Services
Care that’s built
around you.
Karen offers two kinds of work — direct clinical care for individuals, couples, and families across Pennsylvania, and professional engagement with organizations, healthcare teams, and communities who want to learn from her experience. Every clinical service is delivered via secure, HIPAA-compliant telehealth.
Direct Services · Areas of Clinical Focus
Where I bring focused clinical attention.
These are the areas where Karen has the deepest training and lived experience. If what brought you here isn’t on this list, that doesn’t mean it’s not welcome — reach out and we can talk about whether this is a good fit.
Blindness & Vision Loss
Adjusting to a new diagnosis, processing the grief of progressive vision loss, or living with the mental health weight of blindness. Karen built this practice to be accessible from the start — and works with clients who need a counselor who actually gets it.
Grief & Loss
Grief doesn’t move on a schedule, and it isn’t only about death. Loss of a person, a pregnancy, a relationship, a future you’d been counting on, or a version of yourself you’re no longer able to be — Karen offers space to feel it all without being rushed through it.
Couples & Families
Communication that’s stuck. Trust that’s been shaken. Life transitions that have changed everyone’s role at once. Karen works with couples and families navigating the friction, repair, and reconnection that come with sharing a life.
Depression & Anxiety
The flat heaviness that won’t lift. The racing mind that won’t quiet. Karen helps clients understand what’s underneath these patterns and build practical, sustainable ways to feel like themselves again — without pretending it’s simple.
Trauma
Trauma reshapes how you see the world and yourself. Whether it stems from a single event or repeated experiences, Karen uses EMDR and other evidence-based approaches to help you process what happened so it stops controlling your present. Specific areas of focus include:
- Birth & NICU trauma — traumatic deliveries, loss, prolonged NICU stays, and the grief that doesn’t have a name
- Sexual assault — recent or long past, processed at your pace, in your words
- Domestic violence — survivors at any stage of leaving, healing, or rebuilding
- Medical trauma — surgeries, diagnoses, chronic illness, and procedures that left scars beyond the physical
Therapeutic Modalities
The frameworks behind the work.
Karen draws from a range of evidence-based and humanistic approaches, choosing what fits the person in front of her rather than forcing one model on every situation. You won’t be handed a workbook and a script — the work is shaped to you.
- EMDR — Eye Movement Desensitization and Reprocessing, trained for trauma work
- Cognitive Behavioral Therapy (CBT) — identifying and reshaping unhelpful thought patterns
- Dialectical Behavioral Therapy (DBT) — emotion regulation, distress tolerance, interpersonal skills
- Acceptance and Commitment Therapy (ACT) — values-based action and psychological flexibility
- Person-Centered Therapy — meeting you where you are, without judgment or agenda
- Family Systems Theory — understanding how the patterns you carry were shaped
- Internal Family Systems (IFS) — working with the different parts of yourself with curiosity instead of shame
Indirect Services · Professional Inquiries
Beyond the therapy hour.
Karen also works with organizations, healthcare teams, support groups, and community audiences — bringing both her clinical training and her lived experience to spaces where mental health, vision loss, and trauma need a clearer voice. Inquire about any of the following:
Motivational Speaking
Keynote and panel appearances on resilience, mental health and vision loss, medical trauma, and finding your footing after the worst day of your life. For conferences, healthcare summits, support organizations, and community events.
Crisis & Emergent Supportive Counseling
Short-term supportive counseling for organizations responding to a crisis — a sudden loss, a workplace incident, a community event. Karen can be brought in to provide brief stabilization and grounding for affected individuals or groups.
Education
Workshops and educational sessions for clinicians, students, healthcare staff, and lay audiences. Topics include trauma-informed care, working with clients who are blind or have vision loss, and the clinical realities of medical trauma.
Advocacy
Lending a clinical and lived-experience voice to advocacy efforts around accessibility, mental health access, and the needs of clients who are too often overlooked. Available to nonprofits, advocacy coalitions, and policy-focused organizations.
Training
Customized training for clinical teams, healthcare staff, first responders, and front-line professionals. Sessions are built around the audience and the situations they actually encounter — not generic slides recycled from a binder.
Consultation
Case consultation and program consultation for clinicians, agencies, and healthcare programs working with populations Karen specializes in. A second set of eyes from someone who’s done the work.
Inquiring about professional services?
Speaking, training, consultation, advocacy, and crisis response inquiries are handled separately from clinical intake. If your organization, healthcare team, support group, or community is interested in any of the indirect services above, please reach out via the contact page and note which type of engagement you’re inquiring about so we can route it appropriately.
Supervision Disclosure: Karen Cummings-Wedding, LAPC, NCC, is a Licensed Associate Professional Counselor in the Commonwealth of Pennsylvania. She practices under the clinical supervision of a Licensed Professional Counselor (LPC) in accordance with 49 Pa. Code Chapter 49.