LCSW

Karen Cash , LCSW

Therapist in California

Online therapy - get matched and start messaging.

About Karen

Karen Cash is a Licensed Clinical Social Worker (LCSW) practicing in California with 15 years of professional experience helping people navigate stress, relationships, and major life changes. She works with individuals and couples to address everyday challenges as well as deeper struggles such as anxiety, depression, and substance-related concerns. Her practice places particular emphasis on trauma recovery and she has extensive experience supporting survivors of childhood abuse, sexual abuse, domestic violence, and sexual assault.

Karen uses evidence-informed strategies to help clients build practical coping skills and to process difficult experiences. She incorporates trauma-focused cognitive behavioral approaches when appropriate and offers grief therapy for losses that include the death of a loved one, the end of a relationship, job loss, or health changes. Treatment is tailored to each person, with clear goals that reflect what the client hopes to change or achieve.

Known for strong listening skills and an empathetic stance, Karen emphasizes a collaborative working relationship grounded in trust and open communication. She aims to help clients develop insight, reduce distress, and move toward the life changes they want to see, drawing on a range of clinical tools suited to each individual’s needs.

Approaches That Guide Online Care

Acceptance and Commitment Therapy (ACT) invites clients to clarify their values and gently move toward meaningful action while learning to accept difficult thoughts and feelings; it can be especially helpful for stress, anxiety, and navigating life transitions. Attachment-Based Therapy explores patterns formed in early relationships and how they influence current connections, making it useful for relationship challenges, intimacy-related concerns, and attachment issues. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thoughts and behaviors and developing practical skills to reduce symptoms of depression, anxiety, and mood difficulties.

Choosing the right approach is part of the therapeutic process and Karen works collaboratively with each person to determine which methods best align with their goals, preferences, and needs. She adapts interventions over time so the plan remains responsive to what is most effective for the client.

Online therapy options such as video calls, phone sessions, live chat, and text-based messaging offer flexibility for busy schedules, allow ongoing care from a distance, and make it easier to fit therapy into daily life. These formats support consistent progress by enabling contact that suits a client’s availability and comfort, while still allowing licensed professionals to deliver structured, goal-oriented treatment.

Frequently asked questions

How much experience does Karen Cash have?

Karen Cash has 15 years of experience.

Is Karen Cash a licensed therapist?

Yes. She is a Licensed Clinical Social Worker (LCSW) and holds the license CA LCSW 17777.

In which languages does Karen Cash provide therapy?

She provides therapy in English.

Where is Karen Cash located?

She is located in California.

How can I work with Karen Cash as my therapist?

You can work with Karen Cash through video calls, phone sessions, live chat, or text-based messaging.

Does Karen Cash work with international clients?

Yes, Karen Cash works with international clients.

How much does therapy with Karen Cash cost?

The cost of therapy can vary depending on factors such as your location and the therapist's availability. Sessions are billed through a subscription that can be canceled at any time, for any reason. For current details, just click the "Start Therapy" button on this page.

How can I get started with therapy?

Getting started with therapy is quick and straightforward. Just click the "Start Therapy" button and complete a short questionnaire that helps match you with your therapist. Depending on availability, you can then schedule your first session, which may take place by phone, video call, live chat, or in-app messaging.

Areas of expertise

Primary focus

Stress, AnxietyRelationship issuesParenting issuesSelf esteemDepression

Also works with

AddictionsLGBTFamily conflictsTrauma and abuseGriefIntimacy-related issuesAnger managementCareer difficultiesBipolar disorderCoping with life changesCoachingCompassion fatigueADHD

Additional focus areas

AbandonmentAdoption and foster careAttachment issuesAutism and Asperger SyndromeBlended family issuesBody imageCancerCaregiver issues and stressCommitment issuesCommunication problemsControl issuesDisruptive Mood Dysregulation Disorder (DMDD)Divorce and separationDomestic violenceDrug and alcohol addictionEating and food-related issuesEmptinessFamily of origin issuesFamily problemsFirst responder issuesForgivenessGender dysphoriaGuilt and shameImpulsivityInfidelityIntellectual disabilityIsolation / lonelinessJealousyLife purposeMidlife crisisMoney and financial issuesMood disordersObsessions, compulsions, and OCDPanic disorder and panic attacksParanoiaPhobiasPolyamory / non-monogamous relationshipsPost-traumatic stressPregnancy and childbirthProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-loveSex addictionSexual assault and abuseSexualitySocial anxiety and phobiaWomen's issuesYoung adult issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Solution-Focused TherapyTrauma-Focused Therapy

Experience

15+ years

Licensed

California

Languages

English

Ready to work with Karen?

Begin with a short quiz to get matched and start messaging.

Start with Karen →