Founded by Martin Shulman, belief in karmic astrology is based on the concept of karma what one specific individual sees and perceives is different from what another specific individual sees or experiences in the same situation, due to each having his or her own life lessons to process, lessons which were not satisfactorily processed in one's past lives. Instead of assessing the differences of individual persons as being due to each having his or her own unique personality, mind and emotions, karmic astrology stresses that it is a matter of one having not properly fulfilled his karmic role in his previous lives. Karmic astrology is the only form of astrology which bases its conclusions on reincarnation; and that one's true influence, which covers everything from one's opinions to one's means of experience, is not coming from one's present-day life, it's coming from one's past.

The forms of astrology which most people are familiar with Western astrology, Chinese astrology, Indian or Vedic astrology emphasizes the events in a person's life and how to affect positive direction. Karmic astrology, however, views the individual's life as that which has been reincarnated for the purpose of completing that which had not been completed in his previous life aspects of himself and his life which he should improve, change, and grow.

In tune with this concept are New Age practices such as "alternative" medicine, which take numerous non-medical angles such as herbs and massage in the treatment of medical conditions, and, even more strongly stressed, and even in the absence of any such diseases or conditions, focusing on the individual person's need to "heal."

Although it has not been categorically explained, it seems that placing such a strong emphasis on a person's need to heal is based on the New Age movement's view of reincarnation that simply being in this life coincides with the Karmic belief that a person has not gained closure from whatever came before. Consequently, karmic astrology differs from the more widely-accepted forms of astrology in that while the focus of the latter is on charting the course of a person's life and guiding direction for a person's best possible potential, the focus of karmic astrology is essentially on "fixing what is wrong with" a person. As such, those who claim to be professionals in the scope of karmic astrology are far different from the more standard astrologers, preferring terminology such as "healing" and the misuse of other esoteric language, frequently referred to as "psychobabble." In other words, karmic astrology bears very little resemblance to the concepts and practices which most people know as Astrology.