- Values-based care
- Skill-focused work
- Calm supportive style
About Karen
Karen Spilsbury is a counsellor credentialed with NCPS in the United Kingdom. She has eight years of professional experience supporting people who feel overwhelmed by stress, anxiety, addiction, trauma and abuse, low self-esteem, and major life changes. Karen emphasises practical support and respects each person as the expert in their own story.
Her approach is collaborative and straightforward. She listens first, then helps people identify small, achievable steps to manage difficult feelings and regain a sense of control. Sessions focus on real-life problems and building useful skills for day-to-day coping.
Karen draws on a mix of therapies including Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Client-Centred Therapy and hypnotherapy. She adapts techniques to fit each person’s situation rather than using a one-size-fits-all plan. This means sessions can include symptom management, values-focused work, and practical skill-building.
She often helps people address attachment or abandonment worries, communication and control issues, codependency and commitment challenges. Karen also has experience with autism and Asperger syndrome, dissociation, domestic violence, drug and alcohol problems, and recovery from difficult life events.
People who prefer a calm, supportive counsellor who values their strengths may find Karen a good fit. To begin, clients complete a short questionnaire and arrange sessions to match availability.
Her approach is collaborative and straightforward. She listens first, then helps people identify small, achievable steps to manage difficult feelings and regain a sense of control. Sessions focus on real-life problems and building useful skills for day-to-day coping.
Karen draws on a mix of therapies including Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Client-Centred Therapy and hypnotherapy. She adapts techniques to fit each person’s situation rather than using a one-size-fits-all plan. This means sessions can include symptom management, values-focused work, and practical skill-building.
She often helps people address attachment or abandonment worries, communication and control issues, codependency and commitment challenges. Karen also has experience with autism and Asperger syndrome, dissociation, domestic violence, drug and alcohol problems, and recovery from difficult life events.
People who prefer a calm, supportive counsellor who values their strengths may find Karen a good fit. To begin, clients complete a short questionnaire and arrange sessions to match availability.
How therapeutic approaches fit into online work
Acceptance and Commitment Therapy (ACT) encourages people to notice difficult thoughts and feelings while taking steps that match their values. It can help when anxiety, low motivation or repeated avoidance get in the way of daily life.Cognitive Behavioral Therapy (CBT) focuses on how thoughts, feelings and behaviours connect. Sessions often include practical exercises to challenge unhelpful thinking and build new coping habits for stress and anxiety.
Finding the right approach is part of the work together. The therapist will discuss options, try techniques in session, and adjust based on what helps most for each person’s goals and preferences. This is a collaborative process rather than a fixed prescription.
If you are considering online therapy, confirm the exact session options before booking. The therapist’s profile does not list specific formats here, so checking current session arrangements is advised. Many people find online work easier to fit into daily life because it can reduce travel, allow shorter check-ins and make scheduling around work or family commitments simpler. Discussing practical needs at the start makes it easier to agree a sensible routine that fits your everyday life.
Areas of expertise
Primary focus
Additional focus areas
AbandonmentAttachment issuesAutism and Asperger SyndromeAvoidant personalityCo-morbidityCodependencyCommitment issuesCommunication problemsControl issuesCoping with natural or human-caused disasterDisruptive Mood Dysregulation Disorder (DMDD)DissociationDivorce and separationDomestic violenceDrug and alcohol addictionEating and food-related issuesEmptinessFamily of origin issuesFamily problemsFatherhood issuesForgivenessGuilt and shameImpulsivityInfidelityIsolation / lonelinessJealousyLife purposeMen's issuesMidlife crisisVeteran and Armed Forces IssuesMoney and financial issuesNarcissismObsessions, compulsions, and OCDPersonality disordersPhobiasPost-traumatic stressProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-harmSelf-loveSex addictionSexual assault and abuseSexual dysfunctionSexualitySmoking / vaping cessationSocial anxiety and phobiaTrichotillomaniaWomen's issuesYoung adult issues
Therapeutic approaches
Acceptance and Commitment Therapy (ACT)Client-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)HypnotherapyMindfulness TherapyMotivational InterviewingPsychodynamic TherapySolution-Focused TherapySomatic TherapyTrauma-Focused TherapyInternal Family Systems
Experience
8+ years
Credentials
See below
Languages
English
Frequently asked questions
What kinds of problems does she help with?
She works with stress, anxiety, addictions, trauma and abuse, low self-esteem and coping with life changes, plus related issues such as attachment, codependency and communication problems.
What is her therapeutic style like?
Her style is collaborative and practical. Sessions focus on listening, identifying strengths and building small skills people can use between appointments.
How much experience does she have?
She has eight years of professional experience working with people on a range of emotional and behavioural difficulties.
Where is she based and what credential does she hold?
She is based in the United Kingdom and holds NCPS as a credential, which is given here as supplied in her profile.
In which language are sessions offered?
Sessions are offered in English.
Can people outside the UK work with her?
She does not accept international clients at this time.
How are fees and payments handled?
Cost varies with location and therapist availability; sessions use a subscription model that can be cancelled at any time.
What do I need to do to start therapy?
Press the continue button on this profile, complete a short matching questionnaire, and schedule sessions according to the therapist's availability.