- Family of origin issues
- Attachment and abandonment
- Stress and anxiety
About Karen
Karen Marsh is a PACFA counsellor based in Australia with 25 years of professional experience. She works with people facing stress and anxiety, self-esteem difficulties, relationship problems, family conflict, trauma and abuse. Karen uses a mix of approaches to respond to the issues people bring to sessions.
Many clients come because patterns from their family of origin still affect their adult life. Karen talks with people about roles they learned in childhood, communication habits, and how those patterns show up now. She also supports people dealing with anger, guilt and shame, and feelings of abandonment or codependency.
In the therapy room Karen draws on Acceptance and Commitment Therapy and Cognitive Behavioural Therapy to help people notice unhelpful thoughts and take practical steps aligned with their values. She also uses Attachment-Based and Emotionally-Focused methods to look at relational patterns and emotional responses. Sessions are conversational and focused on next steps people can try between meetings.
Over her career she has worked with a wide range of concerns including panic attacks, post-traumatic stress, domestic violence, separation and divorce. Karen explains options clearly and helps people choose approaches that suit their needs. She keeps language simple and avoids jargon so conversations stay focused and useful.
People who want to begin are invited to review the online therapy options and complete a short matching questionnaire before scheduling a first session. Sessions use a subscription model that can be cancelled at any time.
How therapeutic approaches are used in online sessions
Acceptance and Commitment Therapy (ACT) helps people notice unhelpful thoughts and focus on small actions that match their values. It is useful for stress, anxiety and struggles with motivation. Cognitive Behavioural Therapy (CBT) looks at the links between thoughts, feelings and behaviour and teaches practical skills to reduce panic, worry and unhelpful thinking. Attachment-Based Therapy focuses on how early relationships shape current patterns and can be useful for people concerned about trust, closeness and family of origin issues.Choosing the right approach is part of the work together. The therapist will discuss options, try a method and adjust based on what the person finds helpful. Clients and the counsellor make these choices collaboratively, matching methods to goals and preferences.
Session formats are not detailed in the biography, so confirm available options before booking. Online work can make it easier to fit sessions into a busy week, allow for shorter check-ins when needed, or remove travel time. The emphasis is on practical scheduling and finding ways to practise skills between sessions, rather than on any single delivery method.
Areas of expertise
Primary focus
Additional focus areas
Therapeutic approaches
Experience
25+ years
Listed in
Australia
Languages
English
Frequently asked questions
What kinds of concerns does she work with?
She works with stress, anxiety, relationship issues, family conflict, trauma and abuse. Additional focuses include codependency, control issues and self-love.
What is her therapeutic style?
She combines practical, conversational work with longer exploration of relational patterns. Sessions focus on identifying steps people can try between meetings.
How much experience does she have?
She has 25 years of professional work experience in Australia supporting a range of concerns across relationships and personal wellbeing.
What credentials and location are listed?
She is listed with PACFA and practises in Australia.
Which languages are supported?
Sessions are offered in English and international clients are not accepted.
What session formats are offered?
Confirm the current session options before booking, as formats are not specified in the biography.
How much do sessions cost?
Cost varies with location and sessions use a subscription that can be cancelled at any time.
How do I begin working with her?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Online talk therapy is not emergency care. If you are in danger, use the emergency numbers. Looking for someone else? Find them by surname.