Kasmira Spence

Verified Professional Verified Professional
Verified Professional

Every professional displayed on Counselling Directory has been independently verified by our team to ensure they have suitable credentials to practise.

Counsellor & Psychotherapist, PGdip, MBACP

About me

How I work

What if there isn’t anything “wrong” with you — only parts of you that haven’t yet been understood?

You might be feeling anxious, low, depressed, overwhelmed, stuck in familiar patterns, or unsure why certain relationships, situations or feelings affect you so deeply. Anxiety might show up as overthinking, panic, people-pleasing, social anxiety, perfectionism or feeling constantly on edge. Depression may feel like heaviness, numbness, low motivation, hopelessness, withdrawal, or finding it hard to connect with yourself and others.

You may also find yourself being highly self-critical, struggling with food or body image, grieving a loss, navigating difficult family dynamics, or feeling as though you have spent a long time coping rather than feeling truly understood.

I offer a warm, thoughtful and supportive space for adults and young people to explore what feels difficult, confusing or painful. My approach is relational, psychodynamic and integrative, which means we can look not only at what is happening now, but also at the experiences, relationships and beliefs that may have shaped how you feel, cope and relate to yourself and others.

My work often involves helping clients build a more compassionate relationship with themselves. Together, we might explore early experiences, attachment patterns, family roles, boundaries, relationship dynamics, trauma, grief, shame, identity, self-worth, and the parts of yourself that feel difficult to understand or accept.

Rather than focusing only on managing symptoms, we can take time to understand what may sit underneath them, at a pace that feels thoughtful, collaborative and manageable.

What I can help with
I support clients with a wide range of difficulties, including anxiety, social anxiety, panic, overthinking, depression, low mood, trauma, grief and loss, shame, emotional overwhelm, self-criticism, low self-worth, relationship difficulties, attachment patterns, family dynamics, boundaries, identity, eating difficulties and body image concerns.

I have specialist experience in eating disorders and body image difficulties, including restrictive eating, bingeing, purging, compulsive exercise, fear of weight gain, difficult relationships with food, and the shame or anxiety that can sit around eating and the body. This work can be structured where helpful, while also making space to understand what the eating difficulty may be trying to manage or protect you from.

I also regularly work with autistic clients and clients with ADHD. Therapy may need to be adapted depending on how you process information, communicate, experience emotions, manage relationships, or respond to pressure and expectation. I aim to work in a way that feels collaborative, respectful and accessible, rather than expecting you to fit into one fixed model of therapy.

Many of the people I work with are trying to make sense of patterns that feel hard to change - in relationships, family roles, coping strategies, self-worth, boundaries, or the way they relate to their own needs. Therapy can be a place to gently understand these patterns, rather than judge them.

Sessions and getting started
Therapy with me is collaborative and can be shaped around what you need. You may be looking for focused support around something specific, or you may want space for deeper exploration of yourself, your relationships and your past experiences.

I currently work online while my therapy room is being created, and hope to offer in-person sessions once this space is ready. I offer both short-term and longer-term counselling, depending on what feels most helpful for you. If you are unsure whether therapy is right for you, we can begin with an initial conversation to think together about what you are looking for and whether I feel like the right fit.

Training, qualifications & experience

I am a BACP registered counsellor and psychotherapist, working with adults and young people. I hold a Level 4 Diploma in Counselling Practice, which was psychodynamic in orientation, and a Certificate of Higher Education in Counselling and Psychotherapy Principles and Practices from the University of Derby.

I have also completed a two-year Level 7 PGDip in CBT-ED at the University of Sheffield, alongside further training in eating disorders, body image and CBT-E informed work. I support a range of eating difficulties, including anorexia nervosa, bulimia nervosa, binge eating disorder, ARFID, OSFED, restrictive eating, bingeing, purging, compulsive exercise and difficult relationships with food, weight or shape.

I have additional training and CPD in autism and ADHD, including adapting therapy to support different communication styles, processing differences, emotional needs and sensory experiences.

My clinical experience includes specialist therapy settings, eating disorder services and private therapy work. I work ethically and reflectively, with regular clinical supervision and ongoing professional development.

Member organisations

BACP
British Association for Counselling & Psychotherapy (BACP)

BACP is one of the UK’s leading professional bodies for counselling and psychotherapy with around 60,000 members. The Association has several different categories of membership, including Student Member, Individual Member, Registered Member MBACP, Registered Accredited Member MBACP (Accred) and Senior Registered Accredited Member MBACP (Snr Acccred). Registered and accredited members are listed on the BACP Register, which shows that they have demonstrated BACP’s recommended standards for training, proficiency and ethical practice. The BACP Register was the first register of psychological therapists to be accredited by the Professional Standards Authority (PSA). Accredited and senior accredited membership are voluntary categories for members who choose to undertake a rigorous application and assessment process to demonstrate additional standards around practice, training and supervision. Individual members will have completed an appropriate counselling or psychotherapy course and started to practise, but they won’t appear on the BACP Register until they've demonstrated that they meet the standards for registration. Student members are still in the process of completing their training. All members are bound by the BACP Ethical Framework and a Professional Conduct Procedure.

Accredited register membership

British Association for Counselling & Psychotherapy
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.

British Association for Counselling & Psychotherapy

Areas of counselling I deal with

Photos & videos

Fees

£60.00 - £100.00

Additional information

My standard fee is £70 for a 50-minute online counselling session.

I offer a limited number of concessionary spaces at £60, depending on availability and individual circumstances.

Specialist CBT-E eating disorder sessions are charged at £100 per session. This applies to structured CBT-E work for eating disorders, rather than general counselling around body image or eating-related concerns. Fees will always be discussed and agreed before booking.

Payment is made by bank transfer. I ask for at least 48 hours’ notice for cancellations or changes to appointments where possible.

Further information

If you are thinking about starting therapy, you are welcome to get in touch so we can arrange an initial conversation. This gives us a chance to think together about what you are looking for, ask any questions, and consider whether working together feels like the right fit.

I currently offer online sessions, which can provide a flexible and accessible way to begin therapy from a space that feels comfortable for you. Sessions are usually weekly, although we can discuss what feels most helpful depending on your circumstances and what you are hoping to work on.

You do not need to know exactly where to begin. Many people come to therapy with a mixture of thoughts, feelings or experiences that can feel difficult to put into words. We can take time to understand what is happening at a pace that feels manageable.

For eating disorder work, I will always consider whether private therapy is appropriate and safe. Where there is a higher level of medical or physical risk, specialist eating disorder services, GP involvement or multidisciplinary support may be needed.

Type of session

Online

Types of client

Young people (13-17)
Young adults (18-24)
Adults (25-64)
Older Adults (65+)

Key details

DBS check

In England and Wales, the Disclosure and Barring Service (DBS, formerly known as CRB) carry out criminal records checks for individuals working with vulnerable groups, such as children. To find out more, visit gov.uk , or contact this professional directly

Online platforms

Zoom
Kasmira Spence
Kasmira Spence