TW9 Richmond [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 fully trained as a 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 psychodynamic long term therapy and short term EMDR therapy (oftern around early trauma).  I am registered with ACAT, the TSP (Tavistock Society of Psychotherapists), TSSP and the BACP. I adhere by the BACP code of ethical practice.

I have extensive experience of working with adults, and adolescents, who are struggling managing life challenges, and relationships. I really value the importance of creating a non-judgmental, warm and safe space, and appreciate how important it is to create trust and a relationship which is supportive and honest. I value 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 so that we can work together to understand where you are now and the challenges which bring you to therapy.

I understand how difficult it can be to find the form of therapy and therapist which you feel would work best for you. I also appreciate the challenges of starting therapy and 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.

I have limited availability during the day and evenings.

Please email me if you would like to discuss therapy. I also offer an initial telephone conversation free of charge if you feel this would be helpful at this time. Please email me on

My website is to be found on


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