Karen Smith Psychotherapy

Welcome to Karen Smith Psychotherapy!

My name is Karen Alexander, and I am a Licensed Marriage & Family Therapist providing telehealth psychotherapy to adults in California (LMFT138686) and Arizona (LMFT-16247).

Therapy is about more than simply talking about what is wrong. I help clients understand the experiences and underlying patterns that shape how they think, feel, and relate to others—while developing healthier ways to respond and move forward.

I work with adults experiencing trauma, anxiety, relationship difficulties, and struggled with self-worth and emotional well-being. My approach is warm, genuine, and direct. I believe therapy should feel human: a space where you can be honest, understood, challenged when needed, and supported without judgment.

I draw from EMDR, CBT, DBT, and psychodynamic therapy, tailoring treatment to the individual rather than taking a one-size-fits-all approach.

Ready to get started? Click below to schedule a free consultation call.

If you are experiencing a life-threatening emergency, call 911 or go to your nearest emergency room. If you are in crisis or need immediate support, call or text 988 to reach the Suicide & Crisis Lifeline.