Karen Marsh , PACFA

Karen Marsh is a counsellor with PACFA credentials and 25 years of clinical experience. She offers calm, straightforward support for people facing stress, anxiety, relationship strain, family conflict, trauma and abuse. Karen believes people already hold strengths they can use to move forward and provides steady guidance through difficult moments.

Her approach is flexible and practical. She draws on Acceptance and Commitment Therapy, Cognitive Behavioural Therapy and Emotionally-Focused Therapy to help people notice unhelpful patterns, clarify values and rebuild connection. Attachment-Based work informs how she helps with abandonment, attachment issues and codependency concerns.

Karen often works with people coping with panic, post-traumatic stress, anger and guilt or shame. She also supports those dealing with divorce and separation, domestic violence histories, family of origin problems and communication breakdowns. Sessions focus on achievable steps and clearer thinking rather than jargon.

In sessions Karen listens first and then helps clients try approaches that suit their goals. She uses practical exercises, reflective conversation and paced processing of painful memories when appropriate. The emphasis is on small, steady changes that feel manageable.

Karen offers online sessions by video, phone, live chat or text-based messaging. Sessions use a subscription model that can be cancelled at any time, and she works with adults in Australia in English.

How evidence-based approaches work online

Acceptance and Commitment Therapy (ACT) helps people notice unhelpful thoughts and choose actions that match what matters to them. It is useful when anxiety, avoidance or uncertainty are getting in the way. Cognitive Behavioural Therapy (CBT) focuses on the links between thoughts, feelings and actions and gives practical tools to reduce panic, manage anger and change unhelpful habits. Emotionally-Focused Therapy (EFT) looks at emotional responses in close relationships and helps people understand and shift patterns that cause repeated hurt and distance.

Finding the right approach is a shared task. Karen will talk with each person about goals and try methods that fit their needs and preferences. She adapts techniques over time and checks in about what is or is not helping so the work feels collaborative and tailored.

Online therapy offers practical flexibility. Video calls support face-to-face style conversation and visual cues while phone sessions can be better when bandwidth or camera use is an issue. Live chat and text-based messaging suit shorter check-ins, reflective writing or those who prefer typing. These options make it easier to fit therapy around work, family or other commitments and allow ongoing work without travel.