Karen Hough, BACP

Karen Hough is a counsellor working in the United Kingdom with four years of professional experience and BACP registration. She supports people facing stress, anxiety, relationship strain, family conflict, trauma and abuse, and depression. Karen encourages honest conversations and calm reflection in sessions. She aims to make the first step into therapy feel manageable for anyone who is nervous about starting.

Her practice focuses on helping people notice unhelpful thought patterns and everyday habits that make problems feel worse. Sessions are conversational and practical, with attention to what is happening day to day. Karen helps clients name difficult feelings and try small changes that fit into their routines.

She also works with concerns such as abandonment, adoption and foster care issues, attachment difficulties, and challenges linked to ageing, chronic illness, or caregiving. Other areas she supports include body image, commitment worries, and the effects of abuse and trauma. The approach is tailored to each person rather than one-size-fits-all.

Karen aims to create an open, non-judgemental space where thoughts and feelings can be shared. She listens attentively and helps people set realistic goals for therapy. The focus is on understanding what is getting in the way now, and finding simple, practical steps forward.

If you prefer, you can start by using the platform Start Therapy button to complete a short matching questionnaire and arrange sessions according to her availability.

How therapeutic approaches and online sessions can work together

Evidence-based techniques often focus on changing thought patterns and everyday habits to reduce distress. For example, approaches that help people spot and reframe unhelpful thoughts encourage clearer thinking and reduced rumination, which can ease anxiety and low mood. Another common technique teaches small behavioural experiments and routine changes to test new ways of coping and to build confidence in daily life.

Finding the right approach is usually a collaborative process. The therapist will work with the client to identify goals, try different techniques, and adjust the plan as needed. This shared decision-making helps match methods to personal needs and preferences rather than imposing a single method from the start.

Online therapy can make it easier to fit sessions into a busy life, for example by reducing travel time or allowing a session during a lunch break. If you are considering remote work, confirm the exact session formats available before booking. Registered or accredited professionals can guide you on how to shape remote appointments so they feel practical and useful for your situation.