Gemma Keulder, NCPS

Gemma Keulder is a counsellor with four years' experience supporting people through stress, anxiety and depression. She works with individuals facing family conflict, low self-esteem and life changes. Gemma focuses on helping people find small, practical steps that build confidence over time.

She approaches each person as the expert in their own life. Gemma aims to listen carefully and help clients notice their strengths. Sessions are collaborative and paced to suit what feels manageable.

Common themes she addresses include feelings of abandonment, body image worries and control issues. She also helps with guilt and shame, finding life purpose, and challenges that can arise in midlife. Workplace pressures, social anxiety and issues related to sexuality and women's health are also within her focus.

Gemma uses evidence-based therapeutic techniques and adapts her style to each person. She explains ideas simply and works together with clients to try what fits. The goal is to build practical coping skills and clearer choices for everyday life.

Gemma practises in the United Kingdom and runs sessions through a variety of online formats. She offers support in English and aims to create a calm space to talk about what matters most.

How Gemma adapts therapeutic approaches for online work

Gemma uses evidence-based therapeutic techniques that focus on practical change and emotional understanding. One common approach involves helping people identify unhelpful thought patterns and testing different ways of thinking and behaving to reduce anxiety and low mood. Another approach focuses on building skills for managing strong emotions and improving day-to-day coping, useful for stress, workplace pressure and social anxiety.

Finding the right approach is part of the work together. Gemma will discuss options and experiment with methods that match a person's goals, needs and preferences. This collaborative process means techniques are tried, reviewed and adjusted as progress is made.

Online therapy offers flexibility for different schedules and needs. Video calls let people have fuller conversations and pick up on visual cues. Phone sessions can be easier when internet bandwidth is limited or when a shorter check-in is preferred. Live chat and text-based messaging suit ongoing reflection and people who prefer typing to talking, and these formats can fit around work breaks or busy days.