Karen Schwartz Triana, MD, LCPC, LMHC

Florida | Online sessions in Florida, New York, Maryland | English | Book with Karen »

Compassionate, practical therapy for life changes

Details

Name	Karen Schwartz Triana
Credentials	MD, LCPC, LMHC
Based in	Florida
Licensed in	Florida, New York, Maryland
Session format	Online
Languages	English
Years in practice	14

About Karen

Karen Schwartz Triana is a licensed mental health counselor and clinician based in Florida. She brings 14 years of clinical experience to sessions and has worked with people facing anxiety, depression, trauma, relationship strain, parenting challenges, and addiction. Her style is practical and person-focused, aiming to help people take small steps that add up to meaningful change.

Karen uses Narrative Therapy alongside Client-Centered and Cognitive Behavioral tools to help people tell their story differently.

Background and approach

She listens for the patterns that keep problems stuck and helps name them so people can choose new directions. Sessions are collaborative and paced to the person's comfort level. Her background includes a medical degree and counseling credentials - MD, Licensed Clinical Professional Counselor, and Licensed Mental Health Counselor.

She started as a career counselor and moved into mental health work, so practical life goals often appear in her work. She emphasizes goal setting and regular reflection after sessions. In meetings she tailors techniques to each person's needs, using motivational interviewing and solution-focused steps when helpful.

She checks in at the end of sessions so clients can reflect on what felt useful and what to try next. The approach is about clear next steps, not jumping straight to labels. Karen frames progress as measurable and gradual.

She supports people through grief, mood disorders, burnout, ADHD-related struggles, and relationship challenges. Her aim is to help clients build skills and clarity so they can move forward with more confidence.

What this therapist works with

Her listing names Stress, Anxiety, Relationship issues, Family conflicts among the things Karen works with, alongside the areas below.

Approaches listed

Narrative Therapy: Named in her listing among her approaches.
Client-Centered Therapy: Listed by Karen among the ways she works.
Cognitive Behavioral Therapy (CBT): Listed by Karen among the ways she works.
Motivational Interviewing: Listed by Karen among the ways she works.
Solution-Focused Therapy: Listed by Karen among the ways she works.
Trauma-Focused Therapy: Listed by Karen among the ways she works.
Training stated: This directory copies the approaches a therapist names and does not check training records. Ask Karen directly how much of the work is narrative and what a session usually looks like.

Narrative Therapy in this listing

Narrative Therapy appears in this therapist's own list of approaches. That tells you it is part of how she works. It does not tell you how much of a session it shapes, and this directory does not check or rate training.

If a narrative approach is what you are looking for, it is worth asking Karen directly how she uses it and what a session usually looks like.

Online session options

Approaches that guide online sessions

Karen blends Narrative Therapy, Client-Centered Therapy, and Cognitive Behavioral Therapy (CBT) into online work to address both practical problems and personal meaning. Narrative Therapy helps people reframe the stories they tell about themselves and their relationships so they can see new options and make different choices. Client-Centered Therapy emphasizes listening and understanding; the therapist follows the person's lead and helps them feel heard while working toward their goals. Cognitive Behavioral Therapy focuses on identifying unhelpful thoughts and testing new behaviors to reduce anxiety, improve mood, and manage impulses.

Finding the right mix of approaches is collaborative. Karen will work with each person to decide which methods feel most useful based on needs, goals, and preferences. That may mean trying a CBT technique for a few sessions, then shifting to narrative work to address broader patterns. The plan evolves with input from the person in therapy.

Online formats include video calls, phone sessions, live chat, and text-based messaging, which makes therapy flexible for busy schedules. Video sessions allow for face-to-face conversation, phone sessions can be easier when bandwidth is limited, live chat works for shorter check-ins, and messaging supports ongoing reflection between sessions. These options help people fit therapy into work, parenting, or other daily demands.

Common questions about this listing

What kinds of concerns does she address?

Karen supports people with stress, anxiety, depression, trauma and abuse, relationship and family problems, addictions, grief, parenting difficulties, ADHD, and related issues.

How would you describe her therapy style?

She uses a practical, person-centered style that focuses on small steps and clear goals. Sessions are collaborative and paced to what each person needs.

What is her professional background?

She has 14 years of clinical experience and began as a career counselor before moving into mental health work. Her background blends life coaching with clinical counseling.

What credentials and location are listed?

Credentials shown are MD, LCPC, and LMHC. She practices in Florida.

Which languages are supported and are international clients accepted?

Sessions are offered in English. International clients are not currently accepted.

What session formats are available?

Sessions can be conducted by video calls, phone sessions, live chat, or text-based messaging to fit different schedules and preferences.

How does cost and billing work?

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

How do I begin working with her?

Click the Start Therapy button, complete a short matching questionnaire, and schedule based on the therapist's availability.

Contacting this therapist

Sessions with Karen are arranged through our partner platform. It asks a few questions about what you are looking for, then shows you the therapists available to you, including Karen where she has space. Ask about fees, and whether she holds a licence or registration where you live.

Book with Karen »

Or see other therapists in Florida »

This is a partner link. We will earn a commission if you sign up through it, at no cost to you. It does not change what you pay or the order of the listings.