Karen Boram, BACP

Karen Boram has worked as a counsellor and psychotherapist for five years in the United Kingdom. She holds BACP accreditation and focuses on helping people who are feeling overwhelmed by stress, anxiety or depression. Karen is also experienced supporting those affected by trauma, abuse and sexual assault.

She takes a gradual approach when someone first arrives for therapy. Sessions begin with listening to the person's story and understanding what feels hardest right now. Karen then shapes a counselling plan that suits each person’s situation and goals.

In sessions she aims to reduce confusion and bring clarity to difficult decisions. That often means talking through options, trying practical steps between sessions and reviewing what helped. The work is collaborative and paced to the person’s comfort.

Karen also works with issues around relationships, intimacy and infidelity, and supports people exploring non-monogamous dynamics. She helps those struggling with self-esteem, anger, codependency and personality-related patterns.

Seasonal mood changes, self-harm behaviours and grief are part of her practice, alongside support for LGBT concerns and coping with life transitions. Her style is straightforward and person-centred, aiming to make therapy understandable and useful.

Sessions are offered in English and can take place through a range of online formats. Karen accepts international clients and adapts each plan to the person's needs and circumstances.

How therapeutic approaches translate to online care

Karen uses evidence-based therapeutic techniques that focus on practical change and clearer thinking. One common approach is collaborative problem-solving where therapist and client identify specific worries, test small changes between sessions and review what helps; this can suit stress, anxiety and decision-making difficulties. Another approach is trauma-informed talking work that prioritises safety and pacing, helping people make sense of past harms and reduce the way those memories affect daily life.

Finding the right approach is part of the work. Karen will discuss different methods and together they will choose what fits the person's goals, needs and comfort. The direction can change as progress is made and plans are reviewed collaboratively.

Online sessions offer practical benefits for many people. Video calls allow face-to-face conversation when travel is difficult. Phone sessions work well when bandwidth is limited or a shorter check-in is needed. Live chat and text-based messaging can suit those who prefer writing or want flexible, asynchronous contact. These options make it easier to fit therapy around work, caring duties or travel.