Karlene Francis, MA, Mental Health Counseling-Limited Permit

Karlene Francis, MA, Mental Health Counseling-Limited Permit

Professions: Mental Health Counselor, Drug and Alcohol Counselor, Counsellor
License Status: I'm a therapist practicing under supervision. Supervisor: Eva Spears-Smith, LCSW-R #081697
Primary Credential: Mental Health Counseling-Limited Permit
Telephone: 878-879-4557
Billing and Insurance:
I am an in-network provider for:
  • Aetna
  • BlueCross/BlueShield
  • Medicaid
  • Medicare
  • Optum
  • Oscar Health Insurance Co.
  • Oxford (UnitedHealthcare)
  • Tricare
  • United Health Care
Session Fees: Free 15-minute consultation
$120 Individual Therapy Sessions
$80 Group Therapy Sessions
Free Initial Consultation

Therapy in:

310 Clarkson Avenue
Brooklyn, New York 11226

What's My Approach to Therapy?

If you’re reading this, you’re probably carrying more than you let people see. You may be holding everything together—your family, your emotions, your responsibilities—while quietly feeling exhausted, overwhelmed, or worn down on the inside.

You’re longing for relief, clarity, and a space where you don’t have to be “strong” for everyone else. You want someone who understands the weight you’re carrying and won’t judge you for feeling anxious, stuck, or unsure of what to do next.

I want you to know this: you don’t have to walk through this alone.

As your therapist, I’m here to move with you at your pace, offering compassion, respect, and practical tools that help you breathe again and begin to see hope where things once felt heavy.
My approach is warm, relational, and collaborative. When you sit with me, you can expect a safe, grounded space where you feel heard, supported, and gently guided toward growth. Together, we’ll explore what’s been weighing on you—your thoughts, emotions, patterns, and the parts of your story that have shaped your journey.

I work with individuals navigating emotional distress and major life changes, including anxiety, depression, trauma, addiction, anger, and thoughts of hopelessness. We’ll focus on identifying your triggers, understanding your internal experiences, and developing personalized strategies to help you move forward.

I use a blended therapeutic style rooted in cognitive behavioral therapy, solution‑focused brief therapy, and dialectical behavioral therapy. This allows us to reframe unhelpful thoughts, reshape emotional responses, and build on your strengths so you can create meaningful, lasting change.

Through our work together, you’ll gain a clearer understanding of what’s happening inside you and develop healthier ways to cope, respond, and grow.

Your journey toward a more grounded, satisfying life can begin with a single phone call, email, or text. I’m here when you’re ready.

My Practice & Services

I am dedicated to providing compassionate, evidence-based, and culturally sensitive mental health support to individuals, families, and communities. I create a warm, nonjudgmental space where clients can explore their experiences, build resilience, and move toward emotional, relational, and spiritual well-being. When the client desires, I also incorporate faith-based principles to support healing, meaning-making, and hope.

I offer a sliding scale to make therapy more affordable. I also provide online counseling with flexible evening and weekend hours, allowing clients to fit therapy into their busy lives without added stress.

Psychoeducation is a key part of my approach. I help clients understand what they’re experiencing—emotionally, cognitively, and behaviorally—and teach practical, evidence‑based strategies such as grounding skills, cognitive reframing, and communication tools that are integrated directly into their sessions.

Whether I am helping a client process loss, strengthen coping skills, rebuild confidence, or navigate a difficult season, my goal is always the same: to walk alongside them with empathy, clarity, and practical tools that support lasting change.

Why Going to Therapy Does Not Mean You are Weak or Flawed

Choosing therapy does not mean that you are weak or flawed. It reflects courage, self?awareness, and a willingness to grow. Reaching out for support shows that you value your well?being and are taking an active step toward healing and change. Therapy is a place to learn, understand yourself more deeply, and build the tools you need to move forward?not a sign that something is wrong with you, but a sign that you?re investing in yourself.
It's a powerful decision. You?re saying, ?I deserve to feel better, and I am ready to put in the effort to make that happen.?

Importance of the Client-Therapist Alliance

A strong client?therapist alliance is among the strongest predictors of successful therapy. It?s important to understand that this is a partnership?we walk this journey of change and recovery together. My role is to guide, support, and advocate for you as you work toward your goals.

When clients feel safe, understood, and respected, they?re more willing to open up, explore difficult emotions, and try new skills. This relationship builds trust, encourages collaboration, and creates a stable space for healing.

Having a solid alliance with your therapist will help you stay engaged, feel empowered, and move toward meaningful, personal growth.

Therapy Services & Specialties

Client Age Groups I Work With

  • Teens
  • Adults
  • Elders

Languages

  • English

Groups I Work With

    Populations Served:
    INDIVIDUALS:
    - Adolescents and teens
    - Young adults
    - Adults
    - Older adults and seniors
    FAMILIES
    - Families navigating conflict, transitions, or communication challenges
    - Single-parent households
    -Families experiencing stress of caring for elderly loved ones
    CLINICAL & BEHAVIORAL HEALTH POPULATIONS:
    - Individuals experiencing anxiety, depression, or mood disorders
    - Clients with trauma histories (childhood trauma, complex trauma, acute trauma)
    - Individuals managing grief and loss
    --Individuals in need of anger management and regulating emotions
    - Clients with substance use concerns or in recovery
    - Individuals with stress-related or adjustment disorder
    - Individuals navigating divorce or separation
    - Students and emerging professionals
    - Seniors adjusting to aging, retirement, or loss
    ONLINE THERAPY GROUPS
    -Relapse Prevention
    -Healing Hearts (BereavementGrief Support Groups)
    --CBT (Cognitive Behavioral Group)-restructuring negative thought patterns and behavior

Industries & Communities Served

  • BIPOC
  • Education
  • Self-Employed and Freelance Professionals
  • Union First

Client Challenges & Concerns I Address

  • Abandonment
  • Abuse / Abuse Survivor Issues
  • Adjusting to Change / Life Transitions
  • Aging and Geriatric Issues
  • Anger
  • Anxiety
  • Attachment Issues
  • Bipolar
  • Bullying
  • Career Issues
  • Caregiver Issues / Stress
  • Codependency / Dependency
  • Communication Problems
  • Compulsive Spending / Shopping
  • Control Issues
  • Depression
  • Domestic Violence
  • Drug and Alcohol Addiction
  • Emotional Abuse
  • Emotional Overwhelm
  • Emptiness
  • Family of Origin Issues
  • Family Problems
  • Fear
  • Forgiveness
  • Grief, Loss, and Bereavement
  • Helplessness / Victimhood
  • Inadequacy
  • Irritability
  • Isolation
  • Life Purpose / Meaning / Inner-Guidance
  • Midlife Crisis / Midlife Transition
  • Mood Swings / Mood Disturbance
  • Parenting
  • Posttraumatic Stress / Trauma
  • Stress
  • Women's Issues
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Therapeutic Approaches & Evidence-Based Methods


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