Karen Hough
Compassionate practical counselling for life challenges
About Karen
Karen Hough is a counsellor practising in the United Kingdom with four years of professional experience and a BACP accreditation. She focuses on helping people manage stress, anxiety and depression, and offers support for relationship and family concerns. Karen also works with people affected by trauma and abuse and those coping with addiction-related issues.
Her style is straightforward and down to earth. She aims to create an open, non-judgemental space so people can talk about difficult thoughts and feelings.
Background and approach
Karen encourages small, practical steps that fit into everyday life rather than overwhelming tasks. Sessions often begin by identifying the most pressing concerns and what the person hopes to change. From there Karen and the client set clear, manageable goals and check progress regularly.
Conversations focus on understanding patterns, learning coping skills, and finding ways to reduce distress in daily routines. She also supports people dealing with specific challenges such as abandonment worries, attachment issues, and the strain of caring for others. Karen has experience with long-term health concerns, body image, blended family dynamics and issues linked to adoption or foster care.
She accepts international clients and runs sessions by video calls, phone, live chat or text-based messaging. The aim is practical help that fits around work, family life and other commitments.
What Karen works with
Sessions & fees
Therapeutic approaches and how they work online
Karen uses evidence-based therapeutic techniques that focus on understanding problem patterns and building practical coping skills. One common approach helps people identify unhelpful thoughts and test them against everyday evidence to reduce anxiety and low mood. This method teaches clear skills to use when stress flares up and can be practised between sessions.Another approach looks at how past relationship experiences affect current reactions and attachment. It helps people recognise recurring patterns, try different ways of relating, and build more supported ways of connecting with others. This can be useful for people worried about abandonment, commitment or attachment problems.
Finding the right approach is part of the work and is decided together. The therapist will listen to what matters most, discuss options, and agree a plan that fits the person's goals and preferences. The process is collaborative and reviewed as progress is made.
Online sessions offer practical flexibility. Video calls allow face-to-face conversation from different locations, phone sessions use less bandwidth and can fit into a short break, live chat suits quick check-ins, and text-based messaging supports ongoing, spaced communication. These formats help people access therapy around work, family and other commitments.
| 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
- 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 counselling
- 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
- Registered with
- BACP
- Languages
- English
