“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 who earned her Master’s degree in Couple, Marriage, and Family Therapy from Texas Tech University, a COAMFTE-accredited program. As a Minority Fellowship Program Fellow with the Foundation for the Advancement of Human Systems, she brings specialized training, systemic expertise, and cultural competency to her therapeutic practice at Relational Therapy Collective.
Karla provides couples therapy, marriage counseling, and individual therapy with a clinical focus rooted in attachment-based and Emotionally Focused Therapy (EFT). She has a particular passion for supporting couples and individuals in demanding careers, particularly healthcare professionals. Karla integrates medical family therapy, trauma-informed care, and multicultural counseling approaches to provide comprehensive, culturally sensitive treatment tailored to each client’s unique needs.
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 academic and professional background informs her evidence-based approach to systemic therapy, ensuring clients receive thoughtful and transformative care.
COUPLES THERAPY FOR MEDICAL RESIDENTS AND MULTICULTURAL COUPLES
Karla brings a multicultural perspective and a deep personal understanding of relational stressors to her clinical work. Having immigrated from the Philippines and growing up within a vibrant community of immigrants and healthcare workers, she witnessed firsthand the sacrifices and systemic pressures of demanding healthcare careers. She understands how these realities affect not only the individual, but also their partners, families, and broader support systems.
Karla is especially drawn to working with couples in high-demand careers, particularly medical residents and other healthcare professionals navigating the challenges of postgraduate training. She is passionate about helping couples sustain connection, strengthen resilience, and nurture relationship satisfaction—even in the midst of rigorous schedules, cultural expectations, and career pressures.
Grounded in the belief that humans are wired for connection, Karla views relational health as central to emotional and physical well-being. She creates a warm, supportive therapeutic environment where couples and individuals can heal, grow, and flourish.
Karla’s clinical interests include supporting couples and individuals navigating:
Medical Residency Stress — addressing the impact of long hours, fatigue, and high performance expectations on relational health.
Intimacy and Trust Recovery – rebuilding closeness, safety, and connection after neglect, emotional withdrawal, or broken promises.
Intercultural and Interfaith Dynamics – honoring cultural traditions and family expectations while fostering unity within the partnership.
Life transitions – guiding couples who are newly married, adjusting to parenthood, or managing career changes with resilience strategies.
Discernment counseling – helping couples who feel uncertain about their future gain clarity and direction.
Karla integrates emotionally focused therapy, attachment-based principles, and evidence-informed strategies to help couples strengthen emotional bonds, navigate difficult conversations, and grow through adversity. Clients often describe her as warm, balanced, and deeply attuned—able to create safe spaces where both partners feel heard, supported, and empowered to take meaningful steps toward healing and resilience.
Her clinical focus is especially impactful with medical residents, healthcare professionals, and multicultural couples seeking meaningful change through couples therapy, relationship counseling, and individual therapy. Above all, Karla believes that attuned relationships are the foundation of emotional well-being, resilience, and overall life satisfaction. She is deeply committed to guiding clients toward greater intimacy, trust, and true 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
Fluency in English and Filipino/Tagalog