Karen Hough , BACP

Karen Hough is a counsellor registered with the British Association for Counselling and Psychotherapy (BACP) with four years of professional experience. She has supported people coping with stress, anxiety and depression. She also helps people facing relationship difficulties, family conflict, trauma and abuse. Karen aims to make it easier to start talking and to stay with the process once it gets hard.

In sessions she creates an open, non-judgemental space where people can name what is worrying them. Conversations focus on what is happening now and what small steps might help. Karen listens closely and helps people sort through difficult feelings so they can make clearer choices.

She also works with concerns tied to abandonment, adoption and foster care experiences, attachment issues, body image, caregiver stress, chronic illness or pain, and life stages such as ageing. Other areas she supports include aspects of personality difficulties, blended family stresses, and commitment or codependency struggles.

Karen uses evidence-based therapeutic techniques to shape practical, day-to-day strategies. She aims for straightforward conversations and tools that can be used between sessions. This practical focus helps people try out different ways of coping and notice what makes a real difference.

Karen sees clients in the United Kingdom and offers sessions in English. She accepts international clients and works via online formats that suit each person’s life and schedule.

Practical therapeutic approaches and online access

Karen uses evidence-based therapeutic techniques that focus on clear, doable steps people can try between sessions. One common approach emphasises understanding patterns of thought and behaviour, helping people spot unhelpful cycles and test small changes to reduce anxiety and low mood. Another approach works on strengthening attachment and relational skills, useful for people dealing with relationship strain, abandonment issues or blended family stress.

Choosing the right approach is a collaborative process. The therapist will work with the client to identify goals, review what has helped before, and agree the methods to try. Sessions are adapted as learning happens so the approach can change if something else looks more useful.

Online therapy is offered through video calls, phone sessions, live chat and text-based messaging. Video calls allow face-to-face discussion and a fuller sense of non-verbal cues. Phone sessions can be easier when bandwidth is limited or when a shorter check-in fits a work break. Live chat and text messaging work well for people who prefer writing or who want more frequent, brief check-ins. These options make it easier to fit therapy around work, caregiving and travel commitments while working with registered or accredited professionals.