Karen Distefano

LCSW (she/her)20 years of experience
Often rebooked
Next available
4.9 (41)
Warm
Authentic
Solution oriented

I am a Licensed Clinical Social Worker (LCSW) based in Connecticut. Over the last twenty years, I have enjoyed working with children and families in out-patient and school settings and with adults who were struggling with significant mental health concerns as a Partial Hospitalization Program Coordinator and Group Leader.

The most fundamental principle of DBT is that acceptance and change are compatible!

I have experience working with a diverse range of ages and backgrounds, and I often pull from different therapy modalities, tailoring to the unique needs and learning styles for the individual.

First session

Our first session will focus on information gathering and getting to know one another. We will review relevant history before getting into the deeper questions about what is bringing you to therapy while identifying your treatment goals.

Strengths

The most fundamental principle of DBT is that acceptance and change are compatible! I meet clients where they are- without judgment, but with compassion. I guide clients through their personal challenges and help them develop more effective coping strategies and skills to navigate life's complexities.

Ideal clients

Participating in therapy isn't easy, but my clients are willing to work as hard as I do! We will be solution-focused and ready to explore healthy and realistic alternatives to maladaptive coping skills.

Treatment methods

Cognitive Behavioral (CBT)

Cognitive Behavior Therapy focuses on identifying how unhelpful thinking distortions combined with learned patterns of behavior can contribute to a variety of distress and conflict in our lives. By recognizing how our thoughts influence how we feel and act, we can change our patterns of thinking and better understand ourselves. Using CBT, we will increase problem-solving skills and build self-confidence.

Dialectical Behavior (DBT)

I have used skills based on the principles of Dialectic Behavior Therapy to treat clients with borderline personality disorder, post-traumatic stress disorder, major depressive disorder, and bipolar disorder. It is especially effective for those who are struggling with emotional regulation, self-destructive behaviors, and interpersonal difficulties. In DBT, the term “dialectical” refers to finding a balance between two seemingly opposing concepts: acceptance and change.

Location

Virtual sessions

Reviews and ratings

4.9 rating (41)9 reviews
September 17, 2026

I was able to share with a living human instead of talking out loud to myself and feeling like I am losing my mind. She was a very good listener which right now is exactly what I need. I think?

Verified client, age 55-64Review shared after session 1 with Karen
September 4, 2026

Karen is excellent at coaching us on communicating more effectively, and in this way supporting our relationship. She is helping us to make amazing progress. Thanks Karen

Verified client, age 55-64Review shared after session 5 with Karen
July 10, 2026

I have been through many therapists through my 30 years on this planet and I have never felt so comfortable with any of them until NOW! I felt she genuinely was interested in my history and what I have been through in my life and how it all affected me and who I am today. She was very open minded and supportive, especially in reguards to my decision to homeschool my daughter- I think she is the FIRST person that has given me positive feedback about this- which is truly a breath of fresh air!☺️💞

Verified client, age 25-34Review shared after session 1 with Karen

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Schedule 60 min