Karen Schwartz Triana , MD, LCPC, LMHC

Karen Schwartz Triana is a licensed mental health professional who blends practical strategies with a collaborative, client-centered approach. She earned her degree from the University of South Florida in 2011 and began her career as a career counselor before transitioning into mental health counseling. Over the years she has worked with adults, families, and children on issues such as anxiety, depression, coping with disabilities, trauma, career difficulties, and family and marriage conflicts.

Karen holds the credentials MD, LCPC, and LMHC - MD denotes Doctor of Medicine, LCPC stands for Licensed Clinical Professional Counselor, and LMHC means Licensed Mental Health Counselor - and she draws on a range of clinical methods to meet each client where they are. She identifies as a solution-focused, cognitive behavioral, and client-centered therapist and has used techniques including cognitive behavioral therapy, art therapy, motivational interviewing, and behavior modification to support change.

In sessions she emphasizes open communication and tailors work to individual needs, encouraging progress through specific goals and regular reflection. She structures sessions so clients can track their growth, taking counseling one session at a time and developing individualized plans in collaboration with the client. Her practice emphasizes practical next steps, personal growth, and ongoing partnership in the therapeutic process.

How Karen's Therapeutic Approaches Work Online

Client-centered therapy emphasizes empathic listening and collaboration, giving clients space to lead conversations while the therapist reflects and supports their own insights. This approach is helpful for building trust, improving self-awareness, and addressing relationship, grief, or self-esteem concerns.

Cognitive Behavioral Therapy, or CBT, focuses on identifying and changing unhelpful thoughts and behaviors. It is practical and skills-oriented, often used for anxiety, depression, trauma-related symptoms, and coping with life changes.

Solution-Focused Therapy concentrates on clients' strengths and immediate goals, helping to identify small, actionable steps toward change. It is useful for people seeking clarity on next steps, improving communication, or managing stress and family challenges.

Finding the right approach is part of the therapeutic process. Karen works collaboratively with clients to determine which methods best match their needs, goals, and preferences, and she adapts techniques as progress is made.

Online sessions - via video calls, phone, live chat, or text-based messaging - make scheduling more flexible and allow therapy to fit into busy lives. These options support continuity of care, easier access to regular sessions, and the ability to use familiar communication styles while working with licensed professionals and therapists.