About Karen
Karen Spilsbury is a counsellor practising in the United Kingdom with eight years of professional experience. She helps people who are feeling stressed or anxious, and those struggling with addiction, trauma or low self-esteem. Karen aims to make the first step feel manageable and recognises it often takes courage to start therapy.
She works in a way that treats the person as the expert in their own life. Conversations focus on strengths and practical steps rather than labels.
Background and approach
Sessions are straightforward and aim to build confidence and motivation over time. Karen commonly supports people facing big life changes, including separation, loss and relocation. She also offers help around attachment and abandonment issues and difficulties with communication and commitment.
Her background includes work with dissociation, co-morbid presentations, and coping after natural or human-caused disasters. Her counselling blends several evidence-informed approaches to suit different needs. She draws on Acceptance and Commitment Therapy to help people clarify values, and on Cognitive Behavioural Therapy to address unhelpful thinking patterns.
Dialectical Behaviour Therapy skills and hypnotherapy are used where they match a person’s goals. Sessions aim to be collaborative and paced to what each person can manage. Karen offers a calm, non-judgemental space for people to talk things through and try new ways of coping.
She encourages small steps and practical tools that can be used between sessions.
How therapy approaches translate to online care
Acceptance and Commitment Therapy (ACT) helps people notice what matters to them and take steps that match those values. It is often used for anxiety, stress and motivation problems and can help when life changes feel overwhelming.Cognitive Behavioural Therapy (CBT) focuses on spotting unhelpful thoughts and testing them with practical experiments. It is useful for anxiety, low mood and some patterns around addiction and avoidance.
Dialectical Behaviour Therapy (DBT) offers concrete skills for managing strong emotions and improving how someone copes day to day. It can be helpful where emotional regulation and interpersonal problems are present.
Finding the right approach is part of the work. The therapist will listen to your concerns, discuss options and agree together which approaches to try. This keeps sessions personalised and responsive to your goals.
Online sessions by video or phone make it easier to fit therapy around work, childcare and travel. Live chat and text-based messaging provide shorter, focused check-ins or a way to reflect between sessions. These formats give practical flexibility while allowing the same therapeutic techniques to be used remotely.
Questions people ask
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What this therapist works with
Also listed
- Abandonment
- Attachment issues
- Autism and Asperger Syndrome
- Avoidant personality
- Co-morbidity
- Codependency
- Commitment issues
- Communication problems
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- 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
- Forgiveness
- Guilt and shame
- Impulsivity
- Infidelity
- Isolation / loneliness
- Jealousy
- Life purpose
- Men's issues
- Midlife crisis
- Money and financial issues
- Narcissism
- Obsessions, compulsions, and OCD
- Personality disorders
- Phobias
- Post-traumatic stress
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Self-love
- Sex addiction
- Sexual assault and abuse
- Sexual dysfunction
- Sexuality
- Smoking / vaping cessation
- Social anxiety and phobia
- Trichotillomania
- Veteran and Armed Forces Issues
- Women's issues
- Young adult issues
Therapeutic approaches
- Experience
- 8 years
- Licensed
- Languages
- English
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