Karen Spilsbury, NCPS

Karen Spilsbury is a counsellor practising in the United Kingdom with eight years of professional experience. She focuses on stress, anxiety, addictions, trauma and abuse, and helping people regain self-esteem when life feels overwhelming. Karen speaks plainly and works with people who are finding the first step into therapy difficult to take.

She believes each person knows their story best and carries strengths that can help them move forward. Sessions centre on listening and building practical skills that fit everyday life. Karen uses a mix of talking approaches and structured techniques to help people manage anxiety, cope with change, and reduce reliance on substances or other unhelpful patterns.

Her approach aims to create a steady pace where people can explore painful experiences safely. She draws on methods that teach awareness of thoughts and feelings and strategies to respond differently in stressful moments. Hypnotherapy is also part of her toolkit when it may support relaxation and focus.

People who come to Karen often want straightforward help with commitment and relationship-related worries, attachment or abandonment concerns, and the aftermath of separation or domestic violence. She also has experience supporting people affected by trauma, dissociation, and co-occurring mental health issues.

Sessions are offered in English and follow the local registration NCPS. If you are ready to start, the path begins by completing a short matching questionnaire and booking a session that suits your schedule.

Approaches to online work and finding the right fit

Acceptance and Commitment Therapy (ACT) focuses on noticing thoughts and feelings without getting stuck in them, and then choosing actions that align with personal values. It can help with anxiety, low mood and managing urges. Cognitive Behavioral Therapy (CBT) looks at the link between thoughts, feelings and actions and teaches practical strategies to change unhelpful patterns; it is often used for anxiety, stress and addictive behaviours. Client-Centred Therapy centres on a warm, non-judgemental relationship where the person leads the pace and topic; this approach helps when someone needs time to feel understood and build confidence.

Choosing an approach is a collaborative process. The therapist will help you consider your goals, preferences and what feels most practical for day-to-day life. Together you can try different methods and adjust the plan if something does not fit.

The original biography does not list specific online formats, so confirm the available session types before booking. Many people find online work useful because it can be easier to fit sessions into a busy week, avoid travel time, or use shorter check-ins when needed. If a person prefers less visual contact, some session styles can be adapted to audio-only or a simpler structure to suit quieter surroundings. Registered or accredited professionals can explain which options they offer and how they will shape sessions to meet your needs.