Karen Schwartz Triana , MD, LCPC, LMHC

Karen Schwartz Triana is a licensed mental health professional with a background that spans career counseling and clinical mental health work. She earned her degree from the University of South Florida in 2011 and has built a practice addressing anxiety, depression, trauma, family and marriage conflicts, career challenges, and coping with disabilities. Over her career she has worked with adults, families, and children, and brings 14 years of experience to her therapeutic work.

Her training and credentials include MD, LCPC, and LMHC - explained as medical doctor (MD), Licensed Clinical Professional Counselor (LCPC), and Licensed Mental Health Counselor (LMHC). She has also practiced with techniques drawn from solution-focused therapy, cognitive behavioral therapy, client-centered approaches, art therapy, motivational interviewing, and behavior modification. Her process emphasizes collaboration and individualized planning, with measurable progress goals and time built into sessions for reflection on how the work is going.

Triana structures sessions to reflect each person or family she works with, tailoring interventions to current needs and pacing the work one session at a time. She focuses on practical steps for personal growth and change, supporting clients as they identify what comes next and develop strategies to move forward.

Therapeutic Approaches for Online Care

Karen Schwartz Triana uses client-centered therapy to create a respectful, empathetic environment where the client's perspective guides the pace and focus of work. This approach helps people who want a supportive space to explore feelings, values, and personal goals. Cognitive Behavioral Therapy, or CBT, is employed to identify unhelpful thinking patterns and to build practical strategies for managing anxiety, depression, and other mood or behavior concerns. Solution-Focused Therapy is oriented toward identifying strengths and setting concrete, achievable goals to produce change in a relatively brief time frame.

Finding the right approach is part of the therapeutic process. Triana collaborates with each person to determine which methods fit best based on their needs, goals, and preferences, and she adjusts the plan as progress is made. This collaborative stance helps ensure therapy stays relevant and responsive.

Online sessions can take place via video calls, phone sessions, live chat, or text-based messaging, offering flexibility for different schedules and comfort levels. These options make it easier to maintain continuity of care, attend sessions during busy weeks, and access licensed professionals from different locations, while preserving a focus on practical and effective therapeutic work.