Πιστοποιητικά υγείας για εργασία
926

Doctors for Πιστοποιητικά υγείας για εργασία

About the specialist

Kolea Aggeliki is an Ophthalmologist with a private practice in Peraia, Thessaloniki. She holds a medical degree from the School of Health Sciences at Aristotle University of Thessaloniki and specialized in Ophthalmology at the General Hospital of Xanthi and the Ophthalmology Department of the General Hospital of Thessaloniki "Agios Dimitrios." Additionally, she has served as an auditing physician at the Health Directorate of Xanthi Prefecture. Furthermore, she has conducted scientific research presented at local and international conferences and journals, and she is a member of the Medical Association of Thessaloniki and the Ophthalmological Society of Northern Greece.

Antheon 29, (anothen Eurobank), Perea, ΝΟΜΟΣ ΘΕΣΣΑΛΟΝΙΚΗΣ

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About the specialist

Onze Vasileios is a Gynecologist - Obstetrician and maintains a private practice in Marousi and Skiathos. He studied at the Medical School of the University of Patras and completed postgraduate studies in "Research in Female Reproduction" at the National and Kapodistrian University of Athens. Additionally, he is undergoing further training in Endoscopic Gynecological Surgery and Urogynecology at the "Mitera" Maternity Hospital. He specialized at the General University Hospital of Heraklion "Venizeleio" and at the General Hospital of Athens "Alexandra," where he gained significant clinical experience. Finally, he specializes in gynecological infertility and collaborates with several private clinics, such as IASO Athens and Larissa.

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Βασ. Σοφίας 24, Marousi, Greece, Marousi, ΑΤΤΙΚΗ

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About the specialist
Εξειδίκευση στην αντιμετώπιση της ακμής και υπερμελαχρώσεων (κηλίδες , μέλασμα) .

Parodos Plataion & Hatziantoniou, Marousi, ΑΤΤΙΚΗ

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About the specialist

Gantas Georgios is an Orthopedic Surgeon who maintains his private practice in Thermi, Thessaloniki, and serves as the Head of the Orthopedic Department at the Medical Diavalkaniko Thessaloniki. With respect for the patient’s individuality and a strong sense of responsibility towards accurate diagnosis, appropriate therapeutic indications, and effective treatment, he provides high-quality medical services for comprehensive solutions to musculoskeletal health problems. The physician sees patients daily at his clinic by appointment only.

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L. Iasonidou 19, Thermi, ΝΟΜΟΣ ΘΕΣΣΑΛΟΝΙΚΗΣ

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Psychoanalytic Psychotherapy
About the specialist

Dimitris Vasiadis is a Psychiatrist and Psychotherapist with extensive experience in providing psychiatric care and psychotherapy across both public institutions and private practice. His professional journey began in 2003 as an independent psychotherapist, and over the years, he has held key clinical roles in well-established hospitals and mental health units.

He graduated from the Medical School of Athens in 2002 and completed his rural medical service at the Health Center of Pyli in Trikala (2016–2017). He then began his psychiatric specialization at the Psychiatric Clinic of the 251 Hellenic Air Force General Hospital and continued his training at Evangelismos General Hospital in Athens, where he worked as a Psychiatrist and Psychotherapist from 2018 to 2023.

Since 2023, he has been collaborating with "VIMA KOINO", offering comprehensive psychiatric evaluation and psychotherapeutic treatment. His academic training includes clinical psychopharmacology (Hellenic Psychiatric Association), psychoanalytic approaches to trauma (Hellenic Society for Psychoanalysis and Psychoanalytic Psychotherapy), and specialized training in the management of Borderline Personality Disorder at the Gunderson Institute, McLean Hospital – Harvard Medical School (2024–2025).

He has completed a four-year training program in Cognitive and Analytic Psychotherapy through the **Panhellenic Union of Cognitive and Analytic Psychotherapy, where he has been an active member since 2022. His scientific activity includes participation in national and international conferences, such as the 8th Congress on Neurobiology, Psychopharmacology & Treatment Guidance (2023), where he presented "The art of psychopharmacology: tailoring the antipsychotic treatment."

Dimitris Vasiadis combines scientific rigor with long-standing clinical experience, offering patient-centered and personalized care in both psychiatry and psychotherapy.

Παπάγου 66, Zografou, ΑΤΤΙΚΗ

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About the specialist

Papadopoulou Argyro is a Dermatologist - Venereologist and maintains a private practice in Chalkida and Ilisia. She holds degrees from the Medical School and the Dental School of the National and Kapodistrian University of Athens, and also possesses a postgraduate degree in the field of "Health Promotion" from the same university. She specialized in Bangor, Wales, United Kingdom, as well as in major hospitals in Athens, such as the "Andreas Syggros" Hospital for Venereal and Dermatological Diseases and the Athens Anti-Cancer - Oncology Hospital "Agios Savvas." The physician provides a full range of necessary examinations related to Clinical and Aesthetic Dermatology at her clinic. In her well-equipped and modern facility, she offers services such as laser hair removal, wrinkle treatment, hyaluronic acid/fillers, peeling, mesotherapy, and others.

Dioharous 5, Ilisia, ΑΤΤΙΚΗ

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About the specialist

Ο Νικόλαος Κ. Οικονόμου είναι Ιατρός Ωτορινολαρυγγολόγος – Χειρουργός και Ειδικός Αισθητικής Προσώπου, με πολυετή κλινική εμπειρία στη διάγνωση και αντιμετώπιση παθήσεων του ωτός, της ρινός, των παραρρινίων κόλπων, του λάρυγγα και της κεφαλής και τραχήλου. Αποφοίτησε από την Ιατρική Σχολή του Δημοκριτείου Πανεπιστημίου Θράκης και ολοκλήρωσε την ειδίκευσή του στη Γενική Χειρουργική και στη συνέχεια στην Ωτορινολαρυγγολογία στο Γενικό Νοσοκομείο Ασκληπιείο Βούλας.

Έχει εργαστεί τόσο σε νοσοκομειακό όσο και σε ιδιωτικό περιβάλλον, αποκτώντας σφαιρική κλινική εμπειρία, ενώ από το 2016 διατηρεί ιδιωτικό ιατρείο, προσφέροντας ολοκληρωμένες υπηρεσίες πρόληψης, διάγνωσης και θεραπείας σε ενήλικες και παιδιά. Το ιατρικό του ενδιαφέρον καλύπτει όλο το φάσμα της σύγχρονης ΩΡΛ, με ιδιαίτερη έμφαση στις παθήσεις της ρινός και των παραρρινίων κόλπων, τις διαταραχές ακοής και ισορροπίας, τον ίλιγγο, την αλλεργική ρινίτιδα, την υπνική άπνοια και τις παθήσεις της φωνής.

Παράλληλα, έχει αναπτύξει σημαντική εξειδίκευση στη λειτουργική και αισθητική ρινοπλαστική, καθώς και στις σύγχρονες μη επεμβατικές και ελάχιστα επεμβατικές αισθητικές θεραπείες προσώπου, όπως η χρήση υαλουρονικού οξέος, βοτουλινικής τοξίνης και άλλων σύγχρονων τεχνικών αναζωογόνησης. Έχει εκπαιδευθεί σε εξειδικευμένα χειρουργικά κέντρα και συμμετέχει ενεργά σε ελληνικά και διεθνή συνέδρια, workshops και σεμινάρια, παραμένοντας σε διαρκή επαφή με τις τελευταίες εξελίξεις στον τομέα της ΩΡΛ και της Facial Plastic Surgery.

Διαθέτει πλούσιο επιστημονικό έργο, με πολυάριθμες ανακοινώσεις σε ελληνικά και διεθνή συνέδρια, καθώς και δημοσιεύσεις σε έγκριτα ελληνικά και διεθνή ιατρικά περιοδικά. Έχει επίσης συμμετάσχει ως ομιλητής σε επιστημονικές εκδηλώσεις, συμβάλλοντας ενεργά στη συνεχιζόμενη ιατρική εκπαίδευση.

Η φιλοσοφία του βασίζεται στον συνδυασμό της ιατρικής ακρίβειας με την αισθητική αντίληψη και τον σεβασμό στη μοναδικότητα κάθε ανθρώπου. Στόχος του είναι η ουσιαστική βελτίωση της υγείας, της λειτουργικότητας και της ποιότητας ζωής των ασθενών του, καθώς και η επίτευξη φυσικών και αρμονικών αισθητικών αποτελεσμάτων. Ιδιαίτερη έμφαση δίνεται στην ασφάλεια, στη σωστή ενημέρωση και στη δημιουργία σχέσης εμπιστοσύνης με τον ασθενή.

ΓΡΗΓΟΡΙΟΥ ΛΑΜΠΡΑΚΗ 19, Glyfada, ΑΤΤΙΚΗ

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About the specialist

Kakou Theodosia is a Dermatologist - Venereologist, maintaining a private practice in the Zografou area. She graduated from the Medical School of the National and Kapodistrian University of Athens. She specialized in skin diseases and venereal diseases at the Athens Dermatology and Venereology Hospital "Andreas Syggros." She is engaged in Clinical Dermatology, managing cases encountered across its full spectrum. She treats both adult and pediatric patients. Utilizing her scientific knowledge combined with her extensive experience, she handles a wide range of cases, specializing in acne, venereal diseases, warts, and more. Her private practice in the Zografou area ensures a comfortable and friendly environment for patients.

Patients are kindly requested to confirm their appointments by phone. In case they wish to cancel, telephone communication with the office is required up to 4 hours before the scheduled appointment.

Leoforos Ayxentiou Grigoriou 36, Zografou, ΑΤΤΙΚΗ

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About the specialist

Tsoukanas Dimitrios is a Surgeon Ophthalmologist who maintains a private practice in Kifisia. He graduated with distinction from the Medical School of the University of Crete. Subsequently, he trained in Ophthalmology at the Corinth Hospital and the 2nd University Clinic of Athens. Simultaneously, he collaborated with the Ophthalmology Clinic Athens Vision, where he was trained in refractive surgery (laser myopia correction) and first studied glaucoma in depth, undertaking the design and completion of research protocols and observing esteemed Glaucoma specialists in managing complex cases. Completing his training in 2016 and following examinations, he was certified as a Surgeon Ophthalmologist and Fellow of the European Board of Ophthalmology. In 2018, he was accepted into the prestigious European Ophthalmology Clinic Moorfields Eye Hospital in London, where he specialized in the medical and surgical management of glaucoma and performed high-difficulty cataract surgeries. Additionally, he attended seminars on injectable therapies in aesthetic ophthalmology (Botox and Fillers), as well as the renowned Moorfields training program in refractive surgery. In 2021, after 20 years of studies, specialization, surgeries, presentations, and publications at national and international conferences and scientific journals, he inaugurated his private practice Precision Ophthalmology in Kifisia, where with great responsibility and respect towards the patient, he offers his services to new and existing patients. Simultaneously, he serves as Scientific Collaborator of the Ophthalmology Clinic Athens Vision and Honorary Consultant at Moorfields Eye Hospital. Finally, the physician collaborates with the private clinics Euroclinic Pediatrics, Euroclinic Athens, and Errikos Dynan as a Scientific Collaborator.

Agiou Trufonos 18 (Isogeio), Kifisia, ΑΤΤΙΚΗ

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About the specialist

Galanis Grigorios is a Specialist Pathologist and maintains a private practice in Anoixi, providing comprehensive care and a personalized approach to the patient. Additionally, he is the Attending Physician Head of the Pathology Clinic at "REA" Hospital, where he is active in the fields of Pathology, the Adult Intensive Care Unit, and pathological support in gynecological and obstetric cases. For the past ten years, he has worked as an Attending Physician at the Pathology Clinic of Aegina Hospital "Agios Dionysios." He is a graduate of the Semmelweis University Medical School in Budapest and has completed his specialty training in Pathology, having served as a resident doctor at the First Pathology Clinic of the General Hospital of Athens "Korgialeneio-Benakeio" of the Hellenic Red Cross and at the Second Pathology Clinic of the Naval Hospital of Athens. He has served as a rural doctor at the Primary Care Center of Hydra and as an attending physician at the Koulourio Hospital of Hydra, while also actively participating in sports medicine as a team competition doctor in Aegina and as a coordinating doctor for the “Hydra’s Trail Event” mountain running races in Hydra. Furthermore, he has developed social initiatives as a municipal councilor and member of the Health Committee of the Municipality of Aegina, contributing to the prevention and management of public health issues.

Βορείου Ηπείρου 4, Anoixi, ΑΤΤΙΚΗ

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About the specialist

Mastorantonakis Stylianos is a Pathologist - Hypertension Specialist with a private practice in the Ampelokipoi area. He holds a PhD from the University of Athens focusing on morning blood pressure increase, graduated from the Medical School of the University of Crete, and specialized in Pathology at the 3rd University Pathology Clinic in Athens. He has expertise in hypertension, following training initially at the STRIDE Hellas-7 Hypertension Center of the 3rd University Pathology Clinic at the General Chest Diseases Hospital of Athens "Sotiria," and subsequently at the clinical and research International Circulatory Health Center (ICCH) of Imperial College London. In recent years, he has collaborated with Hygeia Hospital as a pathologist for patient hospitalization. He sees patients in his practice for pathology issues, with a special interest in the diagnosis of arterial hypertension, investigation of secondary hypertension, accurate blood pressure measurements, hypertensive disorders of pregnancy, monitoring, and therapeutic management of blood pressure. Finally, the doctor is a member of the European Society of Hypertension and has served as secretary of the Hellenic Society of Cardiovascular Health.

Vasilisis Sofias 52, Ampelokipoi, ΑΤΤΙΚΗ

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About the specialist

Kolentinis Mixalis is a Cardiologist and maintains a private practice in Cholargos. He studied at the Medical School of the National and Kapodistrian University of Athens and subsequently served as a Pathology resident at the “General Hospital of Nea Ionia ‘Konstantopouleio’” and as a Cardiology resident at the General Hospital of Athens “Georgios Gennimatas,” completing a continuous seven-year training in a wide range of cardiology cases. Beyond his clinical work, he has been actively involved in research. In 2012, he completed his doctoral dissertation at the Medical School of the University of Ioannina, with a special focus on the physiology of the cardiovascular system in vivo. During his specialty training, he was responsible for the educational and scientific program of the cardiology clinic as well as the echocardiography laboratory. He received further training in echocardiography at Hammersmith Hospital, Imperial College London (NHS). Additionally, he was awarded a scholarship by the Hellenic Cardiological Society for advanced training in Cardiac Magnetic Resonance Imaging (CMR). He worked as a clinical-research fellow at Goethe University in Frankfurt. He holds certification from the Society for Cardiovascular Magnetic Resonance (SCMR) for diagnostics and training in CMR techniques (level III SCMR). He also specialized at the University Hospital of Ioannina in the latest echocardiographic imaging techniques (transesophageal ultrasound, stress echo). He has participated as a speaker at national conferences and seminars and has authored articles and reviews in foreign and international scientific journals. Finally, he is a member of numerous scientific societies and an instructor in cardiopulmonary resuscitation seminars (ALS Instructor).

  • Certificates / Attestations
    • Certificates / Attestations

Μιχάλης Κολεντίνης Ειδικός Καρδιολόγος Υμηττού 14, Cholargos, ΑΤΤΙΚΗ

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About the specialist

Dimitra Giannopoulou is a Pulmonologist - Phthisiologist and maintains a private pulmonology clinic in Peristeri. She holds a medical degree from the Institute of Pharmacy and Medicine in Cluj-Napoca, Romania, with an international medical acupuncture diploma. The physician specializes in medical acupuncture for smoking cessation, asthma, COPD, pain, chemotherapy side effects, weight loss, allergies, and electroacupuncture. Additionally, her research interests include small cell and non-small cell lung cancer, bronchial asthma - COPD, and chemotherapy regimens in lung cancer. Alongside her private practice, Dimitra Giannopoulou is a First Consultant at the 1st Oncology Clinic of "Hygeia" Hospital. Finally, she is a member of the Hellenic Medical Acupuncture Society, the European Oncology Society, the European Respiratory Society, the Delphic Society, and the Hellenic Respiratory Society.

THali 81, Peristeri, ΑΤΤΙΚΗ

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Dr. Mendrinos Dimitrios, MD, is a Cardiologist maintaining a private practice in Agios Stefanos, Attica. He graduated from the Medical School of the University of Liège in Belgium and holds a postgraduate degree from the Medical School of the National and Kapodistrian University of Athens, specializing in Intensive Care Units. He specialized in Cardiology at the First University Clinic of the General Hospital of Athens "Hippokration" and worked as an Internist at Maria-Hilf Hospital in Krefeld, Germany. He possesses extensive clinical experience and training in a broad range of Cardiology, including the diagnosis and treatment (both interventional and non-interventional) of coronary artery disease, valvular heart diseases, arrhythmias, heart failure, cardiomyopathy in pregnancy, and sports cardiology. His articles have been published in reputable international medical journals, and he has participated as a speaker and delegate at Greek and international conferences. He also has significant research experience in collaboration with the First University Cardiology Clinic of the General Hospital of Athens "Hippokration." Finally, the doctor is a member of the Athens Medical Association, the Hellenic Cardiological Society, and the European Society of Cardiology.

  • Certificates / Attestations
    • Certificates / Attestations

Helmou 24, Agios Stefanos, ΑΤΤΙΚΗ

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Mitsios Axilleas is a psychiatrist and psychotherapist who maintains a private practice in Athens, near the Ambelokipi metro station. Concurrently, he collaborates with the Psychiatric Home Care Unit of the Patient at the Institute of Child and Adult Mental Health “P. Sakellaropoulos” in Kallithea. He graduated from the Medical School of Aristotle University of Thessaloniki. He began his specialty training at the Greek Center for Mental Health and Research, Athens branch, where he remained for a total of 2 years and received training in psychiatric and psychotherapeutic care for community patients. He completed his specialty at the General Hospital of Athens "G. Gennimatas," where he stayed for a total of 4 years and was trained in managing a wide range of psychopathology. He received psychotherapeutic training within the framework of the postgraduate program “Psychodynamic Psychotherapy in a Medical Setting” at the Medical School of the National and Kapodistrian University of Athens.

Λεωφόρος Αλεξάνδρας 136, Ampelokipoi, ΑΤΤΙΚΗ

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Makedou Foteini is a Pathologist with a private practice in Ampelokipoi. She also serves as an Attending Physician in the Internal Medicine Clinic at Metropolitan General Hospital. Additionally, she holds the rank of Lieutenant Commander in the Hellenic Navy and is the Consultant of the 1st Internal Medicine Clinic at the Navy Hospital of Athens. She studied at the Medical School of Aristotle University of Thessaloniki and holds two Master’s degrees from the National and Kapodistrian University of Athens, specifically in "Healthcare Unit Management" and "Diabetes Mellitus and Obesity." She has worked as a Trainee Intensivist in the ICU of General State Hospital of Nikaia, as a Specialist Pathologist in the Internal Medicine Clinic at Agios Dimitrios Hospital, and as an Attending Physician in the Oncology Department of Iatriko Diavalkaniko Hospital. Finally, Dr. Makedou specializes in Intensive Care Medicine, Oncology, and Diabetes Mellitus.

Eyrytanias 10, Ampelokipoi, ΑΤΤΙΚΗ

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Soumaleuris Aleksandros is a Dermatologist - Venereologist who maintains a private practice in Galatsi. He is a graduate of the Medical School of the National and Kapodistrian University of Athens and specialized in Dermatology at the Dermatology Clinic of Heidelberg University in Germany and at the “Andreas Syggros” Dermatology and Venereology Hospital. He is a collaborator of the Dermatology Department at “Mitera” Hospital and has worked as a dermatologist at the White Cross Hospital in Athens. He has authored numerous publications, announcements, and presentations at Greek and international conferences. In his private practice, the physician addresses the full spectrum of clinical, aesthetic, and laser dermatology. As a specialized Dermatologist - Venereologist, he can provide responsible advice regarding the prevention and treatment of skin and sexually transmitted diseases. Additionally, he deals with the management of nail and hair disorders. He shows particular interest in the field of pediatric dermatology, applying modern therapeutic approaches. He is specialized in the therapeutic use of lasers in Dermatology. Continuously following scientific advancements, Dr. Soumaleuris Aleksandros offers personalized solutions based on the highest therapeutic standards.

Lesvou 2 & Leoforos Veikou, Galatsi, ΑΤΤΙΚΗ

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Fragkopoulos Konstantinos is an Orthopedic Surgeon who maintains private practices in Korydallos and Keratsini. Additionally, he serves as an Orthopedic Surgeon in the Pediatric Orthopedic Department at Metropolitan Hospital. Furthermore, he has worked at the Orthopedic Clinic of the General Hospital of Nikaia - Piraeus "Agios Panteleimon," in the 2nd Pediatric Orthopedic Clinic of the General Children's Hospital of Athens "Agia Sophia," and in the Microsurgery Clinic of the Upper Limb & Shoulder at the General Hospital of Attica KAT. Finally, the doctor specializes in pediatric orthopedics, sports injuries, and hip and knee arthroplasty.

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Εθνάρχου Μακαρίου 9, 1ος όροφος, γραφείο 8, εντός Metropolitan, Neo Faliro, 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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