Πιστοποιητικά υγείας για εργασία, Pefki
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Doctors for Πιστοποιητικά υγείας για εργασία near Pefki

About the specialist

Dr. Manthas Spyros is an Orthopedic Surgeon and Senior Consultant at TYPET - General Clinic "Ygeias Melathron" - and maintains private practices in Kifisia and Galatsi. He specializes in the lower extremity, foot, and ankle disorders. He has extensive experience in trauma, upper extremity microsurgery, and sports injuries. His postgraduate studies focused on bone metabolism and osteoporosis.

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Ελαιών 36, Kifisia, ΑΤΤΙΚΗ

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About the specialist

Markopoulos Marios is an Obstetrician-Gynecologist, Endoscopic Surgeon, and PhD holder from the Medical School of the University of Athens, with private practices in Mavili Square and Kifisia. Additionally, he is a Lecturer in the postgraduate program "Research in Female Reproduction" at the Medical School. He studied and graduated from the Medical School of the National and Kapodistrian University of Athens and received his specialty in Obstetrics and Gynecology from the University Clinic of Aretaieio Hospital in Athens. Subsequently, he specialized in Endoscopic Surgery in London, United Kingdom (King’s College & Princess Royal University Hospital). He has further specialization in female reproduction through postgraduate studies in "Research in Female Reproduction" and clinical training at the Assisted Reproduction Unit of King’s College Hospital in London. He was awarded a PhD from the Medical School of the University of Athens for his research on Polycystic Ovary Syndrome during menopause, which constitutes the main focus of his research work, and has received significant recognition as one of the most important studies in the field of Polycystic Ovary Syndrome and as essential examination material in the field of Reproductive Endocrinology and Infertility for maintaining certification in Obstetrics and Gynecology by the American Board of Obstetrics and Gynecology (ABOG). Furthermore, he has publications in international and Greek medical textbooks and journals, as well as numerous presentations at international and Greek medical conferences. Finally, he maintains ongoing research activities as a Scientific Collaborator at the 2nd University Clinic of Obstetrics and Gynecology of Aretaieio Hospital.

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Platanon 16, Kifisia, ΑΤΤΙΚΗ

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About the specialist

Sakorafa Xristina is a Pathologist and maintains her private practice in Marousi. She holds a degree from the Medical School of the University of Ioannina. She has trained as a Resident Pathologist at the Athens Naval Hospital and has served as a Pathologist at the Marousi Health Center. In 2023, she worked as a Registrar B' at THERAPIS GENERAL HOSPITAL. Since 2024, she has been working as a Registrar in the 5th Pathology Clinic at ERRIKOS DYNAN.

Δημητρίου Ράλλη 11 (3ος όροφος), Marousi, ΑΤΤΙΚΗ

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About the specialist

Gerontis Dimitrios is a Cardiologist - Arrhythmologist - Interventional Electrophysiologist and sees patients at the Cardiology Rhythm Center in Marousi (within the IASO General Clinic) and at his private practice in Chalkida. He is the Director of the Third Cardiology Clinic and the Cardiology Rhythm Center at the IASO General Clinic. He also holds the position of Honorary Director of Cardiology - Electrophysiology at the Bristol Heart Institute, where he performs invasive procedures.

He is a graduate of the Medical School of the National and Kapodistrian University of Athens. After completing his studies, he moved to the United Kingdom, where he completed his specialty in Cardiology (CCT) with a specialization in Interventional Electrophysiology and Cardiac Devices at Wessex Deanery (with National Training Number - WES734 (Southampton, Portsmouth, and Dorset University Hospitals). After completing his specialization in Cardiology, he completed a Post-CCT Fellowship in Interventional Electrophysiology and Cardiac Devices at the internationally renowned Bristol Heart Institute, where he performed a large number of procedures and further specialized in the ablation of complex cardiac arrhythmias (atrial fibrillation and flutter), as well as ventricular arrhythmias, including epicardial ablation. He specializes in the implantation of cardiac devices (pacemakers, dual-chamber pacemakers/defibrillators, and subcutaneous defibrillators). He has also been trained in the removal of cardiac devices. Dimitrios Gerontitis is an Accredited Specialist in the Interventional Treatment of Arrhythmias (Interventional Electrophysiology - ECES and Cardiac Devices - ECDS) by the European Heart Rhythm Association (EHRA). He has also been certified by the British Society of Echocardiography in Transthoracic Echocardiography and is a member of the Royal College of Physicians of the United Kingdom (RCP). In addition to his clinical activities, he has a keen interest in research and teaching. He has organized training sessions for cardiology residents and was responsible for organizing "EP traces" at Wessex Deanery. He has completed the post-graduate module "Teaching and Learning in Medical Education" at University College London. He has participated in clinical studies and has publications in prestigious international scientific journals in the field of cardiology and electrophysiology. In his clinics, with his comprehensive scientific training and extensive practical experience, he provides high-quality medical care to his patients.

37 Kifissias Avenue, (inside the IASO General Clinic), Marousi, ΑΤΤΙΚΗ

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Vasileios Papadopoulos is an Ophthalmologist and operates an Ophthalmology Center in Kifisia. He graduated from the Medical School of the National and Kapodistrian University of Athens and completed his Ophthalmology specialization at the General Hospital of Theia's Providence "H Pammakaristos." He has served as Scientific Director of ophthalmology centers and has participated in numerous ophthalmological and medical seminars, conferences, and workshops. He is a member of the Medical Association of Athens and the European Society of Cataract and Refractive Surgery. The Biolaser Ophthalmology Center was established in 1991 by Vasileios Papadopoulos, and their primary goal and distinction from many other impersonal medical centers is the development of a trust-based relationship between doctor and patient. They provide high-level medical services in both diagnostic and therapeutic fields.

Kynigon 16, Kifisia, ΑΤΤΙΚΗ

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About the specialist

Dr Kapitsimadis Fragkiskos is a General Practitioner and operates two private clinics located at Kifisias Avenue 119 and Solomou Dionysiou Street 22 in Marousi. He holds a PhD from the Medical School of the National and Kapodistrian University of Athens, with a dissertation titled "The effects of atmospheric pollution on the respiratory system of postal workers: A study in the Attica basin." He specialized in General Medicine at the General State Hospital of Athens and holds a degree from the Medical School of the National and Kapodistrian University of Athens, as well as a degree in Physiotherapy from the Technological Educational Institute of Athens. Additionally, Dr Kapitsimadis was awarded the Environmental Sensitivity Award in the category of "scientific study" during the Oikopolis 2010 event.

Khfisias 119 kai Grammoy 72, Marousi, ΑΤΤΙΚΗ

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Depression Psychoanalytic Psychotherapy
About the specialist

Η Κατσαράκη Μαρία είναι Ψυχίατρος - Ψυχοθεραπεύτρια και διατηρεί ιδιωτικό ιατρείο στο Μαρούσι. Είναι απόφοιτος της Ιατρικής Σχολής του Πανεπιστημίου Πατρών, με ειδικότητα στην Ψυχιατρική και ενεργή κλινική παρουσία στο Γενικό Ογκολογικό Νοσοκομείο Κηφισιάς «Άγιοι Ανάργυροι», όπου υπηρετεί ως Επικουρική Επιμελήτρια Β΄ Ψυχιατρικής. Παράλληλα, είναι εκπαιδευόμενο μέλος της Ελληνικής Ψυχαναλυτικής Εταιρείας και μεταπτυχιακή φοιτήτρια στο πρόγραμμα «Ψυχοθεραπεία: Θεωρητικά Πλαίσια, Κλινικές Εφαρμογές και Συγκριτικές Προσεγγίσεις» του Εθνικού και Καποδιστριακού Πανεπιστημίου Αθηνών. Η επαγγελματική της πορεία συνδυάζει την πολυετή κλινική εμπειρία στη διάγνωση και θεραπεία ψυχικών διαταραχών με διαρκή επιστημονική επιμόρφωση στην ψυχοφαρμακολογία, την ψυχοθεραπεία και την ψυχανάλυση. Συμμετέχει ενεργά σε ελληνικά και διεθνή επιστημονικά συνέδρια, ενώ έχει συμβάλει στη συγγραφή δημοσιευμένης επιστημονικής εργασίας στον τομέα της ψυχιατρικής. Η κλινική της προσέγγιση βασίζεται στη σύνθεση της σύγχρονης επιστημονικής γνώσης με την εξατομικευμένη φροντίδα, δίνοντας έμφαση στην κατανόηση των ιδιαίτερων αναγκών κάθε ανθρώπου μέσα από ένα ασφαλές, εμπιστευτικό και θεραπευτικό πλαίσιο. Τέλος, η ιατρός είναι μέλος του Ιατρικού Συλλόγου Αθηνών, της Ελληνικής Ψυχιατρικής Εταιρίας και εκπαιδευόμενο μέλος της Ελληνικής Ψυχαναλυτικής Εταιρείας.

Βασιλίσσης Σοφίας 75, Marousi, ΑΤΤΙΚΗ

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Πυρετος Λοιμώξεις Σάκχαρο Πίεση Χοληστερίνη-τριγλυκερίδια Ουρικό οξύ-ουρική αρθρίτιδα Εμβολιασμοί

Πεντέλης 17, Marousi, ΑΤΤΙΚΗ

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About the specialist

Ο Χρήστος Μαντής,MD,MSc είναι Επεμβατικός Καρδιολόγος και διατηρεί ιδιωτικό ιατρείο στο Μαρούσι Αττικής. Παράλληλα, από τον Οκτώβριο του 2021 υπηρετεί ως Επιμελητής στο Γενικό Νοσοκομείο Αθηνών «ΚΑΤ», όπου δραστηριοποιείται στο Αιμοδυναμικό Εργαστήριο και συμμετέχει στην αντιμετώπιση του συνόλου των καρδιολογικών περιστατικών σε ένα από τα μεγαλύτερα νοσοκομεία της χώρας ως προς τον όγκο ασθενών.

Είναι απόφοιτος της Ιατρικής Σχολής του Πανεπιστημίου Ιωαννίνων και κάτοχος Μεταπτυχιακού Διπλώματος Σπουδών στην Καρδιοαναπνευστική Αναζωογόνηση από το Εθνικό και Καποδιστριακό Πανεπιστήμιο Αθηνών. Ειδικεύτηκε στην Καρδιολογία στο Γενικό Νοσοκομείο Νέας Ιωνίας «Κωνσταντοπούλειο» και στη συνέχεια εκπαιδεύτηκε στη διαχείριση οξέων και χρόνιων στεφανιαίων συνδρόμων, καθώς και στις επεμβατικές τεχνικές στεφανιογραφίας και αγγειοπλαστικής, αποκτώντας τον επίσημο τίτλο εξειδίκευσης στην Επεμβατική Καρδιολογία από το Κεντρικό Συμβούλιο Υγείας (ΚΕΣΥ).

Έχει δημοσιεύσει επιστημονικές εργασίες σε διεθνή περιοδικά και συμμετέχει ενεργά με ομιλίες και παρουσιάσεις σε σημαντικά ελληνικά και ευρωπαϊκά επιστημονικά συνέδρια.

Η πολυετής παρουσία του στο Εθνικό Σύστημα Υγείας αντικατοπτρίζει την εκτενή κλινική του εμπειρία και την ικανότητά του να παρέχει ολοκληρωμένη και υπεύθυνη καρδιολογική φροντίδα σε όλο το φάσμα των καρδιολογικών παθήσεων. Βασική του προτεραιότητα αποτελεί η εξατομικευμένη προσέγγιση κάθε ασθενούς, με έμφαση στην κατανόηση των ιδιαίτερων αναγκών και προβλημάτων του.

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      Κλινική εξέταση, λήψη ιστορικού, ηλεκτροκαρδιογράφημα.

28ης Οκτωβρίου 23, Marousi, ΑΤΤΙΚΗ

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About the specialist

Georgios V. Mitropoulos is a Psychiatrist - Psychoanalyst with a private practice in Kifisia. He holds a degree from the Medical School of the National and Kapodistrian University of Athens and specialized in Psychiatry at the Psychiatric Hospital of Attica. He has been trained in Lacanian-oriented Psychoanalysis and Psychotherapy. He has extensive clinical experience and has served as Coordinating Director of the Psychiatric Clinic at the Psychiatric Hospital of Attica (Dafni). He is a member of the Hellenic Psychiatric Association and of the Borromean Knot Society of the New Lacanian School of Psychoanalysis. He actively participates in scientific psychiatric conferences in Greece and internationally, and has published scientific articles in reputable international journals of psychiatry, psychology, and psychoanalysis. He follows the method of Lacanian psychoanalysis and psychoanalytic psychotherapy, which aims at the individualized and in-depth understanding and treatment of the difficulties faced by each patient. Where deemed necessary, pharmacological treatment of psychiatric symptoms is also incorporated into his clinical practice in accordance with the principles of evidence-based medicine.

Adonidos 6, Kifisia, ΑΤΤΙΚΗ

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About the specialist

Dr. Petridis Grigorios is an Orthopedic Surgeon with a private practice in Marousi. He completed his studies at the University of Bologna in Italy and received his orthopedic training at the 401 General Military Hospital of Athens. He serves as a scientific collaborator at the private clinics Metropolitan General, Leukos Stavros Athens Clinic, and REA. He has previously held the position of consultant at the 3rd Orthopedic Clinic of the Errikos Dynan Hospital Center. He specializes in arthroplasty of major joints (knee and hip) using advanced minimally invasive surgical techniques (MIS) and Robot-Assisted Total Knee Replacement (utilizing robotic assistance systems in knee arthroplasty), arthroscopic knee surgeries, and foot surgery. He has performed a large number of procedures in these fields and possesses significant clinical experience. He manages cases across the full spectrum of orthopedics and traumatology. His curriculum vitae includes notable participation in scientific publications, orthopedic conferences, and numerous specialized educational seminars and workshops both in Greece and internationally.

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Dionisoy 9, Marousi, ΑΤΤΙΚΗ

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Χειρουργική, Ογκολογική Χειρουργική, Εξειδίκευση στην Χειρουργική Ήπατος, Παγκρέατος, Παχέος Εντερου

Δελφών 1 και Λεωφ. Κηφισίας 56, Marousi, ΑΤΤΙΚΗ

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Kristi Magnisali is a specialist Cardiologist, graduate of the Medical School of the National and Kapodistrian University of Athens, with extensive and high-level scientific training in Internal Pathology and Cardiology. Her specialization was completed at leading tertiary care hospitals in Germany, including the University Hospital of Cologne (Uniklinik Köln) and the University Hospital of Düsseldorf (Universitätsklinikum Düsseldorf), where she was trained in all modern diagnostic and therapeutic methods of Cardiology, with particular emphasis on Interventional Cardiology, Intensive Care, and Arrhythmology.

After completing her specialty, she served as a Specialist Cardiologist at the University Hospital of Düsseldorf, undertaking increased clinical and scientific responsibilities, including leadership of the Arrhythmia Clinic and supervision of the Echocardiography Laboratory. As part of her ongoing scientific development, she further specialized in the latest ultrasound techniques, such as dynamic echocardiography (stress echocardiography) with pharmacological stress and transesophageal echocardiography, significantly enhancing diagnostic accuracy in the investigation of complex cardiological diseases.

Possessing significant clinical and scientific work, she currently serves as an Attending Cardiologist at Metropolitan Hospital, integrated within the Clinic of Interventional Cardiology, Electrophysiology, and Pacemaker Therapy, while simultaneously acting as a Scientific Collaborator at the 2nd University Clinic of the Children's Hospital “Aghia Sophia Kyriakou,” where she is active in the specialized field of Pediatric Cardiology, focusing on the diagnosis, monitoring, and management of congenital and acquired pediatric heart diseases.

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Μιλτιάδου 1, Kifisia, ΑΤΤΙΚΗ

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About the specialist

I studied medicine at the University of Athens.

Internal medicine residency for two years at the GNA Aeroporias.

Cardiology specialty training in Athens at Am. Fleming Hospital and Hippocratio Hospital.

I provide holistic care to individuals who trust me for prevention and treatment, with a personalized approach and precision medicine for each individual, no longer a one-size-fits-all method.

I have been practicing clinical and preventive cardiology for over 30 years.

Responsible cardiologist for emergencies in a public first aid unit for over 10 years.

Experience in echocardiographic examinations for more than 30 years.

Λεωφόρος Κηφισίας 188, Kifisia, ΑΤΤΙΚΗ

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About the specialist

Giannis Papatheodorou is a Pathologist who maintains private clinics in Neo Irakleio and Acharnes. He holds a degree from the Medical School of the University of Craiova and specialized in Pathology at the General Oncology Hospital "Agioi Anargyroi" and the 1st Pathology Clinic of the General Hospital of Athens "Evangelismos," with clinical expertise in infections. He is a consulting physician for Eurodiet and participates in numerous medical conferences in Greece and abroad. He has co-authored, together with his microbiologist physician wife, the book "The Interpretation of Microbiological Tests." Finally, the doctor is a member of the Athens Medical Association, the Hellenic Gerontological & Geriatric Society, and the Hellenic Society for the Study & Research of Aging.

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Dr. Katsikeros Panagiotis is a Dermatologist - Venereologist and operates the modern medical center for clinical and aesthetic dermatology, SkinTouch Dermatology Clinic, in Kifisia. He specialized at the Dermatology Clinic of the University General Hospital of Patras. He is a member of the Hellenic Society of Dermatologists and Venereologists (EDS), the International Society of Aesthetic Medicine, and the American Academy of Dermatology (AAD), with active participation and training in conferences in Greece and abroad. Thanks to his many years of experience and excellent scientific training, the doctor recommends the appropriate treatment for each patient. During his career, he has collaborated with many hospitals and clinics, and the continuous follow-up of clinical, aesthetic, and interventional dermatology fields allows him to provide comprehensive and high-quality services covering the full spectrum of dermatological conditions, aesthetic and interventional dermatology, and laser applications. Furthermore, his clinic treats cases related to acne, autoimmune diseases, dermatologic oncology, nevi (moles), and melanoma. The doctor's extensive experience in dermatological cases, combined with the modern equipment and the specially designed space for minor surgical and aesthetic procedures at SkinTouch Dermatology Clinic, enables responsible and effective management of any dermatologic condition or aesthetic treatment a patient may require, offering personalized solutions based on the highest therapeutic standards.

Leoforos Kifisias 236, Kifisia, ΑΤΤΙΚΗ

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MD, MSc, MHA, PhDc, FEBO | Χειρουργός Οφθαλμίατρος Ενηλίκων και Παίδων | Στρατιωτικός Ιατρός

Νικόλαος Μ. Κάππος, Χειρουργός Οφθαλμίατρος - Στρατιωτικός Ιατρός Χαριλάου Τρικούπη 197, Kifisia, ΑΤΤΙΚΗ

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Tsaggaris Adamantios is an Interventional Cardiologist, maintains a private practice in Marousi, and serves as a Cardiologist Consultant at the Red Cross (Korgialeneio - Benakeio EES). He graduated from the Medical School of the National and Kapodistrian University of Athens. He specialized in Pathology at Rutgers New Jersey Medical School in the USA. He specialized in Cardiology at the University of Minnesota in the USA. He completed subspecialty training in interventional cardiology and structural cardiology (TAVI, MitraClip, Watchman) at the University of Minnesota in the USA (worked at VA MPLS, Fairview Hospital, Southdale Hospital). He is a Diplomate of the American College of Cardiology. He has been awarded, following examinations, the American Subspecialty Certificates in Cardiology (ABIM-Cardiology) and Interventional Cardiology (ABIM-Interventional Cardiology). He is board certified in echocardiography (National Board of Echocardiography). He has published papers in international scientific journals and has presented at Greek, American, and European conferences. He is a member of the American College of Cardiology as well as the Hellenic Cardiological Society. In his practice, he manages cases covering the entire spectrum of cardiology and specializes in coronary artery disease and valvular heart diseases (interventional and structural cardiology).

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Παναγή Τσαλδάρη 3, Marousi, ΑΤΤΙΚΗ

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Dr. Kyriazi - Taxou Eurydiki is a Dermatologist - Venereologist with a state-of-the-art clinic in Marousi. She has extensive clinical experience, having served for many years as Deputy Director at the "Andreas Syggros" Hospital, and specializes in Aesthetic Dermatology. She holds a doctorate and is a graduate of the Medical School of the National and Kapodistrian University of Athens. She specialized in Dermatology - Venereology at the "Andreas Syggros" Hospital for Skin and Venereal Diseases and served for many years as Deputy Director at the same hospital. She is the President of the Hellenic Society of Dermatologic Surgery. She is specialized in skin surgery and has the expertise to perform both simple and complex surgical procedures for the removal and reconstruction of skin cancers and melanomas. The physician has extensive specialization in Aesthetic Dermatology, successfully performing applications of hyaluronic acid, botulinum toxin, absorbable threads, and all anti-aging techniques. Her particular areas of expertise include Pediatric Dermatology, Laser applications, and Sexually Transmitted Diseases. Additionally, she possesses specialized knowledge in psoriasis, acne, hair loss, and nevus screening. Finally, it is worth mentioning that she is a member of Greek and numerous European Medical Societies and participates as a speaker and trainer in many dermatological conferences.

Neratziotissis 21, Marousi, 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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