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Areas of Expertise

Stress & Anxiety
Chronic stress and anxiety can feel all-consuming, affecting your sleep, concentration, relationships, and sense of control. I help clients explore the roots of their anxiety, understand what keeps it going, and develop ways to manage it with more ease and confidence.

Social Anxiety & Self-Doubt
Social anxiety often stems from deep-rooted fears of judgment or rejection and can lead to avoidance or isolation. Together, we work to gently challenge those patterns and build self-trust in how you relate to others.

Obsessive-Compulsive Difficulties (OCD)
Intrusive thoughts and compulsive behaviours can be distressing and disruptive. I help clients understand these experiences and find ways to reduce the hold they have, using evidence-based approaches tailored to their needs.​

Low Mood & Depression
Feelings of low mood, emptiness, or disconnection can be difficult to make sense of, especially when they linger. Therapy offers a space to explore these emotions, identify underlying causes, and begin to re-engage with life in a way that feels meaningful again.

Low Self-Esteem & Self-Criticism
You might be struggling with harsh inner dialogue, feelings of not being “good enough,” or difficulty recognising your strengths. I support clients in developing a more compassionate and balanced view of themselves, which can be transformative across many areas of life.

Anger & Emotional Regulation
Frequent or intense anger can be confusing and isolating. We explore what’s fuelling your anger—often hidden hurt, fear, or unmet needs—and work on healthier ways to respond to emotional triggers.

Trauma & Post-Traumatic Stress Disorder (PTSD)
Traumatic experiences can leave a lasting imprint on how you feel, think, and move through the world. Whether rooted in a single event or in more complex, ongoing experiences, trauma can affect your sense of safety, your relationships, and your connection to yourself. I have extensive experience working with clients who have experienced trauma and PTSD, helping them make sense of their responses, process what they've been through at a pace that feels manageable, and gradually rebuild a sense of stability and trust in themselves and in life.

Sleep Difficulties

Poor sleep can impact almost every aspect of wellbeing. Whether you're dealing with insomnia, disrupted sleep patterns, or stress-related sleep issues, we’ll work on both the psychological and practical factors affecting your rest.​

 

Interpersonal & Peer Relationships

Relationship difficulties can involve ongoing patterns of conflict, people-pleasing, trust issues, or challenges with boundaries. Therapy helps you understand your relational style and create more satisfying, authentic connections.​

Work, Performance & Occupational Health

Pressure at work, burnout, or struggles with performance can erode your sense of self-worth and motivation. I help professionals manage stress, improve work-life balance, and navigate challenges around confidence, perfectionism, or career uncertainty.

ADHD & Attention-Related Difficulties

I support people with Attention-Deficit/Hyperactivity Disorder (ADHD) — whether they have a formal diagnosis, are awaiting assessment, or simply recognise these traits in themselves. Many adults come to understand their ADHD later in life, often after years of feeling different, overwhelmed, or overly self-critical. Together, we explore practical strategies for focus, organisation, and emotional regulation, while also making sense of past experiences through this new lens. Therapy offers a space to build self-understanding, reduce shame, and cultivate approaches that play to your strengths.

Life Transitions & Adjustment

Major life changes—whether wanted or unexpected—can bring up anxiety, grief, or uncertainty. I support clients through transitions such as career changes, moves, relationship endings, or becoming a parent, helping them adjust with clarity and resilience.

 

​Pregnancy, Postnatal & Women’s Health

Pregnancy and the postnatal period can be emotionally complex. I offer a safe, informed space to talk through the psychological changes and challenges that can arise during fertility struggles, pregnancy, early parenthood, or hormonal shifts.

My Approach

© 2025 by Dr Aleksandra Paksina

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