About Carlie
Carlie Machell-Kay is a counsellor who helps people manage stress, anxiety, relationship difficulties and trauma. She uses a gentle, conversational style and adapts sessions to what each person needs. Carlie holds NCPS and brings seven years' experience as a practising therapist in the United Kingdom.
She trained in psychodynamic counselling and uses that approach to look at how past relationships shape current feelings and behaviours. That work can help people understand recurring patterns and the roots of anxiety or low self-esteem.
Background and approach
She also focuses on trauma and the effects it can have on daily life. Carlie draws on client-centred ideas to make sessions collaborative and respectful. Narrative therapy is used to help people reframe difficult stories and find new meanings.
These methods are combined in practical conversations aimed at real-life changes rather than technical language. Her background includes many years working in women's mental wellbeing and domestic abuse settings, which informs her sensitive, trauma-aware practice. She also has personal experience of neurodiversity and brain injury and understands the impact these can have on a person and their loved ones.
Sessions are shaped around practical goals such as coping with life changes, managing anger, grief, parenting stress, addiction concerns and issues linked to intimacy or attachment. Carlie offers a supportive space for people to talk through difficult feelings and start making manageable changes.
How these approaches work online
Client-Centred Therapy places the person’s experience at the heart of sessions. The therapist listens closely and helps people set goals they feel ready to work towards, which can suit worries like anxiety, low mood or relationship stress.Narrative Therapy focuses on the stories people tell about themselves. It helps separate a person from their problem so they can rewrite unhelpful narratives, which can be useful after trauma or during life changes.
Finding the right approach is part of the work. The therapist will talk with the client about their needs, goals and preferences and decide together which methods suit best. This collaborative decision-making can be reviewed as progress is made.
Online sessions offer flexibility and practical benefits. Video calls let people see non-verbal cues and work through material closely. Phone sessions need less bandwidth and can be easier for quick check-ins. Live chat or text messaging supports shorter conversations, updates between sessions, or for people who prefer writing. These options help fit therapy around work, family life or geographical distance, and allow continued contact when in-person meetings are difficult.
Questions people ask
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What this therapist works with
Most often
- Stress, Anxiety
- Relationship issues
- Family conflicts
Also listed
- Abandonment
- Addictions
- ADHD
- Adoption and foster care
- Aging and geriatric issues
- Anger management
- Attachment issues
- Autism and Asperger Syndrome
- Avoidant personality
- BDSM, kink, and alternative sex culture
- Blended family issues
- Body image
- Cancer
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Coaching
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Dependent personality
- Depression
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Emptiness
- Family of origin issues
- Family problems
- Fatherhood issues
- First responder issues
- Forgiveness
- Grief
- Guilt and shame
- HIV / AIDS
- Hoarding
- Immigration issues
- Impulsivity
- Infidelity
- Intellectual disability
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- Life purpose
- Men's issues
- Midlife crisis
- Money and financial issues
- Mood disorders
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Parenting issues
- Post-traumatic stress
- Postpartum depression
- Pregnancy and childbirth
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Self-love
- Sexual assault and abuse
- Sexual dysfunction
- Sexuality
- Smoking / vaping cessation
- Social anxiety and phobia
- Trauma and abuse
- Traumatic brain injury
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Experience
- 7 years
- Licensed
- Languages
- English
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