Karen Gano

Karen Gano is a Licensed Clinical Social Worker who helps people navigate major life shifts. She focuses on practical steps that make everyday life feel more manageable. Karen uses clear, direct conversation to help clients name what matters and decide on small, useful changes.

She practices a client-centered style that keeps the person's goals at the center. Motivational interviewing is part of her approach, helping people find their own reasons to change. Mindfulness and solution-focused methods are used to build coping tools and short-term plans.

Karen brings more than 33 years of clinical experience to her work. Her background includes medical social work in trauma, emergency medicine, critical care, oncology, palliative care, and domestic abuse settings. That experience informs how she supports people facing illness, caregiving strain, and end-of-life concerns.

Her practice emphasizes empowerment and self-care. Sessions often focus on increasing self-awareness, strengthening self-esteem, and developing concrete strategies for stress, anxiety, grief, relationship challenges, and addiction-related concerns. Karen also helps people facing career shifts, divorce and separation, blended family issues, and midlife transitions.

She holds LCSW and related social work credentials across several states and practices from New Mexico. People meet her for help with coping during change, building healthier relationships, and moving from surviving to thriving.

How her approaches shape online care

Client-Centered Therapy prioritizes the person's own goals and pace, with the therapist listening and helping the person name what matters. It works well for people who want to be heard and to set their own agenda for change.

Motivational Interviewing focuses on finding personal reasons to change and strengthening commitment. It is useful for situations like addiction, career moves, relationship decisions, and other areas where motivation is needed to take the next step.

Mindfulness Therapy teaches simple attention and presence skills to reduce reactivity and manage stress and anxiety. These practices can help with grief, caregiver fatigue, trauma reactions, and everyday overwhelm.

Finding the best approach is part of the process. The therapist will collaborate with each person to choose methods that match their needs, goals, and preferences. That may mean trying a few techniques and adjusting the plan as progress is made.

Confirm the current online session options before booking, as formats are not specified here. Many people appreciate online care because it can fit into busy schedules, reduce travel time, and allow shorter check-ins when needed. Online work can make it easier to practice skills between sessions and to bring real-life situations into the conversation.