Diet and nutrition, Attica
401

Health professionals for Diet and nutrition in Attica

About the specialist

Kalliampakos Dimitris is a Military Doctor – Specialist in Internal Medicine and maintains a private practice in Agia Paraskevi. Simultaneously, he serves as the Deputy Director at the 4th Internal Medicine Clinic of "HYGEIA" (building 2). He is a graduate of the Medical School of Aristotle University of Thessaloniki and specialized in Internal Medicine at the University Clinic of the General Hospital of Athens "Laiko." Subsequently, he served for several years as an attending physician at the 1st Internal Medicine Clinic of the 401 Military Hospital of Athens while also working for 8 years at the emergency outpatient medical company "SOS IATROI." Additionally, he received further training in Diabetes Mellitus at the Diabetology Center of the General Hospital of Athens "Hippokration" and is a regular member of the Hellenic Diabetology Society. He has extensive experience in managing infections, diabetes mellitus, hyperlipidemia, hypertension, rheumatic diseases, chronic systemic diseases, geriatric patients, as well as home-based emergency outpatient care. Finally, preventive medicine is thoroughly practiced in the private clinic, where rapid tests, electronic prescription, electrocardiogram, and spirometry are performed.

Παθολογικό Ιατρείο Paparrigopoulou 53, Agia Paraskevi, ΑΤΤΙΚΗ

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About the specialist
Διαιτολόγος - Διατροφολόγος στο Παλαιό Φάληρο. Ιδρυτής της ομάδας διαιτολόγων "Τροφή για...θρέψη"
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Amfitheas Avenue 24, Palaio Faliro, ΑΤΤΙΚΗ

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About the specialist

Ektor Kappatos-Koutroumpas is a Dietitian – Nutritionist, and his office “Healthier with Ektor” is located in the Mavili Square area. He holds a master's degree in Clinical Nutrition from the University of Aberdeen (Medical School), is a holder of the European Diploma in Clinical Nutrition and Metabolism (ESPEN), the leading European clinical nutrition qualification, has been trained in the Low-FODMAP diet for managing irritable bowel syndrome symptoms by Life Academy, and in Eating Disorders through the training program of KEADD (Hellenic Center for Education and Management of Eating Disorders), under the auspices of the British Psychological Society. He also holds a certification in the program of the National and Kapodistrian University of Athens (NKUA) titled "Stress Management and Health." He collaborates with psychologist - child psychologist Alexandra Kappatou as the head of the Dietetics Department. He has taught the course of Sports Nutrition for 2 years in the postgraduate program at the Scientific College of Greece (SCG) and has experience working in a private dietetic office. He is a co-creator and co-administrator of the dietitians’ group “Food for ... Nutrition.” Together, you will create a personalized intervention based on your unique needs and characteristics, aiming to achieve your goals without deprivation, hunger, or restrictions. He is here to listen to you, support you, and help you without judgment.

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Χατζηκώστα 5, Platia Mavili, ΑΤΤΙΚΗ

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About the specialist

Kiortsis Dimitrios, Endocrinologist - Diabetologist, is a Professor at the Medical School of the University of Ioannina. He maintains private practices in Athens and Ioannina. He received specialized training in Paris at the university hospitals Pitie-Salpetriere, Saint Louis, Hotel Dieu, Trousseau, and Cochin. He holds the three-year diploma in Endocrinology-Metabolic Diseases (DU Paris V). He earned his doctorate (PhD) through collaboration between the Universities of Paris (Paris VI) and Athens. He has 35 years of experience across the full spectrum of endocrine disorders, with particular expertise in obesity and metabolic diseases. He is a European-certified specialist and trainer of young physicians in obesity (European Scope). He has served as President of the Hellenic Medical Society of Obesity and is currently President of the Hellenic Society of Metabolism, Nutrition, and Wellness. His original research work includes over 200 publications in international journals and numerous chapters in both international and Greek medical books. His work has received multiple awards. He continues his research in collaboration with leading institutions in Europe and the USA. His clinic offers a fully personalized approach to the entire range of endocrine disorders, with an emphasis on modern therapeutic management of metabolic diseases and obesity. By combining academic research with extensive clinical experience, his goal is to improve patient quality of life through scientifically substantiated knowledge.

Βασίλη Λογοθετίδη 8, Ampelokipoi, ΑΤΤΙΚΗ

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About the specialist

Trigonis Sotirios is a General Practitioner with a private practice in Agia Paraskevi. He graduated from the Medical School of the National and Kapodistrian University of Athens, holds a postgraduate degree in Public Health from the National School of Public Health, and a postgraduate diploma from EKAB in Emergency Prehospital Medicine. He has extensive experience in managing emergency cases, home care, and treating patients with chronic diseases such as diabetes mellitus, hypertension, and obesity, while also implementing the Eurodiet medical weight management method. In addition to his private practice, he serves as an emergency and chronic disease management physician at the modern polyclinic of Alimos. Previously, he was the head of emergency cases at the Polyclinic of the Olympic Village and served as Scientific Director at the Health Center of Keratea. Furthermore, he continues to collaborate with numerous private clinics to date.

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Agiou Ioannou 8, Agia Paraskevi, ΑΤΤΙΚΗ

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About the specialist

Loukogiannaki Souzana - Human Kinetics is a Physiotherapist specializing in acupuncture and operates a private physiotherapy and biomedical acupuncture center in Pefki. She holds a physiotherapy degree from the Technological Educational Institute of Athens and completed a research postgraduate program in Exercise and Quality of Life at the Department of Physical Education and Sport Science of Democritus University of Thrace. Furthermore, she was trained in Mechanical Diagnosis and Therapy using the McKenzie method at the Hellenic McKenzie Institute and has obtained certification in the Scenar - Cosmodic method from LET Medical Research Lab in the United Kingdom. Subsequently, she specialized in Biomedical Acupuncture at the Laboratory of Musculoskeletal and Respiratory Physiotherapy of the University of West Attica. She further completed advanced training in Traditional Chinese Acupuncture at the Shanghai University of Traditional Chinese Medicine in China. In addition, she has received certification in Therapeutic Exercise Health Qigong Ba Duan Jin and Taiji Eight Routines & Five Steps through a training program held at the Tai Ji Health Center of the Laboratory of Musculoskeletal and Respiratory Physiotherapy of the University of West Attica, in collaboration with the Shanghai Qiging Research Institute at Shanghai University of Traditional Chinese Medicine, as well as in the Humantecar - Synergistic Healthcare Methodology. Previously, she worked as a Physiotherapist at the Creative Adult Employment Laboratory in Korydallos and as a lecturer in pedagogy and coaching at the Omega Vocational Training Institute. At the center, she manages cases encompassing the entire spectrum of acupuncture; it is noteworthy that she specializes in medical acupuncture, sports injuries, and musculoskeletal rehabilitation.

Polemiston 37, Pefki, ΑΤΤΙΚΗ

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About the specialist

Dr. Grammatikou Sofia, MD, PhD, is an Endocrinologist with a private practice in Chaidari. She holds a PhD from the Medical School of the National and Kapodistrian University of Athens with a dissertation titled "Health Maintenance Intervention in the Prevention of Type 2 Diabetes Mellitus." She is also a graduate of the Medical School of the National and Kapodistrian University of Athens and specialized in Endocrinology at the Korgialenio-Benakeio General Hospital of Athens. Dr. Grammatikou manages cases across the entire spectrum of Endocrinology, with particular expertise in the management of gestational diabetes as well as type 1 and type 2 diabetes. She is specialized in monitoring diabetic patients using insulin pumps. The clinic is equipped with modern thyroid ultrasound technology. During a diabetic patient visit, a comprehensive clinical examination, neuropathy assessment, training on the use of injectable therapeutic treatments, and dietary guidance are provided. Finally, Dr. Grammatikou is a member of the Athens Medical Association, the Hellenic Endocrinological Society, and the Hellenic Diabetes Association.

Georgiou Papandreou 67, Chaidari, ΑΤΤΙΚΗ

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About the specialist

Vroulou Sofia is a Dietitian - Nutritionist. She was born and raised in Ikaria. She has maintained a private practice in Galatsi since 1997. She holds a degree in Nutrition and Dietetics from the Alexander Technological Educational Institute of Thessaloniki and has specialized in the field of obesity. She participated in the program for mapping dietary habits throughout Greece, as well as in the 1st and 2nd cycles of the COZI program, which investigates childhood obesity at a pan-European level. Additionally, she has attended numerous seminars in the field of nutrition. Finally, she provides comprehensive nutrition services through specialized programs that address every individualized need. She emphasizes correct and gradual weight loss for the treatment of obesity in men, women, and children, with a goal of improving the nutritional behavior of children and adolescents.

  • Αντιμετώπιση παχυσαρκίας

Kourtiou 18 & Agias Glykerias (1os orofos), Galatsi, ΑΤΤΙΚΗ

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About the specialist

Kyriakos K. Trigkidis, MD, MSc is an Internal Medicine and Intensive Care Medicine specialist practising at his private Office in the city of Chalkida, Evia and in the city of Agios Stefanos, Attica (within the premises of "Medica' Medical Centre).

He graduated from the Medical School of the National and Kapodistrian University of Athens and completed, in the same Faculty, the post-graduate programme on the field of Resuscitation receiving a Master in Science (MSc) Degree. He is currently preparing his Doctoral Thesis on the subject of ultrasound assessment of hemodynamic status of Intensive Care Unit patients. He has contributed to the scientific literature by publishing articles in peer-reviewed, high-profile journals and by presenting his work in international conferences (ISICEM, ESICM).

Dr. Trigkidis completed his specialty training in Internal Medicine and further specialised in Intensive Care Medicine in "Evangelismos" General Hospital of Athens, one of the most prestigious hospitals of the greek Capital. He is registered with the UK General Medical Council as a specialist in General Internal Medicine, having worked as a Senior Clinical Fellow in the Intensive Care Unit of the Royal London Hospital and in the Accident and Emergency Department of Queen's Hospital in London, UK.

Currently, apart from private practice, he is employed as an Intensive Care Medicine specialist in the Intensive Care Unit of Athens Medical Centre.

Χέλμου 24, Πολυιατρείο Medica, Agios Stefanos, ΑΤΤΙΚΗ

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About the specialist

Iatrokosmos is a comprehensive primary healthcare unit located in the Ambelokipi area. It consists of the Iatrokosmos Endocrinology Department, staffed by highly trained scientific personnel and equipped with state-of-the-art medical devices. The center's objective is to provide the solution that each patient desires, namely diagnosis through to treatment, in an affordable and reliable manner, using only the necessary examinations. The goal is to cover the health needs of every family, insured or uninsured, of any age, with comprehensive solutions. Their philosophy includes three main principles: friendly service, high-quality examinations, and affordable prices. Finally, always prioritizing patient safety, they take responsibility for the patient's health from beginning to end, that is, from diagnosis through to treatment.

Patriarhou Ieremiou 17, Ampelokipoi, ΑΤΤΙΚΗ

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About the specialist

Karagiorgos Panagiotis is an Endocrinologist and maintains two private clinics in Vrilissia and Atalanti, Fthiotida. He also collaborates with the "IAZO" Polyclinic as the head of the endocrinology department. He is a graduate of the Medical School of the National and Kapodistrian University of Athens and has specialized in Endocrinology and Diabetology at the Endocrinology Clinic - Diabetology Center of the General Hospital of Athens "Evangelismos" and the Athens Children's General Hospital "P. & A. Kyriakou." Additionally, he holds diplomas in Homeopathy from the "Hippocratic Center of Classical Homeopathy," the British School "The School Of Homeopathy," and the Portuguese Homeopathic Society. He possesses significant professional experience, having worked in both the private and public sectors, and also holds teaching experience as head of medical course instruction at the "Hippocratic Center of Classical Homeopathy" since 2007. Finally, in the context of his lifelong education, the doctor has participated in numerous scientific conferences and educational seminars in Endocrinology.

Leoforos Pentelis 39A, Vrilissia, ΑΤΤΙΚΗ

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Sofias Aleksandros - Premedicare is an Endocrinologist, a graduate of the Medical School of the National and Kapodistrian University of Athens. Following two years of training in the Internal Medicine Department of the 7th IKA Hospital and four years of work at the Aspropyrgos refinery clinic as an on-call physician, he specialized in the Endocrinology Department of the General Hospital of Athens "Evangelismos". There, he actively participated in the Endocrinology Laboratory - Dynamic Testing Unit, the endocrinology clinic, outpatient clinics, and specialized clinics for Type 1 Diabetes Mellitus, pituitary disorders, diabetic nephropathy, and osteoporosis. He gained significant experience in adrenal gland diseases, pituitary disorders, and thyroid cancer. Additionally, he has taken part in numerous weekly interdisciplinary clinical case discussions and literature updates of the department, coordinated by Director Dr. Stylianos Tsagkarakis. Since then, he has participated in numerous conferences and has served as a reviewing physician for MedNet Greece SA, while continuing to provide high-quality services to his patients.

Premedicare Medical clinic

Σάκη Καράγιωργα 17, Agia Paraskevi, ΑΤΤΙΚΗ

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About the specialist

Giannitsopoulou Kallia MSc, MBA, SRD is a Clinical Dietitian - Nutritionist, practicing continuously since 2003. In 2005, she established the Scientific Dietetic Center "Healthy Body," where she has helped over 3000 individuals find solutions to body weight issues to date. She graduated with honors from the University of Surrey in the United Kingdom (2002) and obtained two postgraduate degrees: a Master's in Clinical Nutrition (MSc) from the University of Surrey with distinction (2003) and an MBA (2011) from the University of Leicester. Additionally, she has studied Life Coaching (Dip in Coach.) and successfully applies self-improvement techniques in nutrition sessions. The combination of coaching knowledge and clinical nutrition optimizes results in weight management as it aids in a better psychological approach to the individual. Ms. Giannitsopoulou has a rich portfolio of publications since 2005 in health magazines and newspapers and is intensively engaged in weight loss, clinical nutrition, eating disorders, and nutrition across life stages.

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Επιστημονικό Διαιτολογικό Κέντρο Σώμα Υγιές Konstantinoupoleos 22 & Lampraki Grigoriou 257, Nikaia, ΑΤΤΙΚΗ

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About the specialist

Maria Aggeli is a dietitian-nutritionist, graduate of the Department of Nutrition and Dietetics at the Technological Educational Institute of Thessaly.

She completed her internship in the Dietetics-Nutrition department at the General Hospital of Athens "Korgialeneio-Benakeio," where she was trained in counseling, education, and nutritional support of patients.

She participated in the study "Macronutrient content and food exchanges for 48 Greek Mediterranean dishes," which was published in the scientific journal "Nutrition & Dietetics: the journal of the Dietitians Association of Australia."

As part of lifelong learning, she attended seminars related to the latest scientific data on nutrition as well as specialized training programs, such as the Clinical Nutrition program at the National and Kapodistrian University of Athens, the "Master Practitioner in Eating Disorders and Obesity" at the Center for Education and Treatment of Eating Disorders (K.E.A.D.D), and the "Counseling and Communication Skills for Dietitians" and "Beyond the Limits of Dieting" programs at the Center for Mental Applications (KE.PSY.EF.), aiming for a holistic approach to each individual.

Additionally, she worked in a pharmacy for six years, which gave her the opportunity to work closely with individuals experiencing health issues related to nutrition, such as hypertension, dyslipidemia, elevated uric acid, diabetes mellitus, gastroesophageal reflux disease, among others.

Finally, she is a member of the Hellenic Dietitians-Nutritionists Association (HDNA) and, holding a professional license, she works as a freelancer in Keratea, Attica.

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Μάρκου Μπότσαρη 21, Keratea, ΑΤΤΙΚΗ

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Foteini Nika graduated from the Department of Science of Dietetics - Nutrition at Harokopio University in 2016. She continued her academic path by completing the postgraduate program in Applied Dietetics-Nutrition at Harokopio University, specializing in Clinical Nutrition, where she graduated with distinction. Her master's thesis focused on the development and validation of a predictive index for assessing the likelihood of vitamin D deficiency in a pediatric school-aged population. Interested in continuous education and training, she has completed additional postgraduate courses in the following areas: "Stress Management & Health," National and Kapodistrian University of Athens (NKUA), "Eating Disorders," NKUA, “Advanced Dietary Management and the low FODMAP Diet in IBS,” King's College London, and “Online Introduction to Paediatric Nutrition for Health Professionals,” Monash University. She has attended numerous conferences related to her field over time and has also served as a speaker at conferences, seminars, and workshops. She maintains her dietetic practice in Nea Erythraia. Within the framework of her professional experience, she has managed numerous clinical and sports nutrition cases in both adults and children. Finally, she is a member of the Hellenic Dietitians-Nutritionists Association. 

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Αναξαγόρα 5 , Nea Erythraia, ΑΤΤΙΚΗ

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Grigorios Rompopoulos, Endocrinologist, Diabetologist, Grigorios Rompopoulos is a graduate of the Medical School of the University of Athens. He has held the specialty of Endocrinology since 2008 and has been practicing as a private physician in Athens since then. He possesses extensive experience in clinical studies with more than 40 scientific publications and presentations in international scientific journals and conferences. He served as a general practitioner in Boeotia, as a pathology resident at Nikaia General Hospital, and as an endocrinology resident at Hippokration Hospital of Athens, where he obtained his specialty in Endocrinology. He worked for several years as a hospital physician in private clinics and later as a medical consultant and medical director at a company developing innovative therapies.

Ενδοκρινολογικό Ιατρείο Dimitriou Soutsou 7, Platia Mavili, ΑΤΤΙΚΗ

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Nezi Markella MD, MSc is an Endocrinologist - Diabetologist with a private practice in Pallini. She graduated from the Medical School of the National and Kapodistrian University of Athens and holds a Master's degree in the specialization program "Research in Female Reproduction." Additionally, she completed her endocrinology specialization in the Endocrinology - Diabetes Mellitus and Metabolism Department at the "E.E.S Korgialeneio - Benakeio" Hospital, and she currently serves as a Scientific Collaborator at the Aretaieio Hospital in the Endocrinology Unit. Furthermore, she has numerous presentations and published abstracts in Greek and international conferences and significant research activity, highlighted by her distinction for the best clinical paper at the 28th Panhellenic AIDS Conference in 2018 in Athens. Finally, Dr. Markella is a member of the Athens Medical Association and the Hellenic Endocrinological Society.

Vyzantiou 9-11, Pallini, ΑΤΤΙΚΗ

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Dr. Papadopoulou Efi, MD, MSc, PhD, is a Internist - Diabetologist and maintains a private practice in Ampelokipoi. She graduated from the Medical School of the University of Patras, holds a Master's Degree specializing in Diabetes Mellitus and Obesity, as well as a Doctorate from the Medical School of the National and Kapodistrian University of Athens, with a medical specialization in Diabetes Mellitus. She completed her specialty training in Internal Medicine at the Therapeutic Clinic of the University of Athens at Alexandra General Hospital, where she also received clinical training in Diabetes Mellitus at the Diabetes Clinic of the same department. Currently, she maintains a private practice in Athens and concurrently works as an Attending Internist at the 7th Internal Medicine Clinic of Hygeia Hospital. Her clinical and research interests span the entire spectrum of Internal Medicine, with a particular emphasis on Diabetes Mellitus and Obesity.

Βασιλίσσης Σοφίας 119, Ampelokipoi, ΑΤΤΙΚΗ

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Dara Argyro is an Endocrinologist - Diabetologist with private practices in Glyfada and Anavyssos. She graduated from the Medical School of Aristotle University of Thessaloniki and trained as a resident physician at the General Oncology Hospital of Kifisia and in Endocrinology - Diabetology - Metabolism at the General Hospital of Athens "Korgialeneio - Benakio E.E.S." She worked as an associate at the General Clinic of Athens and at the private medical center "Hygeia" from 1997 to 2000 and served as a rural doctor at the Karlovasi Health Center in Samos from 1995 to 1996. She specializes with extensive experience in conditions such as gestational diabetes, body weight management, type 1 and type 2 diabetes mellitus, osteoporosis, menopausal disorders, menstrual disorders, hypothyroidism, and parathyroid gland diseases. As part of her continuous professional development, the doctor participates in numerous training courses and conferences both in Greece and abroad.

28is Oktovriou 2, Anavissos, ΑΤΤΙΚΗ

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Dr. Petsiou Elena MD, PhD is a Pathologist - Diabetologist and maintains a private practice in Nea Smyrni. She holds a Doctorate from the National and Kapodistrian University of Athens and earned her Medical degree from the University of L’Aquila, Italy. She specialized in Diabetes Mellitus at the University General Hospital "Attikon". Alongside her private practice, she serves as the Director of the Pathology Clinic at Metropolitan Hospital and has previously held the position of Deputy Director at the "Errikos Dunant" Hospital Center. She has also worked as a Pathologist - Diabetologist at Queens Hospital and Blackpool Teaching Hospital in the UK, gaining substantial experience in arterial hypertension, dyslipidemia, with specialization in diabetes mellitus and obesity. Finally, Dr. Petsiou is a member of the Hellenic Diabetes Association, the Hellenic Society of Internal Medicine, and the Athens Medical Association.

Eleftheriou Venizelou 6, Metropolitan Hospital, Neo Faliro, 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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