- self esteem
- family conflict
- guilt and shame
About Gemma
Gemma Keulder is a counsellor registered with NCPS and has four years of experience working in the United Kingdom. She supports people dealing with stress, anxiety, family tensions, low self-esteem, confidence difficulties and depression. Gemma also addresses related concerns such as abandonment, body image, control issues, guilt and shame, and questions about life purpose.
Gemma works from the view that each person knows their own story and brings strengths to the room. She invites clients to use those strengths to face what feels difficult. In sessions she listens, asks practical questions and helps people notice patterns that keep problems repeating.
Her approach focuses on clear, manageable steps rather than long lectures. She helps people find ways to cope with change and rebuild confidence after setbacks. Conversations often centre on what needs to shift now, and small actions that can make day-to-day life easier.
Gemma pays attention to how past experiences, family roles and personal values affect feelings of guilt and shame. She helps people untangle those feelings from current choices so they can act with more clarity. Work can include looking at boundaries, communication and realistic expectations of oneself.
Sessions are practical and straightforward. Gemma encourages reflection alongside concrete strategies to manage stress and anxiety. People who want a direct, respectful listener who challenges unhelpful thoughts may find her style useful.
How therapeutic approaches guide online sessions
Gemma uses evidence-based therapeutic techniques that focus on practical change. One common approach she uses involves looking at thinking patterns and how they affect mood and behaviour; this helps with anxiety, low self-esteem and unhelpful guilt. Another approach focuses on exploring past and current relationship dynamics to understand feelings like abandonment or shame and improve how someone communicates and sets boundaries.Finding the right approach is part of the work. Gemma will talk with each person about their needs, goals and preferences and together they will decide which ways of working to try. That collaborative process can be adjusted as therapy continues so sessions stay relevant to the client’s situation.
For practical details about how sessions run, please confirm the available formats before booking as the biography does not list them. Online sessions can make it easier to fit therapy around work or family life, reduce travel time and allow short check-ins when needed. Different formats also suit different tasks - a quieter audio session can help if bandwidth is limited, while video can be useful for face-to-face conversation and non-verbal cues. Registered or accredited professionals can help you choose what will fit your schedule and goals.
Areas of expertise
Primary focus
Additional focus areas
Experience
4+ years
Listed in
United Kingdom
Languages
English
Frequently asked questions
What concerns does she address?
She works with stress, anxiety, family tensions, low self-esteem, confidence issues and depression, plus related topics such as guilt and shame and body image.
How would she describe her therapeutic style?
Her style is practical and direct. She listens, asks focused questions and helps clients spot patterns and try small changes.
How much experience does she have?
She has four years of professional experience working with adults on common mental health and life-change concerns.
What are her credentials and location?
She is registered with NCPS and is based in the United Kingdom.
Which languages are supported?
Sessions are offered in English.
Can international clients work with her?
She does not accept international clients at this time.
How are sessions priced?
Cost varies by location and sessions use a subscription model that can be cancelled at any time.
What do I do to start working together?
Select the See online therapy options button, complete a short matching questionnaire and then 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.