Karen Spilsbury

Karen Spilsbury brings eight years of professional experience in the United Kingdom to her counselling work. She is registered with NCPS, and she focuses on helping people manage stress, anxiety, addiction concerns, trauma and abuse, low self-esteem and major life changes. Karen writes in a warm, straightforward way and aims to make first steps feel manageable for anyone who is nervous about starting therapy.

She treats each person as the expert in their own story. Sessions aim to uncover strengths clients already have and apply those strengths to overcome current challenges. The work can include practical skills for coping, new ways to think about unhelpful patterns, and steady support while facing difficult changes.

Karen draws on several therapeutic approaches to match the work to the client. She uses techniques from Acceptance and Commitment Therapy and Cognitive Behavioural Therapy to help with thoughts, feelings and behaviour. She also uses Client-Centred methods to keep the conversation compassionate and focused on the person’s priorities.

Hypnotherapy and Dialectical Behaviour Therapy are additional options she may bring into the work when they suit a client's needs. The aim is always to use methods that fit the person’s goals, not a one-size-fits-all plan.

If you are unsure about where to start, Karen encourages a simple first step. She asks new clients to complete a short matching questionnaire and then schedule a session according to the listed process.

Approaches you can use online and how they help

Acceptance and Commitment Therapy (ACT) helps people notice unhelpful thoughts and choose actions that line up with their values, often useful for anxiety, stress and motivation challenges. Cognitive Behavioural Therapy (CBT) focuses on spotting patterns in thoughts and behaviours and practising skills to change those patterns, which can help with anxiety, low mood and addictive behaviours. Client-Centred Therapy places the person's experience at the heart of sessions, offering a supportive space to talk things through and decide what matters most.

Finding the right approach is part of the work. The therapist will discuss options with each person and agree a plan based on their goals and preferences. That collaboration means techniques can be adjusted as progress is made and different methods tried if something doesn't fit.

Confirm the available session formats before booking, as specific delivery methods are not listed here. Online therapy can make it easier to fit counselling into busy days by reducing travel and allowing shorter check-ins when needed. It can also suit people who prefer talking from their own local environment, or who need scheduling that fits around work or family life. Registered or accredited professionals will work with clients to make sessions useful and practical without promising particular outcomes.