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Karena Franses

Karena Franses, LCSW

Therapist in California

Experienced LCSW offering steady, compassionate care

Continue with Karena Review online therapy options on BetterHelp.
  • Addictions and recovery
  • Depression and grief
  • Relationship concerns

About Karena

Karena Franses is a licensed clinical social worker with 28 years of experience in community and private settings. She draws on long experience supporting people through addiction, grief, depression, anxiety, and relationship concerns. Her approach is warm and steady, and she aims to help people find relief from persistent pain.

Karena spent many years at a county hospital and worked for over two decades as a social work supervisor in an outpatient HIV clinic. That work exposed her to severe addiction, trauma, depression, and the effects of poverty, homelessness, racism, and homophobia. She later maintained a private psychotherapy practice focused on relationship struggles, body image, and other long-standing emotional issues.

A practicing Buddhist who meditates daily, she brings humility and compassion into sessions. She believes people already hold the answers to their suffering and that therapy helps clear the clouds that hide those answers. Sessions often focus on noticing patterns, understanding how past experiences shape current feelings, and finding practical steps forward.

Karena uses Motivational Interviewing when people need support making changes and psychodynamic ideas when looking at long-term patterns and relationships. She aims to match the pace and focus to each person's needs and goals. Her work is grounded in decades of direct care in clinical and community settings.

People who turn to her often want steady, experienced guidance for life changes, addiction recovery, grief, or persistent low mood. She offers sessions in English and accepts international clients, with logistics arranged through the site's booking process.

This summary is based on the profile information listed on BetterHelp.

How therapeutic approaches guide online care

Motivational Interviewing is a conversational approach that helps people find their own reasons for change. It is useful for addictions, substance use, and any goal that requires sustained personal motivation. Psychodynamic Therapy looks at how patterns from earlier relationships affect current behavior and feelings. It can help when someone wants to understand recurring relationship conflicts, persistent low mood, or long-term struggles with self-image.

Finding the right approach is part of the work together. The therapist will listen to your goals and preferences and suggest ways of working that fit your needs. Decisions about focus and pace are made collaboratively, and adjustments happen as therapy progresses.

The biography does not list specific session formats, so please confirm available options before booking. Online therapy can make it easier to fit sessions into a busy life by removing travel time and allowing meetings from different locations. It also offers flexible ways to check in when needs change, such as shorter touchpoint sessions or regular weekly meetings that suit a schedule. Licensed professionals can adapt these approaches to work effectively across distance while focusing on practical steps and deeper personal understanding.

Frequently asked questions

What kinds of concerns does she address?

She works with a wide range of concerns including addictions, depression, anxiety, grief, relationship and intimacy issues, bipolar-related concerns, and stress from life changes.

How would you describe her therapeutic style?

Her style is compassionate and steady, with attention to life history and present motivation. Sessions balance practical steps with exploration of long-term patterns.

What background and experience does she have?

She has 28 years of experience, including many years as a social work supervisor at a county outpatient HIV clinic and later a private psychotherapy practice in San Francisco.

What credentials and location are listed for this therapist?

She is a LCSW - Licensed Clinical Social Worker - practicing in California.

Are sessions offered in other languages or to overseas clients?

Sessions are offered in English and she accepts international clients.

Which session formats are available?

The original biography does not list specific session formats. Please confirm the current session options before booking.

How does payment and cost work?

Cost varies with location and therapist availability; sessions use a subscription model that can be canceled at any time.

What are the first steps to begin working together?

Use the Start Therapy button, complete the short matching questionnaire, and then schedule according to the therapist's availability.

Therapists on BetterHelp do not prescribe medication. A doctor can talk with you about medical options. If you are thinking about suicide, call or text 988; in an emergency, call 911.

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