I can work with complex and longstanding difficulties, but this service is not suitable for urgent or crisis support, including situations where there is immediate risk, an acute need for hospital care, or active safeguarding concerns. The inbox is not monitored daily, so I may miss urgent communication. If you are at immediate risk, call 999 or go to A&E. For urgent help, contact NHS 111, your GP, or your local crisis team.

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I am sometimes able to offer limited free mentoring to future, aspiring psychologists. If this is something you are looking for, you are welcome to get in touch.

Frequently Asked Questions

Clinical Psychologists are trained at doctoral level to work with a wide range of emotional and psychological difficulties, including those that are more complex, longstanding, or shaped by several factors at once. Their training includes assessing difficulties in depth, developing a shared psychological understanding of what may be contributing to them, and drawing on multiple therapeutic models rather than working from a single approach alone. In practice, this means I look not only at symptoms, but also at the wider emotional, relational, developmental, health-related, and life factors that may be shaping what you are going through, so that therapy is tailored in a way that is thoughtful, flexible, and clinically grounded.

The first paid appointment is an initial assessment. It is a space to talk in more depth about what has been difficult, what has led you to seek therapy now, and what you would hope might be different. I may ask questions about your current difficulties, relevant background, relationships, health, and any wider circumstances that seem important, not because you need to explain everything at once, but so that we can begin to build a fuller picture. The aim is not simply to gather information, but to start making sense of what may be happening and to think together about what kind of support may be most helpful. By the end of the session, we would usually have a clearer sense of the difficulties, whether it feels like a good fit to continue, and what the next steps might be.

Follow-up sessions are 50 minutes and are shaped around your needs, goals, and what feels most helpful. Some sessions may involve reflecting in more depth on patterns, emotions, or relationships; others may be more focused on practical change, coping, or trying out new ways of responding. Often, therapy involves both. I work collaboratively and at a pace that feels manageable. The aim is not to follow a fixed formula, but to keep the work thoughtful, purposeful, and relevant to you. We will review things as we go so that therapy remains helpful and grounded in what you want from it.

Yes. I offer therapy in both English and Italian, and you are welcome to choose the language that feels more natural or comfortable for you.

My work is evidence-based, but not based on a one-size-fits-all protocol. I draw on different psychological models depending on your needs, goals and preferences. This may include Cognitive Behavioural Therapy (CBT), including transdiagnostic CBT, behavioural activation (BA), exposure-based work and, where appropriate, Exposure and Response Prevention (ERP). I also draw on third-wave CBT approaches, including Acceptance and Commitment Therapy (ACT), Compassion Focused Therapy (CFT) and DBT-informed skills for managing intense emotions, distress and patterns of behaviour. Where relevant, I may also use trauma-focused approaches, including trauma-focused CBT and narrative-based ways of working. My practice is also informed by systemic and narrative thinking, which means paying attention to the wider context of your life, relationships, identity, culture, health, work and past experiences. In everyday terms, this means we might look at patterns in thoughts, feelings and behaviour; what keeps difficulties going; how you relate to yourself; what matters to you; how you manage difficult emotions; and how your wider life context may be affecting you. The focus is not on applying one model rigidly, but on developing a shared understanding of what is happening and finding an approach that feels helpful, relevant and clinically appropriate for you.

I work with adults experiencing a wide range of emotional, psychological, health-related and life difficulties. You do not need to have a formal diagnosis to contact me, and therapy does not need to be limited to one label or category. Some of the areas I can support with include: - anxiety, persistent worry, rumination and overthinking, including generalised anxiety (GAD) - panic attacks, phobias, avoidance and agoraphobia-related difficulties - low mood, depression, loss of motivation and feeling stuck - stress, burnout and work-related pressure - perfectionism, self-criticism, shame and feeling “not good enough” - confidence, self-esteem and identity concerns - life transitions, adjustment difficulties and periods of change - trauma-related difficulties, including PTSD and complex trauma-related presentations - emotional dysregulation, anger, overwhelm and difficulty managing intense feelings - intrusive thoughts, compulsive behaviours and OCD-related difficulties - sleep difficulties - relationship, family or interpersonal difficulties - career stress, return-to-work concerns and difficulties linked to professional identity - long-term health conditions and adjustment to illness - the emotional impact of diagnosis, treatment, medical procedures or hospital experiences - persistent physical symptoms, including chronic pain, chronic fatigue and Long Covid-related adjustment - Functional Neurological Disorder, also known as FND or conversion disorder - neurological conditions and the emotional impact of changes in physical functioning - body image, appearance-related distress, visible difference, like facial palsy and craniofacial conditions - health-related distress - neurodiversity-related support, such as understanding needs, coping with stress, self-criticism or identity questions This list is not exhaustive. As a Clinical Psychologist, I work in a formulation-led way. This means we would first try to understand what is happening for you, what may be maintaining the difficulty, and what kind of support would be most helpful. If I am not the right person for your needs, I will discuss this with you honestly and, where possible, suggest other options.

I mainly work with adults, but may occasionally be able to work with older teenagers where this feels appropriate for the young person’s needs and suitable for online therapy. If you are enquiring about this, please get in touch first.

No. Many people come to therapy without a formal diagnosis, or with difficulties that do not fit neatly into one category. You may simply know that something feels difficult, overwhelming, repetitive or hard to manage alone.

What you share in therapy is treated as confidential, and it is my responsibility to keep it that way. What you choose to do with what is discussed in therapy is entirely up to you. The main exceptions are if I am concerned about serious risk to your safety or someone else’s, or if there is a legal obligation to disclose information. If this were ever relevant, I would usually aim to discuss it with you wherever possible.

Yes. Sessions take place via a secure online platform, and I take care to ensure that they are held in a private and confidential way. For therapy to feel safe and useful, it is also important that you are able to join from a private space where you feel comfortable speaking openly.

If you need to cancel or reschedule a session, I ask for at least 48 hours’ notice. Sessions cancelled with less than 48 hours’ notice may still be charged.

Sometimes it becomes clear in the initial assessment that another kind of support may be more helpful, or that I may not be the best fit for what you need. If that happens, I will be honest with you about it and, where possible, help you think about alternative options.

This service is not suitable for urgent or crisis support. The inbox is not monitored daily, so I may miss urgent communication. If you are at immediate risk, call 999 or go to A&E. For urgent help, contact NHS 111, your GP, or your local crisis team.

I am able to work with some private insurance arrangements, including AXA and, in more limited circumstances, Bupa. This would usually need to be arranged through a separate platform rather than directly through my private practice website. If you would like to use private insurance, please get in touch first and I can confirm what is currently possible.

What clients say

“I have really valued our sessions and have been able to gain so much benefit and insight from them that I hadn't experienced before. You have really helped me to see a way through and given me the tools and confidence to continue pushing the car up that hill! If my experience is anything to go by I'm sure you are going to bring a positive element to a lot of people's lives.”

“I felt listened to! Giulia was sensitive to my needs, made me feel respected and understood. Giulia really helped me address my difficulties.”