Πιστοποιητικά υγείας για εργασία, Pefka
2

Doctors for Πιστοποιητικά υγείας για εργασία in Pefka

About the specialist

Sapardanis Iordanis is a Pulmonologist - Tuberculosis Specialist with over 20 years of clinical experience in clinics and hospitals. He maintains a private practice in Pefka, Thessaloniki. He has an extensive range of publications as well as many years of experience in: interventional pulmonology, lung oncology, management of cancer patients, thoracic puncture, ascitic fluid analysis, chemotherapy regimens for lung cancer, diagnostic and therapeutic examinations, bronchoscopy (diagnostic - therapeutic), endoscopic swallowing evaluation, transthoracic ultrasound, pleural effusion drainage, smoking cessation clinic, management of ulcers and pressure sores (surgical debridement, application of V.A.C, use of growth factors for ulcer treatment, application of hyaluronic acid, selective surgical cleaning using ultrasound (25KHz) and normal saline hydrojet), etc. He is characterized by persistence, patience, resourcefulness, cooperativeness, excellent communication skills with patients and their companions, and above all, a genuine care for people. The clinic offers free parking and emergency parking spaces directly outside, as well as an additional open parking lot nearby. It is easily accessible for individuals with mobility issues, elderly patients, and others. Finally, the clinic is also easily accessible by public transportation.

Vafopoulou 6, Pefka, ΝΟΜΟΣ ΘΕΣΣΑΛΟΝΙΚΗΣ

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About the specialist

Mpoutsikos Kosmas is a Psychiatrist who maintains a private practice in Thessaloniki. Concurrently, he serves as the Consultant of the Psychiatry Clinic at the 424 General Military Hospital of Thessaloniki. He studied medicine and specialized in psychiatry at the Aristotle University of Thessaloniki. During his psychiatry specialization at the 2nd University Clinic of Aristotle University of Thessaloniki, at the Thessaloniki Psychiatric Hospital, and at the Central Sector Mental Health Center, he has encountered numerous cases involving psychoses, mood and anxiety disorders, personality disorders, and other conditions. He has received training in various forms of psychotherapy, including Psychoanalytic Psychotherapy, Group Psychotherapy, Cognitive Analytic Therapy, and Brief Intensive Dynamic Psychotherapy. Additionally, he has attended an early intervention program for psychosis (Early Intervention Service) at the Camden and Islington Trust of the NHS in London. Finally, he specializes in Anxiety, Depression, and Psychoses.

Papanikolaou 150, Pefka, ΝΟΜΟΣ ΘΕΣΣΑΛΟΝΙΚΗΣ

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72

Doctors for Πιστοποιητικά υγείας για εργασία near Pefka

About the specialist

Petroglou Dimitrios MD, PhD is a Cardiology Specialist - Military Physician and maintains a private practice in Thessaloniki. He is a Consultant at the Cardiology Clinic of the 424 General Military Teaching Hospital and holds a doctoral degree from the Medical School of Aristotle University of Thessaloniki. He holds degrees from the Military Officers School and the Medical School of Aristotle University of Thessaloniki. He specialized in Cardiology at the 1st Cardiology Clinic of Aristotle University of Thessaloniki, at the AHEPA University Hospital, and holds the European Diploma in Cardiology. Furthermore, he is a member of the Hellenic Cardiological Society and the Cardiology Society of Northern Greece.

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      Έκδοση βεβαίωσης άθλησης

Aigaiou 26, Thessaloniki, ΝΟΜΟΣ ΘΕΣΣΑΛΟΝΙΚΗΣ

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Dr. Moraitis Nikolaos MD, DAS, MAS is a Psychiatrist - Psychotherapist with a private practice in Thessaloniki. He completed his medical studies at the Aristotle University of Thessaloniki School of Medicine and fully completed his Psychiatry specialty in the German-speaking part of Switzerland. Additionally, he holds a diploma in medical Psychotherapy (Diploma of Advanced Studies DAS & MAS) from the University of Zürich, Switzerland. He has been trained in psychodynamic psychotherapy, deep psychological orientation (Tiefenpsychologische Psychotherapie), Cognitive Behavioral Therapy, and Systemic Psychotherapy, including CBT techniques, Schema Therapy, and has experience in the assessment of mental disorders through psychometric tools such as OPDII. Furthermore, he has been trained in dementia, psychosomatic diseases, Chronic Fatigue Syndrome, and addictions. He has extensive experience, having worked in various institutions in Switzerland, and currently serves as the Director of the three outpatient clinics of the Psychiatric Psychotherapy department covering the entire spectrum of Clinical Psychiatry at Psychiatrische Dienste Aargau AG, providing specialized assessments, diagnosis, and treatments for mental and neuropsychiatric disorders including addictions. Finally, he specializes in disorders related to mood disorders, anxiety and trauma, obsessive-compulsive disorder, psychosomatic illnesses, bipolar disorder, all types of substance addictions, psychoses, paranoid schizophrenia, Asperger’s autism, and attention deficit hyperactivity disorder (ADHD).

Dr. med. Moraitis Nikolaos Vasileos Irakleiou 47, 1, Thessaloniki, ΝΟΜΟΣ ΘΕΣΣΑΛΟΝΙΚΗΣ

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About the specialist

Fokas Xaris is a Cardiologist who maintains a private practice in Ano Toumpa, Thessaloniki. He holds a medical degree from the Aristotle University of Thessaloniki Medical School and has completed advanced training with the National Emergency Aid Center (EKAB) in emergency pre-hospital medicine. He has served as a cardiologist at the Elderly Care Unit "Frontizo," as a Scientific Associate in the Cardiology Clinic of the General Hospital of Thessaloniki "Papageorgiou," as well as a Scientific Associate at the "Genesis" Clinic in Thessaloniki. He is specialized in echocardiography and clinical cardiology and has significant experience in the treatment of hypertension, arrhythmias, and heart failure. Finally, in his private practice, he diagnoses and treats conditions and provides services covering the full spectrum of cardiology.

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      Αν χρειαστεί triplex καρδιάς ή δοκιμασία κοπώσεως (ανάλογα με την ηλικία και την κλινική εινόνα) υπάρχει επιπλέον επιβάρυνση.

Tsiapanou Dimitriou 36-38 & Grigoriou Lampraki, Ano Touba, ΝΟΜΟΣ ΘΕΣΣΑΛΟΝΙΚΗΣ

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About the specialist

Xristopoulos Athanasios is a Psychiatrist - Psychotherapist who maintains a private practice in Thessaloniki. He holds a degree from the Medical School of the University of Ioannina and specialized at the 2nd Psychiatric Clinic of Aristotle University of Thessaloniki. The doctor has extensive experience in disorders such as anxiety disorders, personality disorders, addictions, obsessive-compulsive disorder, depression, panic attacks, schizophrenia, psychotic disorders, among others. He serves as a Scientific Associate of the Psychiatric Clinics Asklepieion and San Vitale in Thessaloniki and the "Elpida" Psychiatric Clinic in Katerini. Finally, he participates annually in conferences of the Hellenic Psychiatric Association and the Hellenic Society of Clinical Psychopharmacology and is a member of the Hellenic Association of Brief Intensive Dynamic Psychotherapy.

Karolou Ntil 26, Thessaloniki, ΝΟΜΟΣ ΘΕΣΣΑΛΟΝΙΚΗΣ

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About the specialist

Mr. Soultanidis Marinos is an Ophthalmic Surgeon who operates his ophthalmology clinic in Thessaloniki, specializing in the diagnosis and treatment of all types of ophthalmic conditions. The doctor is trained and further educated at Whipps Cross University Hospital in London, providing his ophthalmic services with responsibility and professionalism. In his clinic in Thessaloniki, the ophthalmic surgeon conducts eye examinations using state-of-the-art medical equipment, based on his extensive experience and scientific knowledge. Among other services, the doctor can offer valuable medical advice and address any concerns related to discomfort, infections, or ophthalmic conditions affecting you or your loved ones. Finally, Mr. Soultanidis Marinos specializes in all types of ophthalmic surgical procedures, which he performs safely, accurately, and with great attention to detail.

  • Έκδοση πιστοποιητικών υγείας για εργασία

Antigonidon 11, Thessaloniki, ΝΟΜΟΣ ΘΕΣΣΑΛΟΝΙΚΗΣ

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About the specialist

Ampatzi Xristina is a Gynecologist - Obstetrician and maintains a private practice in Thessaloniki. She holds a medical degree from the Aristotle University of Thessaloniki Medical School and specialized in Obstetrics - Gynecology at the General Hospital of Serres and the General Hospital of Thessaloniki "Hippocrates." She attended a postgraduate program in "Medical Research - Methodology" and received further training in the Urogynecology Department of the General Hospital of Athens "Alexandra" and the CHU Maternité Hôpital Jeanne de Flandre in France. Finally, she has worked as an instructor in surgical and neurology courses, in the department "Nursing Assistants and Orderlies" at a Vocational Training Institute.

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Tsimiski 78, Thessaloniki, ΝΟΜΟΣ ΘΕΣΣΑΛΟΝΙΚΗΣ

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About the specialist

Papaleksiou Ksenofon is a Gynecologist - Obstetrician who maintains private practices in Thessaloniki. He graduated with honors from Medical School and obtained, following examinations, the title of Surgeon Gynecologist - Obstetrician. The doctor holds certification from KESY for performing gynecological - obstetric ultrasound, after completing further training at the 3rd University Clinic of Aristotle University of Thessaloniki. Currently, he also serves as a scientific associate of the Obstetrics - Gynecology Clinic "Genesis," the General Clinic of Thessaloniki, and the Bioclinic of Thessaloniki.

  • Πιστοποιητικά\Βεβαιώσεις

Mitropoleos 41, Thessaloniki, ΝΟΜΟΣ ΘΕΣΣΑΛΟΝΙΚΗΣ

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About the specialist

Fotiadis Gerasimos is a General Family Physician who maintains a private practice in the center of Thessaloniki. He graduated from the Medical School of Democritus University of Thrace and completed his residency in General Family Medicine at the General Hospital of Thessaloniki "Papageorgiou" and the General Hospital of Thessaloniki "Papanikolaou." He has completed more than 400 on-call shifts in Emergency Departments and has worked as a Rural Doctor in Health Centers, gaining valuable experience in managing both urgent and chronic cases. Additionally, he is active in telemedicine, providing medical services through international platforms across Europe and the USA. He has received further training in Ultrasonography, having conducted his education at the University Hospital of Ioannina. He has also trained in and practices Homeopathic Medicine, offering alternative and complementary therapies always based on scientific evidence and an individualized approach. Furthermore, he is a certified Advanced Life Support (ALS) Instructor by the European Resuscitation Council and is a member of various Greek and international medical organizations and associations. In his private practice, he provides high-level medical services, focusing on the diagnosis and treatment of primary care conditions, the implementation of telemedicine solutions, the use of modern diagnostic techniques, and a holistic approach through Homeopathy. Finally, he actively participates in scientific conferences and educational programs with the aim of continuous professional development and providing optimal care to his patients.

Μητροπόλεως 110, Thessaloniki, ΝΟΜΟΣ ΘΕΣΣΑΛΟΝΙΚΗΣ

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About the specialist

Karyofylli Tamisoglou Ioanna is a Specialist in Internal Medicine maintaining private practices in Thessaloniki. She is actively involved in the management and treatment of patients with arterial hypertension, hyperlipidemia, metabolic syndrome, and diabetes mellitus. Additionally, she is engaged in the full spectrum of infectious diseases. From 2010 to 2016, she studied at the Medical School of Democritus University of Thrace. Subsequently, from March 2017 to February 2018, she served as a rural doctor at the Regional Clinic of Aidipsos, Evia. Simultaneously, she pursued her postgraduate studies at the Medical School of Democritus University of Thrace in the postgraduate program "Clinical Pharmacology and Therapeutics." From April 2018 to September 2018, she worked at the multi-clinic "Charalampos Vittorakis" in Platanias, Chania, and then from November 2018 until August 2023, she completed her specialty in Internal Medicine at the 1st Internal Medicine Clinic of the General Hospital of Thessaloniki "Papageorgiou." She has participated in numerous seminars and continuing education courses on arterial hypertension and diabetes mellitus, aiming to offer high-quality healthcare services. She collaborates with the private clinics "Euromedica General Clinic" and "Bioclinic Thessaloniki." Additionally, she participates in the Ministry of Health’s "Personal Doctor" program and is a contracted physician with EOPYY. She is a member of the medical network of Affidea diagnostic centers and cooperates with all private insurance companies. Finally, since April 2025, she has been an external associate of the 424 General Military Hospital in the lipid clinic, and since February 2024, she has joined the medical team of Elysium Medical Center, where she maintains an internal medicine practice.

Μητροπόλεως 57, Thessaloniki, ΝΟΜΟΣ ΘΕΣΣΑΛΟΝΙΚΗΣ

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Κέντρο Ψυχικής Υγείας. Ψυχιατρική - Ψυχοθεραπεία - Διατροφή

Nous Therapy Center Aggelaki 1, Thessaloniki, ΝΟΜΟΣ ΘΕΣΣΑΛΟΝΙΚΗΣ

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Karadakis Fotios is a Dermatologist - Venereologist with a private practice in Thessaloniki. He graduated from the School of Medicine at Aristotle University of Thessaloniki (AUTH) and is specialized in classical dermatology. He has served as the Director of the Dermatology Clinic at the 424th General Military Training Hospital and the 412th General Military Hospital of Xanthi. Currently, he maintains his private practice and possesses extensive experience in the treatment of condylomas, performing dermatological minor surgeries such as electrocautery and cryotherapy of warts, condylomas, benign skin tumors, as well as PUVA therapy, which he employs to address psoriasis, alopecia areata, and vitiligo.

Leoforos Vasileos Georgiou 9 , Thessaloniki, ΝΟΜΟΣ ΘΕΣΣΑΛΟΝΙΚΗΣ

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About the specialist

Xatzopoulou Ksenia is a Psychiatrist - Psychotherapist based in Thessaloniki. She holds a degree from the Medical School of Aristotle University of Thessaloniki and has specialized in Psychiatry at the 2nd University Clinic. She has over 20 years of experience in clinical psychiatry and psychotherapy. Furthermore, she is trained in psychoanalytic-type psychotherapy and cognitive analytic psychotherapy, as well as in child and adolescent psychiatry. Her work includes counseling on interpersonal relationship issues, psychoanalytic-type psychotherapy, counseling with behavioral and cognitive techniques, and the treatment of obsessive-compulsive and psychosomatic disorders. Additionally, she has extensive experience in the management of eating disorders, anxiety, depression, psychoses, phobias, and panic attacks.

Agias Sofias 10, Thessaloniki, ΝΟΜΟΣ ΘΕΣΣΑΛΟΝΙΚΗΣ

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About the specialist

Dr. Ntantos Dimitrios is a specialist neurologist with expertise in the diagnosis and treatment of conditions such as dementia, movement disorders, Parkinson's disease, migraines, cerebrovascular strokes, epilepsy, and multiple sclerosis. He graduated from the Medical School of Aristotle University of Thessaloniki and specialized in Neurology at the 3rd University Neurology Clinic of the G.N.T.H. "G. Papanikolaou." He has served as a scientific collaborator of the Clinic, actively participating in research programs, conference presentations, and scientific publications. He also has additional training in medical acupuncture and two years of experience in Intensive Care and Neuro-Intensive Care. He is a Neurologist at the specialized Memory and Cognitive Functions Clinic of G.N.T.H. "Papageorgiou," the head neurologist of the Elderly Care Unit "Estia Papageorgiou," and a Member of the Special Medical Corps of the Disability Certification Centers (KE.P.A.), while also maintaining private practices in Thessaloniki and Nigrita. He provides personalized care aimed at the substantial improvement of patients’ daily lives and quality of life. The doctor applies one of the most advanced scientific Neurostimulation methods, Transcranial Pulse Stimulation (TPS), officially indicated (CE) for the treatment of Alzheimer's disease.

Μητροπόλεως 57, Thessaloniki, ΝΟΜΟΣ ΘΕΣΣΑΛΟΝΙΚΗΣ

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Deligiannidis Aristeidis is a Specialist Cardiologist with a private practice in Thessaloniki. He is a graduate and Doctor of Medicine from the Aristotle University of Thessaloniki Medical School. In his professional career to date, he has served as a Specialist Cardiologist at the Bioiatriki Group, the General Clinic, and the Blue Cross in Thessaloniki, as well as a Scientific Collaborator at the 2nd University Cardiology Clinic of Hippokration Hospital in Thessaloniki. Additionally, he specializes in Echocardiography, Clinical Cardiology, and Blood Pressure management.

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    • Certificates / Attestations
      Περιλαμβάνει ηλεκτροκαρδιογράφημα, κλινική εξέταση κι έκδοση πιστοποιητικού
    • Sports Medical Certificate

Paulou Mela 48, Thessaloniki, ΝΟΜΟΣ ΘΕΣΣΑΛΟΝΙΚΗΣ

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Lymperis Anastasios MD, PhD is a Gynecologist - Obstetrician who maintains a private practice in Toumba, Thessaloniki. He graduated from the Medical School of Aristotle University of Thessaloniki. He completed his specialization in Obstetrics and Gynecology at the University Obstetrics and Gynecology Clinic in Alexandroupolis. Subsequently, he received further training in Gynecological Oncology at Klinikum Aschaffenburg in Germany. He holds a PhD from the Medical School of Democritus University of Thrace and is an Academic Fellow at the 2nd Obstetrics and Gynecology Clinic of the General Hospital of Thessaloniki "Hippokration." He is a member of BSCCP and specializes in colposcopy and cervical pathology. He is also a certified instructor for ALSO and ALSG. In his private practice, he manages the full spectrum of Obstetrics and Gynecology, while collaborating with all private Obstetric Clinics.

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Markou Mpotsari 146 & Vithynias, Kato Toumpa, ΝΟΜΟΣ ΘΕΣΣΑΛΟΝΙΚΗΣ

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Voloudakis Konstantinos is a Specialist Cardiologist and maintains a private practice in Thessaloniki. He holds a PhD from the Medical School of Democritus University of Thrace and a medical degree from the Medical School of Aristotle University of Thessaloniki. He specialized in Cardiology at the General Hospital of Thessaloniki "G. Papanikolaou" and underwent further training in the Intensive Care Unit of Peterborough District Hospital in Cambridge and at Karolinska Hospital in Stockholm, Sweden. Dr. Voloudakis served as an Attending Physician for 20 years at the General Hospital of Thessaloniki "Agios Pavlos" and as Coordinating Director for 4 years in the Cardiology Department of the General Hospital of Chalkidiki. In his private practice, he offers a wide range of services, respecting the individual needs of each patient.

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    • Sports Medical Certificate
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      Περιλαμβάνει κλινική εξέταση, ηλεκτροκαρδιογράφημα και υπερηχοκαρδιογράφημα.

Vasileos Georgiou 30, Thessaloniki, ΝΟΜΟΣ ΘΕΣΣΑΛΟΝΙΚΗΣ

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About the specialist

Ainatzoglou Konstantinos is a Gynecologist - Obstetrician and has maintained a private practice in Thessaloniki since 1983. He holds a medical degree from the Medical School of Aristotle University of Thessaloniki and specialized in Obstetrics - Gynecology at the General Hospital of Drama and the 2nd Obstetrics and Gynecology Clinic of the General Hospital of Thessaloniki "Hippokration." He worked as a scientific collaborator at the 2nd Obstetrics and Gynecology Clinic of the General Hospital of Thessaloniki "Hippokration" for 10 years. Additionally, he regularly attends numerous conferences as part of continuous professional development and is a member of the Thessaloniki Obstetrics and Gynecology Society, a founding member of the Hellenic Gynecological Society for Cancer Research and Therapy, President of the Board of Directors of the ARÖGI Rehabilitation Center, and Vice President of the Board of Directors of the Obstetrics and Gynecology Clinic "Genesis."

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Patriarhou Ioakeim 1, Thessaloniki, ΝΟΜΟΣ ΘΕΣΣΑΛΟΝΙΚΗΣ

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Dr. Sxoinas Mixail is an Ophthalmologist with a private practice in Thessaloniki. He graduated from the Medical School of Aristotle University of Thessaloniki and specialized in Ophthalmology at the Ophthalmology Clinic of the General Hospital of Thessaloniki "Georgios Papanikolaou." He is a Scientific Associate of the General Hospital of Thessaloniki "Georgios Papanikolaou" and a regular collaborator of the General Clinic of Thessaloniki, the Athens Center, the Thessaloniki Ophthalmology Clinic, and the Therapeutic Institute "Hygeia." He has extensive experience in refractive surgery (laser correction of myopia/hyperopia), cataract surgery, and keratoconus, and has managed a wide range of conditions including astigmatism, cataract, myopia, presbyopia, hyperopia, and glaucoma. He actively participates in numerous conferences in Greece and abroad as part of his continuous professional development. Finally, he is a member of the Thessaloniki Medical Association, the Northern Greece Ophthalmological Society, the Panhellenic Ophthalmological Society, and the Hellenic Society of Intraocular Lenses and Refractive Surgery.

Georgiou Staurou 10 , Thessaloniki, ΝΟΜΟΣ ΘΕΣΣΑΛΟΝΙΚΗΣ

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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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