“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 IN DALLAS, TX
Karla Rica Piccio, LMFT Associate, provides Emotionally Focused Therapy (EFT) for couples navigating high-pressure careers, multicultural relationships, and eroded trust in Dallas, TX. Drawing from her multicultural background and professional experience, Karla helps partners rebuild emotional connection, restore intimacy, and strengthen communication.
Having immigrated from the Philippines and grown up within a vibrant community of immigrants and healthcare workers, Karla witnessed firsthand the sacrifices and systemic pressures that accompany demanding medical and professional careers. She understands how these realities affect not only individuals, but also their partners, families, and broader support systems.
Karla specializes in supporting medical resident, healthcare professionals, and multicultural couples navigating the unique challenges of postgraduate training, cultural expectations, and rigorous schedules. She helps couples sustain connection, nurture resilience, and cultivate emotional safety—even under high stress.
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, and attuned therapeutic environment where couples and individuals can heal, grow, and flourish.
Karla’s clinical focus and specialties include:
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: Supporting 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 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.
Her clinical work is especially impactful for healthcare professionals, medical residents, and multicultural partners 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
International Center for Excellence in EFT: Certificate Externship in EFT (2025)
Gottman Method Couples Therapy—Level 1
Fluency in English and Filipino/Tagalog

