Psychoanalytic Psychoterapy
A space to speak and listen to yourself differently
with sessions available in English and Italian.
My name is Giorgio Senigagliesi, and I am on the UK Council for Psychotherapy (UKCP) registered training of the Guild of Psychotherapists in London. I offer psychotherapy in English and Italian in South London (SE1).
My background began in the arts and gradually shifted toward psychological work. I have undertaken postgraduate studies in psychology and worked in Special Needs education as part of therapeutic teams supporting students’ mental health and emotional well-being. I also have experience in wider mental health services.
Alongside my private practice, I currently work as an honorary psychotherapist at the Guild’s reduced-fee clinic, and have previously worked onsite as a therapist for the Psychosis Therapy Project, offering psychotherapy to individuals experiencing psychosis at a walk-in Crisis Café run by Islington Mind.
My practice is grounded in a pluralist approach, drawing on different schools of thought within the psychoanalytic tradition. I work with unconscious patterns, language, dreams, the therapeutic relationship as it unfolds in the room, exploring the complexity of human experience.
I abide by the UKCP’s Code of Ethics.
My Practice
I offer therapy in a quiet consulting room in South London (SE1), within easy reach of Waterloo, Southwark and London Bridge stations. Sessions can take place in English and/or Italian.
People come to psychotherapy for many reasons, including: anxiety, depression, grieving a loss, addictions, trauma, difficulties in relationships or in sexual life, eating disorders, or identity questions or direction. At times, what prompts someone to begin is less defined, perhaps a sense that something is not quite right, or a wish to know oneself more deeply.
I welcome people from all backgrounds and offer an inclusive, LGBTQIA+ affirming practice. My approach affirms this uniqueness without requiring anyone to identify with a particular category in order to begin. I also work with people exploring kink, non-monogamy, or polyamory, as well as those working in the sex or adult industries.
Psychoanalysis offers a space to ask questions, explore experience, be listened to differently and listen to oneself differently.
Psychoanalysis
This short video, made by the Freud Museum in London, introduces some of the ideas behind psychoanalysis. It touches on the unconscious, language, and the complexity of human psyche.
The psychoanalytic approach is an open-ended, non-directive form of talking therapy that explores the unconscious processes and patterns that shape our experience.
People begin for many reasons: a crisis, anxiety, depression, grief, addictions or a sense that something no longer fits. Others come with longstanding questions about identity, relationships, sexuality, gender identity, or direction. Some arrive out of curiosity, without knowing exactly what to expect.
Once called the “talking cure” by a patient of Sigmund Freud, its founder. Psychoanalysis offers a space to speak freely and reflect in depth. Psychoanalytic psychotherapy does not aim to give advice. Instead, it creates the conditions for a possible change.
The focus is not only on familiar patterns, but also on what lies just beneath them. The aim is to recognise the ways we relate, think, and feel. This recognition can help us begin to understand how our thoughts, behaviours, and relationships are shaped by experiences we may not fully grasp.
You do not need to know where to begin, or have the right words. Every person’s experience is different. Change does not happen all at once, but often emerges through the act of being listened to differently.
Beginning Therapy
How long and how often?
Sessions are 50 minutes and take place once or twice a week, depending on individual circumstances. While the pace and duration vary, psychoanalytic psychotherapy tends to requires time.
What about fees?
The initial consultation is £55. Ongoing fees are negotiable depending on session frequency and individual circumstances, and usually range between £35 and £55. Once a regular time is agreed, that session is reserved for you each week. Missed sessions are usually charged in full, unless the session does not take place because of my absence. Rescheduling is possible, depending on availability.
Can I have online sessions?
Sessions usually take place in person at Nelson Square (SE1), near Southwark station.
Occasional online sessions can be arranged in certain circumstances. This may include times when you are travelling or when meeting in person is not possible. In some cases, ongoing online work may also be appropriate.
Can I speak Italian?
Yes. I speak both English and Italian fluently. Sessions can take place in either language, or move between them.
How do you work with LGBTQIA+ or Queer clients?
I offer therapy that is Queer affirming and attentive to the diversity of how people describe themselves. Some use terms like queer, gay, bisexual, pansexual, asexual, and many more. Others describe their gender identities as trans, non-binary, or gender non-conforming. Some prefer no label at all. My approach affirms these identities without treating them as problems to be explained or “fixed.” The focus is on the uniqueness of the person and their experience, in a space free from judgment or pathologisation.
Where do I start?
You can get in touch by email at or by using the contact form below to arrange an initial consultation or for any inquiry. This first meeting is a chance to explore what brings you here and whether both the approach and the therapist feel right. If, during the consultation, you feel that what is offered is not what you are looking for, I can suggest alternatives or refer you to a colleague.