- CBT techniques
- DBT skills
- EMDR approach
About Karina
Karina Fernandez is an LCSW (Licensed Clinical Social Worker) practicing in Tennessee with 16 years of clinical experience. She works with adults facing stress, anxiety, depression, grief, relationship and family concerns, addictions, sleep difficulties, parenting strain, and compassion fatigue. She speaks English and Spanish and has experience supporting people impacted by trauma and complex grief.
Karina draws on methods such as cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), mindfulness, eye movement desensitization and reprocessing, and client-centered approaches. Sessions focus on practical steps clients can try between meetings. Conversations are guided by the client’s goals and paced to suit what feels manageable.
Her background includes work across settings that support people with mood and trauma-related concerns, and with survivors of violent crimes and loss. That experience informs an approach that pays attention to how early family roles and experiences can follow people into adulthood. She helps clients notice repeated family patterns and how those patterns affect current relationships and decision-making.
In sessions Karina helps people identify small changes that reduce distress and improve day-to-day functioning. She uses concrete tools from CBT and DBT to address thoughts, behaviors, and emotion regulation. Mindfulness exercises and EMDR-informed strategies may be introduced when they match a person’s needs.
Clients can expect a steady, practical focus on solving immediate problems while also looking at longer standing family-of-origin patterns. To begin, she asks people to clarify goals and then chooses techniques that fit those goals and personal preferences.
How therapeutic approaches are used in online sessions
Client-centered work focuses on the person’s priorities. The therapist listens, reflects, and uses the client’s goals to guide what comes next. This approach helps when someone needs a clear plan that fits their life.Cognitive Behavioral Therapy (CBT) looks at the link between thoughts, feelings, and actions. Online CBT sessions often include practical exercises and homework to try between meetings. It can help with anxiety, depression, sleep problems, and family-of-origin patterns that shape current thinking.
Dialectical Behavior Therapy (DBT) teaches specific skills for managing emotions and improving communication. In remote sessions, DBT skills can be practiced in short coaching conversations and then applied during the week to handle stress and relationship struggles.
Finding the right approach is a collaborative process. The therapist will discuss options, try techniques, and adjust based on what feels most helpful. Clients and therapist decide together which methods to emphasize and when to shift direction.
Session formats are not listed here, so confirm the available options before booking. Online sessions can make it easier to fit therapy into a workday, reduce travel time, or allow a shorter check-in when schedules are tight. The therapist will explain which formats she currently offers when you begin the intake process.
Areas of expertise
Also works with
Additional focus areas
Therapeutic approaches
Experience
16+ years
Listed in
Tennessee
Languages
English, Spanish
Frequently asked questions
What concerns does she address?
She works with stress, anxiety, depression, grief, addictions, relationship and family issues, and related problems such as sleep disturbance and self-esteem.
How would you describe her therapeutic style?
She uses a practical, client-centered approach that combines CBT, DBT, mindfulness, and EMDR-informed work to address specific symptoms and patterns.
How much clinical experience does she have?
She has 16 years of experience working in mental health settings with people facing mood and trauma-related concerns.
What are her credentials and where is she located?
She is an LCSW (Licensed Clinical Social Worker) practicing in Tennessee.
Does she work in languages other than English?
Sessions are offered in English and Spanish.
Can international clients work with her?
She is not accepting international clients at this time.
How are sessions arranged and what formats are offered?
Please confirm current session formats before booking, as formats are not specified here. The sign-up process will show available options.
How does payment and starting work?
Cost varies with location and sessions use a subscription that can be canceled at any time. To begin, select the See online therapy options button, complete the short matching questionnaire, and schedule a first session.
Online talk therapy is not emergency care. If you are in danger, use the emergency numbers. Looking for someone else? Find them by surname.