Psychotherapist, Prefecture of Thessaloniki
263

Psychotherapists in Prefecture of Thessaloniki

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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Η Παπαγεωργίου Εύα είναι Ψυχολόγος και Συστημική-Οικογενειακή Ψυχοθεραπεύτρια.

Λέοντος Σοφού 6, Thessaloniki, ΝΟΜΟΣ ΘΕΣΣΑΛΟΝΙΚΗΣ

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leontos sofou 10, Thessaloniki, ΝΟΜΟΣ ΘΕΣΣΑΛΟΝΙΚΗΣ

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About the specialist

Tsitenidou Natasa is a Clinical Psychologist - Cognitive Behavioral Psychotherapist, licensed to practice. She graduated from the Department of Psychology at the University of East London (UEL), England, in 2020, and subsequently pursued her postgraduate studies at the same university in the program entitled “MSc – Clinical and Community Psychology.” Her practical internship during her studies was completed at the General Hospital of Thessaloniki “Hippokration.” Her training continued at the Hellenic Society of Cognitive Behavioral Psychotherapy (HSCBP) in Thessaloniki, in the three-year adult program and later in the one-year program for children and adolescents. Additionally, she has participated in the educational program titled “Trauma-Focused Cognitive Behavioral Approaches (TF-CBT, CPT, DBT-PTSD, PE)” at the Society of Cognitive Behavioral Studies (SCBS). Currently, she practices professionally in a private office and provides online psychotherapy sessions, following the Cognitive Behavioral approach. You can schedule your session immediately!

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About the specialist

Kyratsa Anneta is a Psychologist - Psychotherapist and maintains a private practice in Thessaloniki. She holds a degree from the Department of Psychology at the University of East London. She initially trained in the Psychoanalytic - Lacanian Approach at the Freudian Society of Northern Greece and in "Care for Individuals with Dementia and Alzheimer's" at the Metropolitan College. Simultaneously, she trained in Child-Adolescent Psychopathology at the Medical Psychotherapeutic Center and in "Development of Soft Skills & Life Coaching" at the Center for Continuing Education and Lifelong Learning of Aristotle University of Thessaloniki. She completed her internship at the Mental Health Center of the Municipality of Evosmos, as well as at the Child Psychiatry Clinic of the General Hospital of Thessaloniki "Hippocrates." She possesses valuable experience and continues to offer her services voluntarily on online platforms and telephone helplines. Additionally, she works as a Psychologist - Psychotherapist on the online psychotherapy platform "TherapyToday.gr" and at the KDAP for Individuals with Disabilities "Foul kids - Athletic Education," while also serving as an external collaborator at the Dietetics - Nutrition Center "MindFood" and at the Nursing Home "Archontiko Geronton," Saint Basil. Her goal is to empower and improve the quality of life of her clients and their families.

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Systemic Therapy Integrated Psychotherapy Family Therapy
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Fiamou Konstantina is a Psychologist - Psychotherapist with a degree in Psychology from the University of Wales. She holds a license to practice as a Psychologist (No. 830580). She has attended specialized programs and seminars in the field of psychology and psychotherapy, such as "Counseling and Personal Development Techniques" (Scottish Qualifications Authority) and "Management of Emotional and Psychological Trauma" (Center for Continuing Education and Lifelong Learning, National and Kapodistrian University of Athens).

She has completed the Specialization Program in the Synthetic Model of Systemic and Family Therapy at the Laboratory for the Investigation of Human Relations. In this context, she has worked therapeutically and has also participated in voluntary actions, providing online counseling support for the free mental health initiatives of the University of the Aegean.

She provides psychotherapeutic sessions online, aiming to bring out personal desires, enhance the understanding of relationships, and help the individual shape the role they desire in life.

At the same time, she has extensive experience in her personal development through individual and group psychotherapy as a patient, while regularly participating in seminars and conferences in the field, maintaining continuous professional development.

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About the specialist

Triantafyllou Marianna is a Psychologist and Systemic Family Psychotherapist with a Professional Practice License.

She graduated from the University of Crete in 2014 and subsequently completed her four-year training in Systemic Family Psychotherapy at the "Institute of Systemic Approach & Family Therapy" in Thessaloniki. She then attended the Interuniversity Postgraduate Program in Educational Sciences titled "Special Education and Training" (Med) at the University of Patras in collaboration with the University of Nicosia, as she was professionally involved in education and special education. Her studies continued with a second Master's degree in "Counseling Psychology and Counseling in Special Education, Education, and Health" (MSc) from the University of Thessaly. To date, she stays updated in her field by attending seminars, workshops, and conferences.

Her studies and interests have accompanied her professional career, as since 2014 she has enriched her experience through professional and voluntary collaboration with various organizations. The areas she has focused on include mental health, disability, and addictions. In recent years, she has been providing both in-person and online psychotherapy sessions, focusing on individual therapy, couples and family therapy, and parent counseling. She offers flexibility in her availability to accommodate the needs of clients abroad, beyond regular office hours. Additionally, since 2020, she has been working as a psychologist in Primary Education, in elementary schools and kindergartens in Central Macedonia, providing counseling services to parents, teachers, and students, organizing interventions based on the needs of the student population, and training educators.

Τσιμισκή 10, Thessaloniki, ΝΟΜΟΣ ΘΕΣΣΑΛΟΝΙΚΗΣ

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About the specialist

Maurovitou Andromaxi is a Psychologist - Psychotherapist - Child Psychologist with a private practice in the center of Thessaloniki. She holds a degree from the Department of Psychology at Aristotle University of Thessaloniki and a Master's degree from the Medical School of Aristotle University of Thessaloniki, specializing in "Developmental Psychopathology of infancy and early childhood." She has received further training in Systemic Psychotherapy and Counseling through a comprehensive training program certified by the E.F.T.A. – European Family Therapy Association and the E.E.P.S.E – National Society of Psychotherapy of Greece. Her professional experience has been enriched by working in various psychological support settings for children and their families as well as adults. One of these includes her many years of work as a Psychologist - Coordinator at the Mother and Child Center of METAdrasi - Action for Migration and Development. Furthermore, respecting the need for continuous education and training in her work, she participates in seminars and training programs and is a member of the Systemic Society of Northern Greece. The practice offers psychotherapy and counseling services both in-person and online. Specifically, there is the possibility for individual psychotherapy and counseling for adults and adolescents, family psychotherapy, parent counseling, and couples counseling. This is an open and well-trained environment ready to listen to and support the concerns of any individual, particularly regarding issues of anxiety and stress, depression, gender identity, interpersonal relationships, grief management, parenting and couples' matters, eating disorders, self-esteem, and self-awareness.

Ναυάρχου Κουντουριώτου 8 Ναυάρχου Κουντουριώτου 8, Thessaloniki, ΝΟΜΟΣ ΘΕΣΣΑΛΟΝΙΚΗΣ

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Group Analytic Psychotherapy Integrated Psychotherapy Psychodynamic Psychotherapy
About the specialist

Sidiropoulou Sofia is a Psychologist - Psychotherapist and maintains a private practice in Thermi. She studied Business Administration in Uster, Switzerland, graduating in 1988. She collaborated with various companies and chose to pursue a Master's degree in Human Resources. Through her experience in occupational psychology, she developed an interest in psychotherapy and professionally expanded into the field of Integrative Counseling in Greece, where she graduated in 2018 as a Mental Health Counselor (Integrative Counseling at the Athens Synthesis Centre, certified by COSCA Counselling & Psychotherapy in Scotland). To deepen her knowledge, she attended a course during 2020/21 with Professor Lampros Stavrou of Clinical Psychology at the University of Ioannina, titled "Stages of Psychosocial Emotional Development & Psychodynamic Defense Mechanisms in Psychotherapeutic Practice." She followed educational and experiential approach groups, Body-Centered Gestalt (Stathis Lazaris, B.Sc. Body Psychotherapist, Athens), and has participated in open and closed Systemic Constellation groups (Bert Hellinger). Additionally, she graduated in 2024 with a degree in Applied Psychology / BSc Hons in Applied Psychology (University of Derby) at Mediterranean College in Thessaloniki. Finally, the specialist completed her training as a Group Analyst at the Hellenic Network of Group Analysts (EDOA), Athens, in 2025. 

Αφροδίτη 19, Thermi, ΝΟΜΟΣ ΘΕΣΣΑΛΟΝΙΚΗΣ

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Person-Centered Psychotherapy Cognitive Behavioral Therapy (CBT) Integrated Psychotherapy Psychodynamic Psychotherapy
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Soumpasi Nikoleta MA is a Psychologist - Psychotherapist offering specialized psychological support services through online sessions. She is a graduate of Psychology and holds a Master’s Degree in Counseling and Psychotherapy from the University of East London. Her specialization focuses on the Integrative Psychotherapy Model, which combines Person-Centered, Cognitive Behavioral, and Psychodynamic approaches. Her continuous professional development through workshops, conferences, and training programs ensures the application of the most current methods in the field of mental health.

She has gained valuable experience working in significant institutions such as the Care Unit for Elderly with Dementia and Alzheimer’s “Aktios,” the psychotherapeutic center Roots Wellness CENTER, and the Association for the Protection of Children and Persons with Disabilities. Additionally, she has worked as a Psychologist in public schools, providing psychosocial support to children with neurodevelopmental disorders, contributing to their smooth integration and development within the educational and social environment.

Since 2021, she has been practicing privately, providing psychological support for issues including anxiety and stress, panic attacks, grief, depression, anger management, and more. Through the Integrative Psychotherapy Model, she adjusts her approach to the needs of each client, aiming at meaningful support and improvement of their quality of life.

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About the specialist
Expert psychiatrist with MSc in Clinical Mental Health, NEI diploma Master of Psychopharmacology.

Βασιλέως Γεωργίου 24, Thessaloniki, ΝΟΜΟΣ ΘΕΣΣΑΛΟΝΙΚΗΣ

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About the specialist

Maria Tsirakidou is a Psychologist with a private practice in Thessaloniki. She graduated from the Department of Psychology at the University of Portsmouth and holds a Master of Science (MSc) degree in Child Clinical Psychology from Anglia Ruskin University in England. Subsequently, she trained and was certified in Systemic Therapy and Counseling through a four-year program at the Center for Systemic Therapy and Counseling (Ke.S.Me.Th.). She has clinical experience in healthcare institutions. Her professional expertise covers a broad range of adult mental health issues including anxiety, panic attacks, mood disorders, eating disorders, unwanted behaviors including addictions, trauma, phobias, obsessive thoughts and compulsions, grief, chronic pain, and psychosomatic problems. Additionally, she provides psychological support for chronic and non-chronic conditions, aiming at managing the challenges arising from an illness and promoting overall health. Within a framework of safety, trust, and respect for the uniqueness of each individual, the goal is the well-being of clients and the management of their individualized needs. She has participated in educational programs for refugee children in schools in England.

Fragκon & Moskof 10, Thessaloniki, ΝΟΜΟΣ ΘΕΣΣΑΛΟΝΙΚΗΣ

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About the specialist
Η Μασουρίδου Φαίδρα είναι Ψυχολόγος και Συστημική – Οικογενειακή Ψυχοθεραπεύτρια.

Τσιμισκή 137, Thessaloniki, ΝΟΜΟΣ ΘΕΣΣΑΛΟΝΙΚΗΣ

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About the specialist

Mermigkakis Nikolaos BSc, MSc is a licensed Psychologist - Psychotherapist with a private practice in Thessaloniki. He graduated with honors in Psychology from DeVry University and holds a master's degree in Integrative Counseling - Psychotherapy from the University of East London. Additionally, he trained in Cognitive Behavioral Therapy through the Hellenic Society for Research and Behavioral Therapy and in Art Therapy at Psychology - Art, Center for Psychotherapy and Education. Furthermore, he is a member of the British Psychological Society and the Hellenic Society for Behavioral Research and has participated in conferences as well as training workshops on various psychotherapeutic approaches.

Eleutheriou Venizelou 22, Thessaloniki, ΝΟΜΟΣ ΘΕΣΣΑΛΟΝΙΚΗΣ

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About the specialist

Pinelopi Kitsou is a Psychologist - Psychotherapist and maintains her private practice in Thessaloniki. She holds a degree in Psychology from the Department of Psychology at Aristotle University of Thessaloniki. She has specialized in Cognitive Behavioral Psychotherapy and has completed the Postgraduate Program in Adolescent Medicine and Adolescent Health Care at the School of Medicine of Aristotle University of Thessaloniki. In her private practice, she handles a wide range of cases, always focusing on providing the best possible service tailored to the individualized needs of each person she undertakes.

Mitropoleos 14, Thessaloniki, ΝΟΜΟΣ ΘΕΣΣΑΛΟΝΙΚΗΣ

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About the specialist

Elena Goulia is a psychologist specializing in Organizational / Industrial Psychology (MSc Industrial/Organizational Psychology). She maintains a private practice in Kolonaki. She completed her Psychology studies at the University of East London and subsequently pursued postgraduate studies at the American College of Thessaloniki. She is an accredited Mediator by the Ministry of Justice. Between 2020 and 2021, she attended family therapies, group sessions, and individual psychotherapies at the Adult Psychiatric Clinic of the G.N.Th. "G. Papanikolaou". Concurrently, she participated in the regular outpatient clinics of the clinic, liaison counseling, on-call duties, and the management of inpatients. Since 2022, she has worked as a Psychology lecturer in courses related to Psychology and ethics in the workplace. Additionally, she collaborates and handles cases at the Psychiatric Clinic of Evangelismos Hospital.

Since 2024, she has been attending the four-year program in Cognitive Psychotherapies implemented by the Research University Institute of Mental Health, Neurosciences, and Precision Medicine in collaboration with the 1st Psychiatric Clinic EKPA, the 2nd Psychiatric Clinic EKPA, and the Hellenic Society of Cognitive Psychotherapies. She is also attending the four-year program in Systemic Family Psychotherapy at Ke.Sy.The.S and the Psychosexual Disorders program at EPIPSY.

 She undertakes a wide range of cases covering the full spectrum of her specialty, always focusing on providing the best possible service tailored to the individual needs of each person she treats.

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Humanistic Therapy Cognitive Behavioral Therapy (CBT) Person-Centered Psychotherapy Psychodynamic Psychotherapy Integrated Psychotherapy
About the specialist

Psych Edge is a center offering comprehensive mental health services operating both online and in-person in central Thessaloniki and Neoi Epivates. Thoughts, emotions, and behaviors can be very complex. What should not be complex is self-care. The center's specialized Psychologists are trained in Cognitive Behavioral Therapy, Psychodynamic Psychotherapy, and Integrative Psychotherapy, addressing a wide range of emotional and mental disorders, such as anxiety, depression, trauma, relationship difficulties, self-esteem enhancement, insomnia, and more. Immediate care is provided adhering to the highest standards of ethics and professionalism, all in one place.

Απελλού 4 , Thessaloniki, ΝΟΜΟΣ ΘΕΣΣΑΛΟΝΙΚΗΣ

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Person-Centered Psychotherapy Focusing-Based Experiential Approach
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Stella Krokou is a Psychotherapist and operates the Person-Centered Psychotherapy Center "Eudaimonia" in Thessaloniki. She studied preschool education at Aristotle University and has worked in both the public and private education sectors as an Educator in schools, creative activity centers, and personally with parents, families, and children of all ages. Additionally, she trained in Person-Centered and Focusing experiential psychotherapy at the Hellenic Focusing Center. Over the past years, she has been providing psychotherapy services to adults, as well as psychoeducational programs for children and parental counseling at "Eudaimonia" and other specialized therapy centers.

Αφεντούλη 8, Thessaloniki, ΝΟΜΟΣ ΘΕΣΣΑΛΟΝΙΚΗΣ

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Integrated Psychotherapy Humanistic Therapy
About the specialist

Pantazopoulou Xara is a Psychologist, licensed to practice professionally. She specializes in Counseling and Psychotherapy, both online and in person, having specialized in the Integrative Approach. She completed her postgraduate studies with an MA in Counselling & Psychotherapy, focusing on the Integrative Approach, and her undergraduate studies in Psychology (BSc, Hons, Psychology) at the University of East London, UK. She completed additional training at Aeginiteio Hospital in the 1st Psychiatric Clinic, specializing in Clinical Psychopathology. She has also volunteered as a trainee Psychologist at the General Hospital of Athens, Sismanogleio - Amalia Fleming, specifically at the Community Child and Adolescent Mental Health Center. Having initially studied at the National and Kapodistrian University of Athens, in the Department of Philosophy - Pedagogy and Psychology (majoring in Psychology), she has many years of experience in education as well as in counseling parents, children, and adolescents.

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Psychotherapy Online Integrated Psychotherapy
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Η Φαρμάκη Μαρίνα είναι Ψυχολόγος - Συνθετική Ψυχοθεραπεύτρια. Είναι απόφοιτος της Νομικής Σχολής του Εθνικού και Καποδιστριακού Πανεπιστημίου Αθηνών και κάτοχος μεταπτυχιακού τίτλου στη Ναυτιλία από το Πανεπιστήμιο Πειραιώς. Ωστόσο, το διαχρονικό ενδιαφέρον της για τον άνθρωπο, σε συνδυασμό με μια βαθύτερη προσωπική ανάγκη εσωτερικής αναζήτησης, την οδήγησαν στη στροφή προς τον χώρο της ψυχολογίας και στην πραγματοποίηση μεταπτυχιακών σπουδών στην Οργανωσιακή Ψυχολογία.

Η ενασχόλησή της με το αντικείμενο αυτό αποτέλεσε την αφετηρία μιας νέας ακαδημαϊκής και επαγγελματικής πορείας. Έτσι, σπούδασε Ψυχολογία στο Πανεπιστήμιο του Essex, από όπου αποφοίτησε με Άριστα (First Class Honours). Στη συνέχεια, εκπαιδεύτηκε στη Συνθετική Ψυχοθεραπεία, με έμφαση στην προσωποκεντρική, γνωσιακή-συμπεριφορική και ψυχοδυναμική προσέγγιση και απέκτησε μεταπτυχιακό τίτλο στη Συμβουλευτική και Ψυχοθεραπεία από το University of East London.

Από το 2022 παρέχει ατομικές συνεδρίες ψυχοθεραπείας σε ενήλικες, με στόχο τη δημιουργία ενός ασφαλούς και υποστηρικτικού πλαισίου θεραπευτικής διερεύνησης και προσωπικής ανάπτυξης. Παράλληλα, επενδύει συστηματικά στη συνεχή επαγγελματική και επιστημονική της εξέλιξη μέσω της παρακολούθησης ημερίδων, εκπαιδευτικών προγραμμάτων και εξειδικευμένων σεμιναρίων, όπως η Καταθλιπτική Ψευδοάνοια, ο Ύπνος και οι Διαταραχές του, το Μειονοτικό στρες και η ψυχική υγεία των ΛΟΑΤΚΙ+ ανθρώπων, η Κατάθλιψη στην Εφηβεία: Αναγνώριση και έγκαιρη Παρέμβαση, Τεχνικές χαλάρωσης: Θεωρητικό υπόβαθρο & πρακτική εφαρμογή, η Εργασία μετά τον καρκίνο - η αληθινή πλευρά, το People pleasure and psychotherapy, η Ανάλυση συναισθημάτων με χρήση Τεχνητής Νοημοσύνης, ο ρόλος του Ψυχολόγου στη διαχείριση της αναπηρίας και στην ψυχοκοινωνική αποκατάσταση, Το σώμα μου, η ιστορία μου, οι Διαταραχές Σίτισης, η Ψυχοεκπαίδευση ατόμων με Σχιζοφρένεια και των φροντιστών τους, το Ψυχογενετικό Μοντέλο της Anne Teachworth και η Κλινική Ύπνωση.

Τα συνήθη αιτήματα που καλείται να διαχειριστεί στις ατομικές συνεδρίες που παρέχει είναι μεταξύ άλλων: αυτογνωσία, άγχος, κρίσεις πανικού, δυσκολία στην οριοθέτηση, δυσκολίες στις διαπροσωπικές σχέσεις, ψυχοσωματικά συμπτώματα, θλίψη, φόβος εγκατάλειψης, διαχείριση εργασιακού άγχους, αλλαγή καριέρας, συναίσθημα ενοχής, δυσκολία στη διεκδικητικότητα, πένθος, χαμηλή αυτοεκτίμηση και αυτοπεποίθηση.

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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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