Frequently Asked Questions

How does psychotherapy help?

There are many schools of psychotherapy, including psychoanalysis, and many ways of explaining the mechanisms that promote change and the resolution of symptoms and conflicts.

Within psychoanalysis itself there are different theoretical tendencies. For Freud, the founder of psychoanalysis, the key mechanism to achieve psychological change is to make conscious the unconscious.

To make conscious the unconscious facilitates a new form of feeling, thinking and behaving. Even so, psychoanalysts have discovered that the process of exploration of unconscious mechanisms takes place in the context of the relationship between patient and therapist. In optimal conditions, the therapeutic relationship produces significant changes in the way one can relate with oneself and others.

Fundamental and common to all different schools of psychoanalytic thought is the principle than early interpersonal experiences exert a strong and durable influence on adult personality.

According to Bowlby, a productive therapeutic relationship constitutes a secure base from which the patient can explore his emotional life as well as his past and present relationships with those who had played and - even today - play an important role in his life.

For the relationship to be secure certain conditions are necessary, such as confidentiality and regularity of sessions.

The patient needs to be sufficiently motivated and emotionally involved to be able to establish what we call “therapeutic alliance”.

On his part, the therapist should have experienced a personal analysis that would allow him to know himself well and make a clear distinction between his personal problems and those of the patient.

An essential part of the therapy consists in analysing the way these early experiences manifest themselves in the present, in relation to others and particularly in relation to the therapist.

An important mechanism in this process consists of establishing a reflective dialogue with the therapist. Through this dialogue, which I also call “co-thinking”, it is possible to work through personal problems in a spiral. Often we feel stuck because we think in a “close circle” and after going round an issue we find ourselves back at the starting point. A reflexive dialogue allows us to think “in spiral”: every time we go round a topic we have made a new opening.

In some cases the therapy of choice maybe couple therapy, family therapy or group therapy.

How does Psychotherapy work?

Psychotherapy can help you to discuss feelings you have about yourself and other people, particularly family and those close to you. In some cases, couples or families are offered joint therapy sessions together. One of the key objectives of psychotherapy is to help you gain a better understanding of the issues that are troubling you. Psychotherapy can help you work out new ways of approaching situations that you usually find difficult, as well as suggesting new methods to help you cope.

Developing a trusting relationship with your psychotherapist is very important, and will help you to talk about long-standing problems. However, developing trust can take time. A therapist will treat sessions as confidential. This means you can trust him/her with information that may be personal or embarrassing.

For more information see:

http://www.nhs.uk/Conditions/stress-anxiety-depression/Pages/counsellors-and-therapists.aspx

What types of issues can Psychotherapy be effective for?

People come to therapy for a variety of reasons. Often the presenting problem or complaint is the tip of the iceberg and analytic exploration elicits co-existing and underlying problems.

 Common problems are:

  • Stress at work.
  • Depression.
  • Anxiety and emotional instability
  • Low self-esteem.
  • Relationship difficulties and family conflicts
  • Bereavement
  • Eating disorders
  • Sexual dysfunction
  • Blocked creativity
  • Lack of a clear sense of direction in life

Some problems stem out of traumatic relationships in childhood and/or adult life, including childhood sexual, physical and emotional abuse, marital maltreatment, political persecution and bullying in the workplace. Psychotherapy can help resolve the long-term effects of these traumatic relationships.

I have ample experience of working with psychotherapists, counsellors, solicitors, nurses, social workers and medical practitioners who need support in their caring function and exposure to traumatised patients and clients.

How much does Therapy Cost and how do sessions work?

During the first session we will talk about your needs and what you would like to gain by having psychotherapy. Your needs and expectations are very important for this process. Most importantly you will have the opportunity to evaluate continue working with me in a long or short term therapy. During this session you will have time to clarify any questions you may have about the process and see if you feel you can relate to me.

My fees range from £ 70.00 to £ 90.00 per 50 minutes session according to the patient’s income. Then initial consultation may last longer and cost more than a standard session.

Please note that for the time being I am only working via SKYPE. However I can refer you to colleagues who are working in London, certain cities of Spain, Colombia and Argentina.