Karen Spilsbury, NCPS
Karen Spilsbury works in the United Kingdom and has eight years of professional experience offering counselling support.
About Karen
Karen Spilsbury works in the United Kingdom and has eight years of professional experience offering counselling support. She focuses on practical help for people dealing with stress, anxiety, addictions, trauma and abuse, low self-esteem and big life changes. Karen writes plainly and aims to make the first steps less daunting for someone who is worried or unsure.
Her approach begins by recognising that each person knows their own story best.
Background and approach
She looks for strengths clients already have and helps them use those strengths to face difficult situations. Sessions are conversational and aimed at producing useful steps to manage day-to-day life. Karen draws on a range of approaches to match what a person needs.
She may use techniques that help change unhelpful thinking, build emotional regulation skills, or support values-led action depending on the issue. Hypnotherapy can be offered as another tool when appropriate. People come to her for help with specific concerns such as addiction or trauma, and for broader struggles like repeated relationship patterns, attachment worries, or low motivation.
She also supports those coping after separation, dealing with domestic violence, or navigating the effects of a disaster. Sessions are offered in English and take place online by video, phone, live chat or text. Karen explains the process clearly, and works with each person to set goals and plan manageable next steps.
Signing up starts with a short matching questionnaire and then scheduling a session.
Registration
| Body | Registration number | Expires |
|---|---|---|
| NCPS | NCS19-07702 | February 2026 |
Registration details are as listed on the counsellor's public profile. You can check any number with the registering body.
Sessions and payment
Sessions are held online through our partner platform, by video, phone or messaging depending on the counsellor.
Costs are shown on the partner platform before you commit. If cost is a concern, ask about reduced-fee options.
Focus areas and approaches
What Karen works with
Everything Karen lists, in their own terms.
- Stress, Anxiety
- Addictions
- Trauma and abuse
- Self esteem
- Coping with life changes
- Abandonment
- Attachment issues
- Autism and Asperger Syndrome
- Avoidant personality
- Co-morbidity
- Codependency
- Commitment issues
- Communication problems
- Control issues
- 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
- Veteran and Armed Forces Issues
- 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-harm
- Self-love
- Sex addiction
- Sexual assault and abuse
- Sexual dysfunction
- Sexuality
- Smoking / vaping cessation
- Social anxiety and phobia
- Trichotillomania
- Women's issues
- Young adult issues
Approaches Karen lists
- Acceptance and Commitment Therapy (ACT)
- Client-Centred Therapy
- Cognitive Behavioural Therapy (CBT)
- Dialectical Behaviour Therapy (DBT)
- Hypnotherapy
- Mindfulness Therapy
- Motivational Interviewing
- Psychodynamic Therapy
- Solution-Focused Therapy
- Somatic Therapy
- Trauma-Focused Therapy
- Internal Family Systems
Listing an approach is not evidence of training in it. This directory copies what each counsellor names and does not check training records.
Online support
Choosing the right approach is a shared process. The therapist will discuss your goals and preferences, then suggest methods that fit your situation. Together you can try approaches and adjust the focus as you learn what works best for you.
Online sessions are offered by video call, phone, live chat or text messaging for flexibility. Video calls allow face-to-face conversation when needed, phone sessions can fit into a shorter break or work better with lower bandwidth, and chat or messaging can be useful for quick check-ins or when written reflection helps. These options make it easier to book regular sessions and keep momentum between meetings.
Frequently asked
What kinds of problems does Karen help with?
She helps people with stress, anxiety, addictions, trauma and abuse, low self-esteem and coping with life changes. Additional focus areas include attachment, codependency, communication problems and substance issues.
What is her therapeutic style like?
Her style is conversational and practical. She looks for clients' strengths and works on steps you can use between sessions.
How much clinical experience does she have?
She has eight years of professional work experience in the United Kingdom working with a range of concerns related to mental health and addiction.
What credential does she hold and where is she based?
She holds NCPS and practises in the United Kingdom.
Which languages are supported for sessions?
Sessions are offered in English.
What session formats are available?
Sessions are offered by video calls, phone sessions, live chat or text-based messaging to suit different needs and schedules.
How are sessions paid for and what do they cost?
Cost varies with location and therapist arrangements; sessions run via a subscription model that can be cancelled at any time.
How do I begin working with her?
Start by selecting the Start Therapy button, complete a short matching questionnaire, and then schedule according to the therapist's availability.
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