Online Therapy for Anxiety, Relationships and Trauma

You may feel anxious, low, lonely in a relationship or caught in patterns that keep repeating. You may be unsure what is wrong, or you may already have tried therapy and want a different way of working. I offer individual therapy by secure video in English and Greek, from my practice in Kensington, London.

HCPC-registered Counselling Psychologist · 17 years’ experience · Individual therapy online and in Kensington

A relational approach that can work well online

Online therapy is not simply a conversation about your life at a distance. We pay close attention to what happens as we speak: feelings, anxiety, bodily responses and familiar ways of protecting yourself from difficult emotion. These patterns can be noticed and worked with over video.

I am an IEDTA-accredited practitioner of Intensive Short-Term Dynamic Psychotherapy (ISTDP). It is a relational form of psychodynamic therapy that helps us work directly with feelings, anxiety and the patterns that make close connection difficult.

Can ISTDP work over video?

Yes, for many people. The work does not depend on being in the same physical room. We can still notice shifts in feeling, anxiety and connection as they happen while we speak. If you become distant, uncertain or begin to explain something rather than feel it, we can slow down and pay attention to that together.

Video therapy does have practical differences. I cannot see what is outside the camera frame, such as your hands or posture, unless the camera is set up for it. A connection can drop at an important moment. And being able to close a laptop when a difficult feeling appears can itself become something we notice together. We discuss these realities openly, agree how we will handle a disrupted session, and consider whether video is a suitable and safe format for you.

The aim is not to recreate an in-person session on a screen. It is to use the relationship we develop, and what happens in the session, to understand patterns that may be hard to change alone.

Online therapy may suit you if

You live outside London, travel regularly or cannot easily attend in person.
You are Greek-speaking and want therapy in Greek or English.
You have relocated, live between countries or feel isolated from familiar support.
You want individual therapy for anxiety, trauma, emotional neglect or relationship difficulties.
You are living with physical symptoms that medical investigations have not fully explained, alongside stress, anxiety or difficult feelings.
You have had therapy before, read widely or used AI to understand yourself, yet familiar patterns still feel hard to change.

Fees and private health insurance

Individual sessions are £150 when self-funded, or £200 through private health insurance. If you hold private medical cover, you may be able to use it for online therapy from anywhere in the UK; you are not limited to practitioners near where you live. Cover and authorisation depend on your policy, so please check this with your insurer before booking. Full details are on the fees page.

What happens first

You do not need to know exactly what is wrong before getting in touch. A free 15-minute introductory call gives us a chance to consider what you need and whether working together would be a good fit.

Privacy and practicalities

We meet by Zoom. You need a private place where you can speak freely, a reliable internet connection and time without interruptions. We will discuss whether online work is suitable for you. If you will be outside the UK, please contact me before booking so we can check whether I can offer therapy in your location.

About my practice

I am Dr Nikos Tsigaras, an HCPC-registered Counselling Psychologist. My work is relational, trauma-informed, neurodivergence-affirming and LGBTQIA+ inclusive. I offer individual therapy in English and Greek.

Questions about online therapy

Do I need to live in London?

No. I offer online therapy to adults across the UK. If you are outside the UK, please contact me before booking so we can check whether I can offer therapy in your location.

Can I have therapy in Greek?

Yes. I offer individual therapy in Greek and English. For some people, speaking in their first language makes it easier to express feelings, family dynamics and experiences of living between cultures.

Do I need to have had therapy before?

No. Some people come after previous therapy, reading widely or using AI to make sense of themselves. Others simply know that something does not feel right. Both are valid places to begin.

What do I need for an online session?

You need a private place where you can speak freely, a reliable internet connection and time without interruptions. We will agree how to manage a connection problem if one occurs.

Can I use private health insurance?

You may be able to use private medical insurance for online therapy from anywhere in the UK. Please check your policy’s cover and authorisation requirements before booking.

Is online therapy confidential?

I use Zoom for video sessions. Your privacy also depends on having a space where you cannot be overheard or interrupted.