- Experienced LICSW
- Panic and anxiety focus
- Skills based work
About Karen
Karen Foley is a licensed clinical social worker who helps people facing worry, panic, and overwhelming stress. She speaks plainly and focuses on practical steps that make day-to-day life feel more manageable. She is based in Washington and brings a calm, steady presence to sessions.
With 32 years of experience, Karen draws on simple, evidence-informed tools to reduce anxious thoughts and improve coping. She treats panic disorder and panic attacks alongside broader anxiety, depression, grief, and issues tied to trauma and abuse. She also supports people struggling with addictions, self-esteem, and problems with isolation or social anxiety.
Her approach centers on listening first and then collaborating on goals. Karen uses Client-Centered Therapy to follow each person’s lead and to highlight their strengths. She also uses Cognitive Behavioral Therapy to identify unhelpful thinking and Dialectical Behavior Therapy skills to manage intense emotions.
Sessions aim to teach straightforward skills you can use between meetings. Practical exercises, motivational conversations, and mindfulness techniques feature in many sessions. Karen helps people plan small, achievable steps so progress feels realistic.
Starting therapy involves a short matching questionnaire and scheduling through the Start Therapy button. Karen encourages people to take their time choosing a pace and topics that feel right for them.
How these approaches translate to online therapy
Client-Centered Therapy focuses on understanding each person and building on their strengths. Online sessions using this approach let the therapist follow your lead, listen carefully, and help set goals that matter to you.Cognitive Behavioral Therapy, or CBT, breaks problems into thoughts, feelings, and actions. In online work this often means identifying unhelpful thinking patterns and practicing simple exercises to change them between sessions, which can help with panic attacks and ongoing anxiety.
Dialectical Behavior Therapy, or DBT, teaches skills to manage strong emotions and handle stressful moments. DBT-style work online can include practicing grounding, distress tolerance, and emotion regulation skills that you can use when panic or overwhelm arises.
Finding the right mix of approaches is part of the process. The therapist will collaborate with each person to match methods to their goals, needs, and preferences rather than prescribing a single path. This helps shape a plan that feels doable and respectful of your pace.
Session formats are not specified in the biography, so confirm current options before booking. Online work can make it easier to fit therapy into a busy life, reduce travel time, and allow shorter check-ins when needed. Licensed professionals can adapt homework and practice to your daily routine so therapy can connect directly to real-life moments.
Areas of expertise
Additional focus areas
Therapeutic approaches
Experience
32+ years
Listed in
Washington
Languages
English
Frequently asked questions
What kinds of concerns does Karen address?
She helps with stress, anxiety, panic disorder and panic attacks, depression, addictions, trauma and abuse, self-esteem, and related issues such as body image and social anxiety.
How would you describe the therapy style used?
The style is collaborative and practical, with listening first and goal-setting next. Sessions often include skill practice, motivational conversation, and mindfulness exercises.
What is Karen's professional background?
Karen has 32 years of professional experience working with people facing anxiety, trauma, addictions, depression, and grief.
What credentials and location are listed?
She holds a Washington LICSW and practices in Washington state.
In which languages can sessions be held?
Sessions are offered in English.
Can international clients book sessions?
International clients are not currently accepted.
How are fees and payment handled?
Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.
What should I do to begin working together?
Click the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.