Addiction therapists & psychiatrists in Key West, FL

I’m Karina Smith, LCSW, founder of Bloom Haven Therapeutic Services❀. I specialize in working with young adults and adults navigating anxiety, depression, trauma, ADHD, and life transitions related to relationships, career shifts, and family dynamics. I also support individuals experiencing the lasting impact of trauma or feeling stuck in patterns that are difficult to break.

My work is grounded in EMDR, DBT-informed therapy, somatic approaches, CBT, and mindfulness-based practices. I’m also an advocate and serve on the PAIMI Council for Disability Rights Florida.

I'm a therapist in private practice based in Florida, working with clients via telehealth from the comfort of my home - golden retrievers included. I've been in the mental health field since 2011, starting with residential treatment for women navigating addiction and dual diagnoses, then outpatient, and now private practice. I work with adults dealing with anxiety, life transitions, and the kind of stress that piles up when everything seems to be happening at once - and I bring warmth, humor, and a whole lot of genuine care to every session.

It's so hard to ask for help, isn't it? I specialize in grief, and my clients are frequently depressed, anxious, and overwhelmed by the complexity of their circumstances and emotions. I help people grieve, build resilience, and navigate a new chapter. Many of my clients are experiencing caregiver strain as they begin caring for elderly parents or spouses, and I provide guidance on a variety of stressors related to caregiving.

I believe therapy works best when clients feel safe, heard, and genuinely supported. I strive to create a warm, nonjudgmental, and collaborative environment where clients can show up as their authentic selves. My approach is compassionate, direct when needed, and focused on helping clients build practical tools for everyday life while also exploring deeper emotional patterns and experiences.

I enjoy working with individuals navigating anxiety, life transitions, relationship concerns, self-esteem challenges, stress, identity exploration, and emotional overwhelm. I am passionate about supporting LGBTQIA+ and BIPOC clients and creating an affirming therapeutic space where clients feel respected and understood.

I understand that starting therapy can feel vulnerable, and my goal is to meet clients where they are while helping them move toward healing, clarity, and meaningful growth.

I am a Licensed Clinical Social Worker (LCSW) and a master’s-level Certified Addiction Professional (MCAP) practicing in Florida. My experience working in residential treatment settings for mental health and substance use has shaped my commitment to compassionate, client-centered care. Through years of clinical practice, I’ve developed a deeper understanding of how thoughts, emotions, and life experiences impact daily functioning and overall well-being.

I strive to create a space where clients feel seen, respected, and understood. Like many people, I have faced personal challenges that have deepened my understanding of mental health and strengthened my empathy for those I work with. I earned my master’s degree in social work from the University of Maine and have worked in home-based family programs, residential treatment settings, and a methadone clinic providing medication-assisted treatment. Throughout my career, I’ve supported adults with dual diagnoses, trauma, mood disorders, serious mental illness, and substance use concerns, as well as older adults navigating life transitions.

With 13 years of experience, I provide compassionate, culturally responsive therapy for adults. As a Marriage, Family, and Couples Ph.D. candidate and Certified Clinical Trauma Professional, I support clients navigating anxiety, trauma, relationships, stress, and life transitions. I am fluent in English, Urdu, Punjabi, and Hindi and value creating a welcoming, nonjudgmental space.

Hello, my name is Arlene and I am a Licensed Clinical Social Worker (LCSW) I have been working in the mental health profession for 33 years. I have experience working in various areas of counseling settings and have provided counseling for diverse populations that include different ages, genders, and diverse racial, cultural, and LGBTQ backgrounds. Through the years I have obtained knowledge with concerns including depression, anxiety, substance abuse, family/parenting difficulties as well as childhood, adolescent, and young adult adjustments. In recent years I have been trained to work with individuals who have experienced traumatic events.

I believe therapy is not about “fixing” you-It’s about empowering you. Together, we will work to uncover your strengths, clarify your goals, and build skills that support meaningful, lasting change. Whether you are feeling overwhelmed, stuck, or simply seeking personal growth, I’m here to walk alongside you in this therapeutic process.

I look forward to connecting with you.