Karen Hough, BACP

Karen Hough is a counsellor in the United Kingdom with four years of professional experience and a BACP membership. She focuses on helping people navigate stress, anxiety, relationship strain, family conflict, trauma and abuse, and depression. Karen aims to make the first step into therapy easier for people who feel unsure about starting.

Her approach is straightforward and person-centred. She creates a calm space where clients can say what they need to say without fear of being judged. Sessions tend to be practical and grounded, helping people name their difficulties and find manageable next steps.

Karen has also worked with issues tied to abandonment, adoption and foster care, attachment concerns, and blended family dynamics. She supports people dealing with body image, chronic illness and pain, caregiver stress, and life changes linked to ageing. Her experience includes helping with complex situations such as co-morbidity and codependency.

In sessions she listens for the patterns that keep problems repeating. From there she and the client try out small changes to daily routines and ways of relating that can reduce stress and improve mood. She makes space for strong emotions while aiming to keep work doable between meetings.

Karen offers therapy in English and accepts international clients. She provides sessions in different formats to suit practical needs and helps people choose what fits their life and goals.

Approaches and how online therapy works

Evidence-based therapeutic techniques are used to help people make practical changes. One approach focuses on talking through patterns of thought and behaviour to reduce anxiety and low mood. It helps people spot unhelpful thinking and try clearer ways of responding in everyday situations.

Another approach attends to relationships and attachment. This work looks at how past hurts or family dynamics shape current relationships and helps people experiment with new ways of relating. It can be useful for resolving repeated arguments or managing the emotional impact of difficult family histories.

Finding the right approach is part of the process and will be decided together. The therapist will listen to your goals, try methods that fit your needs, and adjust the plan as you progress. That collaborative style helps ensure sessions are relevant and practical.

Online therapy offers flexible options including video calls, phone sessions, live chat, or text-based messaging. Video calls allow face-to-face conversation, phone sessions use less bandwidth and can fit into a short break, live chat suits quick check-ins, and messaging supports day-to-day reflection between meetings. These formats make it easier to receive support around work, caring duties, or travel schedules while keeping therapy part of a busy life.