- Stress and anxiety
- Trauma and grief
- Self-esteem and career
About Holly
Holly Karchaske is a Licensed Professional Counselor (LPC) licensed in Colorado and Texas with 14 years of clinical experience. She focuses on stress, anxiety, trauma and abuse, grief, self-esteem, and career concerns. Holly also works with issues tied to adoption and foster care, attachment, body image, chronic illness and pain, and substance-related problems.
She keeps sessions straightforward and practical. Conversations focus on what is happening now and what changes would help day-to-day functioning. Holly helps people name what feels overwhelming and breaks bigger problems into manageable steps.
Her approach mixes listening with concrete planning. She talks through coping skills, ways to manage intense feelings, and strategies for improving relationships and work life. Clients can expect clear discussion about goals and progress during the course of work together.
Holly adapts the pace to each person. Some people prefer shorter check-ins to maintain momentum. Others work on deeper patterns over a longer period. She supports work on guilt, shame, codependency, communication problems, and life transitions like divorce or career shifts.
Her background includes many years helping people with post-traumatic stress, caregiver stress, isolation, and Seasonal Affective Disorder. She uses evidence-based therapeutic techniques to guide sessions and helps people build skills they can apply outside appointments. To start, she asks a few questions to shape a practical plan before scheduling a first session.
How evidence-based approaches translate to online work
Two common evidence-based techniques Holly uses are cognitive-behavioral strategies and trauma-informed care. Cognitive-behavioral strategies focus on identifying unhelpful thoughts and testing new behavior patterns to reduce anxiety and improve mood. Trauma-informed care emphasizes safety, pacing, and grounding skills to manage reactions linked to past trauma and abuse.She treats finding the right approach as a collaborative process. Holly will review your concerns and goals, try an approach, and adjust based on what helps. The plan evolves with input from the client so sessions match current needs and preferences.
Confirm current session formats before booking, as they are not listed here. Online work can make it easier to fit sessions into a busy schedule, reduce commuting time, and allow quick check-ins when life gets hectic. Different formats also help when bandwidth or camera use varies, or when a shorter phone check-in better suits a tight day. Licensed professionals can tailor pacing and homework to how someone is living their life, helping therapy fit around study, work, and other commitments.
Areas of expertise
Primary focus
Additional focus areas
Experience
14+ years
Listed in
Texas, Colorado
Languages
English
Frequently asked questions
What kinds of concerns does she work with?
She works with stress, anxiety, trauma and abuse, grief, self-esteem, and career concerns. Additional focuses include attachment, body image, caregiver stress, chronic illness, and substance-related issues.
How would you describe her therapy style?
She keeps sessions practical and goal oriented, mixing listening with concrete planning. Expect collaborative problem solving and skills you can use between sessions.
How much experience does she have?
Holly has 14 years of professional experience working with adults on a range of emotional and life problems.
What are her credentials and where is she based?
She is a Licensed Professional Counselor (LPC) licensed in Colorado and Texas and is located in Colorado.
Can I work with her if I'm not in the United States?
She does not accept international clients. Sessions are offered in English.
What session formats are offered?
Session formats are not specified here; please confirm current session options before booking.
How does payment work and what does it cost?
Cost varies with location. Sessions use a subscription that can be canceled at any time.
How do I get started with a first session?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Online talk therapy through BetterHelp is for adults aged 18 and over and is not emergency care. If you are in danger, use the emergency numbers. Find someone else by name.