Carlie Machell-Kay , NCPS

Carlie Machell-Kay is a counsellor who supports people facing stress, anxiety, depression, relationship and family difficulties, trauma and abuse, parenting strain, addictions, grief and self-esteem concerns. She also works with intimacy-related issues, anger, compassion fatigue and ADHD. Carlie uses a warm, approachable style and aims to make sessions straightforward and practical.

Carlie trained as a psychodynamic counsellor and holds NCPS. She has seven years working as a therapist and over 25 years' wider experience in related fields. That background shaped her focus on trauma and relationship patterns, plus work in women's mental wellbeing and domestic abuse settings.

In sessions she listens for the stories that shape a person's feelings and choices. She draws on psychodynamic ideas to look at how past relationships affect the present. Narrative approaches help people rewrite unhelpful self-stories and see problems from a different angle.

Carlie also uses client-centred ways of working, which keep the person's priorities central. When trauma is part of the picture, she uses trauma-focused methods to address its ongoing effects. She adapts the pace and tools to what each person needs.

She can talk with people who have lived experience of neurodiversity or brain injury, and she says this informs her empathy and practical adjustments in sessions. Carlie works from the United Kingdom and offers sessions in English, including options for international clients.

Therapy with Carlie is collaborative and tailored. She aims to help people understand patterns, manage symptoms and make clearer choices about next steps.

Therapeutic approaches for online support

Client-Centred Therapy focuses on the person's experience in the here and now, offering an empathic space where the therapist follows the person's lead to clarify goals and build coping strategies. This approach suits people wanting practical support and a supportive, non-judgemental listener.

Psychodynamic Therapy looks at how past relationships and early experiences shape current feelings and repeating patterns. It can help people understand why they react a certain way in relationships and make different choices moving forward.

Finding the right approach is part of the work. The therapist will discuss options and try different ways of working based on needs, goals and personal preferences. That collaboration helps shape sessions so they feel useful and manageable.

Online formats include video calls, phone sessions, live chat and text-based messaging. Video calls allow face-to-face conversation when visual connection helps. Phone sessions use less bandwidth and can be easier to fit into a busy day. Live chat and messaging suit shorter check-ins, ongoing reflections or people who prefer writing. These options make therapy more flexible and easier to fit around daily life.