Karl Borthwick

I am a qualified CBT therapist with a strong foundation in trauma-informed care and extensive experience supporting individuals with complex emotional and psychological needs. I hold a postgraduate qualification in Cognitive Behavioural Therapy and have worked within NHS services, delivering evidence-based interventions to diverse client groups, including those experiencing anxiety, depression, trauma, and interpersonal difficulties. In my clinical work, I adopt a compassionate, client-centred approach that aligns closely jwith LGBTQ+-affirmative practice. I have experience working with themes highly relevant to LGBTQ+ clients, including identity development, shame, self-acceptance, relationship difficulties, and the impact of stigma and discrimination. My understanding of trauma—particularly shame-based and complex trauma—enables me to support clients navigating internalised negative beliefs, which can often intersect with experiences of marginalisation. I am confident delivering therapy in remote settings, having conducted sessions via secure video platforms and telephone within NHS services. I am skilled in building therapeutic rapport online, maintaining engagement, and ensuring clients feel safe, heard, and supported in virtual environments. My clinical competencies include conducting structured assessments, developing collaborative formulations, and creating tailored treatment plans. I maintain accurate and confidential clinical records in line with professional and ethical standards, and I am experienced in risk assessment, safeguarding, and signposting to additional services when required. I am committed to inclusive, non-judgmental practice and continuously reflect on my work to ensure cultural sensitivity and responsiveness to diverse identities, including sexual orientation and gender identity. My communication style is empathetic, respectful, and attuned to each client’s individual experience. Alongside my clinical skills, I have a reliable and private home working setup, allowing me to deliver consistent, professional, and confidential online therapy. I am motivated to contribute to a service that prioritises accessible, affirming mental health support for LGBTQ+ individuals and would bring both clinical expertise and genuine commitment to this role.