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Paula Otley

Paula Otley, BACP, NCPS

Therapist · United Kingdom · 16+ years of experience

Experienced integrative counsellor for life changes

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  • Person-centred
  • Psychodynamic influence
  • CBT elements

About Paula

Paula Otley is a counsellor with 16 years of experience who helps people navigate major life changes and emotional strain. She meets each person where they are and aims to build a trusting working relationship. Paula’s approach is collaborative and straightforward, centred on understanding the person rather than fitting them into a label.

Paula began by supporting bereaved people as a volunteer, which shaped her wish to work with loss and grief. She later trained as an integrative counsellor with a strong person-centred and psychodynamic influence. Paula added cognitive behavioural techniques in 2020 to broaden the ways she can help clients tackle unhelpful thoughts and habits.

Her background includes roles in GP practices, the NHS, charity work, community counselling services, private practice and employee assistance programmes. This range of settings has exposed her to many different life stories and practical pressures. Paula says the work always happens together, with the client steering the pace and focus.

Common concerns she addresses include stress, anxiety, depression, grief, relationship and intimacy issues, self-esteem, addictions and coping with life changes. She also works with people facing long-term health challenges, caring responsibilities, neurodiverse traits and parenting strain. Paula accepts international clients and offers sessions in English.

Paula is a member of the British Association for Counselling and Psychotherapy, BACP, and holds an NCPS credential. If someone wants to explore whether she is a good fit, they are encouraged to use the site’s Start Therapy process to match and schedule an initial session.

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

United Kingdom, United Kingdom

Languages

English

How Paula’s approaches can work in online therapy

Paula draws on person-centred and psychodynamic ideas alongside cognitive behavioural techniques. Person-centred work focuses on listening closely and following what matters most to the person, which helps when someone needs a steady, non-judgemental space. Psychodynamic ideas look at how past relationships shape current feelings and reactions, useful for recurring patterns and attachment issues. Cognitive behavioural techniques are practical and aim to spot unhelpful thinking and try alternative ways of responding, which can be helpful for anxiety, low mood and coping strategies.

Finding the right mix of approaches is something Paula does with each person. She discusses goals, preferences and what has or has not helped before, then shapes sessions around that. The process is collaborative so the approach can change as needs shift.

The profile does not list specific session formats, so please confirm the available options before booking. Online therapy can make it easier to fit sessions into a busy week, reduce travel time and allow check-ins from different locations. It can also make shorter or more frequent contact simpler to arrange when that suits someone’s work or caring schedule.

Frequently asked questions

What kinds of concerns does Paula work with?

She helps with stress, anxiety, depression, grief and relationship or intimacy-related issues, among many other life challenges listed on her profile.

How would you describe her therapeutic style?

The work is collaborative and person-centred, with space to look at past patterns and present thinking. Paula adapts methods to what each person needs.

What experience does she bring to counselling?

Paula has 16 years of experience, including long-term bereavement support and roles in NHS, charity and community counselling settings.

What are Paula’s credentials and where is she based?

She is registered with BACP and holds NCPS, and practises from the United Kingdom.

Which languages are sessions offered in?

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

What session formats are available?

The original profile does not list specific session formats; please confirm current session options before booking.

How are sessions charged and what is the payment model?

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

How do I begin working with Paula?

Use the Start Therapy button, complete the short matching questionnaire, and then schedule according to the therapist’s availability.

Paula Otley Online therapy options on BetterHelp

Continue with Paula