- Stress and anxiety
- Family of origin issues
- Grief and caregiver stress
About Carisa
Carisa Givens is a Licensed Professional Counselor (LPC) in Texas with 12 years of experience helping people manage stress, anxiety, grief, and career concerns. She works with adults on relationship and intimacy issues, parenting and blended family challenges, and problems that stem from the family someone grew up in.
Her sessions usually focus on practical steps. She uses clear, direct conversation to break down patterns that feel stuck. She often looks at how thoughts, behaviors, and values interact and helps people try different ways of responding to the same situation.
Carisa draws on Acceptance and Commitment Therapy and Cognitive Behavioral Therapy to help people notice unhelpful thinking and practice alternative actions. She also uses client-centered and mindfulness approaches to slow things down and help clients reconnect to their goals. Motivational Interviewing is part of how she supports people who want to make a change but feel uncertain or stuck.
She has particular experience with family of origin issues, attachment concerns, codependency, and communication problems that show up in adult relationships. Carisa also works with grief, caregiver stress, hospice and end-of-life topics, and issues related to identity, including LGBT concerns.
Carisa offers sessions in English and Spanish. She uses straightforward language and focuses on what to try between sessions. Prospective clients in Texas can expect a conversational style that aims to translate insight into manageable steps.
Therapeutic approaches used in online sessions
Acceptance and Commitment Therapy (ACT) focuses on helping people clarify what matters to them and take action toward those values even when difficult thoughts or feelings arise. This can help with anxiety, relationship patterns, and decisions about career or caregiving roles.Cognitive Behavioral Therapy (CBT) looks at how thoughts and behaviors maintain distress and offers practical experiments to test new responses. CBT can be useful for managing anxiety, sleep problems, low mood, and unhelpful patterns from family of origin issues.
Carisa treats finding the right approach as a collaborative process. She will work with clients to identify which methods fit their goals and preferences, and she adjusts the plan based on what helps in real life. That means trying techniques in session and discussing how they felt afterward.
Confirm available session formats before booking since specific delivery options are not listed here. Many people find online sessions help fit counseling into a busy week, reduce travel time, and allow shorter check-ins on a day off. Others prefer longer slots for deeper work. Discussing practical scheduling needs is part of the first steps when arranging sessions.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
12+ years
Listed in
Texas, Oregon
Languages
English, Spanish
Frequently asked questions
What kinds of concerns does she address?
She works with stress, anxiety, grief, career issues, relationship and intimacy concerns, parenting and blended family challenges, and family of origin issues among other topics.
What is her therapeutic style?
Her approach is conversational and practical, using techniques from Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, client-centered work, mindfulness, and Motivational Interviewing to help people test new ways of coping.
How much experience does she have?
She has 12 years of counseling experience supporting adults with a range of concerns including attachment issues, codependency, and caregiver stress.
Where is she licensed and based?
She is a Licensed Professional Counselor (LPC) licensed in Texas and practices from that state.
Which languages are offered for sessions?
Sessions are offered in English and Spanish.
Can people outside the U.S. work with her?
She accepts international clients. Confirm time zone and licensure considerations when scheduling.
How are sessions scheduled and delivered?
Please confirm the current session formats before booking. The site process involves selecting the online therapy options button and completing a short matching questionnaire to schedule a first session.
How are fees handled?
Cost varies with location; sessions use a subscription model that can be canceled at any time.
Online talk therapy is not emergency care. If you are in danger, use the emergency numbers. Looking for someone else? Find them by surname.