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Karen Spilsbury, NCPS

Supportive therapy for stress, trauma, and addiction
  • Stress and anxiety
  • Addiction support
  • Trauma-informed care

About Karen Spilsbury

Karen Spilsbury is a United Kingdom based therapist with eight years of professional experience and the NCPS credential, a professional qualification she holds in her field. She works with people facing stress, anxiety, addictions, trauma and abuse, low self-esteem, and the many challenges that come with life changes. Her practice also addresses related concerns such as attachment and abandonment issues, codependency, communication difficulties, substance misuse, and the emotional impacts of separation and domestic violence.

Karen adopts a strengths-based, collaborative stance that recognizes each person as the expert of their own story. She helps clients identify existing resources and build skills for coping, motivation, and confidence, tailoring support to individual goals and circumstances. Whether someone is managing acute distress, navigating recovery from addiction, or rebuilding after trauma, Karen aims to create a focused and compassionate space for change.

Starting therapy can feel daunting, and Karen acknowledges the courage it takes to seek help. Her approach emphasizes practical strategies alongside personal insight, supporting clients step by step as they work toward greater resilience and well-being.

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 Approach

Acceptance and Commitment Therapy (ACT) Client-Centered Therapy Cognitive Behavioral Therapy (CBT) Dialectical Behavior Therapy (DBT) Hypnotherapy Mindfulness Therapy Motivational Interviewing Psychodynamic Therapy Solution-Focused Therapy Somatic Therapy Trauma-Focused Therapy Internal Family Systems

Frequently Asked Questions

How much experience does Karen Spilsbury have?

Karen Spilsbury has 8 years of professional experience.

Is Karen Spilsbury a licensed therapist?

Yes. She holds the NCPS credential.

In which languages does Karen Spilsbury provide therapy?

Karen provides therapy in English.

Where is Karen Spilsbury located?

She is located in the United Kingdom.

How can I work with Karen Spilsbury as my therapist?

You can work with Karen Spilsbury through video calls, phone sessions, live chat, or text-based messaging.

Does Karen Spilsbury work with international clients?

Karen Spilsbury does not currently work with international clients.

How much does therapy with Karen Spilsbury cost?

The cost of therapy can vary depending on factors such as your location and the therapist's availability. Sessions are billed through a subscription that can be canceled at any time, for any reason. For current details, click the "Start Therapy" button on this page.

How can I get started with therapy?

Getting started with therapy is quick and straightforward. Click the "Start Therapy" button and complete a short questionnaire that helps match you with your therapist. Depending on availability, you can then schedule your first session, which may take place by phone, video call, live chat, or in-app messaging.

Therapeutic Approaches and Online Care



Karen frequently integrates Acceptance and Commitment Therapy and Cognitive Behavioral Therapy into her online work. Acceptance and Commitment Therapy (ACT) helps clients clarify personal values and develop psychological flexibility - it supports people in living consistently with what matters to them while learning new ways to relate to difficult thoughts and feelings. Cognitive Behavioral Therapy (CBT) focuses on identifying and changing unhelpful thought and behavior patterns - it is commonly used for anxiety, stress, low mood, and many practical problems. She also draws on client-centered principles to create a respectful, nonjudgmental space where clients are listened to and their perspectives guide the pace and focus of therapy.

Finding the right approach is part of the therapeutic process, and Karen works collaboratively with clients to determine which methods best match their needs, goals, and preferences. This shared decision making helps tailor sessions so they feel relevant and achievable.

Online therapy offers flexible ways to engage with licensed professionals and therapists, including video calls, phone sessions, live chat, and text-based messaging. These options make it easier to fit therapy into busy lives, access support from home, and maintain continuity of care when schedules or circumstances change.

Ready to start therapy with Karen Spilsbury?

Take the first step toward a better you.