Karen Foley , LICSW

Karen Foley is a LICSW (Licensed Independent Clinical Social Worker) licensed in Washington with 32 years of professional experience working with individuals facing a range of life challenges. She has extensive experience addressing stress and anxiety, supporting people through addictions, and helping those impacted by trauma and abuse. Her clinical background also includes work with motivation and self-esteem concerns, as well as depression, grief and loss, and domestic violence.

Karen approaches each person with the assumption that they are the expert on their own story and that they possess strengths that can be mobilized to overcome current struggles. She prioritizes collaboration and listens for the values and goals that matter most to each client, using those as the foundation for meaningful change.

Beginning therapy can require courage, and Karen acknowledges the significance of that first step. She encourages prospective clients to recognize their resilience and to take pride in moving toward greater understanding and well-being.

Therapeutic Approaches and Online Therapy

Karen integrates client-centered therapy and cognitive behavioral therapy (CBT) into her online practice. Client-centered therapy focuses on understanding the person from their own perspective, building trust, and tapping into personal strengths to support growth and self-esteem. CBT looks at the relationship between thoughts, feelings, and behaviors and offers practical strategies to manage symptoms of anxiety, depression, and stress.

She also uses elements of dialectical behavior therapy (DBT) to help clients develop skills in emotion regulation, distress tolerance, and interpersonal effectiveness. These approaches are applied with attention to each person's unique needs, and Karen works collaboratively with clients and licensed professionals to determine which methods fit best with their goals and preferences.

Online therapy with Karen can take place through video calls, phone sessions, live chat, or text-based messaging, offering flexibility for busy schedules and different comfort levels. These options make it easier to access ongoing support from a distance while maintaining the same therapeutic focus and collaborative planning as in-person care.