Karen Spencer

Karen Spencer

Richmond Upon Thames

07933 579444 / 07933 579444

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About me

I am a fully qualified Psychodynamic Psychotherapist and Cognitive Analytic Therapist ('CAT') working in private practice in Richmond. I offer short term CAT therapy and also offer longer-term more in-depth psychodynamic psychotherapy depending on your what would be most helpful for you.

Cognitive Analytic Therapy ('CAT') is a collaborative therapy which helps look at the way you think, feel and act, providing a space to think together about events and relationships that underly how you feel about yourself, others and the world. When working together the therapy is tailored to what you need, which we can discuss together. Cognitive analytic therapy is time limited, between 4 and 24 weeks, but typically runs for 16 weeks and is very collaborative.

Psychodynamic Psychotherapy is traditionally offered as a more long-term therapy and relies on the interpersonal relationship between you, the client, and me, as therapist. It is based on psychoanalytic concepts. I work within this approach to create a containing and safe space where you can hopefully feel able to bring and be yourself.

I work with people who come to therapy when they are often finding it difficult to cope on their own with problems they encounter in their day-to-day living. In our lives we often need support beyond what can be offered by family and friends especially around challenges connected with:

  • relationship issues
  • anxiety
  • stress
  • depression
  • low self-esteem
  • loneliness
  • trauma
  • loss/separation/divorce
  • attachment disorders
  • gender and sexuality issues
  • communication difficulties (e.g. assertiveness)
  • childhood trauma

My private practice is located conveniently directly opposite Richmond station with easy access to British Rail and overground and underground services and local bus routes.

I like to work collaboratively helping develop scaffolding to help support you when managing difficulties by creating a warm and respectful relationship that will hopefully help you to feel safe to express your feelings and concerns as openly as you can. I am very committed to developing a strong therapeutic alliance and appreciate the courage that can be necessary when starting therapy. I suggest an initial consultation so that you can understand what is involved in the therapy and so we can think together about what type of therapy is most suited to where you are now and where you want to be.

Training, qualifications & experience

My psychotherapy training within the NHS, having studied at the Tavistock and Portman NHS Foundation Trust, majoring in inter-cultural psychodynamic psychotherapy. I am a fully qualified psychodynamic psychotherapist.

I also am a qualified Cognitive Analytic Therapist, having completed my training through ACAT and am a registered member of ACAT the Association of Cognitive Analytic Therapy and abide by its Ethical Framework and am accountable to ACAT for my conduct performance and continuous personal development.

My work is supervised professionally by an independent qualified supervisor.

Member organisations


Other areas of counselling I deal with

I am also a qualified careers advisor and HR consultant having worked within the area of HR consultancy around work-related issues. I am particularly experienced within the area of effective communication and personal development.


Initial assessment fee: £65

Weekly one-to-one session: £65

Therapy sessions take place for 50 minutes within my private practice in Richmond at a time that is agreed with you.

I understand that starting any form of therapy, especially for the first time, can be challenging and I am happy to speak over the phone before you commit to meeting up.

I also offer a limited number of concessions for clients on low incomes which I am delighted to discuss within the initial assessment.

Further information

I am committed to working with a variety of clients respecting differences and diversity including gender, sexual orientation, and racial background and ethnicity and religious beliefs. I do not diagnose, or judge rather I try to understand your story so we can find new ways of understanding and coping with challenges and distress with a respect to individual issues around identity and values/beliefs.

Maps & Directions

Richmond Upon Thames, TW9

Type of session

Online counselling: No
Telephone counselling: Yes
Face to face counselling: Yes

Practical details

Sign language: Unspecified
Other languages: None


Wheelchair access: Unspecified


Thursday mornings

Types of client

Older adults