Richmond Upon Thames [Karen Spencer]



I am an ACAT accredited Cognitive Analytic Therapist and a qualified psychodynamic psychotherapist, having studied at the Tavistock in London and within the Sussex Partnership NHS Trust. I am also a fully trained EMDR therapist. I work with both individuals and couples.

I offer both long-term and short-term therapy  within my Richmond-Upon-Thames practice. As a cognitive analytic therapist I offer therapy generally running once-weekly for 16 or 24 weeks. I also offer long term work and time-limited EMDR work particularly around trauma. I am registered with ACAT, the TSP (Tavistock Society of Psychotherapists), the TSSP and the BACP. I adhere by the BACP code of ethical practice.

I have limited availability during the day and evenings. I also offer online sessions.

I have extensive experience of working with adults, and adolescents, who are struggling managing life challenges, and relationships. I value the importance of creating a non-judgmental, warm and safe space, and working collaboratively, with empathy, to understand patterns of relating to create a scaffolding to promote positive change and self-understanding and compassion. Developing a trusting and therapeutic relationship I believe is key to feeling able to share your story and feel understood without judgement. A space where you can be yourself and where we can think together about the challenges you are facing which have brought you to look for a therapist.

I appreciate the challenges of starting therapy and knowing what approach would be most helpful for you. I offer an initial consultation to explain how therapy works and assess your individual needs - where you are now and where you want to be. I am also happy to talk over the phone initally if this might be useful.

My private practice is based in Richmond and I can offer an early morning appointment for those wanting to see a therapist before work. I also offer day time and evening appointments . My practice is conveniently located directly opposite Richmond Station (Postcode TW9 2PR) with access to both overground and underground trains and local bus services.

Please visit my website at

Please email me if you would like to discuss therapy on

I offer a free initial telephone conversation if you feel this would be helpful at this time as I appreciate how difficult it can be to reach out for help and explore what might be supportive and help you explore what you need to offer scaffolding.




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