Panic attacks, Gizi
131

Health professionals for Panic attacks near Gizi

About the specialist

Paliarouta Viky is a Psychologist with a private practice in Neo Psychiko. She studied Psychology at Panteion University of Social and Political Sciences and has successfully completed the four-year Specialization Program in Systemic Family Psychotherapy and Counseling at the Laboratory for the Exploration of Human Relationships (E.D.A.S.). Additionally, she trained in Child and Adolescent Mental Health by attending the corresponding annual Scientific Educational Program of the Department of Child and Adolescent Psychiatry at Sismanogleio Hospital. She works privately with individuals, couples, and families, and her clinical experience focuses on issues such as anxiety, professional burnout, panic attacks, interpersonal as well as family relationships. She has volunteered in various initiatives promoting awareness, understanding, and acceptance of mental health issues and provides voluntary counseling support to members of the Single-Parent Family and Women’s Association. Moreover, she holds a degree in Business Administration and a master's degree in Service Management from the Athens University of Economics and Business (ASOEE) and has work experience in companies within the shipping and information technology sectors. (PALIAROUTA VIKY)

Eantos 3, Neo Psychiko, ΑΤΤΙΚΗ

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About the specialist

Maria Xalepli is a Psychologist and Psychotherapist with a private practice in Ampelokipoi. She graduated with honors from the Psychology Department of the National and Kapodistrian University of Athens. She holds a four-year specialization in Cognitive Behavioral Therapy for adults (CBT) from the Society of Cognitive Behavioral Studies. Additionally, she has been trained by the same organization in Cognitive Behavioral Therapy for Children and Adolescents. She has also obtained certification in "School Psychology" from EKKE, University of Patras. She has worked as a psychologist at the Day Center for the Homeless of the Municipality of Athens, providing psychosocial support to vulnerable and at-risk groups. She works in private psychotherapy centers providing psychological support to adults and adolescents. Furthermore, as part of her practicum, she worked as a psychologist at the Counseling Station of the Municipality of Petroupoli, where she addressed therapy requests for both adults and adolescents as well as parental counseling. Finally, in her office, she handles cases involving interpersonal relationships, anxiety disorders, phobias, depression, obsessive-compulsive disorder management, and more.

Leof. Alexandras 156, Ampelokipoi, ΑΤΤΙΚΗ

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About the specialist

Antonia Mpeka is a Psychologist - Psychotherapist and maintains a private practice in Galatsi. She holds a degree from the Department of Psychology at Panteion University of Social and Political Sciences and possesses a certified four-year specialization in Cognitive Behavioral Therapy (CBT) from the Society of Cognitive Behavioral Studies. She has worked as a Psychologist at The Smile of the Child, supporting children and parents through counseling helplines. Additionally, she has conducted individual CBT Psychotherapy sessions. Within the framework of lifelong learning, she attends seminars in the field of mental health.

Μπέκα Αντωνία Εκάβης 38, Galatsi, ΑΤΤΙΚΗ

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About the specialist

Η Αθανασοπούλου Ασπασία είναι Ψυχολόγος και διατηρεί ιδιωτικό γραφείο στο Γαλάτσι. Είναι απόφοιτη του University of East London και εκπαιδευόμενη Συστημική Ψυχοθεραπεύτρια. Κατέχει πιστοποιήσεις στην Κλινική Ψυχοπαθολογία και την Ειδική Αγωγή από Ελληνικά Πανεπιστήμια. Αναλαμβάνει συμβουλευτική και ψυχοθεραπεία ενηλίκων και εφήβων, καθώς έχει σπουδάσει και εκπαιδευτικός και κατέχει μεταπτυχιακό  δίπλωμα στην Παιδαγωγική Ψυχολογία. Διαθέτει μακρόχρονη εμπειρία στην ψυχοθεραπεία ενηλίκων, ζεύγους, οικογένειας και ομάδας. Ειδικεύται στην αντιμετώπιση αγχωδών διαταραχών, τη διαχείριση φοβιών, τις διαταραχές συναισθήματος και τις διαταραχές προσωπικότητας, καθώς και τη διαχείριση κρίσεων στην οικογένεια και την εργασία, αλλά και τη διαχείριση πένθους. Διαχειρίζεται θέματα γονεϊκότητας, καθώς και ζητήματα εφηβικής και μετεφηβικής ηλικίας. Στόχος της είναι η εξατομικευμένη παρέμβαση, προσαρμοσμένη στις ανάγκες του κάθε ατόμου, ώστε, μέσα από τη συμβουλευτική και την ψυχοθεραπεία, ο άνθρωπος να γνωρίσει καλύτερα τον εαυτό του  και να οδηγηθεί στη βελτίωση της ποιότητας ζωής του. 

Αιγοσθενών 18, Galatsi, ΑΤΤΙΚΗ

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About the specialist
Ψυχολόγος,απόφοιτη ΕΚΠΑ, Ψυχοθεραπεύτρια,Υπνοθεραπεύτρια, Άγχος,κατάθλιψη, ταυτότητα φύλου, σχέσεις

Ιπποκράτους 13, Πλησίον Μετρό Πανεπιστήμιο, Kolonaki, ΑΤΤΙΚΗ

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About the specialist

Simosis Rafail is a Psychologist-Psychotherapist who maintains private practices in Panormou and Kolonaki, where he provides individual psychotherapy sessions to adolescents, adults, and offers parental counseling. He studied Psychology at the National and Kapodistrian University of Athens, graduating with honors. Additionally, he completed his postgraduate studies in Forensic Psychiatry-Medical Examinations at the Faculty of Medicine of Aristotle University of Thessaloniki. He has been trained in Cognitive and Behavioral Therapy - CBT (EABCT) for adults at the Institute for Research and Therapy of Behavior (IETHS), specializing in anxiety disorders, obsessive-compulsive disorder, phobias, mood disorders, bipolar disorder, and personality disorders. Throughout his professional career, he has worked as a Psychologist in private offices focused on adolescent and adult therapy. Furthermore, he has attended numerous seminars and conferences aimed at continuous education and advancement in the field of Psychology.

Λακωνίας 16, Panormou, ΑΤΤΙΚΗ

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About the specialist

Pittaras Aggelos is a Psychologist who maintains a private practice in Galatsi. He completed his studies at the National and Kapodistrian University of Athens in the Department of Psychology, from which he obtained his degree, and subsequently trained at the Center for Applied Psychotherapy and Counseling specializing in Cognitive Behavioral Therapy (CBT). He has gained extensive experience, having also worked as a Psychologist for the Municipality of Petroupoli. He addresses a wide range of issues with respect for each client, including fear management, anxiety management, relationship counseling, personal development and self-improvement, and management of depression, anger, and grief.

Ολυμπίας 21, Galatsi, ΑΤΤΙΚΗ

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Integrated Psychotherapy
About the specialist

Roumelioti Marianna is a Psychologist - Integrative Psychotherapist and maintains a private practice in Kolonaki. She holds a degree in Psychology from the Open University of the UK and completed a four-year training program in Integrative Psychotherapy at the Athens Synthesis Centre, obtaining the European Certificate of Psychotherapy (ECP).

She completed her internship at the Psychiatric Clinic of Aiginiteio Hospital, where she actively participated in interdisciplinary team meetings for the assessment and management of clinical cases, gaining significant experience in interdisciplinary collaboration as well as in the understanding and evaluation of mental disorders. Concurrently, at the Roots Wellness Center, she supported clients dealing with issues such as anxiety, depressive disorders, adjustment difficulties, grief, and interpersonal challenges. She has also voluntarily offered her services to non-governmental organizations aimed at supporting vulnerable groups.

In her psychotherapeutic practice, she handles cases covering the entire spectrum of psychology, with an emphasis on individual psychotherapy for adults, parent and adolescent counseling, and couples therapy. The Integrative Psychotherapy she applies aims at a holistic understanding and support of the individual, combining elements from different approaches to create a personalized path focused on the therapeutic relationship, acceptance, and personal development.

She remains under consistent supervision and attends numerous seminars and conferences to stay continuously updated on contemporary scientific developments.

Δώρας Δίστρια 1, Kolonaki, ΑΤΤΙΚΗ

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Psychodynamic Psychotherapy Body psychotherapy
About the specialist

Georgia Dermani is a Psychologist with a private practice located in Ampelokipoi, where she conducts individual sessions. She completed her studies at the University of East London and continued her training at Aeginiteio Hospital in Athens. She is undergoing training in somatic psychotherapy at the Wilhelm Reich Psychotherapy and Counseling Center - Hellenic Institute of Neurovegetative Therapy and Character Analysis (E.I.N.A.). After completing her studies, she voluntarily provided psychotherapy services for four consecutive years within a social solidarity network in Athens. Her therapeutic approach is a personal synthesis developed through years of experience, intensive study, personal therapy, and supervision. The primary foundation of her approach is Psychodynamic, rooted in Psychoanalytic theory and clinical practice.

Αναστασίου Τσόχα 3, Ampelokipoi, ΑΤΤΙΚΗ

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Lacanian Psychotherapy Psychoanalytic Psychotherapy
About the specialist

Konsoulaki Athina is a Clinical Psychologist licensed to practice. She graduated from the Department of Psychology at the University of Crete and holds a two-year Master's Degree in Clinical Psychology, Psychopathology, and Psychoanalysis from the University Paris Descartes (Université Paris Cité).

She has worked in mental health facilities in Paris and Athens, supporting children, adolescents, and adults, as well as in specialized therapy centers and a private school unit. In recent years, she has collaborated with the Mobile Mental Health Unit of the Western Cyclades under the Regional Development and Mental Health Company (EPAΨY), providing therapeutic and community services. Additionally, she serves as a reception figure at Our Big House, a space for children aged 0-4 and their parents, inspired by the Green House of the French psychoanalyst Françoise Dolto.

Since 2021, she has been attending a Psychoanalytic Training program at the Center for Psychoanalytic Research of Athens (KΨE). In her private practice in Kypseli, she sees children, adolescents, and adults in both Greek and French.

Επτανήσου 1, Kypseli, ΑΤΤΙΚΗ

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About the specialist

Η Κουτρουμπά Μαρία Εμμανουέλα είναι αδειούχος Ψυχολόγος με αριθμό άδειας 50160/2021 και διατηρεί το ιδιωτικό της ιατρείο στους Αμπελόκηπους. Κατέχει δεύτερο τίτλο προπτυχιακών σπουδών από το Εθνικό και Καποδιστριακό Πανεπιστήμιο Αθηνών, στη Φιλολογία με κατεύθυνση τη Γλωσσολογία. Επιπλέον, έχει πραγματοποιήσει τις μεταπτυχιακές της σπουδές στην Κλινική και Γνωσιακή Νευροψυχολογία στο Πανεπιστήμιο του Στρασβούργου. Έχει εκπαιδευτεί στην Γνωσιακή Συμπεριφοριστική Θεραπεία (CBT) από το Κέντρο Εφαρμοσμένης Ψυχοθεραπείας και Συμβουλευτικής.

Στο παρόν, πραγματοποιεί δεύτερο μεταπτυχιακό πρόγραμμα σπουδών στην Ιατρική σχολή του Εθνικού και Καποδιστριακού Πανεπιστημίου Αθηνών, στην Αναπτυξιακή και Εφηβική Υγεία. Έχει παρακολουθήσει πληθώρα σεμιναρίων. Μερικά από αυτά είναι το σεμινάριο Κλινικής Ψυχοπαθολογίας ''Παναγιώτης Ουλής'' της Ιατρικής σχολής του Εθνικού και Καποδιστριακού Πανεπιστημίου Αθηνών, το σεμινάριο Σχολικής Ψυχολογίας από το Πανεπιστήμιο Πατρών και το σεμινάριο της Προαγωγής ψυχικής υγείας παιδιών και εφήβων από το Πανεπιστήμιο Δυτικής Αττικής. Παράλληλα, έχει παρακολουθήσει βιωματικά εργαστήρια και σεμινάρια που αφορούν στην ευαισθητοποίηση σε ΛΟΑΤΚΙ+ (LGBTQ+) θέματα στη Συμβουλευτική και την Ψυχοθεραπεία και έχει εκπαιδευτεί σε ζητήματα σεξουαλικού προσανατολισμού, έκφρασης, ταυτότητας και χαρακτηριστικών φύλου, παρέχοντας υπηρεσίες με ασφάλεια, μέσω του ετήσιου σεμιναρίου Συμβουλευτικής και Ψυχοθεραπείας σε ΛΟΑΤΚΙ+ άτομα από το Orlando LGBT+ «ψυχική υγεία χωρίς στίγμα».

Εργάζεται ως ψυχολόγος-νευροψυχολόγος στην Εταιρία Alzheimer Αθηνών, ενώ στο παρελθόν συνεργαζόταν και με το Αναπτυξιακό Κέντρο Ειδικών Θεραπειών "Ψυχογραφείν", όπου πραγματοποιούσε συνεδρίες ψυχοθεραπείας σε παιδιά, εφήβους και ενήλικες, καθώς και Συμβουλευτική γονέων. Επιπλέον, έχει εργασθεί, στα πλαίσια της πρακτικής της άσκησης, ως νευροψυχολόγος στο Ναυτικό Νοσοκομείο Αθηνών και στο Μπενάκειο - Κοργιαλένειο Νοσοκομείο (Ερυθρός Σταυρός), ενώ προσφέρει εθελοντικές υπηρεσίες στο Χαμόγελο του παιδιού και στον Σύλλογο Αγκαλιά.

Βαθέος 9, Ampelokipoi, ΑΤΤΙΚΗ

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Systemic Therapy Family Therapy
About the specialist

Katsimardou Stauroula is a Psychologist – Systemic Psychotherapist for children, adolescents, and adults (professional license no. 1006982). She is a graduate of the Department of Psychology at Panteion University and is completing postgraduate studies in the program "Developmental and Adolescent Health Strategies" at the Medical School of the National and Kapodistrian University of Athens. Concurrently, she is training in the four-year Systemic Psychotherapy and Counseling program at the Center for Systemic Study and Therapy (Ke.S.Meth.).

She deals with issues related to anxiety and panic attacks, intense stress and overload, occupational burnout and emotional exhaustion, psychosomatic symptoms, as well as difficulties in interpersonal relationships. Additionally, she works on grief and loss, low self-esteem, boundaries, emotional regulation, decision-making difficulties, loss of meaning, and adaptation to transitional life periods in adolescents and adults.

She holds certification in the administration and evaluation of the psychometric tools WISC-V and WAIS-IV and has attended the Special Education seminar at the University of Patras. She has participated in mental health seminars and conferences and is engaged in ongoing personal psychotherapy and supervision.

She has gained experience in various clinical settings, such as the Naval Hospital of Piraeus, the General Children's Hospital "Panagioti & Aglaia Kyriakou," the 414 Military Hospital for Special Diseases, and the Day Center for Children and Adolescents "Thalpos."

Sinopis 51, Ampelokipoi, ΑΤΤΙΚΗ

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About the specialist

Vasiliki Xristidi is a Psychologist who maintains a private practice in Ampelokipoi, where she conducts both in-person and online sessions, addressing a variety of cases. She is a graduate of Panteion University, with postgraduate studies in Business Psychology from the University of East London. In the course of her professional career, she has collaborated with mental health professionals to provide comprehensive care to her clients. During her internship at the Attica Psychiatric Hospital Dromokaiteio, she gained valuable experience with a wide range of psychiatric cases, deepening her expertise in diagnosis and psychological support. She holds certifications in the psychometric instruments MMPI-2 and WAIS-IV, as well as training in Mindfulness, applied in anxiety management and enhancing psychological resilience. In her practice, she provides psychological support to adults experiencing anxiety, depression, mood disorders, panic attacks, and workplace difficulties. Additionally, she offers specialized support to individuals from the LGBTQ+ community, ensuring a safe and accepting therapeutic environment. She also works with children, adolescents, and parents, focusing on emotional development, behavior management, and improving communication within the family. She continuously pursues professional development by attending seminars and trainings to deliver modern and effective interventions.

Ανδρέα Κάλβου 143, Ampelokipoi, ΑΤΤΙΚΗ

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About the specialist

Polyxronaki Panagiota is a clinical psychologist - psychotherapist providing online sessions.

She holds a degree from the Department of Psychology at the University of Crete and a master's degree in Clinical Psychology from Leiden University, Netherlands. She has been trained in the Cognitive Behavioral Approach by the Society of Cognitive Behavioral Studies.

She is certified in Acceptance and Commitment Therapy, has completed the one-year postgraduate program in Clinical Psychopathology at the 1st Psychiatric Clinic of the National and Kapodistrian University of Athens (NKUA) and the Research University Mental Health Institute (EPISY), as well as holding a diploma in Coaching from UGROW and the Positive Psychology Society.

In parallel, she has attended numerous specialized trainings and continually pursues her professional development through supervision and ongoing education.

Regarding her professional training, she completed her internship as part of her postgraduate studies at the Psychiatric Clinic of the University Hospital of Heraklion and at the Alzheimer Day Center "Nefeli". Additionally, she completed an internship at the Student Counseling Center of NKUA, providing therapeutic support to students.

She works privately, providing sessions to adults and adolescents.

Κόνιαρη 45 (5ος όροφος), Ampelokipoi, ΑΤΤΙΚΗ

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About the specialist

Dr. Mougiakos Theodoros is a Military Physician - Psychiatrist and maintains a private practice in Ampelokipoi. He graduated from the Medical School of Aristotle University of Thessaloniki and specialized in the Psychiatric Clinic of the National and Kapodistrian University of Athens. He received a scholarship from the State Scholarships Foundation for postgraduate studies in Psychopharmacology in 2002. His research interests focus on emotional disorders. He trained and is certified as a psychotherapist in Cognitive Behavioral Therapy at the Research University Institute (EPIPSY) and in the EMDR method. He offers non-pharmacological treatments for anxiety disorders and trauma. Additionally, he has numerous presentations and publications in Greek and international conferences and journals, and actively participates in the training of Greek Psychiatrists. He is also a member of the editorial team of the Prescription Protocols of the National Organization for Medicines (EOF). He holds the rank of General Chief Physician and is Director of the Psychiatric Clinic of the 414 Military Hospital of Special Diseases. Finally, Dr. Mougiakos is a member of the Hellenic Psychiatric Association, treasurer of the Hellenic Society of Clinical Psychopharmacology, the Psychogeriatrics Branch of the Hellenic Psychiatric Association, the Cognitive Psychotherapy Society, and EMDR - Hellas.

  • Management of anxiety / panic attacks

Feidippidou 12, Ampelokipoi, ΑΤΤΙΚΗ

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About the specialist

Konstantopoulou Konstantina is a Psychologist and maintains a private practice in Galatsi. She is a graduate of the Department of Psychology at the University of Crete and holds a master's degree in Developmental Psychology from Maastricht University in the Netherlands. Since 2019, she has specialized in Integrative Systemic - Family Therapy at the Laboratory for the Exploration of Human Relationships of the School of Social Sciences at the University of Crete. She completed her internship at the 1st Special Primary School in Rethymno, Crete, and subsequently worked voluntarily as an assistant leader in follow-up groups for individuals with addictions at KETHEA EN DRASI. Since 2020, she has been collaborating as a Psychologist with an online psychotherapy session provision service. It is also noteworthy that she specializes in anxiety disorders, systemic psychotherapy, as well as interpersonal relationships.

Stratigou Makrygianni 8, Galatsi, ΑΤΤΙΚΗ

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About the specialist

Agglopoulou Efi is a Psychologist who operates a private practice in Panormou. She holds a degree in Psychology from the European University Cyprus and has completed a postgraduate training program in Clinical and Community Psychology (University of East London). She has worked as a Psychologist in Facilities and Protected Apartments, has volunteered at The Smile of the Child, and is a regular member of the Hellenic Psychologists Association. In her private practice, she manages a wide range of cases, focusing on a passion for her work and, above all, the best possible service tailored to the individual needs of each person she treats.

Καλαβρίας 35, Panormou, ΑΤΤΙΚΗ

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About the specialist
Η Έλενα Βαδάτογλου είναι Ψυχολόγος, απόφοιτη του Παντείου Πανεπιστημίου τμήματος Ψυχολογίας .

Γεννηματά Ν. 10-12, Panormou, ΑΤΤΙΚΗ

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Integrated Psychotherapy
About the specialist

Saliverou Elisavet is a Psychologist - Psychoeducator - Psychotherapist, holding a Master's degree (MSc) in Counseling Psychology (National and Kapodistrian University of Athens, Excellence Scholarship), with studies in Psychology, Education (National and Kapodistrian University of Athens), and Social Work (University of West Attica). She has been trained in Systemic – Family Psychotherapy and maintains a private Counseling – Psychotherapy practice. Simultaneously, she is responsible for the Counseling Service and social initiatives of HEN Athens and coordinates educational and psychoeducational programs for children, adolescents, adults, and parents. She has collaborated with organizations such as ELIZA, the "Together for the Child" hotline, SOS Children's Villages, and the Social Psychiatry Company P. Sakellaropoulos. She applies an integrative therapeutic approach (Systemic, Psychoanalytic, Narrative, Art Therapy) to various mental health issues of children, adolescents, and adults.

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Panic attacks

How to deal with them, what causes them and how to anticipate/ prevent relapses


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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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