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Karen Gudino-Gutierrez

Karen Gudino-Gutierrez, LCSW

California

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Licensed Clinical Social Worker - Stress and Anger

  • CBT techniques
  • DBT skills
  • Mindfulness practice

About Karen

Karen Gudino-Gutierrez is a Licensed Clinical Social Worker, LCSW, practicing in California with seven years of professional experience. She works with adults who are dealing with stress, anxiety, grief, anger, low self-esteem, and depression. Sessions are offered in English and Spanish and focus on practical skills and clear steps rather than jargon.

Karen uses straightforward conversation to identify what is getting in the way day to day. She draws on Cognitive Behavioral Therapy and Dialectical Behavior Therapy tools to help people notice thought patterns and learn new responses to strong feelings. Mindfulness and motivational interviewing techniques are woven in to help with focus and sustained action.

Her background includes supporting people through loss and major life changes, and helping those coping with chronic illness or caregiver stress. She also addresses relationship concerns such as communication problems, jealousy, infidelity, and issues tied to abandonment or attachment patterns. Karen works with problems like guilt, shame, and loneliness in clear, task-oriented ways.

In a typical meeting she helps clients set small, achievable goals and practice concrete skills between sessions. Solution-focused strategies are used to track progress and adjust plans as needed. The approach emphasizes repetition, skills practice, and honest feedback.

People who choose Karen can expect direct conversations about triggers and behavioral patterns. She encourages clients to experiment with new ways of responding and to notice which tools actually help in real life. To begin, she asks people to complete a short intake so sessions can start with clear priorities.

How her approaches translate to online sessions

Karen commonly uses Cognitive Behavioral Therapy and Dialectical Behavior Therapy in her work. CBT focuses on identifying and changing unhelpful thoughts and behaviors, which can reduce recurring patterns of anger and anxiety. DBT teaches skills for regulating intense emotions, improving distress tolerance, and strengthening interpersonal effectiveness in concrete steps.

She also incorporates mindfulness to help people notice their physical and mental reactions before those reactions lead to flare-ups. These methods are explained in simple terms and practiced together with the client so skills can be used outside sessions. Deciding which mix of techniques to use is a collaborative process. Karen will review goals, try approaches, and adjust plans based on what helps the client make steady progress.

The biography does not specify session formats, so confirm the available online options before booking. Online sessions can make it easier to fit therapy into a busy schedule, allow shorter check-ins when needed, and reduce travel time. Many people find that practicing skills between sessions and reviewing real-life examples during a remote meeting makes the work more practical and applicable to daily situations.

Areas of expertise

Primary focus

Additional focus areas

AbandonmentAttachment issuesCaregiver issues and stressChronic pain, illness, and disabilityCodependencyCommunication problemsEmptinessFamily problemsForgivenessGuilt and shameHoardingInfidelityIsolation / lonelinessJealousyLife purposePanic disorder and panic attacksPostpartum depressionPost-traumatic stressPregnancy and childbirthSeasonal Affective Disorder (SAD)Self-loveSexual assault and abuseSocial anxiety and phobiaWomen's issuesWorkplace issuesYoung adult issues

Therapeutic approaches

Cognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Mindfulness TherapyMotivational InterviewingSolution-Focused TherapyTrauma-Focused Therapy

Experience

7+ years

Listed in

California

Languages

English, Spanish

Frequently asked questions

What concerns does she help with?

She works with stress, anxiety, grief, anger, self-esteem, and depression, plus related issues such as attachment, caregiver stress, and communication problems.

Which therapeutic style will be used?

Her approach blends Cognitive Behavioral Therapy, Dialectical Behavior Therapy, mindfulness, motivational interviewing, and solution-focused techniques to teach practical skills.

How much experience does she have?

She has seven years of professional experience working with adults on mood, stress, and relationship-related concerns.

What are her credentials and location?

She is a Licensed Clinical Social Worker (LCSW) licensed in California and practices there.

In what languages are sessions offered?

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

What session formats are available?

The original biography does not list specific session formats. Please confirm current session options before booking.

How does pricing work?

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

How do I get started?

Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.

Whenever you are ready

Review online therapy options and next steps on BetterHelp, in your own time.

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Karen Gudino-GutierrezLCSW

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