Sheet 1
- ACT and CBT methods
- Attachment-based work
- Trauma and family issues
About Karen
PACFA counsellor with 25 years of professional experience, Karen Marsh works with stress, anxiety, relationships, family conflict, trauma and abuse, and anger. She uses approaches such as Acceptance and Commitment Therapy (ACT), Attachment-Based Therapy, Client-Centred Therapy, Cognitive Behavioural Therapy (CBT) and Emotionally-Focused Therapy (EFT). Karen writes in straightforward terms and focuses on practical, observable steps in sessions.
Karen helps people notice patterns that keep problems going. She uses ACT to clarify values and take small action steps. She uses CBT to map thoughts and behaviours that feed anxiety and panic. Attachment-based ideas are used to understand how past relationships shape present reactions.
In sessions she treats the person as the expert on their life. Conversations aim to identify what is getting in the way and test small changes. Techniques may include exercises, behavioural experiments and emotion-focused conversation depending on the issue.
Karen has worked across many kinds of relationship and trauma issues over her career. That experience informs how she works with family of origin problems, domestic violence effects, abandonment and attachment wounds, and grief around separation or divorce.
She also addresses concerns such as codependency, control problems, communication difficulties, guilt and shame, and self-love. Her approach is practical and collaborative, designed to help people develop clearer coping skills and more effective ways of relating.
Sessions are conducted in English and reflect her 25 years of practice in Australia. People who want to begin are asked to follow the site's process to complete a short matching questionnaire and schedule a first session.
Sheet 2
Therapeutic approaches and how they work online
Acceptance and Commitment Therapy (ACT) helps people clarify what matters to them and commit to small, manageable actions. It is useful for anxiety, stress and problems where avoidance keeps issues active. Cognitive Behavioural Therapy (CBT) maps the links between thoughts, feelings and behaviour and tests changes with simple experiments. CBT helps with panic, anxiety and patterns that maintain low mood. Attachment-Based Therapy looks at how early relationships shape current reactions and helps people understand patterns in close relationships.Choosing the best approach is part of the work. The therapist will collaborate with each person to test methods and adjust plans based on needs, goals and preferences. Sessions can include practical exercises, exposure tasks, values work or emotion-focused conversations depending on what suits the client.
The site asks clients to confirm session options before booking because formats are not specified in the biography. Online work can make it easier to fit therapy into a busy life - for example it can reduce travel, allow shorter check-ins during a work break, or avoid being on camera when someone prefers audio. Confirm the available session formats and scheduling details on the booking page before you book.
Sheet 3
Areas of expertise
Primary focus
Additional focus areas
Therapeutic approaches
Experience
25+ years
Listed in
Australia
Languages
English
Sheet 4
Frequently asked questions
What concerns does she commonly address?
She works with stress, anxiety, relationship difficulties, family conflict, trauma and abuse, and anger. Additional areas include abandonment, attachment issues, codependency, communication problems and panic attacks.
What therapeutic approaches does she use?
Her practice draws on Acceptance and Commitment Therapy (ACT), Attachment-Based Therapy, Client-Centred Therapy, Cognitive Behavioural Therapy (CBT) and Emotionally-Focused Therapy (EFT). These are used flexibly depending on the issue.
How much clinical experience does she have?
She has 25 years of professional experience working with adults on relationship, trauma and anxiety-related concerns.
What credential does she hold and where is she based?
She is accredited with PACFA and practises in Australia.
Which languages are sessions offered in?
Sessions are offered in English.
Does she work with international clients?
International clients are not currently accepted.
How are fees and payments handled?
Cost varies with location and sessions use a subscription model that can be cancelled at any time.
How do I begin a first session?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session through the site process.
Online talk therapy is not emergency care. If you are in danger, use the urgent help numbers.