About Karolina
Karolina Puspacherova is a counsellor with four years of professional experience based in the United Kingdom. She offers calm, straightforward support for people dealing with anxiety, low self-esteem, stress and depression. Karolina aims to make the first steps easier and to create a space where someone can be heard without judgement.
She takes a collaborative, warm approach and works at each person's pace. Sessions focus on practical ways to manage day-to-day difficulties and on understanding the patterns that keep problems going.
How Karolina works
Conversations can cover relationships, intimacy-related issues, grief, trauma and abuse, and concerns around eating, sleeping or career stress. Karolina draws on several approaches to tailor sessions to each person's needs. She uses client-centred ideas to build a respectful, listening relationship and cognitive behavioural techniques to spot and change unhelpful thinking.
She also uses solution-focused work for short-term goals and psychodynamic and existential ideas when looking at deeper life questions. Her practice also supports people with ADHD, body image difficulties, caregiver stress, chronic pain or illness, and complex relationship concerns such as attachment and communication problems.
She is familiar with issues connected to BDSM, kink, and alternative sex cultures and can discuss these without judgement. Sessions are offered in English and Karolina accepts international clients. She is registered with the British Association for Counselling and Psychotherapy, which appears as BACP in her details.
Karolina lists 5 ways of working on the entry:
What Karolina works with
The areas below are the ones Karolina selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
- Stress, Anxiety
- Relationship issues
- Self esteem
Also listed
- Abandonment
- ADHD
- Anger management
- Antisocial personality
- Attachment issues
- Avoidant personality
- BDSM, kink, and alternative sex culture
- Body image
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Commitment issues
- Communication problems
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Depression
- Divorce and separation
- Domestic violence
- Eating and food-related issues
- Eating disorders
- Emptiness
- Family conflicts
- Family problems
- Fatherhood issues
- Fertility issues
- Forgiveness
- Grief
- Guilt and shame
- Impulsivity
- Infidelity
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- LGBT
- Life purpose
- Men's issues
- Midlife crisis
- Money and financial issues
- Mood disorders
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Parenting issues
- Post-traumatic stress
- Pregnancy and childbirth
- Self-harm
- Self-love
- Sexual assault and abuse
- Sexuality
- Sleeping disorders
- Social anxiety and phobia
- Trauma and abuse
- Women's issues
- Workplace issues
- Young adult issues
Training and background
| Register | BACP |
|---|---|
| Years in practice | 4 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | United Kingdom |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
Therapeutic approaches for online support
Karolina combines client-centred work and cognitive behavioural therapy to tailor sessions to each person. Client-centred Therapy focuses on listening and building a respectful, non-judgemental relationship so people can talk openly about what matters to them. Cognitive Behavioural Therapy (CBT) looks at the connections between thoughts, feelings and behaviours and uses practical exercises to reduce anxiety, improve sleep, or change unhelpful patterns.Finding the right approach is part of the work together. Karolina will discuss goals and preferences and adapt techniques over time. The process is collaborative so the chosen methods fit the person's life and what they want to achieve, whether that is short-term problem solving or exploring deeper themes.
Online sessions are offered by video call, phone, live chat, or text-based messaging to give flexibility. Video calls are useful for more in-depth conversations; phone sessions can be easier when bandwidth is limited or for a quicker check-in. Live chat and messaging suit shorter updates or ongoing support between longer sessions. These options make it easier to fit therapy around work, caregiving, or travel while keeping continuity of care with registered or accredited professionals.
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Common questions
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A practical next step
Write down two things you would want to be different in six months. That is the most useful thing to bring to a first session, whoever it is with. If you would rather start now than keep reading, online sessions are the quickest route.
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