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Carlie Machell-Kay

Carlie Machell-Kay, NCPS

Therapist · United Kingdom · 7+ years of experience

Psychodynamic counsellor for life transitions

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  • Midlife changes
  • Trauma support
  • Relationship work

About Carlie

Carlie Machell-Kay is a counsellor who helps people facing midlife shifts, anxiety, stress and relationship difficulties. She also supports people dealing with trauma and abuse, parenting strain, grief, addictions and changes to self-esteem. Carlie uses straightforward language and aims to make the first steps feel manageable for someone worried and unsure.

Carlie trained as a psychodynamic counsellor and holds the NCPS credential. She qualified seven years ago and brings seven years of practice as a therapist to her work. Before qualifying she spent many years working in related roles over a longer career, which shapes how she understands life changes and long-term stress.

Her work often focuses on how past relationships affect current feelings and behaviour. Sessions include talking through personal history, noticing repeated patterns and testing out new ways of relating to oneself and others. She also offers trauma-informed support for people coping with the aftereffects of abuse and violence.

Carlie has significant professional experience in women's mental wellbeing and in domestic abuse settings. She also has personal experience of neurodiversity and brain injury, which informs how she listens and adapts her approach to meet different needs. She aims to be approachable and flexible when planning sessions.

People meet Carlie to sort through big life decisions, manage emotional overwhelm, or to get practical help with day-to-day coping. She works collaboratively to set goals and to decide what feels most useful at each stage of therapy.

Areas of expertise

Primary focus

Stress, AnxietyRelationship issuesFamily conflictsTrauma and abuseParenting issues

Also works with

AddictionsGriefIntimacy-related issuesAnger managementSelf esteemDepressionCoping with life changesCoachingCompassion fatigueADHD

Additional focus areas

AbandonmentAdoption and foster careAging and geriatric issuesAttachment issuesAutism and Asperger SyndromeAvoidant personalityBDSM, kink, and alternative sex cultureBlended family issuesBody imageCancerCaregiver issues and stressChronic pain, illness, and disabilityCo-morbidityCodependencyCommitment issuesCommunication problemsControl issuesCoping with natural or human-caused disasterDependent personalityDivorce and separationDomestic violenceDrug and alcohol addictionEmptinessFamily of origin issuesFamily problemsFatherhood issuesFirst responder issuesForgivenessGuilt and shameHIV / AIDSHoardingImmigration issuesImpulsivityInfidelityIntellectual disabilityIsolation / lonelinessJealousyLife purposeMen's issuesMidlife crisisMoney and financial issuesMood disordersNarcissismObsessions, compulsions, and OCDPanic disorder and panic attacksParanoiaPostpartum depressionPost-traumatic stressPregnancy and childbirthPrejudice and discriminationProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-harmSelf-loveSexual assault and abuseSexual dysfunctionSexualitySmoking / vaping cessationSocial anxiety and phobiaTraumatic brain injuryWomen's issuesWorkplace issuesYoung adult issues

Therapeutic approaches

Client-Centered TherapyNarrative TherapyPsychodynamic TherapyTrauma-Focused Therapy

Experience

7+ years

Credentials

United Kingdom

Languages

English

How Carlie works online and her therapeutic approaches

Client-Centred Therapy places the person at the heart of the work, focusing on listening and responding to what matters most to them and helping them find their own solutions. Narrative Therapy looks at the stories people tell about their lives, separating problems from identity so that different, more helpful stories can be tried out. Psychodynamic Therapy explores how earlier relationships shape current feelings and patterns, helping people understand why they react in certain ways.

Finding the right approach is often part of early sessions. Carlie will discuss goals, preferences and practical needs with each person and work together to pick or blend approaches that feel most helpful. This is a collaborative process and can change as therapy progresses.

Online therapy can make it easier to fit sessions into a busy week, reduce travel time and allow people to join from wherever they are based. It can also help with practical needs like shorter check-ins or sessions that do not require being on camera. Session formats are not specified here, so confirm current online options with Carlie before booking to make sure they suit your schedule and needs.

Frequently asked questions

What concerns does Carlie help with?

Carlie supports people with stress, anxiety, relationship and family issues, trauma and abuse, parenting, addictions, grief, intimacy concerns, anger, self-esteem and depression. She also helps with coping through life changes and offers coaching-style support when useful.

What is her approach in sessions?

She works in a psychodynamic way to look at how past relationships shape present feelings, and uses client-centred, narrative and trauma-focused ideas as needed. Sessions are conversational and tailored to what the person needs.

How much experience does she have?

Carlie has seven years of qualified practice as a therapist and many more years of related professional experience prior to qualifying. That background includes work in women's mental wellbeing and domestic abuse settings.

What are her qualifications and where is she based?

She holds the NCPS credential and is based in the United Kingdom.

Which languages are supported?

Sessions are offered in English.

Can people from other countries work with her?

She accepts international clients; confirm any time-zone or scheduling details when booking.

How are sessions paid for?

Cost varies with location and therapist availability; sessions use a subscription model that can be cancelled at any time.

How do I begin therapy with her?

Choose the Start Therapy button, complete a short matching questionnaire, and then schedule according to therapist availability.

Carlie Machell-Kay Online therapy options on BetterHelp

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