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About me

Is it time for change? You don't have to do it on your own.  I can support you to understand yourself better and live a more grounded and fulfilling life.  I see clients in-person in Hove and Hurstpierpoint, where we have protocols in place for your safety.

If would like to access counselling but prefer not to meet in person (under pandemic rules, or perhaps you are house-bound or travel), online sessions may be a good option for you. I am used to working in this way and, while it is different from meeting in person, it can be a very effective way of working.

I offer both short and long term counselling. My style is gentle, empathic and holding.

I counsel adults around a wide range of issues. ​These include: anxiety, family & relationship issues, depression, and low self-esteem.

My core training is in Transactional Analysis counselling and psychotherapy; I have additional training and experience in working with boarding school survivors* and substance misuse.

Inner change can happen at any point in our lives, when we are willing to take that first step. ​ "Start close in, don’t take the second step or the third, start with the first thing close in, the step you don’t want to take." ​ ​(David Whyte, River Flow: New and Selected Poems).

​​​​I am a member of BACP, NCS and UKATA, abide by their codes of ethics and am fully insured.

*For many ex-boarders the experience of being sent away to boarding school has a long lasting impact. Some of the ways you adapted as a child to the school environment may have become problematic in your adult life now. The privilege attached to private schools can make this difficult to acknowledge and talk about. I have specialist training in working with ex-boarders and can help you address issues arising from your boarding experience.

Training, qualifications & experience

My core training is in Transactional Analysis (TA) counselling and psychotherapy; I have additional training and experience in working with adult ex-boarders, substance misuse and young people.

I have worked as a drug and alcohol counsellor and as a college counsellor.

Member organisations

Registered / Accredited

Registered / Accredited

Being registered/accredited with a professional body means an individual must have achieved a substantial level of training and experience approved by their member organisation.


National Counselling Society

The National Counselling Society

This Not For Profit association of counsellors and psychotherapists aim to support the counselling profession, members and training organisations.

In 2013 the NCS register was accredited by the Professional Standards Authority under the Accredited Voluntary Register Scheme. Accredited by the Professional Standards Authority.


UK Association for Transactional Analysis

UKATA (formally the Institute of Transactional Analysis) is the national UK Transactional Analysis organisation representing all fields of TA theory and practice. TA can be used as an effective tool in a wide range of contexts such as: personal development, management, coaching, counselling, psychotherapy, teaching, education, parenting and more.

Accredited register membership

National Counselling Society

Accredited Register Scheme

The Accredited Register Scheme was set up in 2013 by the Department of Health (DoH) as a way to recognise organisations that hold voluntary registers which meet certain standards. These standards are set by the Professional Standards Authority (PSA).

This therapist has indicated that they belong to an Accredited Register.

Other areas of counselling I deal with

Boarding School Survivors

Therapies offered

  • Person-centred therapy
  • Transactional analysis


£50 per 50 minute session.  The initial assessment session is free.

Concessions offered for

  • Low income

198 Church Road
East Sussex

Sussex Osteopath And Complementary Health Clinic
135-137 High St
East Sussex

Type of session

In person
Home visits

Practical details

Sign language Unspecified
Other languages None


Wheelchair user access

Wheelchair-accessible premises should have step-free access for wheelchair users and individuals who are unable to climb stairs. If a counsellor's premises aren't step-free, they may offer alternative services such as telephone/web-based appointments, home visits, or meeting clients in different location, so you can choose the option that suits you best.

You can contact the counsellor to discuss the options available.

Under the Equality Act 2010 service providers have a duty to make reasonable adjustments to ensure that individuals with disabilities can access their service. You can read more about reasonable adjustments to help you to access services on the CAB website.

Wheelchair user access

The clinic in Hove is wheelchair accessible.


Monday evenings, Wednesday, Thursday evenings and Friday.  Some Saturday mornings.

Types of client

Karen Macmillan Counsellor (MBACP, Dip. TA Practice)

Karen Macmillan Counsellor (MBACP, Dip. TA Practice)