trauma and abuse, addiction, grief, parenting challenges, and work-related struggles. She is comfortable addressing intimacy worries, self-esteem, ADHD, mood swings, and coping with life changes. Karen holds MD, LCPC, and LMHC credentials and practices in Florida.
Her sessions are straightforward and practical. She uses a client-centered stance that focuses on each person’s goals. Karen often blends Cognitive Behavioral Therapy and solution-focused techniques to identify small, achievable steps.
Background and approach
She also brings motivational interviewing and narrative ideas into work when helpful. Karen’s style is collaborative and paced to the client. She helps people set clear progress goals and checks in at the end of each session to review how things went.
That makes progress easier to notice between meetings. Her background includes work as a career counselor before moving into mental health. Over years in practice she has supported people facing anxiety, depression, trauma, career shifts, and family conflicts.
That experience shapes a practical approach to common problems. Sessions may include talking, skill practice, short written reflections, and setting small homework tasks. Karen aims to help clients find the next steps they can realistically take to feel better and move forward.
She offers services in English from Florida and brings 14 years of experience to her work.
Therapeutic approaches and online options
Client-Centered Therapy focuses on the person in the room. It emphasizes listening, empathy, and helping clients choose goals that matter to them. This approach works well for those who want time to reflect and define their own next steps.Cognitive Behavioral Therapy, or CBT, looks at patterns of thought and behavior that keep problems going. Sessions include practical exercises and small experiments to shift thinking and habits, which can help with anxiety, depression, and mood regulation.
Motivational Interviewing helps people find the internal reasons to change. It uses open questions and reflective listening to strengthen motivation, often alongside other techniques when someone is unsure about next steps.
Finding the right mix of methods is part of the work. Karen will discuss options and adjust her approach based on a client's goals, preferences, and responses. This collaboration helps tailor sessions so they are useful and realistic.
Online therapy offers flexibility for busy schedules. Video calls allow face-to-face conversation and visual cues. Phone sessions are useful when bandwidth or screen time is limited. Live chat and text messaging work well for brief check-ins, written reflections, or ongoing coaching-style support. These formats let clients fit therapy into work breaks, travel days, or at times that feel most convenient.
Frequently asked questions
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Specialties and expertise
Top specialties
- Stress, Anxiety
- Relationship issues
- Family conflicts
Also works with
- Addictions
- ADHD
- Anger management
- Bipolar disorder
- Career difficulties
- Coaching
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Coping with life changes
- Depression
- Divorce and separation
- Family problems
- Grief
- Impulsivity
- Intimacy-related issues
- Jealousy
- LGBT
- Mood disorders
- Parenting issues
- Post-traumatic stress
- Postpartum depression
- Self esteem
- Self-harm
- Self-love
- Social anxiety and phobia
- Trauma and abuse
- Workplace issues
Therapeutic approaches
- Experience
- 14 years
- Licensed
- Florida, New York, Maryland
- Languages
- English