Karen Hough

Karen Hough is a counsellor with four years of professional experience working in the United Kingdom. She holds BACP accreditation and focuses on helping people manage stress, anxiety, relationship tensions, family conflict, trauma and abuse, and depression. She welcomes international clients and conducts sessions in English.

Her style is direct and compassionate. She aims to make sessions a place where people can speak honestly about difficult feelings without feeling judged. Early meetings focus on what matters most to the client and on practical next steps they can try between sessions.

Karen draws on evidence-based therapeutic techniques to help people understand patterns in their relationships and emotional life. She works with issues such as abandonment, attachment difficulties, codependency and commitment worries, and with life challenges including adoption and foster care, chronic illness, cancer, caregiving stress and ageing concerns.

She also supports people facing personality-related struggles such as avoidant or antisocial traits, and neurodiversity issues including autism and Asperger syndrome. Work with Karen often looks at day-to-day coping, clearer communication, and rebuilding trust in relationships.

Starting therapy is treated as a collaborative process. Karen helps clients set realistic goals and checks progress as therapy continues. She encourages small, achievable steps so people can notice steady change over time.

Approaches that guide online work

Karen uses evidence-based therapeutic techniques to help people recognise patterns and try practical changes. One common approach focuses on identifying unhelpful thoughts and testing them with small experiments; this helps with anxiety, low mood and persistent worry. Another approach looks at attachment and relationship patterns, helping people understand how past experiences shape current connections and teaching clearer communication and boundary skills.

Choosing the right approach is part of the work. The therapist will discuss different techniques with the client and decide together what feels most useful. That collaborative plan can change as progress is made and new goals appear.

Practical benefits of online therapy include fitting sessions into a busy week and avoiding travel time. Online work can make it easier to keep continuity when life gets hectic or when someone is living abroad, but session formats are not specified in the biography. Please confirm the exact session options before booking to ensure they suit your routine and needs.