About Karen
Karen Hough is a counsellor based in the United Kingdom with four years of professional experience. She holds BACP registration, the British Association for Counselling and Psychotherapy credential, and works with people who are struggling with stress, anxiety, depression, relationship concerns, family conflict, trauma and abuse.
Karen aims to make the first steps into therapy easier for people who feel uncertain or overwhelmed. Her approach is warm and straightforward. She focuses on creating an open space where thoughts and feelings can be talked through without judgment.
Background and approach
Sessions are practical and paced to each person's needs, with room to explore immediate worries and longer-standing patterns. Karen also supports people dealing with issues linked to abandonment, adoption and foster care, attachment concerns, and caregiving stress. She has experience with chronic health problems, body image difficulties and the emotional effects of cancer.
These matters often come up alongside anxiety or depression, and she helps people untangle how they affect daily life. The work is collaborative. Karen helps set goals and tests out small changes between sessions.
She uses evidence-based therapeutic techniques tailored to what each person finds helpful, rather than a one-size-fits-all plan. Sessions are offered in English and Karen accepts international clients. People can connect by video call, phone, live chat or text-based messaging, whichever suits their situation.
Practical therapeutic approaches for online care
Karen uses evidence-based therapeutic techniques that focus on real problems and achievable change. One common approach she uses involves short-term, structured work that looks at how thoughts, feelings and behaviours interact to maintain anxiety and low mood; it helps people test small changes and notice different results. Another approach concentrates on building safer attachment patterns and addressing abandonment or attachment wounds, helping people recognise relational triggers and try new ways of relating.Choosing the right approach is part of the work. Karen treats it as a collaborative process and will explore your goals, preferences and what has or hasn’t helped before. Together you can try a method for a few sessions and adjust the plan based on what feels useful.
Online therapy offers practical flexibility. Video calls allow face-to-face conversation when you want it, phone sessions work well if bandwidth is limited, live chat suits shorter check-ins, and text messaging supports ongoing reflection between sessions. These options make it easier to fit therapy around work, caregiving or health needs while keeping the focus on progress and day-to-day coping.
Questions people ask
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What this therapist works with
Most often
- Stress, Anxiety
- Relationship issues
- Family conflicts
Also listed
- Abandonment
- Adoption and foster care
- Aging and geriatric issues
- Antisocial personality
- Attachment issues
- Autism and Asperger Syndrome
- Avoidant personality
- Blended family issues
- Body image
- Cancer
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Codependency
- Commitment issues
- Communication problems
- Control issues
- Coping with natural or human-caused disaster
- Dependent personality
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Dissociation
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Eating and food-related issues
- Emptiness
- Family of origin issues
- Family problems
- Fatherhood issues
- Fertility issues
- First responder issues
- Forgiveness
- Guilt and shame
- Hoarding
- Hospice and end-of-life counseling
- Impulsivity
- Infidelity
- Intellectual disability
- Isolation / loneliness
- Jealousy
- Life purpose
- Men's issues
- Midlife crisis
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Personality disorders
- Phobias
- Post-traumatic stress
- Postpartum depression
- Pregnancy and childbirth
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self-harm
- Self-love
- Sex addiction
- Sexual assault and abuse
- Sexual dysfunction
- Sexuality
- Smoking / vaping cessation
- Social anxiety and phobia
- Trauma and abuse
- Traumatic brain injury
- Women's issues
- Workplace issues
- Young adult issues
- Experience
- 4 years
- Licensed
- Languages
- English
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