- Guilt and shame
- CBT and mindfulness
- Life changes
About Cara
Cara O'Kane is a NCPS-credentialled counsellor in the United Kingdom with three years of professional counselling experience and nine years working in mental health. She works with people dealing with stress, anxiety, low self-esteem, depression and coping with life changes, and also offers focused help around guilt and shame.
Cara takes a straightforward, conversational approach. Sessions are a place to talk through what feels heavy and to practise ways of handling day-to-day pressures. She adapts discussion and exercises to the person in front of her rather than using a fixed script.
Her style draws on client-centred ways of working, where the conversation follows the client's concerns. She also uses cognitive behavioural techniques to help spot unhelpful thinking patterns and small experiments to test different responses.
Mindfulness methods can be used to build attention and calm, while solution-focused ideas support short-term planning and clearer next steps. These approaches are practical and aimed at skills people can use between sessions.
Cara has worked in mental health roles for several years before and during her counselling practice. That background colours how she supports people who feel overwhelmed, isolated or unsure about choices. She invites honest conversation about guilt, shame, identity and purpose without judgement.
People who book a first session will be asked about what brought them to counselling and what they hope to change. From there she works collaboratively to set simple, achievable goals and reviews progress as therapy continues.
How Cara's approaches work in online sessions
Cognitive Behavioural Therapy, or CBT, helps people notice and change unhelpful thinking and behaviour. In practice this looks like identifying patterns that keep guilt or anxiety active and trying small, testable changes to those patterns.Client-Centred Therapy focuses on the person's priorities and pace. The therapist follows what matters most to the client and uses the conversation to build clarity and practical next steps.
Finding the right mix of approaches is part of the work. Cara will discuss goals, preferences and what has or hasn't helped before. Together they decide which methods to try and review what is working as sessions continue.
The biography does not list specific session formats, so confirm the available options before booking. Online work can make it easier to fit sessions into a busy week, reduce travel time and allow shorter check-ins when needed. It also allows sessions when people prefer not to be on camera or need a low-bandwidth option. Registered or accredited professionals and therapists commonly use these formats to help people keep therapy practical and consistent.
Areas of expertise
Additional focus areas
Therapeutic approaches
Experience
3+ years
Listed in
United Kingdom
Languages
English
Frequently asked questions
What kinds of problems does she help with?
Cara works with stress, anxiety, low self-esteem, depression and coping with life changes. She also addresses concerns such as guilt and shame, attachment issues and workplace problems.
How would she approach feelings of guilt and shame?
She uses client-centred conversations alongside cognitive behavioural ideas and mindfulness. That mix helps people talk about the feeling, notice related thoughts, and try manageable alternatives.
What is her professional background?
Cara has three years of professional counselling experience and nine years working in mental health roles. That experience informs her practical approach to common emotional concerns.
What credential does she hold and where is she based?
She is listed with NCPS and practises in the United Kingdom.
Can I work with her if I live outside the UK?
Sessions are offered in English and she is not accepting international clients at this time.
What session formats are available?
The original biography does not specify session formats; please confirm the current session options before booking.
How are fees handled?
Cost varies with location and sessions use a subscription model that can be cancelled at any time.
How do I begin a first session?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.