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Karen Foley

Karen Foley, LICSW

Therapist in Washington

Hopeful, practical therapy for life challenges

Continue with Karen Review online therapy options on BetterHelp.
  • Strengths focused
  • Practical tools
  • Respectful listening

About Karen

Karen Foley is a licensed clinical social worker who brings over 30 years of experience to her practice. She works with people dealing with stress, anxiety, addictions, trauma and abuse, low self-esteem, and depression. She emphasizes respect for each person's story and believes people have strengths to draw on when things are hard.

Her approach centers on listening first and following the client's lead. Sessions focus on practical steps and real conversations rather than jargon. She uses methods that help people change thoughts and behaviors, build emotional regulation skills, and reconnect with what matters to them.

Karen blends cognitive strategies with mindfulness and skills training. She also uses motivational interviewing to support people who feel stuck or ambivalent about change. Narrative ideas are used when helpful to reshape unhelpful stories people tell themselves.

Over three decades of work have included helping people facing grief, loss, and the aftermath of domestic violence. Her view is that starting therapy is a brave step, and she aims to make the process understandable and manageable. She encourages small, steady changes that fit into daily life.

People who choose her can expect a respectful, steady presence focused on practical tools and personal strengths. She helps people set realistic goals and follow through at a pace that fits each person.

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

How therapeutic approaches translate to online care

Client-Centered Therapy focuses on listening and partnership. It means the therapist follows the person's pace, reflects what they say, and helps them find their own solutions. This approach is useful when someone wants an accepting space to sort through decisions and feelings.

Cognitive Behavioral Therapy, or CBT, looks at how thoughts influence feelings and actions. It teaches practical skills to change unhelpful thinking and behavior, which can help with anxiety, depression, and panic symptoms. Dialectical Behavior Therapy, or DBT, builds skills for emotion regulation and managing intense reactions, which is helpful for people who need concrete tools to steady themselves.

Finding the right mix of approaches is part of the work together. The therapist will ask about your goals and try methods that fit your needs, adjusting plans as progress is made. The process is collaborative and paced to what feels workable for each person.

Confirm the specific online session options before booking so you know what formats are offered. Online therapy can make it easier to fit sessions into a busy day, reduce travel time, and allow shorter check-ins when a brief appointment is needed. It also makes practicing skills between conversations more convenient for many people.

Frequently asked questions

What kinds of concerns does she help with?

She works with stress, anxiety, addictions, trauma and abuse, self-esteem issues, and depression, plus related concerns such as panic, grief, and social anxiety.

What is her therapeutic style like?

Her style is client-centered and practical, with a focus on listening, collaborative goal setting, and teaching skills people can use between sessions.

How long has she been practicing?

She has 32 years of professional experience working with people across a range of life challenges and transitions.

What credentials and region apply to this therapist?

She holds a LICSW and practices in Washington state as a WA LICSW.

Which languages are available for sessions?

Sessions are offered in English only and international clients are not currently accepted.

What session formats are offered?

Please confirm the current session options before booking so you know which formats are available for scheduling.

How does billing and cost work?

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

How do I begin working with her?

Select the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist 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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