Psychosomatic symptoms, Attica
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Health professionals for Psychosomatic symptoms in Attica

About the specialist

Panagiotou Maria - Anna is a Psychologist (BSc) and Psychotherapist specializing in Cognitive-Behavioral Psychotherapy. She graduated from the National and Kapodistrian University of Athens and holds a professional practice license valid nationwide (License No: 1401991). She has worked as a Psychologist at the Elderly Care Unit "Rodi" in Filothei, as well as an external collaborator in a Medical Clinic and an English tutoring center to support employees and students. Additionally, she has volunteered in various settings, including public elderly care units and telephone support platforms. She has been trained in the Behavioral-Cognitive approach (higher education) at KEPSYSY in areas such as anxiety, phobias, panic attacks, psychosomatic disorders, depression, traumatic experiences, relationship issues, and has specialized in the non-pharmacological management of geriatric issues and caregivers, including dementia, grief, and anxiety at the National and Kapodistrian University of Athens. She works with both adults and adolescents on family matters, crisis management, school performance, and violence-related issues. Her approach is based, among others, on the Rational Emotive Behavior Therapy model by Ellis, Beck's Cognitive Therapy model, as well as Meichenbaum's Cognitive-Behavioral Modification. Finally, the specialist is a member of the Hellenic Psychological Society (SEPS). Guided by empathy, authenticity, and scientific practices, individuals will progressively be able to manage life situations effectively. For optimal service provision, she is supervised and participates in personal psychotherapy.

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Psychoanalytic Psychotherapy
About the specialist
Ψυχολόγος Λακανικού Ψυχαναλυτικού Προσανατολισμού

Τιμολέοντος Βάσσου 10, Platia Mavili, ΑΤΤΙΚΗ

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About the specialist

Maria Kyvrikoseou is a Psychologist. She graduated from the Department of Psychology at Panteion University of Social and Political Sciences and is continuing her studies at the Center for Systemic Education and Counseling "Allilepidrasis." She primarily works online, but face-to-face sessions are also available upon arrangement. Her philosophy of systemic psychotherapy is summarized by Virginia Satir's quote: "A person is born in relation, lives in relation, and is healed in relation." Therefore, the "problem" is examined and understood through the way the individual interacts with the people around them, rather than considering the individual as an isolated unit apart from the social context. Additionally, she has attended seminars related to Special Education at the University of Piraeus and School Psychology at Panteion University. She is committed to creating a safe, warm, and human space where everyone can express themselves freely, listen to their inner self, and discover new ways to relate both to others and to themselves. If you feel you are going through a period of change, reflection, or simply want to better understand yourself and your relationships, Ms. Kyvrikoseou will be happy to meet you.

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About the specialist

Anastopoulou Filippa is a Psychologist (MSc) offering online sessions. She holds a degree from the Department of Applied Psychology at the University of Derby and a postgraduate qualification in Clinical Psychology and Counseling. She continually enhances her knowledge through specialized seminars on mental health and psychotherapy topics, while also undergoing training in Cognitive Behavioral Therapy (CBT). She is a member of the Cyprus Association of Cognitive Behavioral Psychotherapists (S.G.S.P.K.) and the EABCT. She possesses significant clinical experience, having worked in mental health facilities, including a Psychiatry department, providing support to individuals with various psychological difficulties. Her work focuses on the management of anxiety, somatoform and depressive disorders, grief, addictions, and other mental health issues. With scientific training and a person-centered approach, she delivers high-quality psychological support and therapy services.

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Θέματα σχέσεων Sadness and melancholy Integrated Psychotherapy Humanistic Therapy Family Therapy Person-Centered Psychotherapy
About the specialist

Η Ματζαρίδου Ελένη, Ιατρός MSc και Ψυχοθεραπεύτρια, με εκπαίδευση στην Ψυχιατρική και Ψυχοθεραπεία ,παρέχει ολοκληρωμένη Συνθετική ψυχοθεραπευτική υποστήριξη σε ενήλικες και νέους, με στόχο τη βαθύτερη κατανόηση του εαυτού και τη βελτίωση της καθημερινής ζωής. Στο πλαίσιο της θεραπευτικής διαδικασίας αντιμετωπίζονται ζητήματα όπως το άγχος και το στρες, ιδιαίτερα στη μετεφηβεία, η κατάθλιψη, οι κρίσεις πανικού, η αγοραφοβία και ο κατ’ οίκον εγκλεισμός, το πένθος και η απώλεια, η επαγγελματική εξουθένωση (burnout), η εργασιακή πίεση στον χώρο εργασίας, καθώς και δυσκολίες που σχετίζονται με την εικόνα σώματος και την αυτοεικόνα.Παράλληλα διαθέτει εξειδίκευση στην ψυχοθεραπευτική υποστήριξη ατόμων σε ρυθμισμένη φαρμακευτική αγωγή για σχιζοφρένεια, πρώτο ψυχωσικό επεισόδιο, ψυχωσικές διαταραχές και διπολική διαταραχή. Η θεραπευτική της προσέγγιση βασίζεται στη συνθετική ψυχοθεραπεία σε συνδυασμό με ιατρική αξιολόγηση, δημιουργώντας έναν ασφαλή και υποστηρικτικό χώρο όπου κάθε άνθρωπος μπορεί να εκφράσει ακόμη και τις πιο δύσκολες ή αδιευκρίνιστες εμπειρίες του. Στόχος της θεραπείας είναι η ουσιαστική αλλαγή, η κατανόηση του εαυτού, η επανάκτηση του ελέγχου και η πορεία προς μια ζωή με μεγαλύτερη ισορροπία και νόημα.

Η Ελένη Ματζαρίδου αποφοίτησε από το Θρακικό Πανεπιστήμιο Στάρα Ζαγόρα με πτυχίο Ιατρικής και μεταπτυχιακό τίτλο, τα οποία αναγνωρίστηκαν από τον ΔΟΑΤΑΠ. Έχει εκπαιδευτεί στην παθολογία στο Γενικό Νοσοκομείο Σπάρτης και υπηρέτησε σε περιφερειακά ιατρεία στη Λακωνία και την Κρήτη, αποκτώντας σημαντική εμπειρία. Παράλληλα, εκπαιδεύτηκε στη συνθετική ψυχοθεραπεία, την ψυχοπαθολογία, την ψυχοφαρμακολογία και την ψυχιατρική μέσω εκτεταμένων σεμιναρίων σε πανεπιστημιακές κλινικές της Γερμανίας. Η εμπειρία και η εκπαίδευσή της στη Γερμανία έχουν αναγνωριστεί επισήμως από το Υπουργείο Υγείας της Ελλάδας.

Στη Γερμανία εργάστηκε στην πανεπιστημιακή κλινική Hans-Prinzhorn-Klinik ένα σημαντικό κέντρο εκπαίδευσης στην ψυχιατρική και την ψυχοθεραπεία. Εκεί εργάστηκε αρχικά ως ειδικευόμενη ιατρός και απέκτησε άδεια άσκησης ιατρικού επαγγέλματος στη Γερμανία (Approbation). Στη συνέχεια εργάστηκε πλήρους απασχόλησης σε ψυχιατρική και ψυχοθεραπεία, συμμετέχοντας σε εφημερίες και στη διαχείριση οξέων περιστατικών σε κλινική δυναμικότητας 600 κλινών. Κατά την εκπαίδευσή της εξειδικεύτηκε στην σωματική και ψυχολογική απεξάρτηση εξειδικεύτηκε στην ψυχολογία της εξάρτησης και στην ειδική ψυχιατρική, εργάστηκε σε κλειστές και ανοικτές μονάδες αποτοξίνωσης για αλκοόλ, ναρκωτικές ουσίες και τζόγο, συμμετείχε στη θεραπεία συναισθηματικών διαταραχών και ψυχώσεων, απέκτησε εμπειρία στην ιατροδικαστική ψυχιατρική και εκπαιδεύτηκε στη διαχείριση περιστατικών διπλής διάγνωσης. Παράλληλα ανέπτυξε δεξιότητες στη διάγνωση, τη διαφορική διάγνωση και τη θεραπεία ψυχικών διαταραχών, καθώς και στη διαχείριση επειγόντων περιστατικών, αποκτώντας σημαντική εμπειρία.

Αργότερα εργάστηκε στο Essen στην Κλινική Ψυχιατρικής και Ψυχοθεραπείας του νοσοκομείου Philippusstift, όπου συμμετείχε σε κλειστή γέροντοψυχιατρική πτέρυγα και σε μονάδα παρέμβασης κρίσεων, διαχειριζόμενη περιστατικά γενικής ψυχιατρικής και εξαρτήσεων μέσω ατομικής και ομαδικής ψυχοθεραπείας. Ανέλαβε πλήρως την ψυχοθεραπευτική πορεία ασθενών υπό εποπτεία, συνέτασσε ιατρικές εκθέσεις και συμμετείχε ως εμπειρογνώμονας σε δικαστικές διαδικασίες για υποθέσεις ακούσιας νοσηλείας συναναστρεφόμενη μέ εισαγγελεις .Στη συνέχεια ειδικεύτηκε στο Νοσοκομείο Niederberg, πανεπιστημιακό εκπαιδευτικό νοσοκομείο του Duisburg-Essen, όπου αντιμετώπισε ευρύ φάσμα ψυχιατρικών διαταραχών, εφάρμοσε σύγχρονες διαγνωστικές μεθόδους και εκπαιδεύτηκε σε πολλαπλά θεραπευτικά μοντέλα, όπως ψυχαναλυτικά, γνωσιακά-συμπεριφορικά, συστημικά και υποστηρικτικά. Εκεί πραγματοποίησε αυτόνομα κλινικές αξιολογήσεις και θεραπείες, συμμετείχε σε σεμινάρια και ανέπτυξε περαιτέρω την κλινική της εμπειρία στην επείγουσα ψυχιατρική και στη συμβουλευτική διασυνδετική ψυχιατρική. Συνολικά παρακολούθησε πάνω από 45 δίωρα σεμινάρια αναγνωρισμένα από τον ιατρικού σύλλογο του Duesseldorf . Το 2016 εκπαιδεύτηκε στο Ελληνικό Κέντρο Ψυχικής Υγείας και Ερευνών. Στη συνέχεια εργάστηκε στη Νευρολογική και στην Α’ Ψυχιατρική Κλινική του Αιγινήτειου Νοσοκομείου και συνεργάστηκε με ιδιωτικές ψυχιατρικές δομές, (ΓΑΛΗΝΗ& ΓΑΛΗΝΕΙΟ ΜΕΛΑΘΡΟ)αποκτώντας εμπειρία στη γενική ψυχιατρική, στις εξαρτήσεις, στις σωματικές απεξαρτήσεις και στη διαχείριση οξέων περιστατικών. Τα έτη 2023–2025 εργάστηκε στον τομέα της ψυχικής υγείας σε υπηρεσίες επείγουσας ψυχιατρικής φροντίδας στην ευρύτερη περιοχή της Αθήνας. Από το 2007 έως σήμερα συνεχίζει αδιάκοπα την επιστημονική της κατάρτιση, συμμετέχοντας σε σεμινάρια και εκπαιδευτικά προγράμματα στον τομέα της ψυχοθεραπείας και της ψυχιατρικής.

25ης Μαρτίου 79 (1ος όροφος,γραφείο A2), Petroupoli, ΑΤΤΙΚΗ

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Gestalt Therapy
About the specialist

Tragara Elena is a Psychologist and a certified Gestalt Psychotherapist, maintaining a private practice in Ano Patisia. She is a graduate of the Department of Psychology at Panteion University and has been trained in the Gestalt therapeutic approach at the Psychotherapy and Training Center "Gestalt Foundation." As part of her studies, she completed her internship at the 251st General Air Force Hospital, as well as at the Clinical and Research Department of the Institut Curie in Paris, France. Additionally, she has received training in Clinical Psychopathology at Aeginiteio Hospital through the "Panagiotis Oulis" program. Throughout her professional career, she has worked as a Psychologist at the Rehabilitation and Recovery Center "Blocks Rehab Philoktitis," where she collaborated with individuals suffering from chronic conditions, as well as patients requiring psychological support during their rehabilitation and recovery following sudden health issues. Her objective is to create a safe space for individuals seeking to deeply understand themselves and evolve the way they relate to others. Within her practice, Ground Psychotherapy, a multipurpose psychotherapy space operates, founded on the principles of human care and empathy towards people's needs. It is a supportive environment that simultaneously provides the appropriate ground for the emergence of sensations, thoughts, emotions, and needs. Mental health services offered include individual and group psychotherapy, couples therapy, and counseling.

Κωστή Παλαμά 32Α, Ano Patisia, ΑΤΤΙΚΗ

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About the specialist

Mitsi Eriola is a Psychologist and certified Cognitive Behavioral Psychotherapist, licensed to practice in Greece and the United Kingdom. She completed her Psychology studies at Panteion University and her training in Cognitive Behavioral Therapy at University College London and King’s College London. She has extensive experience in treating anxiety disorders and depression, having worked for eight years in the public mental health system in London and currently in the private sector. Her goal is to create a safe, supportive therapeutic environment where each individual can be heard, understand their difficulties, and learn to manage them better in order to achieve their goals.

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About the specialist

Η Παγάνη Ιωάννα είναι Ψυχολόγος - Συστημική Ψυχοθεραπεύτρια. Είναι απόφοιτη του τμήματος Ψυχολογίας του Εθνικού και Καποδιστριακού Πανεπιστημίου Αθηνών, με άδεια άσκησης επαγγέλματος Ψυχολόγου. Έχει εκπαιδευτεί στη Συστημική Ψυχοθεραπεία και Συμβουλευτική στο Κέντρο Συστημικής Μελέτης και Θεραπείας (Κε.Σ.Με.Θ.), το οποίο είναι μέλος της Ευρωπαϊκής Εταιρείας Οικογενειακής Θεραπείας (European Family Therapy Association - E.F.T.A.) και της Εθνικής Εταιρείας Ψυχοθεραπείας Ελλάδος (Ε.Ε.Ψ.Ε.). Στο τετραετές αυτό εκπαιδευτικό πρόγραμμα παρακολούθησε 1.410 ώρες εκπαίδευσης κλινικών εικόνων, συμμετείχε σε συνεδρίες ψυχοθεραπείας στα πλαίσια πρακτικής άσκησης, καθώς και σε ομαδικές και ατομικές εποπτείες. Το έτος 2025-2026 παρακολουθεί ποικίλα ετήσια εκπαιδευτικά προγράμματα, όπως «Συστημική Σεξολογία και Σεξοθεραπεία Ζευγαριών και Ατόμων» (Κε.Σ.Με.Θ.), «Εφηβεία: Εξερευνώντας Όρια, Σχέσεις και Ταυτότητες» (Κε.Σ.Με.Θ.) και «Σεξουαλική Διαπαιδαγώγηση Παιδιών και Εφήβων» (Ε.Κ.Π.Α.). Το 2023 συμμετείχε στην υβριδική επιστημονική διημερίδα «Ταυτότητες, κοινωνικό γίγνεσθαι και κλινική πράξη» της Συστημικής Εταιρείας Βορείου Ελλάδος (Σ.Ε.Β.Ε.) με βιωματικό εργαστήριο που είχε τον τίτλο «Πολυφωνία της Αμφισβήτησης». Εργάζεται ως ελεύθερος επαγγελματίας στον Πειραιά, διά ζώσης και διαδικτυακά, συναντώντας αιτήματα, όπως άγχος-αγχώδεις διαταραχές, ιδεοψυχαναγκαστική/καταναγκαστική διαταραχή, κατάθλιψη, πένθος, διατροφικές διαταραχές, θεραπεία ζεύγους, τραύμα, ψυχοσωματικά συμπτώματα, αναζήτηση ταυτότητας, επαγγελματικός προσανατολισμός, δυσκολίες στις σχέσεις. Η επαγγελματική της εμπειρία βασίζεται στην ψυχοθεραπευτική στήριξη εφήβων και ενηλίκων, καθώς και στην καθημερινή παρέμβαση σε παιδιά μέσα από εξειδικευμένες δομές. Στο Κε.Σ.Με.Θ. βρίσκεται δίπλα σε εκπαιδευόμενους ψυχοθεραπευτές ως συνθεραπεύτρια και συντονίστρια πρακτικής άσκησης σε συνεδρίες ενηλίκων. Στο ΕΛΛΟΓΟΝ προσφέρει ψυχολογική φροντίδα και αξιολόγηση σε παιδιά και εφήβους, καθώς και συμβουλευτική σε γονείς. Στο Therapy Nest της Dr. Άννας Κανδαράκη εργάστηκε θεραπευτικά με εφήβους και ενήλικες, ενώ μέσω των συνεργασιών της με ARBO, ΝΕΥΜΑ και ΑΛΜΑ έχει υποστηρίξει παιδιά με τυπική ή μη τυπική ανάπτυξη σε περιβάλλοντα ψυχικής ενδυνάμωσης, κοινωνικοποίησης, ένταξης και δημιουργικής απασχόλησης.

Μπακνανά, Neos Kosmos, ΑΤΤΙΚΗ

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Holistic Psychotherapy Integrated Psychotherapy Systemic Therapy Existential Psychotherapy
About the specialist
Συνθετικός ψυχοθεραπευτής με υπαρξιακή, συστημική και πολυπολιτισμική προσέγγιση.

Φαέθοντος 25-27, Kypseli, 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.

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About the specialist

Androvitsanea Anthi Psyxologos Msc - Psyxotherapeutria Gsth is a Psychologist - Cognitive Behavioral Therapist. She is a graduate of the Department of Psychology of the National and Kapodistrian University of Athens and holds a Master's Degree in "Health Promotion and Education" from the Medical School of NKUA. She is a certified Psychotherapist in Cognitive-Behavioral Therapy. Additionally, she has been trained in Compassion Focused Therapy (CFT). She has worked in various mental health settings, both public and private, providing psychotherapeutic and counseling support to adults and young people facing diverse psychosocial difficulties, as well as manifestations of psychopathology such as anxiety, depression, adjustment disorders, psychosomatic symptoms, or other emotional difficulties that affect functionality and quality of life. The focus of her professional career is the support of vulnerable populations, such as women who have experienced gender-based and/or domestic violence, and patients with chronic illnesses.

Διονυσίου Αιγινήτου 17, Ilisia, ΑΤΤΙΚΗ

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About the specialist

At the mental health center of Ms. Karypidi in Ilioupoli, directed by Psychiatrist and Psychotherapist Dimitra Karypidi Kai Synergates, Psychologist Pinelopi Lalioti, MSc, collaborates by providing psychotherapy sessions within the interdisciplinary team of the clinic.

She is a graduate of the Department of Psychology of the National and Kapodistrian University of Athens and has completed the Master's Program in "Early Intervention in Psychosis" at the Medical School of Athens. Simultaneously, she is training in Cognitive Behavioral Therapy through a four-year study program at the Hellenic Society of Cognitive Psychotherapies.

She works at the Non-Profit Organization "Xenios Zeus," at the Residential Facility of the Southern Sector of Athens in Moschato, where she provides psychological support to adults with severe psychiatric disorders and psychosocial difficulties, contributing to their empowerment and reintegration into the community.

As part of her professional and voluntary activities, she has collaborated with the A’ Residential Facility of Attica of the Social Psychiatry Society "P. Sakellaropoulos," the Community Mental Health Center of Vyronas of the A’ Psychiatric Clinic, as well as the Day Center of the Alzheimer's Disease Society of Athens. Additionally, she participates in scientific conferences and continuing education programs, continuously enriching her scientific expertise.

Her office is housed in the modern medical facilities of the SYNAPSI company in Ilioupoli, and for optimal appointment scheduling, it is recommended to initiate contact by phone with the secretariat.

Πύργου 1, Ilioupoli, ΑΤΤΙΚΗ

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Cognitive Behavioral Therapy (CBT) Psychodynamic Psychotherapy Integrated Psychotherapy Acceptance and Commitment Therapy (ACT)
About the specialist
Elena Bikou is a licensed Clinical Psychologist and PhD Candidate in Counselling Psychology at UEL.

Neofytou Vamva 1, Kolonaki, 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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