- ACT and CBT
- Mindfulness practices
- Spanish language support
About Carisa
Carisa Givens is a Licensed Professional Counselor (LPC) practicing in Texas with 12 years of experience. She works with people facing stress, anxiety, grief, career strain, relationship and intimacy concerns, and issues around guilt and shame. Sessions are offered in English and Spanish, and she accepts international clients.
Her approach blends Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Client-Centered Therapy, Mindfulness Therapy, and Motivational Interviewing. She uses these methods to help people name what matters to them, notice unhelpful thinking patterns, and try practical steps that change day-to-day behavior. Conversations are interactive and focused on useful next steps rather than labels.
Carisa often addresses family and blended family problems, caregiver stress, parenting strain, and communication or control issues. She also works with people dealing with depression, bipolar concerns, sleeping problems, and exhaustion from caregiving or compassion fatigue. Guilt and shame are named focuses and are discussed directly in sessions when they are part of a person’s difficulties.
She brings experience helping people with life transitions, career decisions, and grief or end-of-life concerns. Sessions may include mindful breathing, shifting thoughts that keep someone stuck, and practical coaching around routines and boundaries. The aim is to make small changes that fit into everyday life.
Carisa adapts her communication to each person’s goals and preferences. To begin, she asks about immediate concerns, what a better week would look like, and what practical steps feel doable. From there she and the client agree on a plan and simple ways to track progress.
How therapeutic approaches translate to online sessions
Acceptance and Commitment Therapy (ACT) helps people clarify what matters most to them and take small actions that reflect those values. It is useful for anxiety, guilt, and life transitions where someone wants steadier direction. Cognitive Behavioral Therapy (CBT) looks at the links between thoughts, feelings, and actions and teaches specific skills to change unhelpful patterns. It is helpful for anxiety, low mood, sleep problems, and persistent worries. Mindfulness Therapy focuses on simple practices to notice thoughts and bodily sensations without getting pulled into them, which can reduce reactivity and help with stress and shame.Finding the right mix of approaches is part of the work. The therapist and client decide together which methods to try based on the client’s concerns, goals, and what feels manageable. Sessions are collaborative and adjusted over time as progress and needs change.
Session formats are not specified in the biography, so confirm current options before booking. Online sessions can make it easier to fit therapy into a busy week, allow shorter check-ins when needed, and remove travel time. Many people find that working with a licensed professional by video or phone helps them test new habits and apply strategies directly to their everyday routines.
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 and relationship concerns, plus issues like parenting strain, caregiver stress, and guilt and shame.
How does she approach therapy?
She combines Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Client-Centered Therapy, Mindfulness, and Motivational Interviewing to focus on practical steps and values-based goals.
How much experience does she have?
She has 12 years of counseling experience working with adults from varied backgrounds.
What are her credentials and where is she based?
She is a Licensed Professional Counselor (LPC) licensed in Texas and practices from that state.
Can I see a therapist in my language?
Sessions are offered in English and Spanish.
Does she work with clients outside the U.S.?
She accepts international clients.
How much do sessions cost?
Cost varies by location; sessions use a subscription that can be canceled at any time.
What do I do to start a first session?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.