During Karen's twenty years of experience, she has provided individual, family, and group treatment in both inpatient and outpatient mental health settings. She worked on an inpatient forensic unit for eight years, as part of a multidisciplinary team doing court ordered evaluations, assessments, group and individual counseling. Karen worked at several Norcap Outpatient Centers, over a four year period , where she ran both adult and adolescent substance abuse relapse prevention groups. She also worked at Riverside Community Counseling Center for five years where she provided individual counseling for adults and adolescents and led adult substance abuse groups. For the last six years, Karen has been treating adults, adolescents, families and couples in Foxborough, MA.