A seedling growing in a terracotta pot

How I work

I work integratively, drawing on humanistic and psychodynamic approaches to adapt our sessions to your particular needs. Depending on your requirements, our sessions can be short-term to focus on a particular challenge, or open-ended to explore deeper patterns. We can focus on the present, including the immediate pressures, difficult situations and decisions you are currently facing. If and when it feels helpful, we can explore ways your mind and body have learned to protect you and how earlier experiences may be affecting your daily life. Alongside this, we pay close attention to the strengths and resilience you already carry. While much of our work happens through open conversation, we can also include creative ways of working, such as imagery, dreams and metaphor, if that appeals to you or words alone feel insufficient.

Above all, I see the relationship between therapist and client as the foundation of lasting change. I offer a reliable, collaborative space where you can speak honestly without fear of judgement. I work in a trauma-informed way, which means we move at your pace and make decisions together. Therapy often involves touching on difficult or uncomfortable feelings, but we work in a way that ensures you remain anchored and in control. While I support people who have a variety of concerns, I specialise in how past distress and trauma affect relationships: with others, with yourself and with your body.

What a session looks like

Sessions typically last fifty minutes. This starts with a few minutes to settle in, perhaps with a hot drink or a glass of water if we are meeting face-to-face. While you are welcome to bring something specific to the session you have been reflecting on, there is no need to arrive knowing what you want to focus on - we can explore that together at the beginning of the session. Because I see therapy as a collaborative process, how we work is something we actively talk about and shape as we go.

Fees and practical details

I offer a free, 15-minute initial chat online to see if therapy with me feels like a good fit. After this, my fees are £70 per 50 minute session. There are a limited number of discounted places for students and those on low incomes.

I currently offer sessions online to people located within the UK, and will be offering in-person sessions in Richmond and Chiswick from mid-November. at the Greenhouse Therapy Rooms in Richmond (36 Paradise Road) and Chiswick (86A Chiswick High Road). These rooms are quiet, comfortable and close to public transport. I have slots available early in the morning (from 7am), daytime and on Saturdays.

Feel free to contact me to ask a question or book an initial session.

FAQs

Is what I say in therapy confidential?

Yes, though there are certain ethical and legal limits to this which I explain further during an initial consultation. I am supervised by another psychotherapist where I talk about anonymised details of my psychotherapy work. These supervision discussions are confidential themselves.

How many sessions will I need?

This varies from person to person and depends on what you are looking to get from therapy. Some people benefit from a few months of focussed work on a specific issue, but others find more value from longer-term therapy to exlore things at depth. In the initial session we can discuss whether a limited number of sessions, or an open-ended arrangement suits you best. We will also check in regularly along the way to review how the work is going, making sure you always have an active say in whether and how we continue.

Is my problem bad enough to go to therapy?

People seek therapy for a range of reasons, from wanting to build a life that feels more meaningful and satisfying to needing help with an acute crisis. Therapy can be relevant and helpful across the full width of that spectrum. It may seem counter-intuitive to come to therapy if you are functioning, but sometimes this cloaks difficult feelings below the surface. If managing daily life is taking more out of you than is immediately visible, having a dedicated space to explore why can help.

Do I need to prepare for sessions or do homework?

I won't ask you to do any preparation or homework between sessions. If you do want ways to prepare or to extend therapeutic work outside sessions, we can discuss ideas on how to do this. Where there is a particular topic that you want to learn more about I am happy to suggest books, videos or podcasts as a starting point for your research.

What happens if we open up something heavy right before the end of the session?

I keep an eye on the clock and make sure we have enough time to let things settle before the end of the session. If something important comes up just before the end we can note it, and come back to it at the beginning of the next session. In the initial session of therapy we will talk about what the rest of your day looks like, so we can calibrate the depth and intensity of the work accordingly.

Can I talk about how I use AI in therapy?

Yes, absolutely. Many people use AI alongside therapy for between session support, further reflection and research. You are welcome to share insights you may have had from AI or any concerns you have over using it. If you would like to use it to complement your therapy we can discuss ways to do this.

Do you use AI in your practice?

I use it for generic research into psychotherapy theory and best practice. I've also used it in constructing this website. Nothing you share with me would ever be put into AI. I ensure AI is switched off in online meetings.

What is the difference between counselling and psychotherapy?

Counselling and psychotherapy are closely related and often overlap substantially in practise. Counselling is generally focussed more on specific issues such as a major decision or life transition, where with psychotherapy the scope is usually broader and deal with deeper, longer-term issues and patterns. My training covers both, and we can choose together where to focus the work.

Do psychologists and psychiatrists work differently to psychotherapists?

Historically psychologists and psychiatrists have focussed more on medical diagnoses and diagnostic testing, whereas a psychotherapist's approach is built on the relationship with the client as a whole person. Today, many psychologists and psychiatrists are now moving towards a more holistic, relational approach as well. The main practical distinction is that a formal mental health diagnosis (e.g. PTSD) is carried out by a psychologist or psychiatrist, and only psychiatrists can prescribe medication. Psychotherapists are trained to work with people who already have a diagnosis, as well as those who do not.

Take the next step

To arrange an initial consultation, please get in touch.

christina@tyvenic.comContact page

If you are currently in crisis or unable to keep yourself safe, please reach out for immediate help. You can call the Samaritans on 116 123, call NHS 111 or text SHOUT to 85258 which are all available 24/7.