Karen Goehring Licensed Marriage & Family Therapist
Trauma-focused therapy · Bay Area

Get un-stuck.
Feel like yourself again.

I'm Karen, a therapist and former paramedic. I help first responders, their families and anyone carrying trauma find practical tools that actually work, and a steadier way forward.

Castro Valley & San Jose Teens, adults & seniors Individual, couples & family
Karen Goehring, therapist
Former paramedicLos Angeles & Alameda counties
"Things do not change; we change."
Henry David Thoreau
Is it time to talk?

Life can knock anyone off balance.

Maybe something from years ago keeps resurfacing, or something recent has thrown you off course. If you're having a hard time coping, that's reason enough to call. Many people start feeling better within a few weeks.

Trauma, past or present Anxiety & fear Depression Grief & loss Stress at work or home Feeling overwhelmed Anger & resentment Relationship strain Parenting challenges Caring for a family member Abandonment Forgiveness Hard life transitions Money worries

Asking for help is the hardest step, and you've already started. You deserve to live fully, not just get by.

Specialties

Focused on trauma, and the people who see the most of it.

Trauma, relationships and grief are the heart of my work. I also help with many of the other things life throws at us.

01

PTSD & trauma

Post-traumatic stress is an injury, not a weakness. It comes from seeing and living through things most people never have to.

  • Nightmares, flashbacks, trouble sleeping
  • Feeling numb, on edge or easily startled
  • Pulling away from people you love
What PTSD can look like
02

First responders & their families

Police, firefighters, EMTs, paramedics, ER staff and veterans. And the partners and kids who live with the job too.

  • Burnout, guilt and identity after the uniform
  • Drinking or other ways of coping that stopped working
  • Couples and family sessions
For first responders
03

EMDR therapy

A well-researched approach that helps the brain reprocess painful memories so they lose their grip on the present.

  • Built for trauma and distressing memories
  • No need to relive every detail out loud
  • Lasting change, often faster than talk alone
How EMDR works
I also help with
Relationship issuesGrief & lossInfidelityPremarital & marriage counselingDivorceVeteransAnxietyDepressionStress & coping skillsLife transitionsSelf-esteemSpiritualitySuicidal thoughts
A firefighter's coat and helmet hanging on a wall in morning light
For first responders

You carry other people's worst days. Who carries yours?

I worked as a paramedic in Los Angeles and Alameda counties before becoming a therapist, so I understand the calls, the culture and the pressure to keep it all inside. You won't have to explain the job to me.

Police & peace officersFirefightersEMTs & paramedicsER staffMilitary veterans

You don't have to keep living on high alert. There is a better way, and all it takes is showing up willing to try.

Leading a department? See support for agencies →

What the job puts in front of you

  • Sudden or preventable death
  • Suicide and homicide
  • Domestic and gang violence
  • Physical, sexual and emotional abuse
  • Overdoses and addiction
  • Homelessness and extreme poverty

What it can leave behind

  • Emotional numbness
  • Anger and irritability
  • Hypervigilance
  • Nightmares, flashbacks
  • Isolation
  • Anxiety, depression
  • Guilt
  • Burnout
  • Memory problems
  • Alcohol or substance use
  • Headaches, stomach issues
  • Feeling like a different person

Families feel it too.

Spouses, partners and kids can learn how to support someone in a demanding job, and how to take care of themselves along the way. Individual, couples and family sessions are all available.

Talk with Karen
For agencies

When a call goes bad, your crew isn't alone.

I work with law enforcement, fire and EMS agencies as a mental health and Critical Incident Stress Management (CISM) consultant, and I lead critical incident debriefings for crews after hard calls.

01

Critical incident debriefings

Structured group sessions after a difficult incident, so crews can process what happened together and know what reactions to expect.

02

CISM consultation

Guidance for supervisors and peer support teams on responding to critical incidents and supporting personnel over time.

03

Ongoing care

Confidential individual and couples therapy, including EMDR, for personnel and their families who need more than a debriefing.

ClinicianCritical Incident TeamTrauma intervention, education and aftercare for first responders
Volunteer clinicianWest Coast Post-Trauma RetreatA residential program for first responders with post-traumatic stress injuries
Ask about agency support
EMDR

The memory stays. The sting fades.

Eye Movement Desensitization and Reprocessing (EMDR) helps turn painful experiences into ones your mind can file away, so old images, beliefs and feelings stop running the show.

Notice

Together we identify a memory that still feels stuck, along with the beliefs and body sensations attached to it.

Reprocess

While you briefly hold the memory in mind, gentle back-and-forth stimulation (eye movements or tapping) helps your brain process it.

Integrate

The memory doesn't disappear, but it becomes less vivid and less disturbing. What's left is something you've learned from, not something that controls you.

Curious whether EMDR is right for you? We can talk it through on a free consultation call.

Ask about EMDR
A calm, sunlit therapy room with two armchairs
About Karen

Practical tools, a warm room, and a good sense of humor.

My office is a casual, safe place where you can let your guard down. You're the expert on your own life. My job is to help you see what's keeping you stuck and build on the strengths you already have.

Together we look at where your beliefs and patterns come from, whether that's childhood, relationships or work. I draw on several therapeutic approaches and fit them to you, not the other way around. We set realistic goals, work as a team and find coping strategies that genuinely resonate, so you feel better now and have tools that last long after therapy ends.

Therapy asks for an open mind and a willingness to look at the parts of you that feel frozen or shut down. I'll make it a safe place to do that.

Experience18 years in practice
EducationMA, John F. Kennedy University
LicenseCalifornia LMFT #50324
I work withTeens, adults & seniors
SessionsIndividual, couples & family
BackgroundFormer paramedic
Approaches I draw on
EMDRCognitive behavioral (CBT)Mindfulness-based (MBCT)Compassion-focusedFamily systemsNarrativeSolution-focused briefMotivational interviewingPerson-centeredStrength-based
Getting started

Your first step is a conversation.

New to therapy or thinking about switching therapists? Start with a consultation to see whether we're a good fit, with no pressure either way.

Step 1

Get in touch

Call, email or send the form below. Tell me as much or as little as you like.

Step 2

Free consultation

We talk about what's going on and what you hope will change, and you ask me anything.

Step 3

Begin

If it feels right, we book your first session at the office that suits you.

Fees & insurance

Clear costs, no surprises.

A sliding scale is available for those who qualify. If cost is a worry, bring it up on your consultation call and we'll find something that works.

Individual session$225
Couples session$250
Sliding scaleAvailableFor those who qualify
Insurance & EAPsClaremont EAP · ComPsych · Concern · Uprise Health
PaymentCash, check, Visa or Mastercard

Good Faith Estimate. Under the No Surprises Act, if you aren't using insurance you have the right to a Good Faith Estimate of what your care will cost. Ask me for one before your first session. To learn more, visit cms.gov/nosurprises.

Questions

Good to know.

Don't see your question? Ask me directly.

What are the signs of PTSD?

PTSD can follow a single overwhelming event or years of repeated exposure. Common signs include trouble sleeping, nightmares or flashbacks, avoiding reminders, feeling numb or detached, losing interest in things you enjoyed, being easily startled or always on guard, strong reactions to reminders, trouble concentrating, and physical symptoms like headaches, dizziness or a racing pulse. Many people also carry heavy guilt, including survivor's guilt.

If this sounds like you or someone you love, help is out there, and it works.

Do I have to be a first responder to work with you?

Not at all. First responders and their families are a special focus, but I work with teens, adults and seniors facing anxiety, depression, grief, relationship strain and many other life challenges.

Do you see couples and families?

Yes. I offer individual, couples and family sessions, which is especially helpful when one person's job or trauma is affecting the whole household.

What is an EMDR session like?

You stay awake, in control and able to stop at any time. After preparing together, you briefly bring a memory to mind while following side-to-side eye movements or tapping. You don't have to describe every detail out loud. Over sessions, the memory loses its emotional charge.

Do you take insurance?

I work with Claremont EAP, ComPsych, Concern and Uprise Health. If your plan isn't listed, ask me about out-of-network options, or a sliding-scale fee. Sessions are $225 for individuals and $250 for couples. See fees.

How soon will I feel better?

Everyone is different, but many people notice a difference within the first few weeks. We'll set clear, realistic goals together so you can see your progress.

Offices

Two places to meet.

Choose whichever office is easier for you. Here's how to get to each one by car, BART or bus.

The yellow Victorian office building in Castro Valley with a white porch and balconyLook for the yellow Victorian
East Bay
Castro Valley
1700 Norbridge Ave., Suite F
Castro Valley, CA 94546

Look for the yellow Victorian house behind McDonald's, just off Castro Valley Boulevard. The driveway is on Norbridge Avenue, a one-way street.

The building needs an access code. I'll share it when you book.

  • BARTCastro Valley station is 0.75 mi away: about a 15-minute walk, 5 minutes by bike or 3 minutes by car.
  • BusAC Transit Line 28 stops on Castro Valley Blvd. at Lake Chabot Rd. and at Stanton Ave., a few minutes' walk, and runs to Castro Valley BART.
  • ParkingPull into the driveway from Norbridge Ave. Coming by BART and driving the rest? The station has paid parking.
  • DrivingA few minutes from I-580 in central Castro Valley.
  • NearbyStarbucks and Cafe 4 are about a 5-minute walk, with lunch spots along Castro Valley Blvd. Lake Chabot is 10 minutes away for a walk after your session.
The two-story office building at 940 Saratoga Avenue in San Jose with its front parking lot940 is over the front door
South Bay
San Jose
940 Saratoga Ave., Suite 110
San Jose, CA 95129

Street parking is usually available out front, and there's a large lot behind the building. Heading north on Saratoga Ave., turn into the driveway just past Wendy's.

  • BusVTA 57 stops at Saratoga & Williams, about a block away, running between West Valley College and Great America. VTA 25 runs along Williams Rd.
  • BARTBerryessa/North San José is about 9 miles away: 15 to 25 minutes by car, or about an hour by bus (VTA 57 to Stevens Creek, then Rapid 523).
  • CaltrainSan José Diridon is about 6 miles away, 10 to 20 minutes by car.
  • DrivingUnder a mile from I-280 at the Saratoga Ave. exit.
  • NearbyCafés and lunch spots on the same block. Westgate Center is 1.5 miles south, and Santana Row and Valley Fair are about 2 miles away.
Free consultation

Let's talk about where you are, and where you want to be.

Send a note and I'll get back to you to set up a time. Prefer the phone? Call or leave a message anytime.

Please keep it brief and leave out personal health details. We'll talk about the rest privately.

Thank you for your message.

I'll be in touch soon to find a time to talk.

Resources

Help between sessions.

Trusted reading and support I often recommend to clients and their families.

If you're in crisis right now Call or text 988

The Suicide & Crisis Lifeline is free, confidential and open 24/7. Veterans and service members can press 1. In an emergency, call 911.

First responders
  • Emotional Survival for Law Enforcement · Gilmartin
  • CopShock: Surviving PTSD · Kates
  • Force Under Pressure · Blum
  • I Love a Cop · Kirschman
  • I Love a Firefighter · Kirschman
Relationships & marriage
  • The Seven Principles for Making Marriage Work · Gottman
  • Getting the Love You Want · Hendrix
  • The New Rules of Marriage · Real
  • Boundaries and Relationships · Whitfield
  • Undefended Love · Psaris & Lyons
  • Too Good to Leave, Too Bad to Stay · Kirshenbaum
  • Is It Love or Is It Addiction? · Schaeffer
Parenting
  • Parenting from the Inside Out · Siegel
  • How to Talk So Kids Will Listen and Listen So Kids Will Talk · Faber & Mazlish
  • Raising an Emotionally Intelligent Child · Gottman
  • Raising Cain · Kindlon & Thompson
Grief & loss
  • On Death and Dying · Kübler-Ross
  • When Children Grieve · James & Friedman
  • I Wasn't Ready to Say Goodbye · Noel & Blair
  • How to Go On Living When Someone You Love Dies · Rando
Anxiety & fear
  • Feel the Fear and Do It Anyway · Jeffers
  • The Anxiety & Phobia Workbook · Bourne
Forgiveness, abuse & divorce
  • Forgive for Good · Luskin
  • Forgiveness Is a Choice · Enright
  • The Courage to Heal · Bass & Davis
  • The Sexual Healing Journey · Maltz
  • The Unexpected Legacy of Divorce · Wallerstein & Lewis
  • Divorce Busting · Weiner-Davis
  • Making Divorce Easier on Your Child · Long & Forehand
Step one

Asking for help takes courage. You've already started.

A short, free conversation is all it takes to find out whether we're a good fit.

Book a free consultation
Call Free consultation