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Karen Spilsbury

Counsellor profile

Karen Spilsbury, NCPS

United Kingdom

Counsellor - Anxiety and Addiction support

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Where Karen stands

Credentials
NCPS
Registration
NCPS, United Kingdom / NCS19-07702
Experience
8 years
Languages
English
Location
United Kingdom

About

  • Stress and anxiety
  • Addiction recovery
  • Codependency patterns

About Karen

Karen Spilsbury is a counsellor registered with the NCPS in the United Kingdom and has eight years of professional experience. She works with people who are struggling with stress, anxiety, addiction, trauma and abuse, low self-esteem and the impact of major life changes. Karen names codependency among the patterns she helps people understand.

Karen frames clients as the experts in their own lives. She listens for strengths and practical resources a person already has. Sessions are straightforward and focused on what the client wants to change rather than on jargon.

Her background includes work supporting people through addiction and trauma. She helps people untangle how patterns such as people-pleasing or difficulty saying no show up in everyday life. Conversations look at what is getting in the way of clear boundaries and what small shifts could make daily life easier.

Karen uses practical, evidence-informed approaches to build skills for managing strong emotions and stress. She works on concrete tasks such as spotting unhelpful thoughts, practising alternative responses and building coping strategies people can use between sessions. Hypnotherapy may be included where it fits the client’s goals.

People who come to Karen often want clear steps and steady support when things feel overwhelming. She will work with each person to set realistic short-term goals and to review progress in simple, measurable ways. This is useful for those facing relationship strain, breakups, addiction challenges or big life transitions.

How sessions work

How Karen’s approaches translate to online work

Acceptance and Commitment Therapy (ACT) helps people notice unhelpful thoughts and focus on actions that match their values. ACT is useful when someone feels stuck by worry or keeps putting others first. Cognitive Behavioral Therapy (CBT) breaks problems into thoughts, feelings and behaviours and offers simple exercises to test and change them. CBT can help with anxiety, stress and repetitive unhelpful thinking patterns. Finding the right approach is part of the work. The therapist will discuss different methods and agree together which to try based on the person's goals and preferences. This is a collaborative process where techniques are adjusted if they are not helping. The original profile does not list which online session formats are used, so confirm the available options before booking. Online sessions can make it easier to fit therapy into a busy schedule, reduce travel time and allow shorter check-ins when needed. They also let people choose whether to use video or another format depending on what feels most practical for them.

Areas of focus

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

Questions

Frequently asked questions

What kinds of problems does she help with?

She helps people with stress, anxiety, addictions, trauma and abuse, low self-esteem and coping with life changes, and works with codependency-related patterns.

What is her therapeutic style like?

Her approach is practical and person-focused, emphasising the client as the expert and building on existing strengths with clear, usable skills.

How much experience does she have?

She has eight years of professional work experience in the United Kingdom supporting people with addiction, trauma and related concerns.

What credential does she hold and where is she based?

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

Can I work with her in other languages or from other countries?

Sessions are offered in English and she is not taking clients from other countries.

Which session formats does she offer?

The original profile does not specify session formats; please confirm the current session options before booking.

How does payment and cost work?

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

How do I start working with her?

Select the See online therapy options button, complete a 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 at home, use the crisis and helpline numbers.

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Karen Spilsbury

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