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Karen Spilsbury

Profile / United Kingdom

Karen Spilsbury, NCPS

United Kingdom

Counsellor - Stress and anxiety

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  • CBT methods
  • ACT and DBT skills
  • Addiction support

About Karen

Karen Spilsbury is a counsellor registered with NCPS in the United Kingdom with eight years of professional experience. She helps people who are struggling with stress, anxiety, addictions, trauma and abuse, low self-esteem, and coping with life changes. Sessions focus on practical steps clients can try between meetings.

She uses clear, structured techniques drawn from Cognitive Behavioral Therapy and related approaches. That can mean noticing unhelpful thoughts and testing small changes to behaviour. She also draws on acceptance-based methods, skills training, and client-centred listening depending on what an individual needs.

In practice she works through current problems in short, focused conversations. She helps people break problems into manageable parts and set small, realistic goals. Homework tasks are simple and designed to fit into everyday life rather than take over it.

Karen pays attention to how relationships and past experiences affect current patterns. She can help people who struggle with attachment concerns, codependency, commitment or control issues to spot repeating habits and try alternatives. She also has experience with addiction and with managing the impact of separation or domestic violence.

People who want straightforward, skill-based work often find this approach useful. Sessions aim to build skills for handling distress, improving communication, and making steady changes. To begin, follow the site instructions to select online therapy options and complete the short matching questionnaire.

How therapy approaches are used in online sessions

CBT, or Cognitive Behavioral Therapy, focuses on spotting unhelpful thoughts and testing practical changes in behaviour. It is often used for anxiety, stress and patterns that keep causing problems. Acceptance and Commitment Therapy (ACT) invites people to notice painful thoughts and feelings while choosing actions that match their values. It can help when avoidance or feeling stuck is a core problem. Client-Centred Therapy emphasises listening and reflecting back what matters to the person. This approach can help clarify priorities and build motivation for practical change. Choosing the right mix of approaches is part of the work. The therapist will discuss goals, try different techniques, and agree on what seems most helpful. That decision is collaborative and can change as work progresses. The original biography does not list specific online session formats, so confirm current options before booking. Online sessions can make it easier to fit therapy around work, childcare or travel. They can also allow shorter check-ins when needed, or avoid the need to be on camera if that helps the client engage. Registered or accredited professionals use these options to make consistent, structured progress while keeping sessions practical and goal-oriented.

Areas of expertise

Additional focus areas

AbandonmentAttachment issuesAutism and Asperger SyndromeAvoidant personalityCo-morbidityCodependencyCommitment issuesCommunication problemsControl issuesCoping with natural or human-caused disasterDisruptive Mood Dysregulation Disorder (DMDD)DissociationDivorce and separationDomestic violenceDrug and alcohol addictionEating and food-related issuesEmptinessFamily of origin issuesFamily problemsFatherhood issuesForgivenessGuilt and shameImpulsivityInfidelityIsolation / lonelinessJealousyLife purposeMen's issuesMidlife crisisVeteran and Armed Forces IssuesMoney and financial issuesNarcissismObsessions, compulsions, and OCDPersonality disordersPhobiasPost-traumatic stressProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-harmSelf-loveSex addictionSexual assault and abuseSexual dysfunctionSexualitySmoking / vaping cessationSocial anxiety and phobiaTrichotillomaniaWomen's issuesYoung adult issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Client-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)HypnotherapyMindfulness TherapyMotivational InterviewingPsychodynamic TherapySolution-Focused TherapySomatic TherapyTrauma-Focused TherapyInternal Family Systems

Experience

8+ years

Listed in

United Kingdom

Languages

English

Frequently asked questions

What concerns does she commonly help with?

She works with stress, anxiety, addictions, trauma and abuse, low self-esteem and coping with life changes, plus related issues such as attachment and codependency.

How would she describe her therapeutic style?

Her style is practical and structured, using short conversations to set goals and try behavioural experiments between sessions.

What experience does she bring to sessions?

She has eight years of professional work experience in the United Kingdom working with the listed concerns.

What credential does she hold and where does she practise?

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

Which languages are sessions offered in?

Sessions are offered in English.

Can people outside the UK work with her?

She does not accept international clients at this time.

What are the session formats used?

The biography does not specify session formats; confirm current options on the booking page before scheduling.

How do fees and getting started work?

Cost varies with location and sessions use a subscription that can be cancelled at any time. To begin, select the See online therapy options button, complete the short matching questionnaire, and schedule a first session.

Details come from information the counsellor supplied to BetterHelp. A registration can be checked with the body that issued it.

Online talk therapy is not emergency care. If you are not safe, use the crisis numbers.

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Karen Spilsbury

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