Services

How anxiety and panic attacks can show up

• persistent worry, negative scenarios and difficulty stopping the chain of thoughts;
• sudden episodes of intense fear, with palpitations, difficulty breathing, dizziness, trembling, sweating or a feeling of losing control;
• fear that another attack will come, even when there is no obvious danger;
• avoiding places, situations, journeys or activities for fear that the anxiety will return;
• muscle tension, irritability, disturbed sleep, difficulty concentrating and emotional fatigue.

Symptoms can have different causes. A specialist assessment helps to understand them and to decide on the right steps. New, severe or unusual physical symptoms should be checked medically; it is not advisable to assume automatically that anxiety is causing them.

How psychotherapy can help

In therapy, the aim is not to never feel fear again, but to understand what triggers it, to regulate your reactions and to stop letting anxiety decide for you. We work so that bodily sensations become easier to tolerate, thoughts can be seen from more of a distance, and everyday life opens up again.

Depending on the assessment and your goals, the work may include:

• identifying the triggers and the anxiety cycle;
• techniques for emotional regulation and for managing physiological arousal;
• understanding catastrophic thoughts and developing more flexible responses;
• graded exercises to reduce avoidance, where appropriate;
• clinical/Ericksonian hypnosis resources, within the limits of indication and therapeutic agreement;
• strengthening your autonomy and a personal plan for difficult moments.

What the programme includes

An indicative course of 10 individual sessions, built around your needs and pace. The first meetings are for assessment, clarifying goals and establishing a base of safety. Then we work on the mechanisms that keep the anxiety going and practise strategies you can use in everyday life. In the last meetings, we review progress and outline a plan to maintain the results.

Proposed length: 50 minutes per session. Format: online or in the practice, depending on availability. The number of sessions is indicative; the pace and length of the work are agreed together and can be adjusted after the assessment.

Who it is for

For adults facing anxiety, panic episodes, fear of attacks recurring or avoidance that limits their activities. You do not need a diagnosis to ask for a psychological assessment. If the symptoms point to the need for a medical or psychiatric assessment, or for a complementary intervention, we will talk about the right steps.

A step towards more freedom

You do not have to wait for all the fear to disappear before you start living again. We can work together so that anxiety takes up less room, and you gradually regain trust in your own resources.

How it can show up

• you keep returning to the event: intrusive memories, nightmares, flashbacks;
• you avoid places, people or conversations that remind you of it;
• your thoughts and emotions change: guilt, shame, emotional numbness, loss of interest, a sense that the world is no longer safe;
• you are always on alert: poor sleep, irritability, difficulty concentrating, being easily startled.

PTSD is diagnosed only by a mental health specialist.

Why EMDR

EMDR is one of the interventions for PTSD mentioned in the guidelines of the World Health Organization and the American Psychological Association. In it, you process the traumatic memory while bilateral stimulation is applied (eye movements, tapping or alternating sounds). Where needed, it is complemented by evidence-based psychotherapies, depending on the specialist’s training.

What the programme includes

A course of 10 sessions in which we check the fit with your goals, prepare (stabilisation and emotional regulation techniques), reprocess the traumatic memory at your pace and finish with a plan to maintain progress. Sessions last 50 minutes, online or in the practice.

Who it is for

Adults with a PTSD diagnosis after a single traumatic event. If you do not have a diagnosis yet, you can talk to our specialists.

Multiple or complex trauma

If you have lived through several traumatic events or the difficulties are more complex, the programme can be a starting point in which we decide together what comes next. Treating complex trauma usually takes longer than treating single-incident trauma.

If more sessions are needed, treatment can continue by purchasing one of the platform’s current offers or by booking individual sessions with the chosen therapist.

What can be hard to say

Perhaps you are waiting for the next result before you can calm down. Perhaps you notice every sensation and wonder whether it means something serious. Or you carry on with your responsibilities while inside you are frightened, angry or tired. Sometimes the very care not to worry the people close to you leaves you alone with what you are going through.

Perhaps it is hard to ask for help, to accept that your limits have changed or to say that today you cannot. Losing your independence, your privacy or a life that seemed predictable can hurt. Here you can also talk about what does not fit into “you have to be strong”. You are under no obligation to find a lesson in the illness or to feel differently from how you feel.

What we can work on together

We start with what is hardest for you right now. We try to understand what exactly frightens you and to separate what is medically known from what remains uncertain and from the scenarios that exhaust you. We look for ways of coping with fear without minimising the real risks.

We talk about your relationship with your own body, about what you have lost and what you want to keep of your life. If you are preoccupied by depending on others, by unfairness, by meaning or by death, we can talk about those too. We also deal with everyday things: how to ask for help without feeling a burden, how to protect your limits and how to tell the people close to you what you need.

How the sessions work

In the first meetings we understand your situation and decide what would be useful to work on. The pace takes your health and your energy into account. We look at changes that matter to you: bearing the waiting more easily, feeling heard, making decisions or taking up an important activity again.

Who it is for

Adults living with a serious or chronic illness, going through demanding treatment or adapting to life after treatment. You can come even if others see you coping well but you feel how much the effort costs you.

Psychological support complements medical care. How the illness progresses is not a measure of how you think or how hard you try. If you also need another kind of help, we talk about the right specialist.

What can be hard to say

You may feel longing, anger, guilt, numbness or, sometimes, relief after a long period of suffering. You may be tired of the pain and, at the same time, frightened by the thought that it might lessen. A moment of joy can bring the question: “Does this mean I am forgetting?”

Sometimes you return to “if only I had…”, to the last conversation or to what you never got to say to each other. If the relationship was difficult, you may also grieve the closeness you hoped for, which is no longer possible. You do not have to idealise the person you lost to have the right to mourn them.

What we can work on together

We start from your story together and from what hurts now. You can talk about love and disappointment, longing and anger, without being judged for the way they meet in you. You do not have to be ready to tell everything from the start.

If guilt weighs on you, we look together at what you knew, what you could have done and what was not up to you at the time. At your pace, we come closer to what was left unsaid. We explore what you want to keep of the relationship through memories, values or gestures that mean something to you, without there being one right way to do it.

We also deal with life now: loneliness, changed responsibilities, relationships and the moments when you need support. We can talk about the fear that carrying on with your life would mean abandoning the person you lost.

How the sessions work

In the first meetings we understand what you are living through and what you need. We make room both for the pain and for the things that help you get through a day. Grief does not necessarily follow the same stages for everyone. A harder day after a calmer one does not, on its own, mean you are back at the beginning. The pace and length of the sessions are agreed individually.

Who it is for

Adults who have lost someone important, recently or a long time ago. You do not have to wait until you can no longer cope before asking for support. Grief, in itself, is not a disorder.

If the suffering severely and persistently affects your daily life, a clinical assessment can clarify the help you need. Thoughts of suicide need prompt help; in immediate danger, call 112.

Burnout is a bio-psycho-social reality

The approach does not stop at the visible symptoms, but takes in the whole context that produced them — across three dimensions: biological, psychological and social.

Biological

Physical symptoms, bodily exhaustion, sleep and energy problems. Somatic indicators are monitored and physical recovery is built into the plan.

Psychological

Emotional state, cognition, resilience, stress and mental detachment. BTB tools are used (a Maslach-type questionnaire, Pulse Check).

Social

Working relationships, team climate, sense of belonging and perceived organisational support — visible at manager level too.

What the programme looks like

1. 01 History-taking The first stage — understanding each person’s concrete situation. The burntheburnout.ro platform can also be used for the assessment.
2. 02 Understanding the syndrome What burnout is, how it set in and what keeps it going.
3. 03 Intervention and cognitive restructuring The actual work on the patterns that keep exhaustion in place.
4. 04 Coping and distance from the job Concrete tools for regulation and for healthy boundaries with work.
5. 05 Final assessment Reassessment and consolidating the progress made during the programme.

How you can work

Individual therapy

10 one-to-one sessions of 50 minutes each, in which you work on your own patterns of obsessions and compulsions.

Group therapy

A structured therapy group with 7–8 participants and 12 weekly sessions of 90 minutes each. It runs online or in the practice, as proposed by the group’s coordinator. It is a closed group, with the same people throughout. The group opens according to demand, and the start date is set and announced on the platform and on our social media.

Taking part in the group neither replaces nor interrupts individual therapy. The two processes complement each other.

The therapy group, stage by stage

1. 01 Foundation (sessions 1–3) Therapeutic alliance, psychoeducation about obsessions and anxiety, normalising the experience and setting the group’s rules.
2. 02 Active work (sessions 4–9) ERP techniques (exposure and response prevention), cognitive defusion from ACT (seeing a thought as a thought, not a fact), graded exposures and identifying individual patterns in a group setting.
3. 03 Consolidation and transfer (sessions 10–12) Relapse and prevention, autonomy, integrating the changes and closing the group.

Confidentiality and the freedom to withdraw

Everything discussed in the group stays in the group. It is a fundamental rule, binding on every participant and discussed explicitly in the first session. The only exception is an imminent risk to your life or someone else’s.

Taking part is voluntary and your pace is respected: you do not have to reveal more than you are ready to. You can withdraw at any time without it affecting your individual therapeutic relationship. We only ask that, if you can, you let us know before the session you will no longer attend, so the impact on the group can be handled together.