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Paula Otley

Therapist · United Kingdom

Paula Otley, BACP, NCPS

Warm, experienced counsellor for life challenges

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  • Integrative approach
  • 16 years experience
  • Supports loss and change

About Paula

Paula Otley is a counsellor with 16 years of experience supporting people through loss, life changes and longer-term struggles. She meets each person where they are and builds a working relationship that helps them take the next step. Paula works in a straightforward, warm way so people can talk about painful things without feeling judged.

Her early work as a bereavement support volunteer shaped her approach and led her into formal training. She trained as an integrative counsellor, drawing on person-centred and psychodynamic ideas to focus on the therapeutic relationship. In 2020 she added cognitive behavioural therapy, and she now blends these methods to match what each client needs.

Paula has experience in a range of settings including GP practice, the NHS, charities, community counselling services, private practice and employee assistance programmes. That variety has given her practical insight into everyday pressures and how they affect mood, sleep and relationships.

People come to her for many concerns such as anxiety, depression, grief, relationship and intimacy issues, stress, addiction, ADHD and coping with chronic illness or caregiving responsibilities. She also supports issues linked to adoption, attachment, body image and ageing.

Sessions are collaborative and paced to the individual. Paula emphasises listening first, then helping people notice patterns and try small, manageable changes. Whatever route is chosen, the work is done together and shaped around the client’s goals and values.

Areas of expertise

Primary focus

Also works with

AddictionsLGBTFamily conflictsTrauma and abuseIntimacy-related issuesEating disordersSleeping disordersParenting issuesAnger managementCareer difficultiesBipolar disorderCoping with life changesCompassion fatigueADHD

Additional focus areas

AbandonmentAdoption and foster careAging and geriatric issuesAttachment issuesAutism and Asperger SyndromeBlended family issuesBody imageCancerCaregiver issues and stressChronic pain, illness, and disabilityCodependencyCommitment issuesCommunication problemsControl issuesDependent personalityDissociationDivorce and separationDomestic violenceDrug and alcohol addictionEating and food-related issuesEmptinessFamily of origin issuesFamily problemsFatherhood issuesFertility issuesForgivenessGuilt and shameHospice and end-of-life counselingImpulsivityInfidelityIntellectual disabilityIsolation / lonelinessJealousyLife purposeMen's issuesMidlife crisisMoney and financial issuesMood disordersObsessions, compulsions, and OCDPanic disorder and panic attacksPhobiasPost-traumatic stressPrejudice and discriminationProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-harmSelf-loveSexual assault and abuseSexual dysfunctionSexualitySocial anxiety and phobiaTrichotillomaniaWomen's issuesWorkplace issues

Therapeutic approaches

Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Mindfulness TherapyPsychodynamic TherapySolution-Focused Therapy

Experience

16+ years

Credentials

BACP · United Kingdom, NCPS · United Kingdom

Languages

English

Approaches that translate to online work

Attachment-based work focuses on how early relationships shape expectations of others and of oneself; it helps people understand patterns in close relationships and feel safer in connecting. Client-centred therapy places the person at the heart of the session, with the counsellor offering listening, acceptance and gentle reflection to help people find their own solutions. Cognitive behavioural therapy (CBT) looks at practical links between thoughts, feelings and actions and uses short, focused steps to change unhelpful patterns.

Finding the right approach is part of the therapy process. The therapist will work collaboratively to choose methods that fit the client’s needs, goals and preferences. That decision can change over time as goals evolve and new issues arise.

The biography does not list specific session formats, so please confirm options before booking. Online work can make it easier to fit sessions into a busy week, reduce travel time and allow check-ins during a lunch break or between commitments. It also makes it possible for people who live further away or abroad to work with registered or accredited professionals in the United Kingdom, while keeping the session focused on practical next steps and the personal goals agreed with the therapist.

Frequently asked questions

What issues can Paula help with?

She works with a wide range of concerns including anxiety, depression, grief, stress, relationship and intimacy issues, addictions, ADHD and coping with chronic illness and caregiving stress.

What is her therapeutic style like?

Her style is collaborative and person-centred, focused on building a trusting relationship and helping clients notice patterns and try manageable changes.

How much practical experience does she have?

She has 16 years of experience, beginning with bereavement support volunteering and extending to roles in GP practice, the NHS, charities and private practice.

What credentials does she hold and where does she practise?

She is listed with BACP and NCPS and practises in the United Kingdom.

Can sessions be held in languages other than English?

Sessions are offered in English.

What session formats are available?

The original biography does not list specific session formats, so please confirm current session options before booking.

How are fees 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 Paula?

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

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