- Stress and anxiety
- Addictions support
- Life transitions
About Karen
Karen Spilsbury is a counsellor working in the United Kingdom with eight years of professional experience. She focuses on practical help for stress, anxiety, addictions, trauma and abuse, and coping with life changes. Karen speaks English and works from the belief that each person knows their own story and strengths.
Her approach begins with listening. She helps people name the issues that trouble them and then explores small steps they can take. Sessions emphasise straightforward skills for managing difficult feelings, building confidence and improving day-to-day functioning.
Karen uses a mix of talking therapies and techniques that match each person's needs. She draws on approaches such as Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, Dialectical Behavior Therapy and hypnotherapy when appropriate. The focus is on what works in your life rather than technical labels.
Practical problems such as addiction, relationship communication, and major life changes are addressed with clear, manageable strategies. Karen also offers support around attachment concerns, abandonment, codependency and related issues. Her aim is to help people build resilience and regain a sense of control.
Starting therapy is framed as a step-by-step process. Karen encourages people to move at a pace that feels safe while practising new ways of coping. She emphasises collaboration and steady progress rather than quick fixes.
How therapeutic approaches translate to online work
Acceptance and Commitment Therapy (ACT) encourages people to notice difficult thoughts and feelings and to commit to actions that reflect their values; it can help with anxiety, stress and motivation. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thinking and testing new behaviours to reduce distress and improve coping in daily life. Dialectical Behavior Therapy (DBT) offers practical skills for emotion regulation, distress tolerance and clearer communication, which can be useful for strong mood swings and relationship stress.Finding the right approach is part of the work together. The therapist will discuss your goals and preferences and recommend methods that fit your situation. Decisions about techniques and pace are made collaboratively, so you remain in control of what is tried and when.
Session formats are not specified in the biography, so please confirm current options before booking. Online working can make it easier to fit therapy into busy lives - it can reduce travel time, allow shorter check-ins between commitments, and make it simpler to keep a regular schedule. Registered or accredited professionals can adapt exercises, written worksheets and guided practices to an online setting so the work still feels practical and grounded.
Areas of focus
Frequently asked questions
What kinds of problems can I bring to sessions?
Sessions cover stress, anxiety, addictions, trauma and abuse, low self-esteem and coping with life changes, among other related concerns.
How would you describe your therapeutic style?
The style is collaborative and practical, focusing on listening first and then trying small, workable steps to manage feelings and behaviour.
What relevant background do you have?
The therapist has eight years of professional experience working with the range of issues listed in the profile.
Which credential does the therapist hold and where are you based?
The profile lists the credential NCPS and Karen practises in the United Kingdom.
In which languages can I have sessions?
Sessions are offered in English.
Can people outside the UK work with this therapist?
International clients are not currently accepted.
How are fees and payments handled?
Cost varies with location and therapist availability; sessions use a subscription that can be cancelled at any time.
What do I need to do to begin?
Click the Start Therapy button, complete a short matching questionnaire, and then schedule sessions according to the therapist's availability.