Carlie Machell-Kay, NCPS

Carlie Machell-Kay is a psychodynamic counsellor with seven years' formal practice and a long history of related work. She supports people coping with stress, anxiety, depression, trauma and abuse, relationship and family concerns, parenting strains, addictions, grief, and issues around self-esteem and intimacy. Carlie also lists ageing and geriatric issues among her focus areas alongside ADHD, caregiver stress, chronic illness and other life changes.

Her style is warm and approachable. Sessions look at how past relationships and experiences shape current feelings and behaviour. She draws on psychodynamic ideas to help people understand repeating patterns. Narrative and client-centred ways of working are woven in to keep the focus on the person’s story and goals.

Carlie has substantial professional experience in women's mental wellbeing and in domestic abuse settings, and she mentions personal experience of neurodiversity and brain injury which informs her empathy. She holds the NCPS credential and has practised as a therapist for seven years after a longer period of related work.

In sessions she aims to tailor the work to each person’s needs, combining talking, reflection, and practical steps where helpful. People often look to her for coaching around life transitions, help with coping strategies, or deeper work on past wounds that still affect day-to-day life.

She offers therapy from the United Kingdom and works with people who prefer an approach that balances understanding causes with clear, practical support.

Therapeutic approaches and how they work online

Psychodynamic therapy focuses on how earlier relationships and experiences shape current feelings and behaviour. It is useful for people who want to understand repeating patterns and the roots of long-standing difficulties.

Client-centred therapy keeps the person’s experience and goals at the heart of the work. The counsellor listens closely and helps the person name what matters to them and decide the next steps.

Finding the right approach is part of the work together. Carlie will talk through different ways of working and tailor the approach to your needs, goals and preferences so the sessions feel useful and manageable.

Practical benefits of online therapy include the ability to fit sessions into a busy week and take shorter check-ins when needed. Because specific session formats were not listed in the biography, confirm which options are available before booking. Many people find online sessions make it easier to keep regular contact and maintain momentum between meetings without needing travel time.