
Online therapy for adults in Massachusetts
Make room for a life beyond worry.
You may look capable and put together on the outside—while overthinking, self-doubt, or the pressure to get everything right leaves you exhausted inside.
Therapy can be a place to slow down, understand what is happening within you, and begin moving forward with more clarity and self-trust.

You don’t have to figure it all out alone.
Karen Welch Buttars, LMHC
A place to begin
Care that sees the whole you.
Whether you are navigating anxiety, burnout, relationship strain, or a season of change, we’ll meet what is happening with curiosity rather than judgment.
How I help
Support for anxiety, overthinking, perfectionism, people pleasing, burnout, conflict, and life transitions.
Learn more →My approach
A compassionate, IFS-informed way to understand the parts of you that work so hard to protect you.
Learn more →Meet Karen
More than 26 years of experience, grounded in warmth, respect, collaboration, and room to be yourself.
Learn more →Practical details
Clear information from the start.
Secure online therapy for adults in Massachusetts. Sessions are $175. Karen works with BCBS of Massachusetts and Aetna.
View fees & insurance →Now accepting new clients
You deserve a space where you don’t have to hold everything together.
Online IFS therapy for adults throughout Massachusetts.
Schedule a free consultation ↗Reaching out doesn’t commit you to therapy. You can share what brings you here and ask any questions through the secure portal.