Electronic prescription
1394

Doctors for Electronic prescription

About the specialist

Mauromataki Xristina is a Gynecologist - Obstetrician and maintains a private practice in Thessaloniki. Her first degree is from the Midwifery Department of the Technological Educational Institute of Thessaloniki, and her second degree is from the Medical School of Aristotle University of Thessaloniki. Beyond her medical profession, which she continues to practice today, Ms. Mauromataki has worked as a private midwife, psychoprophylaxis instructor, and breastfeeding consultant. Her first specialization was in general surgery and the second in gynecology - obstetrics, conducted at the General Hospital of Lamia, the General Hospital of Giannitsa, and the General Hospital of Thessaloniki "Papageorgiou". To this day, the doctor is a Scientific Collaborator of the General Clinic - Bioclinic of Thessaloniki and the Obstetrics - Gynecology Clinic "Genesis." Thus, with the knowledge she possesses in the field of gynecology - obstetrics, the doctor can diagnose and manage both simple and more complex cases.

  • Electronic Prescribing
    • Electronic Prescribing
      Η ιατρός θα πρέπει να σας εξετάσει προτού να συνταγογραφήσει. Το κόστος επίσκεψης με test ΠΑΠ ανέρχεται στα 50€.

Mitropoleos 43 , Thessaloniki, ΝΟΜΟΣ ΘΕΣΣΑΛΟΝΙΚΗΣ

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About the specialist
Υπερλιπιδαιμια Αρτηριακη Υπερταση Ηλεκτροκαρδιογραφημα Διερευνηση Παθολογικων Παραγοντων
  • Electronic Prescribing
    • Two-month Electronic Prescribing
    • Electronic Prescribing
    • Three-month Electronic Prescribing
      συνταγογραφηση

Menekratous 108, Neos Kosmos, ΑΤΤΙΚΗ

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About the specialist

Memtsas Zaxarias is an Otolaryngologist (ENT) who maintains a state-of-the-art, fully equipped private clinic in Chalandri. He studied at the Medical School of the University "La Sapienza" in Rome and graduated with honors. He subsequently specialized in adult and pediatric Otolaryngology. He is highly trained in modern Otolaryngology and Neuro-otology, with over 12 years of extensive clinical as well as practical and surgical experience in complex cases. Additionally, he received further training in Aesthetic Surgery & Cosmetology in London. Beyond being a skilled physician, he is distinguished by his compassion for people and the attention he gives to his patients.

  • Electronic Prescribing
    • Two-month Electronic Prescribing
    • Electronic Prescribing

Plataion 10 & Makedonias 8, Chalandri, ΑΤΤΙΚΗ

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About the specialist

Dr. Koutsaki Maria is an Endocrinologist with a private practice in Kaisariani. She is undertaking postgraduate studies in Female Reproduction at the National and Kapodistrian University of Athens and specializes in Gynecological Endocrinology, Thyroid Disorders, and Diabetes Mellitus. Additionally, she has extensive experience in conditions such as gestational diabetes, osteoporosis, calcium and vitamin D metabolism, Cushing's syndrome, Addison's disease, menstrual disorders, polycystic ovary syndrome, obesity, metabolism, growth disorders, endocrine hypertension, adrenal diseases, pituitary adenomas, neuroendocrine tumors, and endocrine aspects of pregnancy. Furthermore, she has participated in numerous diabetes and endocrinology conferences both at the European and national levels, presenting clinical research studies and case reports aimed at continuous education and professional development in endocrinology. Finally, she is a member of the Athens Medical Association and the Hellenic Endocrine Society and is proficient in English, Italian, and German.

  • Electronic Prescribing
    • Electronic Prescribing
    • Two-month Electronic Prescribing
    • Three-month Electronic Prescribing

Dioharous 24, Kesariani, ΑΤΤΙΚΗ

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  • Electronic Prescribing
    • Electronic Prescribing
      Η ηλεκτρονική συνταγογράφηση πραγματοποιείται μόνο κατόπιν κλινικής εξέτασης.
    • Two-month Electronic Prescribing
      Η ηλεκτρονική συνταγογράφηση πραγματοποιείται μόνο κατόπιν κλινικής εξέτασης.
    • Three-month Electronic Prescribing
      Η ηλεκτρονική συνταγογράφηση πραγματοποιείται μόνο κατόπιν κλινικής εξέτασης.

EMΒRYOCOSMOS ΙΑΤΡΕΙΟ ΝΕΑΣ ΣΜΥΡΝΗΣ 25is Martiou 11 , Nea Smirni, ΑΤΤΙΚΗ

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About the specialist

Papoutsis Konstantinos MD, FEBOT, FRCS (Tr&Orth) is a Military Physician, Orthopedic Surgeon, Traumatologist, and maintains a private practice in Panormou. He is a Consultant at the Orthopedic Clinic of the Naval Hospital of Athens. He graduated from the Medical Department of the Military School of Corps Officers and holds a degree from the Medical School of Aristotle University of Thessaloniki. He trained in both surgical and non-surgical management of the full spectrum of orthopedic conditions initially at the Naval Hospital of Athens and subsequently in London, where he spent a total of six years. He completed his specialty training in Orthopedic Traumatology, earning fellowships from the Royal College of Surgeons of England and the European Board of Orthopaedics and Traumatology following specialized examinations. He has specialized in recognized centers in London in Adult Hip and Knee Reconstructive Surgery, management of Hip disorders in Young Adults, and is among the few surgeons in Greece specialized in Trauma Surgery, Fractures, and Pelvic Ring (Pelvis) and Acetabulum Pathologies. Hip and Knee Arthroplasty using the latest minimally invasive, bloodless techniques and fast recovery protocols, revision of painful arthroplasty, arthroscopic surgery of the hip, knee, and shoulder, ligament reconstruction, sports injuries, and fracture surgery are some of the procedures he frequently performs. He is committed to providing high-level healthcare services modeled on the standards of the United Kingdom's health system, with respect for the patient's individuality and dignity. Finally, he collaborates with Metropolitan, Metropolitan General, Mediterraneo Hospital, and the Peristeri Medical Center.

  • Electronic Prescribing
    • Electronic Prescribing

Louizis Riankour 65-67 (Synovus Orthopaedic Clinic), Panormou, ΑΤΤΙΚΗ

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About the specialist

Polykseni Kalisperati is a Gastroenterologist with extensive clinical experience and a strong academic/research background, aiming to provide comprehensive and personalized care to each patient at her private practice. She is a graduate of the Medical School of the National and Kapodistrian University of Athens and holds a PhD from the Medical School of Athens.

She currently serves as an Assistant Gastroenterology Consultant B’ at the General Hospital of Athens "ELPIS," having also trained and worked for several years at the General Hospital of Athens "Laiko" (University Gastroenterology Clinic & Clinic of Pathological Physiology), gaining extensive experience across the full spectrum of modern Gastroenterology. She places special emphasis on interventional endoscopy, digestive oncology, neuroendocrine tumors, gastrointestinal infections (with a specialization in H. pylori), and gastrointestinal immunology/gastrointestinal manifestations of autoimmune diseases.

Additionally, she actively participates in scientific publications in international journals and is a regular speaker at conferences. She also maintains an educational role in Pathological Physiology at the Medical School of Athens, contributing to the teaching of undergraduate students.

At her practice, Dr. Kalisperati addresses each case with respect, empathy, and scientific evidence, dedicating time for meaningful discussion, proper information, and clear guidance. Her goal is accurate diagnosis, targeted treatment, and long-term follow-up with an emphasis on prevention and improvement of quality of life.

Ιπποθοντιδών 21, Petralona, ΑΤΤΙΚΗ

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About the specialist

Georgios Katsagounos is a Urologist - Andrologist and maintains a private practice in Melissia. He holds a Medical Degree from the University G. D'Annunzio Chieti - Pescara in Italy and specialized in Urology at the Urological Clinic of the General Hospital of Athens "G. Gennimatas." He is a Fellow of the European Board of Urology (FEBU) and holds the Advanced Trauma Life Support (ATLS) certification. Since 2018, he has worked as a Consultant at the 3rd Urological Clinic of Hygeia Hospital. Finally, the doctor specializes in urinary tract lithiasis, prostate diseases, and transurethral resection of the prostate (TURis).

  • Electronic Prescribing
    • Electronic Prescribing
    • Three-month Electronic Prescribing

A. Papandreou 4, Melissia, ΑΤΤΙΚΗ

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About the specialist
υπέρταση,λοιμώξεις,βήχας,πιστοποιητικά, συνταγογράφηση,βελονισμάς,απώλεια βάρους.

ΜΑΡΙΑ ΝΙΚΗ ΚΑΤΣΙΓΙΑΝΝΗ Εθνικής Αντιστάσεως 32, Tripoli, ΑΡΚΑΔΙΑ

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About the specialist

Ms. Xatziathanasiadou Georgia is a Dermatologist - Venereologist and maintains her private practice in Thessaloniki. She is a graduate of the Medical School of Aristotle University of Thessaloniki (AUTH). She specialized at the Hospital for Venereal and Dermatological Diseases of Thessaloniki. She possesses extensive experience while continuously keeping herself updated on the latest advances in Dermatology through conferences and seminars. She manages a wide range of cases with a focus on providing the best possible care tailored to the individualized needs of each patient she treats. Some of the medical services she provides include: Clinical Dermatology, Venereology, Pediatric Dermatology, Acne Treatment, Condylomas, Eczema Management, Hair Loss, Alopecias, Herpes Management, Melasma Treatment, Removal of papillomas with Laser, Removal and Dermatoscopy of nevi, etc.

  • Electronic Prescribing
    • Electronic Prescribing
      Η ιατρός πραγματοποιεί συνταγογράφηση μόνο κατόπιν εξέτασης.

Agias Sofias 44, Thessaloniki, ΝΟΜΟΣ ΘΕΣΣΑΛΟΝΙΚΗΣ

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About the specialist

Dr. Theodoropoulos Dionysios is a General Surgeon with 19 years of extensive experience in a wide range of surgical procedures, including both laparoscopic and open methods. He specializes in laparoscopic excision of the pilonidal cyst, the management and treatment of hemorrhoids, and cholecystectomy procedures. He holds a Diploma of License (MD) from the Medical School of "Universitatea de Medicina si Farmacie GR T POPA" and has obtained medical practice licenses in Greece, Sweden, Spain, and Romania. During his General Surgery specialization, he completed advanced training in the Vascular Surgery Department at Konstantopouleio General Hospital and in the Plastic Surgery Department at the Oncology Hospital of Ag. Anargyroi. At Konstantopouleio General Hospital, he served as the primary surgeon or first surgical assistant in a wide range of laparoscopic and open surgical procedures. He has worked in the Emergency Department and was responsible for postoperative monitoring and treatment of patients with liver and pancreatic cancer. He manages numerous cases by leveraging his scientific expertise and extensive experience, always focusing on providing the best possible care tailored to the individual needs of each patient he treats.

  • Electronic Prescribing
    • Electronic Prescribing
      Ανά επίσκεψη

Mitropoleos 5 & Nikis 9, Syntagma, ΑΤΤΙΚΗ

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About the specialist

Geroutziafa Aggeliki is a Dermatologist - Venereologist and maintains a private practice in Evosmos, Thessaloniki. She is a graduate of the Medical Department of the Military School of Officers of Corps (SSAS) and Aristotle University of Thessaloniki, and specialized in Dermatology - Venereology at the First University Dermatology Clinic of Aristotle University of Thessaloniki. She is a Consultant at the Dermatology Clinic of the 424 General Military Hospital of Thessaloniki. The physician has participated in numerous dermatological conferences and is a member of the Hellenic Dermatological - Venereological Society. In her private practice, she offers aesthetic dermatology services, performs minor surgical procedures, and treats clinical dermatological conditions.

  • Electronic Prescribing
    • Electronic Prescribing

Megalou Alexandrou 13, Evosmos, ΝΟΜΟΣ ΘΕΣΣΑΛΟΝΙΚΗΣ

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About the specialist

Marinakos Athanasios is a Specialist Cardiologist with a private practice in the Ampelokipi area. He possesses significant experience in Clinical Cardiology as well as specialized knowledge in Interventional Cardiology and Advanced Echocardiography. The clinic offers Electrocardiograms, Cardiac and Thoracic Aorta Triplex Ultrasound, 24-hour Blood Pressure Holter, 24-48 hour/7-day Rhythm Holter monitoring, utilizing state-of-the-art equipment, and issues health certificates and attestations. For the diagnosis and treatment of complex cardiological cases, he collaborates with the H.H.G group, reputable diagnostic centers, and public healthcare facilities. He holds a medical degree from the Semmelweis University Faculty of Medicine in Budapest. He specialized in Cardiology at the General Regional Hospital of Tripoli and the Konstadopouleio New Ionia "Agia Olga" Hospital. At the Hemodynamic Laboratory of the latter, he received further training in Interventional Cardiology, and at the Onassis Cardiac Surgery Center, he trained in Latest Ultrasound Techniques. He has worked as a Consultant Cardiologist B at the Cardiology Clinic and Hemodynamic Laboratory of the General Hospital of Athens "Laiko," where he gained experience managing cardiology patients with significant comorbidities (pathological, rheumatological, surgical, nephrological, and oncological cases). He has also worked as a Consultant Cardiologist in the interventional cardiology team at the private Metropolitan Hospital, acquiring extensive experience managing cardiology patients undergoing complex angioplasties and transcatheter valve replacement procedures. He is a certified Basic and Advanced Life Support Resuscitator, an area in which he has substantial authorship and educational work. He actively participates in numerous conferences in Greece and abroad.

  • Electronic Prescribing
    • Three-month Electronic Prescribing
    • Electronic Prescribing
      Απλή συνταγή για φάρμακα ή παραπεμπτικό εξετάσεων

Kifisias Ave. 8, Ampelokipoi, ΑΤΤΙΚΗ

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About the specialist

Dr Aggelopoulos Theodoros is an Internist - Diabetologist who maintains his private practice in Perama, Attica. He holds a PhD from the Medical School of the National and Kapodistrian University of Athens and a medical degree from the Medical School of the University of Patras. He specialized in Internal Medicine at the 1st Propaedeutic Internal Medicine Clinic of the General Hospital of Athens "Laiko". Additionally, he specialized in Diabetes Mellitus at the Diabetology Center of the 1st Propaedeutic Internal Medicine Clinic of the General Hospital of Athens "Laiko" and in Preventive Medicine and emergency care management at Queen Elizabeth Hospital KL and Maidstone Kent in England. He is the Director and Internist - Diabetologist at the 2nd Internal Medicine Clinic of the Medical Center of Palaio Faliro and head of the Metabolism - Obesity Clinic at the Medical Center of Palaio Faliro. Finally, he was awarded first place in the 1st Medical Knowledge Competition, within the framework of the 38th Panhellenic Medical Conference, winning a 4-month scholarship at the Biomedical Research Foundation of the Academy of Athens.

  • Electronic Prescribing
    • Electronic Prescribing
    • Three-month Electronic Prescribing

Venizelou Sofokli 14, Perama, ΑΤΤΙΚΗ

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About the specialist

Karampelas Ilias is an Internist who maintains his private practice in Cholargos. He holds a medical degree from the University of Medicine and Pharmacology "Carol Davila" in Bucharest. He has served as an Internist in the Oncology Unit of the General Clinic Health Mansion "TYPET," as an Internist in the 2nd Internal Medicine Clinic of the Military Fund Nursing Institution, and as a Scientific Collaborator at the Diabetes Center of the same Hospital. Currently, he serves as an Internist in the Oncology Unit of the Athens Medical Center, as well as an Internist - Scientific Collaborator in the Oncology Unit of the 3rd University Internal Medicine Clinic of the General Chest Diseases Hospital "Sotiria." The doctor has participated in numerous international and nationwide scientific conferences, and he is a member of the editorial team of the journal "Diabetological News." Finally, it would be an omission not to mention the doctor's specialization in oncology, diabetes mellitus, and general internal medicine.

  • Electronic Prescribing
    • Electronic Prescribing
    • Three-month Electronic Prescribing

Leoforos Perikleous 25A, Cholargos, ΑΤΤΙΚΗ

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About the specialist

Vergados Athanasios is an Ophthalmologist and maintains a private clinic in Ampelokipoi. Upon completing his medical studies, he specialized at the First University Ophthalmology Clinic (G. Gennimatas - KOFKA). In May 2014, he was awarded a PhD in Ophthalmology for his research project titled "Preperimetric lesions in pseudoexfoliative Glaucoma" from the Medical School of the University of Athens. Subsequently, he further specialized in the United Kingdom at the second largest ophthalmologic hospital in Europe (Birmingham and Midland Eye Centre). Following his specialization, he was appointed Director of the Glaucoma Department at the James Paget University Hospital in the East Anglia region. In 2017, he moved to London, where he was appointed at Barts Health NHS Trust, the largest hospital complex in England. He worked as a glaucoma specialist at Whipps Cross University Hospital and was head of the Glaucoma and Emergency Department. He also served as the lead physician for glaucoma treatment at Newham University Hospital. He is a member of the Royal College of Ophthalmologists (UK), GMC (UK), UKEGS (member of the United Kingdom Glaucoma Society), BEECS (British Emergency Eye Care Society), British Ophthalmic Anaesthesia Society. Additionally, he is a member of the Athens Medical Association, the Hellenic Ophthalmological Society, and the European and Hellenic Glaucoma Societies.

  • Electronic Prescribing
    • Electronic Prescribing
      Θεραπεία μηνός

Λεωφόρος Κηφισίας 18, Ampelokipoi, ΑΤΤΙΚΗ

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About the specialist

Koumelli Areti is a Military Physician and Specialist Cardiologist who maintains a private practice in Ambelokipi. She completed her specialization at the First University Cardiology Clinic of the "Hippocrateion" General Hospital of Athens. She holds the position of Consultant Cardiologist at the Cardiology Clinic of the 251st General Air Force Hospital. She is a PhD graduate of the Medical School of the National and Kapodistrian University of Athens. Additionally, she holds the European Diploma of Cardiology (ESC European Diploma of Cardiology). As part of her ongoing professional development, Dr. Koumelli regularly attends and participates as an invited speaker and commentator at numerous conferences both in Greece and abroad. Moreover, she has an extensive research portfolio and is the author of numerous papers and publications in international journals. Finally, she is a member of both the Hellenic and European Cardiology Societies.

  • Electronic Prescribing
    • Electronic Prescribing
      Συνταγογράφηση μηνός
    • Six-month online prescription
      30
    • Three-month Electronic Prescribing

Vasilissis Sofias 122, Ampelokipoi, ΑΤΤΙΚΗ

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About the specialist

Reziti Ioanna is an Ophthalmologist with a private practice in Patras. She holds a degree from the Medical School of the University of Patras and specialized in Ophthalmology at Penteli Children’s Hospital, the University General Hospital of Patras, Edgeware Hospital in London, and Birmingham Eye Hospital in England. Dr. Reziti participates in numerous conferences both in Greece and abroad and is a member of the Hellenic Ophthalmological Society.

  • Electronic Prescribing
    • Electronic Prescribing
      Περιλαμβάνεται στο κόστος επίσκεψης

Kanakari 155-157, Patras, ΑΧΑΪΑ

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About the specialist

Koutsogiorgas Paris is a General Surgeon and maintains a private practice in Psychiko, within the Psychiko Medical Center. He graduated from the Medical School of Aristotle University of Thessaloniki and completed his specialty training at the 2nd University Surgical Clinic of Laiko Hospital in Athens. He is an Associate of the most prominent private clinics, including Psychiko Clinic of the Athens Medical Group, Iaso General, Bioclinic, and Euroclinic. He has extensive experience across the full spectrum of General Surgery and Laparoscopic Surgery, with specialization in breast surgery and endocrine glands (thyroid and parathyroid glands), managing all related cases. He employs the most advanced medical technologies, with patient safety and health protection as his utmost priority. Furthermore, he has attended seminars at significant hospital centers in Europe, aiming for continuous education and updates in his field.

  • Electronic Prescribing
    • Electronic Prescribing
    • Two-month Electronic Prescribing

Antersen 1 (Entos Iatrikou Kentrou PSyhikou), Ampelokipoi, ΑΤΤΙΚΗ

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About the specialist

Mporodimos Xristodoulos is an Ophthalmic Surgeon with a private practice in Ioannina. After completing his medical studies, he specialized in Ophthalmology at Borås Hospital in Sweden. He has served as the Medical Director of the ophthalmology clinic at Lindesberg, Sweden, and as a senior consultant at the University Ophthalmology Clinic in Örebro, Sweden. He is specialized in the surgical treatment of cataracts, monitoring of glaucoma, macular diseases, monitoring and treatment of diabetic retinopathy, as well as refractive surgery. Additionally, he received further training at Columbia University Hospital in New York and has specialized in oculoplastic surgery as well as minimally invasive aesthetic ophthalmology. In 2018, he obtained certification in botulinum toxin and cosmetic procedures from the globally recognized aesthetic medicine center MATA in London. He possesses extensive clinical experience and training.

  • Electronic Prescribing
    • Electronic Prescribing
      Συνταγογράφηση φαρμάκων μηνός-τρίμηνη

Dodonis 9, Ioannina, ΙΩΑΝΝΙΝΑ

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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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