Πιστοποιητικά υγείας για εργασία, Southern suburbs of Athens
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Doctors for Πιστοποιητικά υγείας για εργασία in the Southern suburbs of Athens

About the specialist

Xousos Dimitrios is a Neurologist and maintains his private practice in Glyfada. He holds a medical degree from the Universita Degli Studi di Bari Facolta di Medicina e Chirurgia in Italy and a postgraduate degree (MSc) in Mental Health Promotion and Prevention of Psychiatric Disorders from the Medical School of the National and Kapodistrian University of Athens. Notable is his specialization in dementia, vascular brain diseases, memory disorders, epilepsy, sleep disorders, headaches, and movement disorders.

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Σοφίας Βέμπο 35, Γλυφάδα, Ελλάδα, Glyfada, ΑΤΤΙΚΗ

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About the specialist

Vogiatzis Stauros is a Cardiologist who maintains private practices in Ilisia and Argyroupoli, while also serving as the lead cardiologist of the Medical Network. He graduated from the Medical School of the University of Patras, with advanced training in Interventional Cardiology at the University Hospital of Barcelona. He obtained his specialization in Pathology at the Pathology Clinic of the Psychiatric Hospital of Attica and his specialization in Cardiology at the 1st Cardiology Clinic of the Navy Hospital of Athens and the Therapeutic Clinic of the University of Athens. He has numerous participations in Greek and international conferences, as well as significant research and educational contributions, and he has been awarded the 1st prize at the 3rd Cardiology Conference of Central Greece. Finally, the doctor is a member of the Athens Medical Association and the Hellenic Cardiological Society.

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      Περιλαμβάνει κλινική εξέταση, καρδιογράφημα, εξέταση Triplex και χορήγηση βεβαίωσης.

Alexioupoleos 29, Argyroupoli, ΑΤΤΙΚΗ

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About the specialist

Georgokostas Athanasios is an Orthopedic Surgeon who maintains private practices in Moschato and Psychiko. Additionally, he serves as a Scientific Collaborator at the 3rd Orthopedic Clinic of YGEIA Hospital and as a Consultant at MEDITERRANEO Hospital and YGEIA-MITERA Hospital. He graduated with honors from the Medical School of Rome and holds an ATLS (Advanced Trauma Life Support) certification from the American College of Surgeons. He specialized in the Sports Injuries and Lower Limb Reconstructive Surgery department at Hinchingbrooke Hospital NHS, in the Sports Injuries of Knee, Hip, and Ankle department at Santy and Jean Mermoz Hospital in Lyon, France, as well as in the Shoulder Surgery department at the 8th Orthopedic Clinic of Asklipieio Voula Hospital. Finally, he has extensive experience and training and has participated in numerous presentations and publications.

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Str. Makrygianni 95, Moschato, ΑΤΤΙΚΗ

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About the specialist

Aggelidis Grigorios is a Cardiologist with a private practice in Piraeus. He initially specialized in Internal Medicine at the 1st IKA Hospital (Papadimitriou) and subsequently in Cardiology at the General Hospital of Attica "Sismanogleio". He has completed a Clinical Attachment in the Emergency Department and the Nuclear Medicine Department at the Hull Royal Infirmary, Hull, United Kingdom, while simultaneously serving as a Scientific Collaborator in the Cardiac Ultrasound (Echocardiography) Department of the Athens Medical Center - Peristeri Clinic. In his private practice, he offers a wide range of services, tailored to the individual needs of each patient.

Παλαιολόγου 13, Piraeus, ΑΤΤΙΚΗ

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About the specialist

Thomopoulos Vasileios is a Specialist in Internal Medicine and maintains a private practice in Ilioupoli. He holds a medical degree from the Medical School of the University of Ioannina and specialized in Internal Medicine at the University General Hospital of Ioannina. He is an external scientific collaborator in the Internal Medicine Department of Mediterraneo Hospital. Lastly, the doctor attends numerous conferences as part of his continuous professional development.

Kountouriotou 34 & Iroon Polytehneiou, Ilioupoli, ΑΤΤΙΚΗ

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Dr. Xouzouris Ilias is an Internist who maintains a private practice in Nea Smyrni. He graduated from the Medical School of the National and Kapodistrian University of Athens and holds EKAE - OAKA certification for pre-competition athlete screening. He completed his specialty in Internal Medicine at the 401 General Military Hospital of Athens and the General State Hospital of Athens. He has served as a family physician for IKA for a decade. Finally, Dr. Xouzouris is a member of the Athens Medical Association.

Ethnikis Stegis 3 & Agiou Polykarpou, Nea Smirni, ΑΤΤΙΚΗ

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About the specialist

Mixail Othon MD, MSc, PhD is a General Surgeon with a private practice in Kallithea. He holds a Doctorate from the National and Kapodistrian University of Athens and a postgraduate degree in "Minimally Invasive Surgery, Robotic Surgery, and Telesurgery" from the Medical School of the University of Athens. He is specialized in minimally invasive and bloodless techniques. The doctor has extensive professional experience in Greece and abroad. He has particular expertise in minimally invasive and bloodless techniques, laser applications, endoscopic techniques for anorectal and coccyx pathologies, day surgery, biliary surgery, digestive surgery, hernia repair, anorectal diseases, as well as management of soft tissue and breast conditions. He is the Director of the Surgical Clinic at the Medical Center of Palaio Faliro and Head of the Department of Anorectal and Coccyx Surgery, while maintaining collaborations with major hospitals in Athens. Finally, he has participated in numerous conferences in Greece and internationally and is a member of the Hellenic College of Surgeons and the Hellenic Society of Emergency Medicine.

Syntagmatarhou Davaki 50, Kallithea, ΑΤΤΙΚΗ

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Tsintzos Xaris is an Orthopedic Surgeon - Traumatologist who maintains a private practice in the square of Nea Smyrni and simultaneously serves as an Attending Physician at the Athens Bioclinic. He studied at the Semmelweis University of Medicine (English-speaking program) in Budapest, Hungary, and subsequently, after examinations, received certification and equivalency from DIKATSA with a grade of "Very Good." He specialized in Orthopedic Surgery and Traumatology at the 6th Orthopedic Clinic of the KAT Hospital in Athens and obtained the title of Orthopedic and Traumatology Specialist following successful written and oral examinations in July 2007. He served as an Auxiliary Orthopedic Attending Physician at the KAT Hospital in Athens for three annual terms, spending one year in the Special Sports Injury Department and the remaining years in the 6th Orthopedic Clinic. Additionally, he specialized in the management of polytrauma patients using the specialized Ilizarov technique, in Sports Injuries, and in reconstructive surgery of the hip, knee, and foot. Finally, his portfolio includes significant teaching contributions at universities and other schools, as well as numerous scientific publications.

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25is Martiou 9 (Plateia Neas Smurnis), Nea Smirni, ΑΤΤΙΚΗ

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Koulis Fragkiskos - Theodoros is a specialist in Internal Medicine and maintains a private practice in Glyfada. He graduated from the Medical School of the University of Ioannina and completed his specialty in Internal Medicine at the Infectious Diseases Clinic of the General Chest Diseases Hospital of Athens "Sotiria." Additionally, he was trained at the Diabetes Center of the General Hospital of Athens "Red Cross" and at the Hypertension – Lipid Center of the General Hospital "Asklipieio Voula," gaining extensive experience in managing patients with Diabetes Mellitus, Arterial Hypertension, and Dyslipidemia. He has completed Advanced Life Support (ALS) and Basic Life Support (BLS) seminars certified by the European Resuscitation Council (ERC). He has multiple participations and presentations at Diabetes and Infectious Diseases conferences and has attended numerous seminars related to Arterial Hypertension. Finally, he holds a Master's degree in "Health Units Administration – MSc HealthCare Systems Administration."

Dodekanisou 2, Glyfada, ΑΤΤΙΚΗ

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About the specialist

Kapsoudas Dimitrios is a specialized Cardiologist with a private practice in Paleo Faliro. He graduated from the Medical School of the University of Ferrara in Northern Italy. He possesses extensive experience across the full spectrum of clinical cardiology, particularly in the use of diagnostic examinations (cardiac triplex, rhythm holter, blood pressure holter, stress test, etc.). He has been trained in performing various diagnostic tests, such as echocardiogram - adult and pediatric ascending aorta triplex, and stress-echo (dynamic echocardiography) in the Echocardiography Laboratory (color Doppler, transthoracic and transesophageal echocardiography), exercise tests, rhythm holter at the Pacing Laboratory, and blood pressure holter at Asklipieio Voulas Hospital. He has received training in the evaluation of arrhythmic events in the Electrophysiology and Pacing Department of the 251 General Air Force Hospital, in Nuclear Cardiology at the Nuclear Medicine Department of Metaxa Cancer Hospital in Piraeus, and in the interventional management of acute coronary syndromes at the Hemodynamics Department of Asklipieio Voulas General Hospital. Additionally, he has notable experience from the Cardiothoracic Surgery Department of Hippokration General Hospital of Athens. During his specialty training, he participated in the preparation and presentation of Scientific Papers. He is also an active member of the Athens Medical Association. The primary objective of his cardiology practice is to provide high-quality medical services centered on the patient's needs. The physician's goal is to promote individual health by improving daily living and preventing life-threatening conditions.

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Αρτέμιδος 105, Palaio Faliro, ΑΤΤΙΚΗ

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H Καρακασίδου Μαρία είναι Μαιευτήρας – Γυναικολόγος, και διατηρεί ιδιωτικό ιατρείο στην Νέα Σμύρνη εντός του πολυϊατρείου Top Meds. Είναι απόφοιτος της Ιατρικής Σχολής του Εθνικού και Καποδιστριακού Πανεπιστημίου Αθηνών και κάτοχος του μεταπτυχιακού τίτλου σπουδών Εμβρυομητρική Ιατρική του ίδιου πανεπιστημίου. Ειδικεύθηκε αρχικά στην Γενική Χειρουργική στο Πανεπιστημιακό Νοσοκομείο 'Αττικόν',στην συνέχεια συνέχισε την ειδίκευσή της στην Μαιευτική -Γυναικολογία στο Γενικό Νοσοκομείο Ζακύνθου. Μετέπειτα, ολοκλήρωσε την ειδίκευσή της στο Γενικό Νοσοκομείο- Μαιευτήριο «Έλενα Βενιζέλου», όπου απέκτησε εκτεταμένη κλινική εμπειρία. Κατά τη διάρκεια της ειδικότητάς της ήρθε σε επαφή με μεγάλο εύρος παθήσεων της Μαιευτικής και Γυναικολογίας, καθώς και με την ελάχιστα επεμβατική γυναικολογική χειρουργική. Σήμερα κατέχει τη θέση Επικουρικής Επιμελήτριας Β’ στο Γενικό Νοσοκομείο «Αλεξάνδρα», ενώ παράλληλα συνεργάζεται με τις ιδιωτικές Μαιευτικές–Γυναικολογικές κλινικές ΡΕΑ και ΙΑΣΩ. Κατέχει πιστοποίηση στην διενέργεια διαγνωστικής κολποσκόπησης από την Ελληνική Εταιρεία Κολποσκόπησης και Παθολογίας Τραχήλου. Είναι μέλος της Ελληνικής Μαιευτικής και Γυναικολογικής Εταιρείας και της Ελληνικής Εταιρείας Κολποσκόπησης και Παθολογίας Τραχήλου. Στόχος της είναι η παροχή εξατομικευμένης και σύγχρονης ιατρικής φροντίδας, με σεβασμό στις ανάγκες κάθε γυναίκας και έμφαση στην επιστημονική τεκμηρίωση, την υπευθυνότητα και την ανάπτυξη σχέσης εμπιστοσύνης με την ασθενή.

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Λεωφ. Ελ. Βενιζέλου 14 (έντος πολυϊατρείου Top Meds), Nea Smirni, ΑΤΤΙΚΗ

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Ειδικός καρδιολόγος. Εξειδίκευση στον έλεγχο αθλητών και νέων. Πολυετής εκπαίδευση στην Αγγλία.
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      Σε παιδιά ως 12 ετών η τιμή είναι 40 ευρώ και περιλαμβάνει και υπέρηχο καρδιάς. Σε παιδιά άνω των 12 ετών και ενήλικες η τιμή είναι 50 ευρώ για το καρδιογράφημα, την κλινική εξέταση και την υπογραφή της κάρτας. Σε περίπτωση που απαιτηθεί (λόγω ευρημάτων στον αρχικό έλεγχο) ή ζητηθεί υπέρηχος (triplex) καρδιάς η τιμή είναι 70 ευρώ.

Καρδιολογικό Ιατρείο Παπαθεοδώρου Στάθης Τροίας 2, Nea Smirni, ΑΤΤΙΚΗ

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Melxer Spyridon is a Pathologist and maintains a private practice in Moschato. He graduated from the Medical School of the University of Palermo and completed his specialty in Pathology at the "P. Giaccone" Polyclinic in Italy. He has served as Consultant at the Internal Medicine Clinic of Euroclinic Athens and has recently been promoted to Deputy Director at the same Clinic. He specializes in the management of Diabetes Mellitus, Hypertension, and Obesity and is a collaborator of Eurodiet. He also has significant experience in Rheumatology, having been a Clinical Associate at the rheumatology outpatient clinic (Policlinico “P. Giaccone”) in Palermo, Italy. Finally, he is a member of the Hellenic Diabetes Association, the European Association for the Study of Diabetes, the Italian Society of Internal Medicine, and the Piraeus Medical Association.

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Ioannis Savoulidis MD, MSc is a graduate of the Medical School of the National and Kapodistrian University of Athens and specialized in Dermatology at "Andreas Syggros" Hospital. He is a member of the Medical Association of Piraeus, the Hellenic Dermatological and Venereological Society, and has participated in numerous conferences and seminars. He has collaborated with various clinics, day care units, and medical centers throughout his career. His particular interests include dermatoscopy, cryotherapy, and cosmetic dermatology. Additionally, he holds a diploma from the Postgraduate Program "Health Services Planning and Management" of the Medical School of the National and Kapodistrian University of Athens.

His philosophy is to ensure that his fellow human beings are happy and satisfied. He achieves this with knowledge, responsibility, and compassion. He welcomes patients with dermatological and venereal diseases at his private practice at 132 Ypsilantou Street in Piraeus.

Υψηλάντου 132, Piraeus, ΑΤΤΙΚΗ

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Kontsas Konstantinos MD, PhD is a Cardiologist who maintains a private practice in Paleo Faliro. He holds a doctorate from the Medical School of the National and Kapodistrian University of Athens and a medical degree from the Medical School of Aristotle University of Thessaloniki. He specialized in Cardiology at the 2nd Cardiology Clinic of the University General Hospital "Attikon." He further specialized, with a scholarship from the Hellenic Cardiological Society, in Pulmonary Hypertension and Congenital Heart Diseases at the Royal Brompton Hospital in London, where he subsequently worked as a registrar. Additionally, he specialized in Cardiopulmonary Exercise Testing and Cardiac Rehabilitation at the University Hospital of Bern, Switzerland. He is a certified hypertension specialist by the European Society of Hypertension (ESH) and has expertise in advanced ultrasound techniques (Stress Echo, 2D strain, 3D Echo). He is a Scientific Collaborator and University Fellow at the 2nd University Cardiology Clinic of the University General Hospital "Attikon" and collaborates with Hygeia Group Clinics, Athens Medical Center, White Cross Athens, and the Gynecological Obstetric Surgical Center "Leto." Finally, he actively participates in Greek and international conferences through oral and poster presentations and attends seminars as part of his continuous education and professional development.

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      Περιλαμβάνει εξέταση και ηλεκτροκαρδιογράφημα. Το κόστος ανέρχεται στα 50 ευρώ αν πραγματοποιηθεί triplex καρδιάς για παιδιά έως 18 ετών.

Agiou Alexandrou 3, Palaio Faliro, ΑΤΤΙΚΗ

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Ο Θανόπουλος Αριστομένης είναι έμπειρος Γενικός Χειρουργός με ιδιωτικό ιατρείο στη Γλυφάδα και δευτερεύον ιατρείο στο Περιστέρι. Είναι πτυχιούχος της Ιατρικής Σχολής του Πανεπιστημίου Κρήτης και κάτοχος Μεταπτυχιακού Διπλώματος στη Χειρουργική Ογκολογία από το Εθνικό και Καποδιστριακό Πανεπιστήμιο Αθηνών. Κατά την ειδίκευσή του στη Γενική Χειρουργική στα Νοσοκομεία «Ο Άγιος Ανδρέας» στην Πάτρα και «Γ. Γεννηματάς» στην Αθήνα απέκτησε ισχυρές χειρουργικες βάσεις, καλυπτοντας ολοκληρο το φασμα της χειρουργικης παθολογιας. Στη συνέχεια, υπηρέτησε ως Επιμελητής στο Ογκολογικό Νοσοκομείο Κηφισιάς «Οι Άγιοι Ανάργυροι», όπου εκτέθηκε σε όλο το φάσμα της χειρουργικής ογκολογίας, αποκτώντας εμπειρία σε πολύπλοκες ογκολογικές επεμβάσεις. Η εξειδίκευσή του επεκτάθηκε διεθνώς, αφου ακολουθως μετεβη στο Royal Free Hospital του Λονδίνου, ως Senior Clinical Fellow,οπου υπο την επίβλεψη του πρωτοπόρου Άγγλου χειρουργού Colin Elton στη HAL RAR, εξειδικεύτηκε στην colorectal χειρουργική ( παχεος εντερου και ορθου), στις καλοήθεις παθήσεις των χοληφόρων, ιδιαίτερα στις οξείες χολοκυστίτιδες, καθώς και στην επειγουσα χειρουργική, συμπεριλαμβανομένων οξέων κοιλιών και τραυματικών περιστατικών. Σε όλη του την καριέρα, ο κ. Θανόπουλος έχει συμμετάσχει σε πάνω από 5.000 χειρουργικές επεμβάσεις, με ιδιαίτερη έμφαση στη λαπαροσκοπική χειρουργική, αποκτώντας εξαιρετική εμπειρία σε ελάχιστα επεμβατικές και ογκολογικές τεχνικές. Σήμερα, υπηρετεί ως Επιμελητής Χειρουργός στην Κλινική Ελάχιστα Επεμβατικής Χειρουργικής, Χειρουργικής Ογκολογίας και Βαριατρικής του Mediterraneo Hospital και συνεργάζεται ως εξωτερικός συνεργάτης με τον Όμιλο Ιατρικού Αθηνών και το Ευγενίδειο Θεραπευτήριο. Αναλαμβανει όλο το φάσμα της γενικής και λαπαροσκοπικής χειρουργικής, της χειρουργικής ογκολογίας, καθώς και των επειγόντων επεμβάσεων, εφαρμόζοντας τεχνικές 3D λαπαροσκοπικής απεικόνισης για ελαχιστοποίηση του κινδύνου χειρουργικών λαθών. Διαθέτει εμπειρία στη χρήση laser σε ελάχιστα επεμβατικές επεμβάσεις, όπως αιμορροϊδοπάθεια και κύστη κόκκυγος, ενώ στο ιατρείο του πραγματοποιούνται και μικροεπεμβάσεις με τοπική αναισθησία (αφαίρεση σπίλων, λιπωμάτων, κύστεων, συρραφή τραυμάτων). Εφαρμόζει επίσης σύγχρονες τεχνικές βιολογικής ενίσχυσης της επούλωσης, όπως PRP (πλάσμα πλούσιο σε αιμοπετάλια), που επιταχύνουν την ανάπλαση των ιστών και μειώνουν τον χρόνο αποκατάστασης μετά από επεμβάσεις. Επιπλέον, έχει ενεργή συμμετοχή σε διεθνή, ευρωπαϊκά και πανελλήνια συνέδρια, με παρουσιάσεις και δημοσιεύσεις σε εργασίες σχετικές με τη χειρουργική ογκολογία και λαπαροσκοπική χειρουργική. Ο κ. Θανόπουλος ασκεί την ιατρική με γνώμονα την ασφάλεια, την ακρίβεια και την εξατομίκευση της θεραπείας, υιοθετώντας καινοτόμες τεχνικές και ακολουθώντας διεθνείς κατευθυντήριες οδηγίες, εξασφαλίζοντας στους ασθενείς του το καλύτερο δυνατό αποτέλεσμα.

Μάρκου Μπότσαρη 10, Glyfada, ΑΤΤΙΚΗ

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Δερματολόγος με εμπειρία

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Konstantinos Ntailianis is a Psychiatrist - Psychotherapist maintaining a private practice in Nea Smyrni. He graduated from the Medical School of the National and Kapodistrian University of Athens and has acquired specialization in Neurology - Psychiatry. Concurrently, he has been trained in Psychoanalytic Psychotherapy by the Hellenic Society of Psychoanalytic Psychotherapy. He has worked for a total of 28 years in the National Health System at the Mental Health Center of Peristeri, the last three of which as Coordinating Director. Furthermore, the physician has participated in numerous Greek and international scientific conferences, workshops, and seminars, having presented communications at at least 20 of them. Finally, he is a member of the Hellenic Psychiatric Society and the Hellenic Society of Psychoanalytic Psychotherapy and is proficient in English and Italian.

Lykias 21, Nea Smirni, 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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