Welcome!
Your time is now! Whether you're looking for practical help with an immediate issue
or deeper therapy for emotional growth, we can work together to get you where you want to be.
I create a safe space by  listening carefully and learning about your strengths and challenges.
Mindfulness is one of my primary approaches to the problems of life.
The more closely we know and follow our core values, the more effectively we can manage our struggles.
I also use cognitive-behavioral therapy, brief solution-focused methods, and emotional processing.
No matter the therapy style, safety, comfort, and connection take the highest priority in my sessions.

My practice specialties include:
Managing neuro-divergence within romantic relationships—Helping couples affected by Autism, Asperger's, and ADHD
Tech trauma—Supporting women around their unique experiences and challenges in the tech industry
Middle and High School challenges-- Guiding teens and parents through these complicated years
Transgender and LGBTQ+  All individuals and couples within the rainbow are welcome!​
ADHD coaching for adults seeking diagnosis and/or help later in life
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Common concerns addressed in therapy:
ANXIETY  Stress, fears, obsessions/compulsions have you feeling unstable or unhappy
DEPRESSION  Sadness, trauma, abuse, not sure how to start enjoying life
THOUGHTS ABOUT LIFE   Pondering what it's all about and how to manage it
RELATIONSHIPS  Family, intimacy, partners, friends~balancing our human need for connection
​while holding healthy boundaries.
Childhood issues, loss & grief, the traumas of life, prejudice & discrimination, feeling bad about yourself

Golden Rule Service 

I respond to messages promptly, minimize paperwork, honor your time, eliminate bureaucracy, and offer various options to make therapy as effective and affordable as possible.
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About Karen

I am a licensed therapist with decades of experience helping people heal and grow.
I've worked as a medical assistant, domestic violence advocate, foster care social worker, Kindergarten-12th grade counselor, and private practice therapist.
I am a neurodivergent, LGBTQ+ writer, blogger, gardener, dog mom, cook, handywoman, and adventurer.
I truly enjoy hearing people's individual stories and serving as a support, optimist, and guide through this life journey.

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Session details
​Sessions are typically 50 minutes although other arrangements can be made. I am fully vaccinated and able to provide both in-person and virtual sessions. I have a home office near the intersection of highways 280 and 87 in the Willow Glen area of San Jose.
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Standard fees 
Individual session — $150-$200
Couple/Small group — $200-250
Clinical Supervision — $70-$90
Fees may be adjusted according to need.
Evening and Saturday appointments available.

Insurance coverage
I am not affiliated with any insurance companies, but I can provide a superbill for clients to submit for reimbursement.  Additionally, I work with a company called Advekit that can handle insurance billing for you! Your out-of-network insurance rate might be lower than my private fees, so you could save money by checking with them:   
​https://www.advekit.com/therapists/karen-kochenburg