Karen Hough

Karen Hough is a counsellor registered with the British Association for Counselling and Psychotherapy (BACP). She has four years of professional experience in the United Kingdom and helps people who are coping with stress, anxiety, relationship and family difficulties, trauma and abuse, and depression. She speaks English and accepts international clients.

Karen aims to make the first step feel manageable. She works to create an open, non-judgemental space where clients can say what they think and feel. Sessions focus on listening, clarifying what matters most, and finding practical ways forward.

In practice she draws on evidence-based therapeutic techniques to address everyday struggles and deeper patterns. That might mean looking at how current problems connect to past experiences, learning ways to reduce anxiety, or working on communication in close relationships. She tailors the approach to each person rather than using a one-size-fits-all plan.

She also works with a range of additional concerns including abandonment, adoption and foster care matters, ageing and geriatric issues, autism and Asperger syndrome, caregiver stress, chronic illness or pain, body image, and codependency. Conversations can cover both immediate coping strategies and longer-term change.

To begin, readers are encouraged to use the Start Therapy button and complete the brief matching questionnaire. Karen will then schedule sessions according to her availability and the process moves forward from there.

How evidence-based approaches work online

Karen uses evidence-based therapeutic techniques to help people manage symptoms and life difficulties. One common approach focuses on identifying unhelpful thinking and behaviour patterns, then practising alternative ways of responding to reduce anxiety and low mood. Another approach looks at how past experiences shape current relationships and attachment, helping people notice patterns and try different ways of relating.

Finding the right approach is part of the work. Karen will explore a person’s goals, needs and preferences and collaborate on a plan. That means trying methods, checking what helps, and adjusting the focus as therapy progresses so it fits the individual.

If you are considering online therapy, check the session options before booking so you know how meetings will be held. Online work can make it easier to fit appointments into a busy week, reduce travel time, and offer a way to maintain continuity when circumstances change. It can also allow shorter check-ins when that suits a schedule, or reduce the need to be on camera if quieter surroundings or lower bandwidth are preferable. Confirm the exact session formats offered when you schedule to ensure they meet your needs.