“Courage starts with showing up and letting ourselves be seen.”
-Brene Brown
Clinician
Karla Rica Piccio
MS , LMFT Associate
Supervised by Cherie Spellman, MS, LMFT-S
Karla is a Licensed Marriage and Family Therapist Associate in Dallas, TX. Her training includes a Master’s degree in Couple, Marriage, and Family Therapy from Texas Tech University, a COAMFTE-accredited program, as well as fellowship training through the Foundation for the Advancement of Human Systems.
Karla provides couples therapy, marriage counseling, and individual therapy with a clinical focus rooted in Emotionally Focused Therapy (EFT), attachment theory, and evidence-based approaches that honor clients’ lived experiences, identity, and relational context. She brings specialized systemic training, clinical excellence, and cultural competency to her therapeutic work at Relational Therapy Collective.
In addition to her clinical practice, Karla has contributed to the field of marriage and family therapy through research and professional presentations. Her research includes a qualitative study on professional athletes and successful marriages, intercultural relationships, and the impact of religious differences on marital stability. This scholarly background strengthens her ability to provide thoughtful, clinically grounded, and transformative systemic care.
Karla is also actively engaged in cultivating external professional relationships and community partnerships on behalf of Relational Therapy Collective. She values interdisciplinary collaboration and is committed to enriching RTC’s connection with aligned providers and organizations in order to support clients with comprehensive, relationally-informed care.
COUPLES THERAPY FOR RELATIONSHIP STRESS, INTIMACY, AND LIFE TRANSITIONS IN DALLAS, TX
If you have built a life defined by discipline, responsibility, and meaningful achievement, you likely know how to manage pressure and show up for the people who depend on you. And yet, despite all you have accomplished, emotional closeness may still feel strained, distant, or just out of reach.
Many people come to therapy feeling disconnected—stuck in recurring conflict, weighed down by rejection or shame, or quietly wondering, Is something wrong with me? Over time, stress, major life transitions, and the burden of high expectations can erode intimacy, leaving even the strongest relationships feeling fragile.
If you see yourself in these reflections, Karla works well with couples and individuals like you and may be a good fit to support you in strengthening the connection you are longing for.
At the core of everything is this: humans are wired for connection. With the right support, relationships can feel more secure, fulfilling, and resilient—even amid demanding careers, cultural complexity, and major life transitions. Using Emotionally Focused Therapy (EFT), the work will focus on building emotional safety, repairing trust, and developing a secure bond both within yourself and in your most significant relationships. The work is grounded, collaborative, and paced to what feels sustainable.
KARLA’S CLINICAL FOCUS: HIGH-PRESSURE CAREERS, CULTURAL COMPLEXITY, AND DEEP RELATIONAL WORK
Karla provides thoughtful care for medical residents, healthcare professionals, veterans, and individuals in high-pressure careers. She often supports couples and individuals navigating long hours, chronic stress, and the emotional strain that high achievement can place on intimacy and connection. She also works frequently with multicultural, intercultural, and interfaith couples, helping partners explore how culture, family systems, and identity shape relationship dynamics over time.
Having immigrated from the Philippines and grown up within a close-knit community of immigrants and healthcare workers, Karla understands how cultural values, systemic pressures, and unspoken expectations can complicate belonging, emotional closeness, and relational security—not only for individuals, but also for the couples and families they are part of.
Karla’s work often includes support around:
Relationship stress, repeated conflict, and emotional distance
Intimacy struggles and difficulty feeling close
High-pressure careers such as healthcare, medicine, or military service
Chronic stress, burnout, and self-esteem challenges
Rejection, shame, and isolation
Life transitions including marriage, divorce, grief or loss
Cultural identity, family expectations, and intercultural relationship dynamics
The unique relational strain that comes with high-demand careers, military service, or healthcare work
Karla integrates Emotionally Focused Therapy, attachment-based principles, and evidence-informed strategies to help couples identify emotional patterns, repair ruptures, and strengthen secure bonds.
Clients often describe her as warm, balanced, and deeply attuned—creating a safe space where both partners feel seen, supported, and empowered to take meaningful steps toward healing, resilience, and reconnection.
Above all, Karla believes that attuned relationships are foundational to emotional well-being, resilience, and overall life satisfaction. She is deeply committed to guiding clients toward greater intimacy, trust, and lasting connection—helping couples not just survive the demands of life and career, but truly flourish together.
CREDENTIALS:
Texas License in Marriage and Family Therapy Associate
International Centre for Excellence in EFT Certificate: Core Skills Training in EFT (2026)
International Center for Excellence in EFT Certificate: Externship in EFT (2025)
Gottman Method Couples Therapy—Level 1
Fluency in English and Filipino/Tagalog

