About Karen
Karen Hough is a counsellor based in the United Kingdom with four years of professional experience. She works with people who are struggling with stress, anxiety, relationship difficulties, family conflict, trauma and abuse, and depression. She aims to make the first step easier by offering a calm, non-judgemental space where people can say what they need to say.
Her style is straightforward and warm. She encourages honest conversation and helps people name the thoughts and feelings that are getting in the way.
Background and approach
Sessions focus on practical steps that can be used between meetings, as well as on making sense of difficult experiences. Karen has worked with a wide range of concerns beyond anxiety and depression.
These include issues connected to abandonment, adoption and foster care, ageing and geriatric matters, attachment difficulties, autism and Asperger Syndrome, chronic illness and pain, caregiving stress, body image, and more. She also addresses relational topics such as commitment issues, blended family challenges, and codependency. She offers several ways to meet, including video calls, phone sessions, live chat, and text messaging.
Sessions are arranged through a subscription model that can be cancelled at any time, and costs vary with location and therapist availability. To begin, people select the Start Therapy button, fill in a short matching questionnaire, and schedule sessions according to the therapist's availability. Karen welcomes international clients and conducts sessions in English.
Approaches and how they work online
Karen uses evidence-based therapeutic techniques that focus on practical change and understanding. One approach helps people identify unhelpful thought patterns and replace them with more balanced ways of thinking; this can reduce day-to-day anxiety and make decisions feel easier. Another approach concentrates on understanding how past experiences and attachment patterns shape current relationships, which can help when someone is struggling with trust, commitment, or recurring conflict.Choosing the right approach is part of the work. The therapist will explore your goals, preferences, and the problems you bring, and together you will decide which methods to try. That collaborative process allows the plan to shift as you learn what helps most.
Online sessions are offered by video call, phone, live chat, or text-based messaging to give practical flexibility. Video calls allow face-to-face conversation when that feels useful. Phone sessions need less bandwidth and can fit into shorter breaks. Live chat or messaging can suit quick check-ins, written reflection, or when typing feels easier than speaking. These options make it simpler to keep therapy consistent around work, caregiving, and travel.
Questions people ask
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What this therapist works with
Most often
- Stress, Anxiety
- Relationship issues
- Family conflicts
Also listed
- Abandonment
- Adoption and foster care
- Aging and geriatric issues
- Antisocial personality
- Attachment issues
- Autism and Asperger Syndrome
- Avoidant personality
- Blended family issues
- Body image
- Cancer
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Codependency
- Commitment issues
- Communication problems
- Control issues
- Coping with natural or human-caused disaster
- Dependent personality
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Dissociation
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Eating and food-related issues
- Emptiness
- Family of origin issues
- Family problems
- Fatherhood issues
- Fertility issues
- First responder issues
- Forgiveness
- Guilt and shame
- Hoarding
- Hospice and end-of-life counseling
- Impulsivity
- Infidelity
- Intellectual disability
- Isolation / loneliness
- Jealousy
- Life purpose
- Men's issues
- Midlife crisis
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Personality disorders
- Phobias
- Post-traumatic stress
- Postpartum depression
- Pregnancy and childbirth
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self-harm
- Self-love
- Sex addiction
- 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
- Experience
- 4 years
- Licensed
- Languages
- English
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