Karen Foley

Karen Foley is a Licensed Independent Clinical Social Worker (LICSW) with over three decades of professional experience. She supports people facing stress, anxiety, addictions, trauma and abuse, low self-esteem, and depression. She encourages clients to notice the strengths they already have and to use those strengths to move forward.

Karen believes the client is the expert on their own life. Sessions focus on listening first, then working together to set clear, realistic goals. She emphasizes practical steps that people can use between sessions to manage symptoms and build resilience.

Her work also addresses related concerns like body image, communication problems, control issues, and feelings of guilt or shame. She helps people process grief, navigate separation or divorce, and cope with isolation or loneliness. Panic, social anxiety, and post-traumatic stress are also areas she addresses in counseling.

Karen uses a range of approaches to match each person's needs. That can include client-centered conversations, cognitive behavioral tools to change unhelpful thinking and behavior, mindfulness practices to reduce reactivity, and strategies from dialectical behavior therapy to manage intense emotions. Motivational interviewing is used when people want help finding the will to change.

She practices in Washington and conducts sessions in English. Karen aims to make starting therapy straightforward and respectful of each person's pace and goals.

How therapy approaches translate to online care

Client-centered therapy focuses on understanding each person's perspective, offering empathy and support while letting the client guide the pace and goals. It helps when someone needs a steady, respectful space to talk things through.

Cognitive Behavioral Therapy (CBT) looks at the links between thoughts, feelings, and actions and teaches practical strategies to change patterns that cause distress. CBT is useful for anxiety, depressive symptoms, panic, and body image concerns because it gives concrete skills to practice.

Dialectical Behavior Therapy (DBT) offers tools for regulating strong emotions, tolerating distress, and improving interpersonal skills. Those strategies can be helpful for people who get overwhelmed by intense feelings or who want better ways to cope in the moment.

Finding the right approach is part of the work. Karen will collaborate with each person to identify which methods match their goals and preferences, and she will adjust the plan as therapy progresses.

Confirm current session options before booking, since the biography does not list specific formats. Online therapy can make it easier to fit sessions into a busy life, reduce travel time, and allow for shorter check-ins when needed. Discuss scheduling needs during the matching process so sessions are arranged to suit everyday routines.