Registration on file

Karen Spilsbury, NCPS

Karen Spilsbury is a counsellor working in the United Kingdom with eight years of professional experience.

About Karen

Karen Spilsbury is a counsellor working in the United Kingdom with eight years of professional experience. She focuses on stress, anxiety, addictions, trauma and abuse, and issues around self-esteem and coping with major life changes. Karen approaches each person with respect and practical support.

She says the first step towards help often takes real courage. Her style centres on listening first and helping people identify what matters to them. Sessions are based on what a person wants to change and what already helps them cope.

Background and approach

Karen draws on a mix of approaches to suit different needs, using straightforward tools rather than jargon. She encourages small, manageable steps that build confidence over time. Karen often works with people dealing with loss, separation or relationship breakdown, and with those facing substance or behavioural addictions.

She also helps people address attachment and abandonment concerns, dissociation, and problems with communication or control. Her background supports work with neurodiverse clients, including those who identify with autism or Asperger syndrome. In sessions she combines talking therapy with practical skills such as grounding, emotion regulation and behaviour planning.

She aims to make sessions a place to try out new ways of responding to old problems. The overall focus is on strengthening a person’s ability to cope and move forward. Sessions are offered in English and take place online by video, phone, live chat or text messaging.

Karen is registered with NCPS and uses that framework to guide her practice.

Details from the counsellor's public professional profile · registration number listed

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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.

Cost Costs are shown on the partner platform before you commit. If cost is a concern, ask about reduced-fee options.

Focus areas and approaches

Everything Karen lists on their public professional profile, 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

Ways of working Karen names

Naming an approach is not evidence of training in it. This directory copies what each counsellor lists and does not check training records.

How therapeutic approaches adapt to online sessions

Trauma-Focused Therapy helps people process past traumatic events by working at a pace that feels manageable. It focuses on reducing the impact of distressing memories and improving day-to-day coping. Cognitive Behavioural Therapy, or CBT, looks at patterns of thinking and behaviour and teaches practical techniques to change them. It is useful for anxiety, low mood and unhelpful routines. Acceptance and Commitment Therapy, or ACT, encourages people to identify their values and commit to actions that reflect them while accepting difficult feelings when they arise.

Choosing the right approach is part of therapy. The therapist works collaboratively to test what fits best with a person’s goals and situation. Techniques may be mixed and adjusted over time so the work matches changing needs and preferences.

Online sessions can be held by video, phone, live chat or text messaging. Video calls are useful for face-to-face conversation and visual cues. Phone sessions work well when internet bandwidth is limited or a shorter check-in is needed. Live chat and text messaging suit people who prefer writing or need brief, flexible contact. These options make it easier to fit therapy around work, family and daily life while keeping a steady course of support.

Frequently asked

What kinds of problems does Karen help with?

Karen works with stress, anxiety, addictions, trauma and abuse, and self-esteem issues. She also supports people coping with major life changes and separation.

How would you describe her therapeutic style?

Her style is person-centred and practical, with a clear focus on listening first. She helps people spot small steps and practise skills between sessions.

What is her professional background?

She has eight years of professional experience working in the United Kingdom. That experience covers a range of emotional and behavioural concerns.

What credential does she hold and where does she practise?

She is registered with NCPS and practises in the United Kingdom.

Can I work with her if I live outside the UK?

Sessions are offered in English and she does not accept international clients at this time.

What formats are available for sessions?

Sessions are available by video calls, phone sessions, live chat, or text-based messaging to suit different needs and schedules.

How are fees handled?

Cost varies with location and therapist availability; sessions use a subscription that can be cancelled at any time.

How do I begin therapy with Karen?

Start by selecting the Start Therapy button, complete a short matching questionnaire, and then schedule sessions according to therapist availability.