Carlie Machell-Kay
Warm counsellor for trauma and relationships
About Carlie
Carlie Machell-Kay helps people cope with stress, anxiety, depression and the effects of trauma and abuse. She supports people facing relationship and family strain, parenting pressures, grief, addiction concerns, low self-esteem, anger, and intimacy-related issues. Carlie also works with people navigating life changes, compassion fatigue, ADHD and a range of additional challenges such as body image, caregiver stress and chronic illness.
Carlie draws on seven years working as a counsellor after a long career in related support roles.
Background and approach
She holds NCPS as a credential and uses that background to shape practical sessions. Her style is warm and approachable and she aims to make sessions feel straightforward and useful from the start. Her work often focuses on how past relationships and experiences affect present life.
That helps when patterns repeat or when old hurts resurface. She pays particular attention to trauma, relationship difficulties and the ways attachment and abandonment can influence feelings and choices. Carlie uses talking approaches that centre the person and their story.
She helps people tell and reshape their narratives to make space for new choices. She also brings psychodynamic ideas about how early experiences form patterns, and trauma-focused methods when past harm is a key concern. Sessions are tailored to what each person needs, with a practical aim in mind.
Carlie is comfortable working with neurodiversity and brain injury from personal experience, and she adapts her approach to suit different situations and goals.
What Carlie works with
How Carlie works
Listed by Carlie among the ways they work.
Listed by Carlie among the ways they work.
Listed by Carlie among the ways they work.
Listed by Carlie among the ways they work.
Sessions & fees
How her approaches work online
Client-Centred Therapy puts the person and their experience at the heart of each session. The counsellor listens carefully, reflects what is said, and helps the person decide what matters most to work on; this is useful for stress, self-esteem and relationship concerns.Narrative Therapy helps people tell the story of their life and then look at that story differently. It can make space to separate a person from difficult problems and to find new ways of acting when old patterns are unhelpful.
Psychodynamic ideas look at how early relationships shape current feelings and behaviours. This can shine a light on repeated patterns and help people understand why they react in certain ways, which is often useful when trauma or attachment issues are present.
Finding the right approach is part of the work and the therapist will help decide what fits best. Sessions start by discussing needs, goals and preferences, then the plan is adjusted as progress is made in a collaborative way.
Online formats offer flexibility and different practical benefits. Video calls allow face-to-face conversation when a fuller exchange helps. Phone sessions can work well when less bandwidth is needed or for a quick check-in. Live chat and text-based messaging suit people who prefer writing, want brief daily contact, or need to fit sessions around a busy day. These options make it easier to fit therapy into real life while keeping the focus on making tangible progress.
| Session length | Typically 50 minutes |
|---|---|
| Client ages | Adults, 18 and over |
| Fees | Subscription via BetterHelp, cancel anytime |
| Insurance | Not billed directly |
Questions people ask
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Areas of focus
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
- Registered with
- NCPS
- Languages
- English