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Carlie Machell-Kay

Carlie Machell-Kay

NCPS · United Kingdom

Psychodynamic counsellor for complex life challenges

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  • Warm and approachable
  • Trauma and relationships
  • Adoption and foster care

About Carlie

Carlie Machell-Kay is a psychodynamic counsellor who helps people facing stress, anxiety, relationship and family difficulties. She supports those coping with trauma and abuse, parenting challenges, grief, addictions and changes in life. Carlie also works with issues such as self-esteem, anger, intimacy, ADHD and compassion fatigue.

Carlie qualified as a therapist seven years ago and holds the NCPS credential. Before training she spent many years working with people in related roles, and she brings that wider experience into sessions. Her background includes work in women's mental wellbeing and roles in domestic abuse settings.

Her style is warm and approachable. She focuses on understanding how past relationships shape current feelings and behaviour. Sessions look at patterns that repeat and make sense of why things feel difficult right now.

Carlie tailors the work to each person. That might mean talking through life events, looking at relationship dynamics, or addressing the long-term effects of trauma. She also draws on narrative approaches to help clients reframe their stories and find different ways forward.

She is open to working with people affected by neurodiversity and brain injury, and to supporting those connected to adoption and foster care concerns. Practical steps are combined with reflective work to help people notice small changes and build on them.

How her approaches adapt to online therapy

Psychodynamic counselling looks at how past relationships influence current thoughts and feelings. In online sessions this means creating space to notice recurring patterns, memories and emotional reactions, and thinking about how they play out now.

Narrative Therapy helps people rewrite the stories they tell about themselves. Online work can involve talking through specific life events, identifying limiting narratives and testing new ways of describing experiences to reduce shame and self-blame.

Finding the right approach is part of the process. The therapist will work collaboratively to decide whether psychodynamic or narrative methods, or a mix of both, best match a person's needs, goals and preferences. That discussion begins in the first sessions and can change over time as the work progresses.

Practical benefits of online therapy include fitting sessions into a busy schedule and cutting travel time. Some people find phone or video sessions easier to manage around work, caregiving or medical appointments. Please confirm the specific session options available with the therapist before booking so you can choose what fits your routine.

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

Frequently asked questions

What kinds of problems does Carlie help with?

Carlie works with stress, anxiety, relationship and family difficulties, trauma and abuse, parenting concerns, grief, addictions and changes in life. She also supports people with self-esteem, anger, intimacy, ADHD and compassion fatigue.

How would she describe her therapeutic style?

Her approach is warm and approachable, focusing on understanding patterns from past relationships and how they affect current life. She tailors sessions to what each person needs and uses both reflective and practical steps.

What background does she bring to therapy?

Carlie has seven years' qualification as a therapist and many more years of professional experience prior to qualifying. She has worked in women's mental wellbeing and in domestic abuse settings.

What qualifications and where is she based?

Carlie holds the NCPS credential and practises from the United Kingdom.

Which languages can sessions be held in?

Sessions are offered in English and she is available to work with international clients.

What session formats are offered?

Please confirm the current session options before booking as formats are not specified in the biography.

How are costs and payments handled?

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

How do I start working with her?

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

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