Psychogenic Bulimia - Psychogenic Anorexia
578

Health professionals for Psychogenic Bulimia - Psychogenic Anorexia

About the specialist
Δρ. Μαρία Βαλέρια Καρακάση Ψυχίατρος, MD, PhD Διδάκτωρ Ιατρικής Σχολής Δ.Π.Θ. Επιμελήτρια Β' Ε.Σ.Υ
  • Treating Bulimia and Anorexia Nervosa

Λεωφόρος Δημοκρατίας 270, Alexandroupoli, ΕΒΡΟΣ

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Cognitive Analytic Therapy
About the specialist

Konstantinos Giannoukakis is a graduate of the Psychology Department at Hunter College, City University of New York. He studied in Manhattan, New York, where he lived for six years, and then moved to Athens to pursue his postgraduate studies. He obtained his master's degree in Clinical and Community Psychology from the University of East London and has been trained in Cognitive-Analytic Psychotherapy (Hellenic Association for Cognitive-Analytic Psychotherapy). Additionally, he regularly participates in seminars and therapeutic technique training, as well as various psychology conferences. During his military service, he served as a Psychologist in the Psychosocial Care Unit in Lemnos, gaining extensive experience due to a wide range of cases at both clinical and social levels. He has also worked at PEPSAE (Panhellenic Association for Psychosocial Rehabilitation and Professional Reintegration), where the aim was the smooth social integration of individuals with psychosocial difficulties.

Κατεχάκη 1, Neo Psychiko, ΑΤΤΙΚΗ

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About the specialist

Georgioudaki Natasa is a Dietitian - Nutritionist and maintains a private practice in Marousi. She studied "Dietetics - Nutrition Science" at Harokopio University of Athens. After completing her undergraduate studies, she pursued a master's degree in "Applied Nutrition - Dietetics," specializing in "Nutrition and Exercise." Simultaneously, she completed her internship at major hospitals in Attica, such as the General Hospital of Piraeus "Tzaneio," "G. Gennimatas" Hospital, and the Children's Hospital "Agia Sofia," thereby gaining exposure to a broad range of clinical cases. She has experience collaborating with leading companies, scientific teams, and organizations in the health and wellness sector, as well as working with individuals seeking to improve their quality of life. She specializes in modern techniques and counseling for weight management in children, adolescents, and adults; nutrition during pregnancy, breastfeeding, and menopause; eating disorders; health, wellness, exercise, and longevity coaching; nutritional management of allergies and intolerances; gastrointestinal diseases, particularly irritable bowel syndrome and gastroesophageal reflux; dyslipidemias; high blood sugar and insulin resistance; hypertension; and metabolic syndrome.

Anaxagora 13, Marousi, ΑΤΤΙΚΗ

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About the specialist

Matina Batzaki is a Psychologist with a private practice located in Ilisia. She graduated from the University of Crete and holds a master's degree in Consultation-Liaison Psychiatry: Integrated Care of Physical and Mental Health from the National and Kapodistrian University of Athens. She is undergoing training in Cognitive Behavioral Therapy (CBT) at the Hellenic Society for Behavioral Research. Concurrently, she is pursuing further specialization in Acceptance and Commitment Therapy (ACT) at the Institute of Behavioral Research and Therapy (IBRT), as well as in the Treatment of Eating Disorders at the 1st Psychiatric Clinic of the Medical School of the National and Kapodistrian University of Athens, in collaboration with EPIPSY. She has collaborated with public and private healthcare institutions, including Attikon University General Hospital, Penteli Children's General Hospital, and the Lyrakou Psychiatric Clinic, where she continues to work. Additionally, she is active in research in the field of psychopathology and health, with publications in international scientific journals. She maintains a private practice in Ilisia, where she provides psychotherapeutic services to adults, adolescents, and families, based on the principles of the Cognitive-Behavioral approach and contemporary scientific practice.

Μιχαλακοπούλου 111, Ilisia, ΑΤΤΙΚΗ

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About the specialist
Η Γερονικόλα Χριστίνα είναι Σύμβουλος Ψυχικής Υγείας – Ψυχοθεραπεύτρια Συνθετικής προσέγγισης.

Νέστορος 6-8 Νέστορος 6-8 & Ζαν Μωρεάς 112 (είσοδος από Ζαν Μωρεάς), Chalandri, ΑΤΤΙΚΗ

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About the specialist
Ψυχοπαιδαγωγός (Msc Κοινωνικής Κλινικής Ψυχολογίας) Ψυχοθεραπευτρια (Συστημική ψυχοθεραπεία, ΑΚΜΑ).

Καλομενοπούλου 18, Ερμούπολη, Syros, ΚΥΚΛΑΔΕΣ

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About the specialist

Gkountoni Anna is a graduate of the Department of Psychology at Aristotle University of Thessaloniki, holding a professional practice license and operates her own office in the center of Thessaloniki. She has obtained a postgraduate degree in Child and Adolescent Psychology from the University of Leiden in the Netherlands. Additionally, she is undergoing training in Cognitive Behavioral Psychotherapy at the Hellenic Association of Cognitive Behavioral Psychotherapy (HACBP).

Τσιμισκή 75, Thessaloniki, ΝΟΜΟΣ ΘΕΣΣΑΛΟΝΙΚΗΣ

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About the specialist

Vagena Xristina is a Psychologist - Psychotherapist and maintains a private practice in Thessaloniki. She holds a degree in Psychology from Aristotle University of Thessaloniki and completed a postgraduate program in Counseling Psychology at the University of Edinburgh in Scotland. Subsequently, she underwent a 4-year training program at the Hellenic Society for Behavioral Research, specializing in Cognitive Behavioral Therapy. Additionally, she is certified in the administration of the MMPI-2 (Minnesota Multiphasic Personality Inventory) by ISON Psychometrica. She has worked as a trainer at the public IEK of Aridea and Sindos and at the Mental Health Vocational Training Center, providing training to caregivers of individuals with dementia, autism, and Alzheimer's disease. Furthermore, she has served as a Psychologist at the American College of Anatolia in Thessaloniki, as a School Psychologist at the 12th Vocational High School (EPAL) of Thessaloniki, and as a Forensic Psychologist Expert at the Thessaloniki Court of First Instance. Finally, she was a collaborator for 6 years at the Speech Therapy Center "Playlearning" in Thessaloniki.

Vasileos Irakleiou 47, Thessaloniki, ΝΟΜΟΣ ΘΕΣΣΑΛΟΝΙΚΗΣ

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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

Zaxarou Vera - Nutrithink is a Dietitian - Nutritionist and operates a private practice in Piraeus. She completed her studies in the Department of Nutrition and Dietetics at the Technological Educational Institute of Crete. Additionally, she attended a Health Coach training seminar and subsequently a professional development program in Pediatric Nutrition at the National and Kapodistrian University of Athens. She has experience and contributes articles to various websites.

Nikita 13, Piraeus, ΑΤΤΙΚΗ

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Gestalt Therapy
About the specialist

Eleonora Tsilimpakou is a Social Worker, graduate of Democritus University of Thrace, with postgraduate studies in Clinical Social Work with families and children from the University of West Attica. After completing her postgraduate studies, she trained as a Career Guidance Counselor at the Higher School of Pedagogical and Technological Education and completed a four-year training program in Gestalt Psychotherapy at the Gestalt Foundation Psychotherapy and Training Center. Additionally, she has been trained in coordinating parent groups by the National and Kapodistrian University of Athens, as well as in the Healthy Relationship Building Program between the two genders. She possesses extensive professional experience as a Social Worker, having worked in both private and public sectors, including the Elderly Care Unit "Frontizo," the Adult Psychiatric Clinic "Agia Aikaterini," the 2nd Special Vocational Education and Training Laboratory (EEEKK) of Piraeus "Anixi," the Foster Care Service of SOS Children’s Villages, the 2nd Local Health Unit of Nea Filadelfeia, as well as the Day Center for Children and Adolescents of the Hellenic Society of Medical Psychology. As a Career Guidance Counselor, she has collaborated with the Career Office of Aristotle University of Thessaloniki, and since 2020 she has maintained a private practice in Agia Paraskevi, Attica, where she provides psychotherapy services in both individual and group settings.

  • Αντιμετώπιση διατροφικών διαταραχών

Χαλανδρίου 5, Agia Paraskevi, ΑΤΤΙΚΗ

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Integrated Psychotherapy Cognitive Behavioral Therapy (CBT)
About the specialist

Zarogkika Lina is a Psychologist specializing in Counseling Psychology and Psychotherapy. She holds a Master's degree in Counseling Psychology from London Metropolitan University and a Bachelor's degree in Psychology from the University of East London. Her studies, combined with her clinical experience, have equipped her with a deep understanding of human emotions and behaviors. Her therapeutic approach is based on Cognitive-Behavioral Therapy (CBT), while also employing an integrative model utilizing tools from systemic, psychodynamic, gestalt, mindfulness, and other modalities. She has been trained and specializes in couples therapy, eating disorder treatment, clinical psychology, sexual education, anxiety, as well as other areas and approaches within the field. With experience in mental health settings and participation in scientific research projects, her aim is to provide practical and meaningful solutions. She focuses on the uniqueness of each individual and creates a safe and supportive environment to help clients address their challenges. Through empathy and contemporary therapeutic methods, she assists in redefining issues for a more functional and balanced daily life. A crucial component of all the above is the establishment of a therapeutic alliance with trust as its fundamental element.

Remote availability

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About the specialist

Diamantopoulou Sofia is a Psychologist - Psychotherapist and maintains a private practice at the Megaron Concert Hall. She specializes in Clinical Mental Health through postgraduate studies at the Medical School of Aristotle University of Thessaloniki, is a graduate of the Department of Psychology at Panteion University of Social and Political Sciences, and holds a Professional Practice License. Her psychotherapeutic specialization is in Cognitive-Behavioral Therapy (CBT) through the Society of Cognitive Behavioral Studies, and she works as a Psychologist - Psychotherapist in the Adult Therapy Department at the Institute for Behavioral Research and Therapy (I.E.TH.S.). Simultaneously, she has been trained in Compassion-Focused Therapy (CFT) as well as Acceptance and Commitment Therapy (ACT). She has worked as a Psychologist in the Psychiatric Department of the General Hospital of Athens "G. Gennimatas," at the Psychiatric Hospital of Attica "DAFNI," and at the camp "Athitaki." She has been a regular member of the Hellenic Psychologists Association (SEPS) since 2020.

Αλυός 9, Ιλίσια - Μέγαρο Μουσικής, (3ος όροφος με ασανσέρ), Ilisia, ΑΤΤΙΚΗ

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About the specialist

Konstantina Skourla is a Psychologist - Psychotherapist and maintains a private practice at the Megaron Concert Hall. She is a graduate of the Department of Psychology at Panteion University of Social and Political Sciences and has completed postgraduate training in Clinical Psychopathology and Clinical Skills in Psychopathology "Panagiotis Oulis" at the First Psychiatric Clinic of the National and Kapodistrian University of Athens (Research University Institute of Mental Health & Promotion of Knowledge in Mental Disorders), as well as postgraduate training in "Early Intervention in Psychosis" at the Research University Institute of Mental Health (EPI Psy). Furthermore, she is completing her clinical specialization in Cognitive-Behavioral Therapy (C.B.T.) at the Institute for Research and Therapy of Behavior (I.E.TH.S.) and in Dialectical Behavior Therapy at the Hellenic Society for Behavioral Research (EEES). She works as a Psychologist - Psychotherapist in the Adult Therapy Department of the Institute for Research and Therapy of Behavior and in her private practice. Previously, she has collaborated with the Animus Corpus Psychotherapeutic Center and has worked as a Psychologist at the Mental Health Center of Peristeri and at the Special Child Care Center of the Naval Hospital of Piraeus. Lastly, sessions are conducted both in-person and remotely.

Alios 9, next to Megaro Mousikis Metro Station, Ilisia, ΑΤΤΙΚΗ

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Psychoanalytic Psychotherapy
About the specialist
Ψυχολόγος Λακανικού Ψυχαναλυτικού Προσανατολισμού

Τιμολέοντος Βάσσου 10, Platia Mavili, ΑΤΤΙΚΗ

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About the specialist

Kollias Thanos MSc is a Psychologist - Psychotherapist who maintains a private practice in Athens, providing psychological support and counseling to adolescents, adults, and couples, applying principles of cognitive and behavioral psychotherapy. He is a graduate of the Department of Psychology at the National and Kapodistrian University of Athens and has also completed undergraduate studies in the Department of Political Science and Public Administration at the same university, as well as postgraduate studies in Communication, Management, and Innovation at Wageningen University in the Netherlands. His interdisciplinary training contributes to a holistic understanding of human behavior, communication, and interpersonal relationships. He has received further training in Cognitive and Behavioral Psychotherapy at the Society for Cognitive and Behavioral Studies, recognized by the European Association for Behavioural and Cognitive Therapies (EABCT), while simultaneously pursuing a Master's degree in Educational Sciences at the National and Kapodistrian University of Athens (NKUA), specializing in the Psychopedagogy of Reading. He has collaborated with mental health institutions such as the Non-Profit Organization IASIS and the General Hospital Asklipieio Voulas (Child Psychiatry Department), gaining experience in assessment, parent counseling, and psychotherapeutic intervention with children and adolescents. In his therapeutic approach, he utilizes music therapy as a means of expression and processing emotions, enhancing emotional understanding and creative communication.

Ροΐκου 32α, Νέος Κόσμος, Neos Kosmos, ΑΤΤΙΚΗ

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About the specialist

Η Πετροπούλου Κατερίνα MSc είναι Κλινική Ψυχολόγος - Ψυχοθεραπεύτρια και διατηρεί ιδιωτικό γραφείο στο Μοσχάτο. Είναι απόφοιτος του Τμήματος Ψυχολογίας του Εθνικού και Καποδιστριακού Πανεπιστημίου Αθηνών με βαθμό Άριστα και κάτοχος Μεταπτυχιακού Διπλώματος (MSc) στην Κλινική Ψυχολογία από το Πανεπιστήμιο του Leiden της Ολλανδίας, από όπου αποφοίτησε με βαθμό Άριστα. Έχει εκπαιδευτεί στις αρχές και τις τεχνικές της Γνωσιακής Συμπεριφορικής Θεραπείας (ΓΣΘ) στο πλαίσιο των σπουδών και της κλινικής της εκπαίδευσης, ενώ παράλληλα πραγματοποιεί τετραετή εξειδίκευση στη Γνωσιακή Συμπεριφορική Θεραπεία στο Ελληνικό Ινστιτούτο Γνωσιακών Συμπεριφορικών Σπουδών (ΕΙΓΣΣ). Διαθέτει επίσης πιστοποίηση στη χορήγηση και ερμηνεία του ψυχομετρικού εργαλείου WAIS-IV.

Αρτέμιδος 1, Moschato, ΑΤΤΙΚΗ

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About the specialist
Η Ξένια Βουκούτη είναι Ψυχολόγος- Γνωστική Συμπεριφορική Ψυχοθεραπεύτρια - MSc Σύμβουλος Εξαρτήσεων

Γραφείο Καραολή και Δημητρίου 149 (1ος όροφος), Evosmos, ΝΟΜΟΣ ΘΕΣΣΑΛΟΝΙΚΗΣ

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About the specialist

Η Λαφαζανίδου Μαρία είναι Ψυχολόγος - Ψυχοθεραπεύτρια και διατηρεί το ιδιωτικό της γραφείο στο Περιστέρι. Είναι πτυχιούχος του Τμήματος Ψυχολογίας του Παντείου Πανεπιστημίου Κοινωνικών και Πολιτικών Επιστημών Αθήνας. Κατά τη διάρκεια των σπουδών της, ολοκλήρωσε τη πτυχιακή της εργασία πάνω στη σχέση της «αντίληψης του χρόνου» (time perception) και του «εθισμού στο διαδίκτυο» (internet addiction), μελετώντας ερευνητικά δεδομένα για τη παραμόρφωση του χρόνου και τις ώρες κατανάλωσης στο διαδίκτυο. Σε συνέχεια των σπουδών της, ολοκλήρωσε το μεταπτυχιακό της πρόγραμμα στην Κλινική Ψυχολογία (Clinical Psychology, MSc) στο Πανεπιστήμιο της Ουτρέχτης στην Ολλανδία (Utrecht University, Netherlands), όπου ανέπτυξε θεμελιώδεις γνώσεις και δεξιότητες για την ψυχολογική εκτίμηση, παρέμβαση και πρόληψη ατόμων με ψυχικές δυσκολίες, όπως οι αγχώδεις διαταραχές, η διαταραχή μετατραυματικού στρες, η κατάθλιψη, τα προβλήματα πένθους, η ιδεοψυχαναγκαστική διαταραχή κ.α. Στο πλαίσιο της εκπαίδευσης της, δραστηριοποιήθηκε ερευνητικά, πραγματοποιώντας μελέτη για τη συμβολή της δυσανεξίας στην αβεβαιότητα (Intolerance of Uncertainty) στη διατροφική παθολογία γυναικών με Νευρική Ανορεξία (Anorexia Nervosa). Έχει εκπαιδευτεί και πιστοποιηθεί στη Γνωσιακή Συμπεριφοριστική Θεραπεία (CBT) στην Ελληνική Εταιρεία Έρευνας Συμπεριφοράς, σε τετραετές πρόγραμμα σπουδών, σύμφωνο με τα κριτήρια της Ευρωπαϊκής Εταιρείας Γνωσιακών Συμπεριφοριστικών Θεραπειών - European Association for Behavioural and Cognitive Therapies (EABCT). Έχει διατελέσει εξάμηνη κλινική άσκηση στο Ψυχιατρικό Νοσοκομείο Αττικής Δρομοκαΐτειο, όπου έλαβε θεωρητική και πρακτική εκπαίδευση στην ψυχοθεραπεία ασθενών με Διαταραχές Προσωπικότητας, OCD, και Συνδεόμενες Διαταραχές. Πιο συγκεκριμένα, συμμετείχε σε υποστηρικτική ομάδα νοσηλευόμενων ασθενών, παρακολούθησε κλινική εξέταση ασθενών με σκοπό τη ψυχιατρική εκτίμηση και διάγνωση, καθώς και λήψη ιστορικού, χορήγηση, αξιολόγηση, και ερμηνεία ψυχομετρικών δοκιμασιών (MMPI, WAIS-R). Εργάστηκε σε κέντρο Ειδικών Θεραπειών στην Αθήνα προσφέροντας συμβουλευτική γονέων, ενώ στο παρόν ιδιωτεύει, πραγματοποιώντας δια ζώσης και online συνεδρίες. Στο διάστημα όλων αυτών των ετών, έχει παρακολουθήσει πληθώρα εκπαιδευτικών σεμιναρίων, βιωματικών εργαστηρίων και συνεδριών από Ελλάδα και εξωτερικό, μεταξύ των οποίων είναι και η Θεραπεία Αποδοχής και Δέσμευσης (ACT).

Λευκάδος 4, Peristeri, ΑΤΤΙΚΗ

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Lacanian Psychotherapy
About the specialist

Anagnostou Xrysanthi is a Psychologist - Psychotherapist with a psychoanalytic orientation, providing sessions for adults. She is also a collaborator at a Social Clinic in Athens, offering services in the field of mental health. In the past, she has worked at the Center for Vocational Preparation and Psychosocial Rehabilitation of the 1st Psychiatric Clinic of the University Hospital of Athens, Aeginiteio, and at the Hellenic Society for the Protection and Rehabilitation of Disabled Persons (ELEPAP), in the Neuropsychological Rehabilitation Department for Traumatic Brain Injury (TBI ELEPAP) in collaboration with the Brain Injury Day Treatment Program of the Rusk Institute of Rehabilitation Medicine, New York Medical School, and Aeginiteio Hospital. She has also worked as a Psychologist in the International Organization for Migration - Filoxenia Project. She studied Psychology at Panteion University of Social and Political Sciences and completed postgraduate studies in the History of Philosophy at the National and Kapodistrian University of Athens. For several years, she attended Clinical Training at the Forum of Lacanian Psychoanalysis, International Forums – School of Psychoanalysis of the Lacanian Forum, and more recently, she has been training at the Center for Psychoanalytic Research Athens, Clinical Branch of the NLS (New Lacanian School), the Freudian Field, and the Ecole de la Cause Freudienne (ECF), where she is an active member, engaging in ongoing training, presentations, participation in study Cartels, clinical conferences, workshops, seminars, etc. Simultaneously, she has completed a two-year program in "Psychoeducational Interventions - Behavioral Family Therapy in Psychosis" at the Research University Institute of Mental Health, and attended the postgraduate seminar on "Clinical Psychopathology 'Panagiotis Oulis'" at Aeginiteio Hospital. She is a regular member of the Association of Greek Psychologists.

Σόλωνος 120, Exarcheia, ΑΤΤΙΚΗ

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Psychogenic Bulimia - Psychogenic Anorexia

What are they, how do you recognize them, and how are they treated


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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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