Karen Spilsbury, NCPS

Karen Spilsbury is a United Kingdom based therapist with eight years of professional experience and holds NCPS, a professional registration credential. She works with people across a range of emotional and behavioural challenges, drawing on practical methods to support change and personal growth.

Her specialist areas include stress, anxiety, addictions, trauma and abuse, self esteem, and coping with life changes. She also works with concerns such as abandonment and attachment issues, autism and Asperger Syndrome, avoidant personality traits, codependency and commitment difficulties, communication and control problems, dissociation, disruptive mood dysregulation, and problems arising from domestic violence, divorce or separation. Substance misuse including drug and alcohol addiction is also within her scope of practice.

Karen believes that each person is the expert of their own story and that existing strengths are central to overcoming the challenges they face. She emphasises collaborative work that builds motivation, confidence and practical coping skills. Beginning therapy can take courage, and she recognises that first step as important, offering steady support as clients move toward their goals.

Therapeutic approaches and online support

Karen integrates evidence based methods to tailor support to each person. Acceptance and Commitment Therapy - ACT helps people clarify their values, accept difficult thoughts and feelings, and take committed steps toward a meaningful life; it is often used for anxiety, stress and difficulties with motivation. Cognitive Behavioral Therapy - CBT focuses on identifying and changing unhelpful thinking and behaviour patterns and teaching practical skills to manage symptoms such as anxiety, low mood and problematic coping strategies. Client Centered Therapy places the client at the heart of the process, offering a non judgemental space that emphasises empathy and the client therapist relationship to promote self understanding and growth.

Choosing the right approach is a collaborative process. As a registered professional, Karen will work with clients to explore which methods align with their needs, goals and preferences, adapting techniques as progress unfolds.

Online therapy offers flexible access to care through video calls, phone sessions, live chat and text based messaging. These options help clients fit therapy around work, family or mobility needs and allow therapists to offer consistent support even when in person meetings are not possible. For many people, the range of remote formats makes it easier to begin and maintain therapeutic work.