Therapist listings are provided by BetterHelp. We will earn a commission at no additional cost to you if you sign up through our links.

Karen Gudino-Gutierrez

Karen Gudino-Gutierrez

LCSW

Compassionate mindfulness with practical skills

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

Credentials

California

Languages

English, Spanish

Licenses listed

As listed on the therapist's profile. You can check a license with the state licensing board and an NPI in the national registry.

  • Mindfulness based
  • Goal focused
  • English and Spanish

About Karen

Karen Gudino-Gutierrez is a licensed clinical social worker in California who blends practical skills with mindful awareness. She uses short, clear conversations to help people manage stress, anxiety, grief, anger, low self-esteem, and depression. Karen writes plans with each person so goals are concrete and steps feel doable.

With seven years of professional experience, she adapts her approach to the person in front of her. Sessions focus on day-to-day strategies, emotion regulation, and building motivation. She draws on Cognitive Behavioral Therapy and Dialectical Behavior Therapy tools to change patterns of thought and behavior.

Mindfulness Therapy is part of her work, helping people notice their thoughts and feelings without getting swept away. She also uses Solution-Focused and Motivational Interviewing techniques to sharpen goals and find practical next steps. Trauma-informed methods inform how she responds to intense emotional material.

Karen aims to create a respectful, sensitive space where people feel heard. She invites clients to set the pace and shape priorities together. Progress is tracked through small, measurable steps rather than vague promises.

Sessions are offered in English and Spanish for people located in California. Her LCSW credential stands for Licensed Clinical Social Worker and reflects her professional standing in the state. To begin, clients follow a short intake process and schedule sessions based on availability.

How Mindfulness and Skills Work in Online Therapy

Mindfulness Therapy helps people notice thoughts, emotions, and bodily sensations in the moment without reacting. It can reduce reactivity to stress and support managing anxiety, grief, and persistent negative thoughts. Cognitive Behavioral Therapy, or CBT, focuses on identifying unhelpful thought patterns and testing small behavior changes to improve mood and functioning. It is often used for depression, anxiety, and low self-esteem. Dialectical Behavior Therapy, or DBT, teaches concrete emotion-regulation and distress-tolerance skills that help during intense emotional episodes and relationship conflicts.

Finding the right approach is part of the work together. The therapist will listen to your concerns, goals, and preferences and suggest methods to try. Sessions often mix mindfulness practice, skill coaching, and goal-focused planning so you can see what fits your situation.

Confirm the current session options before booking, as formats are not specified here. Many people find online sessions help fit therapy into a busy life by reducing travel time and allowing shorter check-ins when needed. Others appreciate keeping progress steady between appointments through focused skills practice and homework that can be discussed each session.

These summaries are based on the profile information listed on BetterHelp. Listing mindfulness as an approach does not mean a therapist holds a formal mindfulness training or certificate.

Frequently asked questions

What concerns does Karen commonly address?

She works with stress, anxiety, grief, anger, low self-esteem, and depression, and also focuses on issues like abandonment, attachment, caregiver stress, chronic illness, codependency, and life purpose.

How would you describe her therapeutic style?

Her style blends mindfulness with practical strategies from CBT and DBT, aiming for clear steps and skills people can use between sessions.

What is her professional background?

She has seven years of professional experience and adapts treatment to each persons needs, focusing on measurable progress and motivation.

What credentials and location should I know about?

She holds an LCSW, which stands for Licensed Clinical Social Worker, and is based in California.

Which languages are supported for sessions?

Sessions are offered in English and Spanish.

Can international clients book with her?

International clients are not currently accepted; she works with people located in California.

How does billing and cost work?

Cost varies by location and therapist availability; sessions use a subscription model that can be canceled at any time.

What are the first steps to begin?

Click the Start Therapy button, complete a short matching questionnaire, and schedule sessions according to the therapists availability.

Therapists on BetterHelp do not prescribe medication. A doctor can talk with you about medical options. If you are thinking about suicide, call or text 988; in an emergency, call 911.

Karen Gudino-GutierrezContinue with Karen