Anxiety and Stress, Kifisia
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Health professionals for Anxiety and Stress near Kifisia

About the specialist

Zamanidis Giorgos is a Psychologist - Existential Psychotherapist and maintains a private practice in Lykovrysi. He completed his studies at the Department of Psychology of Panteion University and has trained in Existential Psychotherapy through his four-year attendance at the Hellenic Society of Existential Psychology, "gígnesthai". He holds a diploma in Family and Couple Therapy within the Systemic Psychotherapeutic Approach, in which he was trained in 2022. He also holds a diploma in training in Neuro-Linguistic Programming techniques (NLP Greece). He has conducted and continues his extensive clinical practice at the Society for Regional Development and Mental Health (E.P.A.PSY.) in Marousi as a Clinical Psychologist and Existential Psychotherapist. In the past, as part of his practical training, he has participated in Pan-European Research on substance abuse among minor populations (ESPAD), as well as related initiatives in collaboration with the Substance Abuse Prevention Center (PRONOIA) in Kifissia. He completed his military service as a Psychologist in Cyprus, where he collaborated with psychologists and medical staff in the care of hundreds of soldiers. A significant part of his training is influenced by the Psychoanalytic Psychotherapeutic Approach, which he acquired under supervision over recent years. Currently, he serves as a Trainee Trainer at the Hellenic Society of Existential Psychology, "gígnesthai".

Αγίας Λαύρας 11Α, Lykovrysi, ΑΤΤΙΚΗ

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About the specialist

Zeriti Maria is a Psychologist - Psychotherapist and maintains a private practice in Vrilissia. She studied Psychology in England while simultaneously working in psychiatric facilities within the public health system. She then returned to Greece and completed her postgraduate studies in cognitive science. Through her personal inner development, the desire to become a companion to people seeking the path of joy and their hearts, those who want to evolve, was born. She trained for 4 years at "Logos Psychis," an Institute of Training and Research in Systemic Psychotherapy, completing the specialization program in systemic psychotherapy and earning the title of Systemic Psychotherapist. She has attended personal development seminars focusing on relationships, the inner child, and internal traumas. Through these journeys, she has discovered and continues to discover aspects of herself that aid in inner empowerment and the creation of beautiful and harmonious relationships. She feels very fortunate to have had the opportunity to work with children with special abilities, refugee women, parents, and individuals with mental health difficulties. For the past 15 years, she has worked privately in her own space and with private organizations, offering counseling and psychotherapy services to adolescents, parents, and adults, both individually and in groups. She greatly enjoys sharing any knowledge she has acquired with people who wish to grow. She trains and supervises new psychologists to achieve the title of psychotherapist-counselor and organizes lectures and personal development seminars. Finally, she is a member of the Hellenic Society of Systemic Therapy (EL.ESY.TH).

Εθνικής Αντιστάσεως 30, Vrilissia, ΑΤΤΙΚΗ

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About the specialist

Η Μάλλιου Βασιλική, MSc, είναι Ψυχολόγος – Ψυχοθεραπεύτρια και διατηρεί ιδιωτικό γραφείο στη Νέα Ερυθραία. Είναι πτυχιούχος Ψυχολογίας και κάτοχος Μεταπτυχιακού Διπλώματος στην Παιδοψυχολογία από το Institute of Counselling and Psychological Studies του University of Central Lancashire.

Παράλληλα, παρακολουθεί τετραετές Πρόγραμμα Ειδίκευσης στο Συνθετικό Μοντέλο Συστημικής Θεραπείας στο Κέντρο Διερεύνησης Ανθρώπινων Σχέσεων, το οποίο αποτελεί το πρώτο πιστοποιημένο συστημικό εκπαιδευτικό κέντρο της Ελληνική Εταιρεία Συμβουλευτικής.

Έχει προσφέρει εθελοντική εργασία στα σπίτια του οργανισμού Το Χαμόγελο του Παιδιού, καθώς και στη γραμμή υποστήριξης παιδιών, εφήβων και ενηλίκων «Μαζί για το Παιδί – Γραμμή 11525», ενώ έχει συνεργαστεί με την Α’ Ψυχιατρική Κλινική του Αιγινήτειο Νοσοκομείο. Επιπλέον, έχει προσφέρει εθελοντική εργασία στον Δήμος Αμαρουσίου, σε δομές ΚΑΠΗ, σε γηροκομείο και σε ξενώνες φιλοξενίας, υποστηρίζοντας ευάλωτες κοινωνικές ομάδες, ενώ διετέλεσε και συντονίστρια ομάδας εγκύων παρέχοντας ψυχοεκπαιδευτική και συμβουλευτική υποστήριξη.

Επιπροσθέτως, πραγματοποίησε την πρακτική της άσκηση στο Κατάστημα Κράτησης Γυναικείων Φυλακών Ελαιώνα, συντονίζοντας ομάδες και παρέχοντας ενημέρωση σε ζητήματα ψυχοθεραπείας στο πλαίσιο του σχολείου και της θεραπευτικής ομάδας του ΟΚΑΝΑ. Έχει επίσης αποκτήσει επαγγελματική εμπειρία συνεργαζόμενη με ιδιωτικά γραφεία ψυχοθεραπευτών και ως ψυχολόγος στο Σικιαρίδειον Ίδρυμα, υποστηρίζοντας παιδιά με νοητική υστέρηση.

Στο πλαίσιο της διαρκούς επιστημονικής της κατάρτισης, έχει συμμετάσχει σε πληθώρα εκπαιδευτικών σεμιναρίων και αποτελεί τακτικό μέλος του Σύλλογος Ελλήνων Ψυχολόγων.

Βασικός της στόχος είναι η διαμόρφωση ενός δομημένου και ασφαλούς θεραπευτικού πλαισίου, εντός του οποίου ο εξυπηρετούμενος δύναται να εκφράζεται ελεύθερα, να προβαίνει σε ουσιαστική αυτοδιερεύνηση και να ενδυναμώνεται μέσω της ανάπτυξης δεξιοτήτων. Θεμελιώδεις αξίες που διέπουν την επαγγελματική της στάση αποτελούν η πεποίθηση ότι κάθε άνθρωπος έχει δικαίωμα πρόσβασης στη θεραπεία και ισότιμη θέση εντός αυτής, καθώς και η αναγνώριση ότι κάθε δυσκολία αξίζει να γίνεται κατανοητή, αποδεκτή και να αντιμετωπίζεται με τη δέουσα φροντίδα.

Θαλή Μιλησίου 13, Nea Erythraia, ΑΤΤΙΚΗ

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About the specialist

Pilavios Mixalis (MA) is a Psychologist - Psychotherapist who maintains private practices in Kolonaki and Marousi, working with both adolescents and adults. Simultaneously, he works as a Psychologist at the Mind Balance Psychotherapy Center. He earned his master's degree in Process Oriented Psychology from the Process Work Institute in Portland, Oregon (USA). He also holds a degree in Psychology from the University of Newcastle, United Kingdom. He completed his clinical training through River's Way Clinic in Portland (USA) and is a member of the International Association of Process Oriented Psychology (IAPOP) and Process Work Greece. His primary areas of focus include anxiety and stress (particularly school-related), low self-esteem, difficulties in friendships and peer relationships, family tensions, romantic relationships, management of emotions such as anger and sadness, identity and self-determination issues, as well as balancing school, friends, and family.

Νερατζιωτίσσης 24, Marousi, ΑΤΤΙΚΗ

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Person-Centered Psychotherapy
About the specialist

Karagianni Anastasia Xara is a Psychologist - Psychotherapist and maintains her practice in Nea Erythraia. She holds a degree from the Department of Psychology of the School of Social Sciences at the University of Crete. She has received specialized training in the Person-Centered Approach to Psychotherapy from the College of Human Sciences-ICPS and has completed advanced postgraduate seminars. She has worked as a Psychologist in a Geriatric Care Unit as well as in a Psychiatric Clinic. She handles a wide range of cases, always focusing on providing the best possible service tailored to the individual needs of each person she undertakes.

Voriou Ipirou 45, Nea Erythraia, ΑΤΤΙΚΗ

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About the specialist

Skylitsi Ioanna Mag.Phil., MEd is a Psychologist – Psychotherapist with over 30 years of experience supporting adults and couples, maintaining a private practice in Marousi. In her work, she creates a safe and meaningful space aimed at an in-depth understanding of the challenges affecting daily life, relationships, and internal balance. She has worked in Greece and Austria, both privately and within organized institutions, and for over ten years provided psychological support to women survivors of gender-based and domestic violence. She practices based on Cognitive-Behavioral Therapy and the Systemic approach for couples. She offers in-person and online sessions in Greek and German.

Αγίων Αναργύρων 5, Marousi, ΑΤΤΙΚΗ

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Rational Emotive Cognitive Behaviour Therapy (RECBT)
About the specialist

Papalitsas Athanasios MSc is a Psychologist and Child Psychotherapist based in Nea Erithraia. He specializes in child and adolescent psychotherapy, parent counseling, and group psychoeducation programs. His office is a modern and welcoming space for psychological support, designed to provide every individual with the opportunity to freely express their thoughts, emotions, and difficulties.

Θαλή Μιλήσιου 4, Nea Erythraia, ΑΤΤΙΚΗ

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About the specialist

Telianidi Lena is a Psychologist - Psychotherapist and maintains a private practice in Menidi. She holds a degree in Psychology from London Metropolitan University in London and completed a postgraduate program in Clinical Psychology at Universiteit Leiden in the Netherlands. Additionally, she specialized in Cognitive Behavioral Psychotherapy at the Center for Applied Psychotherapy and Counseling. She has worked as a psychologist at the Elderly Care Unit AKTIO and at the Psychosocial Intervention Day Center "Franco Basaglia." Furthermore, she has attended numerous seminars related to the field of psychology and the applications of Cognitive Behavioral Psychotherapy in adults and young adults.

Agiou Dionysiou 128, Acharnes, ΑΤΤΙΚΗ

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Integrated Psychotherapy
About the specialist

Katouma Niovi is a Psychologist - Psychotherapist, licensed to practice (1137107), maintaining a private practice in Nea Erythraia. She is a graduate of the Department of Psychology at the University of East London, fully accredited by the British Association for Counselling and Psychotherapy (BACP), from which she graduated with distinction. She has specialized in Integrated Counselling and Psychotherapeutic Approaches (Cognitive-Behavioral Therapy/CBT, Person-Centered, Psychodynamic) and holds the European Care Certificate (ECC) from TACT HELLAS. She also holds a degree in Economic Science, Business Economics, and Finance from the Athens University of Economics and Business (formerly ASOEE). An integral part of her education includes participation in seminars and continuing professional development programs. Her professional experience derives from providing psychotherapeutic services in Psychotherapy-Counselling centers, Education, and Psychosocial Rehabilitation and support for the elderly. Attendance at seminars and trainings within her scientific field, as well as the personal supervision she receives, are closely linked to her ongoing professional growth and development. Finally, she conducts private counselling and psychotherapy sessions with adults and adolescents.

Αλικαρνασσού 10, Nea Erythraia, ΑΤΤΙΚΗ

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About the specialist

Daktylidi Flora, MSc, is a Clinical Psychologist - Child Psychologist who maintains a private practice in Marousi, providing psychotherapy and psychological support to adults, adolescents, and children, as well as parental counseling and couples therapy. Her goal is to create a safe and supportive environment where each individual can freely express themselves, gain deeper self-understanding, and develop their personal strengths.

She is a graduate of the undergraduate Psychology program and the postgraduate Clinical Psychology program at the European University Cyprus.

During her training, she gained significant clinical experience by completing her internship at the Refugee Department of the Red Cross, while also completing over 1000 hours of practical training at the Toxotis Foundation, which supports adults with intellectual disabilities, as well as at the Psychiatric Services of Cyprus.

Simultaneously, she continuously updates her knowledge through seminars and specializations in modern therapeutic approaches, such as couples therapy, aiming to provide comprehensive and scientifically validated mental health services.

She has also collaborated as a psychologist with businesses, supporting employees' mental well-being and professional development.

She believes that psychotherapy can be a vital tool for change and personal growth, helping individuals manage difficulties, strengthen their psychological resilience, and improve their quality of life.

Πεντέλης 120, Marousi, ΑΤΤΙΚΗ

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Integrated Psychotherapy Systemic Therapy Cognitive Behavioral Therapy (CBT) Psychoanalytic Psychotherapy
About the specialist
Αγγελική Μουσταφά Μήτσα & Συνεργάτες, Ψυχοθεραπεία Ενηλίκων - ζεύγους - εφήβων

Kosta Varnali 50, Nea Erythraia, ΑΤΤΙΚΗ

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About the specialist

Η Εξαρχου Αργυρώ είναι Κλινική Ψυχολόγος MSc (αρ. αδείας 4385), Ψυχοθεραπεύτρια και υποψήφια Διδάκτωρ Ψυχολογίας στο University of Greater Manchester. Έχει εξειδικευθεί στη Γνωστική Συμπεριφορική Ψυχοθεραπεία ενηλίκων και εφήβων (Cognitive Behavioral Τherapy), καθώς επίσης και στη Συμβουλευτική και Θεραπεία ζεύγους και οικογένειας.

Έχει αποκτήσει στο παρελθόν πολύτιμη κλινική εμπειρία μέσα από τη συνεργασία της με δομές όπως το Best Buddies Greece και TACT Hellas, όπου παρείχε υποστήριξη σε άτομα με νοητικές και αναπτυξιακές δυσκολίες και συμμετείχε ως Assistant Psychologist σε θεραπευτικές ομάδες και ατομικές συνεδρίες ενηλίκων.

Έχει συμμετάσχει ως ομιλήτρια σε συνέδρια, παρουσιάζοντας ερευνητικές εργασίες της, οι οποίες εστιάζουν στις ανθρώπινες σχέσεις, καθώς επίσης και στον τρόπο κοινωνικοποίησης των ανθρώπων.

Επιστημονικά άρθρα της έχουν δημοσιευτεί σε ελληνικά και ξένα journals, με θεματολογία όπως συναισθηματική νοημοσύνη, πένθος, ψυχική ανθεκτικότητα.

Έχει εργαστεί ως Ψυχολόγος σε ποικίλα πλαίσια, διεξάγοντας ατομικές συνεδρίες ενηλίκων, θεραπευτικές ομάδες, καθώς επίσης και συμβουλευτική ζεύγους.

Παρέχει συνεδρίες εξ’ αποστάσεως (online) και δια ζώσης (in person) στην ελληνική και αγγλική γλώσσα σε θεραπευμένους σε Ελλάδα και εξωτερικό.

Τα δυνατά σημεία της είναι η διαχείριση πένθους - απώλειας, η κατάθλιψη, η διαχείριση άγχους, οι φοβίες, η κρίση πανικού, η διαχείριση θυμού, η θεραπεία ζεύγους, η συμβουλευτική γονέων και εφήβων, οι σχέσεις, η διεκδικητικότητα και η ιδεοψυχαναγκαστική διαταραχή.

Φιλιππιάδος 9, Acharnes, ΑΤΤΙΚΗ

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Systemic Therapy Family Therapy
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Ψυχολόγος - Οικογενειακή Ψυχοθεραπεύτρια- Θεραπεία Ζεύγους

Εθνικής Αντιστάσεως 17, Vrilissia, ΑΤΤΙΚΗ

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About the specialist
Η Σοφία Ζωιτάκη, Ψυχολόγος MSc, εργάζεται στο Υπουργείο Παιδείας και διατηρεί γραφείο στο Μαρούσι.

Νικολάου Πλαστήρα 10, Marousi, ΑΤΤΙΚΗ

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About the specialist

Makra Sevasti is a Psychologist with a private practice in Acharnes. She holds a degree from the Department of Psychology at the National and Kapodistrian University of Athens (Scholarship from the State Scholarships Foundation and a four-year scholarship from the Dodecanese Foundation) and a postgraduate diploma from the same University. She has been trained in Cognitive Behavioral Psychotherapy for children and adults (Scholarship "Giannis Boulougouris" from the Institute for Research and Behavior Therapy for the four-year study program). In her private practice, she offers high-level individual psychotherapy services for adults to address psychological disorders such as depression, anxiety, panic attacks, obsessive-compulsive disorder, interpersonal difficulties, as well as individual psychotherapy for children and adolescents in cases such as anxiety, phobias, emotional difficulties, behavioral problems, learning disabilities, attention deficit hyperactivity disorder (ADHD). Additionally, she provides counseling services to parents and couples. Lastly, she has an established body of written work related to the psychotherapy of children and adults.

Anastasiou Vrettou 18, Acharnes, ΑΤΤΙΚΗ

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About the specialist

Zerva Stauroula Kai Synergates is a Psychologist - Hypnotherapist with private practices in Marousi and Kalamata. She is a graduate of the Psychology Department of Aristotle University of Thessaloniki, holding a master's degree in Clinical Psychology from American Liberty University, training in Cognitive-Behavioral Psychotherapy and Counseling at the Academy of Psychotherapy & Counseling, and specialization in therapeutic hypnosis, possessing multiple certifications in Clinical Hypnotherapy. She has 18 years of experience conducting individual sessions and group therapy, offering counseling sessions online for clients residing in other parts of Greece and abroad. Furthermore, her team includes trained collaborators specializing in therapeutic hypnosis at both her Marousi and Kalamata offices. Under her supervision and through the tailored therapy programs created by Stauroula based on each client's needs, they conduct individual sessions and couples therapy.

Rodou 4, Marousi, ΑΤΤΙΚΗ

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About the specialist

Karametou Matina is a Psychiatrist and Psychotherapist with a private practice in Nea Erythraia. She graduated from the Medical School of the National and Kapodistrian University of Athens and specialized in Psychiatry in Switzerland, at the University Psychiatric Clinic of Geneva and the Psychiatric Hospital of Prefargier in Neuchatel. There, she specialized in clinical psychotic disorders, personality disorders, affective disorders, and psychogeriatrics within community settings. She also received training in Consultation-Liaison Psychiatry at a General Hospital in Geneva. She is specialized in Individual Psychoanalytic Psychotherapy and Couples Therapy. She has completed a four-year postgraduate training program in Systemic Family and Couples Therapy at the Psychiatric Research University Institute (EPIPSY) and a two-year postgraduate program in the diagnosis and treatment of psychosexual disorders, also at EPIPSY. She has worked at the Psychiatric Hospital of Attica, in the Admissions Department, at the Mental Health Center of Peristeri, and in the Mobile Mental Health Units of EPAPSY.

  • Management of anxiety / panic attacks

Parthenonos 1-3 kai Tatoiou 122, Nea Erythraia, ΑΤΤΙΚΗ

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About the specialist

Kostis Nikos is a Psychologist - Psychotherapist and maintains a private practice in Marousi. He holds a BSc in Psychology from Swansea University in Wales, and has completed postgraduate studies (MSc Abnormal and Clinical Psychology) at the same university. Subsequently, he trained in Cognitive Behavioral Therapy at the Center for Applied Psychotherapy and Counseling. He has worked as a Clinical Psychologist in a Private Psychiatric Clinic as well as in a Residential Care Facility, specializing in Cognitive Behavioral Therapy, Clinical Psychology, and Anxiety and Mood Disorders.

Odyssea Androutsou 13, Marousi, ΑΤΤΙΚΗ

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About the specialist

Georgatos Gerasimos is a Psychiatrist with a private practice in Acharnes. He completed his medical studies at the Medical School of the National and Kapodistrian University of Athens and provides comprehensive psychiatric care to adults, addressing issues such as anxiety, mood disorders, panic disorder, depression, psychoses, and a wide range of other mental health conditions. He has worked in both the private and public sectors, gaining significant clinical experience through his work in private practice, at the General Oncology Hospital of Kifisia, and at the Attica Psychiatric Hospital Dromokaiteio, where he also completed his specialization. He applies Cognitive Behavioral Therapy, a scientifically validated approach, aiming for accurate diagnosis, personalized treatment, and the overall enhancement of his patients' mental health and quality of life. All therapeutic decisions are made collaboratively, following a thorough presentation of available options, so that the patient can actively participate in the therapeutic process.

  • Management of anxiety / panic attacks

Θεμιστοκλή Βαρελά 12, Acharnes, ΑΤΤΙΚΗ

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About the specialist

Iakovou Aleksandra is a Psychologist - Psychotherapist (MSc-CBT) who maintains a private practice in Nea Erythraia and collaborates with a psychotherapy center in downtown Athens. She studied Psychology at the University of Greenwich in England (BSc) and has been trained in Cognitive Behavioral Therapy (CBT). Additionally, she completed postgraduate studies in Health Psychology at the University of Lancashire in England. She has also completed the Mindfulness-Based Stress Reduction (MBSR) program. She completed her internship at "The Smile of the Child," where she provided psychological support to children up to 8 years old, as well as at "18 and Over," where she conducted sessions with individuals with eating disorders. Her focus is on the treatment of anxiety, depression, eating disorders, pain management, as well as enhancing self-confidence and changing behaviors that lead to the adoption of a balanced diet. Psychotherapy aids in self-recognition, as each person learns more about their thoughts, emotions, and behaviors. This is when the desired change begins.

Ιακώβου Αλεξάνδρα Θαλή Μιλησίου 3, Nea Erythraia, ΑΤΤΙΚΗ

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Cognitive Behavioral Therapy (CBT)
mental health

What it is

Cognitive Behavioural Therapy (CBT) is a form of psychotherapy applied to problems such as depression, anxiety disorders, abuse, relationship and marriage problems, eating disorders and serious mental illness.The therapist emphasizes what is happening in the current life rather than the past and what led to the difficulties.

Approach

Identifying the distortions in a person's thinking that are causing problems and then examining these in the light of reality. Understanding the behaviour and motivations of others and using problem-solving skills to deal with difficult situations. Dealing with fears rather than avoiding them. Role-playing to better prepare for potentially problematic interactions with others. You become your own self-therapist.

How it could benefit you

Helps the individual to change dysfunctional thought patterns and behaviors. Improves your functioning and quality of life by helping to change patterns and behaviours. Teaches you to be your own self-therapist.

Dialectical Behavioural Therapy (DBT)
mental health

What it is

It is a form of psychotherapy that teaches a person to identify negative thought patterns and change them. DBT reinforces the acceptance that all your thoughts are valid, as they are part of your life experiences and who you are. The person acts by doing the best they can for the moment. It is used for people with suicidal behavior, post-traumatic stress disorder, substance use disorder, bipolar disorder, eating disorders, ADHD, depression, anxiety.

Approach

DBT focuses on acceptance and change. It helps the person to get to know themselves better, to think about why they do what they do, without judgment. Replacing a negative behavior or habit with ones that can improve the quality of life. Dialectic is the idea that two different things can be true at the same time. At the same time as accepting yourself exactly as you are, comes the recognition of your effort to change.

How it could benefit you

It helps you make positive changes in the way you act. It identifies your negative thought patterns and changes them, helping to make positive changes in the way you act. Teaches you ways to manage intense emotions and stressful thoughts when they occur.

Humanistic psychotherapy
mental health

What it is

Humanistic therapy is a form of psychotherapy in which self-awareness and self-acceptance are considered the keys to personal growth. It emphasizes creativity, collaboration and interaction between the individual and the therapist, using techniques such as role-play.

Approach

Each person is a combination of mind, emotions, body and soul with unique experiences and events. No single life event, personality trait or psychological diagnosis defines you.

How it could benefit you

It improves self-awareness and self-confidence, helps you understand how your past affects your present, how to deal effectively with stressful situations, improves human relationships and helps you better manage your emotions.

Psychodynamic psychotherapy
mental health

What it is

Psychodynamic psychotherapy is talk therapy that aims to understand current thoughts and feelings through the behaviours shaped by past experiences and the past. Understanding the past can help you avoid repeating unhelpful patterns that have existed in it and facilitate your quality of life alongside relief from distressing symptoms. It is used in depression, anxiety, interpersonal problems, addictions, trauma, eating disorders, personality disorder.

Approach

Psychodynamic psychotherapy provides a space to explore and understand how unhelpful patterns from the past may be influencing our current difficulties. Defence mechanisms are explored and how our feelings and behaviours in the present are shaped by our past experiences.

How it could benefit you

It helps people to live a healthier life. There may be things in a person's unconscious that they are not aware of that cause them pain or keep them stuck in the past. Identifying these and understanding them can lead you to move forward.

Systemic psychotherapy
mental health

What it is

Systemic psychotherapy is an approach about how the individual acts as part of a wider group or broader system of relationships: family, partner relationship, work, friendships, and social environment. This approach connects communication and interaction patterns with a problem or a difficulty that the individual may be experiencing.

Approach

Systemic psychotherapy identifies behavioral patterns within a persons’ relationships and in the way someone connects with others. It helps the individual understand themselves more effectively, along with their roles and communication style and supports them in developing more functional ways of thinking and communicating within their system.

How it could benefit you

It helps improve understanding of relationship and family dynamics. It can change dysfunctional communication and behavior patterns within the system, strengthen empathy, support the development of stronger relationships and help with managing conflicts and difficulties.

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