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About Paula
Paula Spencer-Snell helps people work through stress, anxiety, trauma and abuse, low self-esteem, depression and relationship concerns. She uses talking therapy and practical techniques to support coping with life changes and emotional overwhelm. Paula is registered with NCPS and has four years' experience in counselling.
She offers straightforward sessions that focus on what a person is finding difficult today. Paula draws on client-centred therapy to keep the conversation focused on the person's experience, and on solution-focused work to set clear, manageable goals. She also uses cognitive behavioural ideas to look at thoughts and behaviours, mindfulness exercises to reduce tension, and psychodynamic thinking to understand repeated patterns.
In practical terms Paula aims to help people notice small changes that make daily life easier. Sessions may include talking, guided breathing or simple actions to try between meetings. She pays attention to how past experiences influence current feelings and relationships, and helps people find ways to cope in the present.
Paula has worked with issues including abandonment and attachment concerns, body image, caregiver stress, chronic illness and pain, control issues, divorce and separation, guilt and shame, isolation, life purpose and midlife crisis. She also supports people facing money worries, mood difficulties and problems connected to narcissism.
Sessions are conducted in English and she practises in the United Kingdom. For anyone considering counselling with Paula, the usual next step is to use the site's matching process and book an initial appointment to discuss aims and practical arrangements.
How her approaches translate to online counselling
Paula commonly uses client-centred therapy, which focuses on listening to the person's experience and reflecting it back to help clarify feelings and priorities. This approach is useful for people who want paced, exploratory conversation about what matters to them.
She also uses cognitive behavioural therapy (CBT) to identify unhelpful thought patterns and try practical experiments to change behaviour. CBT is often helpful for anxiety, low mood and stress because it gives clear techniques to practise between sessions.
Finding the right approach is part of the work. Paula will discuss goals and preferences in the first few meetings and together they will decide which methods to use. That decision is collaborative and can be reviewed as therapy progresses.
Confirm the session formats with the service before booking, as the biography does not specify which formats are offered. Online counselling can make it easier to fit appointments into a busy week, reduce travel time and allow shorter check-ins when needed. It can also let people use mindfulness exercises or homework tasks between sessions to keep progress moving.
Sessions take place through BetterHelp by video, phone or messaging. We will earn a commission if you sign up.
Topics Paula lists
Ways of working
Questions about Paula
- Does she work with anxiety?
- Yes. She helps people manage anxiety using talking therapy and practical coping strategies.
- What kind of counselling does she offer?
- She uses client-centred therapy alongside cognitive behavioural, mindfulness, psychodynamic and solution-focused approaches.
- How long has she been practising?
- She has four years of experience in counselling practice.
- Is she registered and where does she practise?
- She is registered with NCPS and works in the United Kingdom.
- Can I have sessions in other languages?
- Sessions are offered in English only.
- Does she see international clients?
- She does not accept international clients at this time.
- How much do sessions cost?
- Cost varies with location and sessions use a subscription that can be cancelled at any time.
- How do I start working with her?
- Use the Talk to a counsellor online button, complete the short matching questionnaire, and schedule a first session.
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This page is based on Paula's public BetterHelp listing and is not written by Paula. It is not a recommendation. If anything here is wrong, tell us and we will correct it.