Marianna Sepe

Online and in Person sessions available 

Saturday morning and early afternoons availability 

I offer counselling for children and young people in a warm, supportive, and understanding space where they can feel safe to explore their feelings, experiences, and relationships at their own pace. I believe that every child has the ability to grow, learn, and develop resilience, and my role is to help them access and strengthen these inner resources.

I use an integrative approach, combining evidence-based methods such as Cognitive Behavioural Therapy (CBT), person-centred and attachment-based approaches, along with creative tools like drawing, storytelling, and play. These techniques help children express themselves when words are hard and support them in building emotional awareness, coping skills, and self-confidence.

I also work closely with parents or caregivers, offering guidance and support so they can better understand their child’s emotional world. At the same time, I always respect the child’s confidentiality and autonomy within ethical boundaries.

I commonly support children with challenges such as anxiety, low mood, self-esteem difficulties, family conflict, trauma, loss, school stress, or big life changes like parental separation. My goal is to help children feel heard, valued, and empowered, giving them the tools and confidence to navigate life’s challenges more calmly and positively.

Ultimately, I aim to create a trusting and safe therapeutic relationship, helping children reconnect with their strengths and move toward a more confident, balanced, and fulfilled sense of self.

I work integratively, drawing from cognitive-behavioural therapy (CBT), person-centred, and attachment-based approaches, and I often incorporate creative or mindfulness techniques to support self-expression and emotional awareness. My focus is on helping clients understand the roots of their difficulties, develop healthier coping strategies, and build a stronger sense of self-worth and resilience.

For children and young people, I adapt sessions to their developmental stage and needs, using play, art, or storytelling to help them express what might be hard to put into words. I also collaborate sensitively with parents or caregivers when appropriate, while maintaining confidentiality and the young person’s autonomy.

I have experience working with a wide range of issues, including anxiety, stress, trauma, relationship and family difficulties, low mood, and self-esteem concerns. I also offer specialised support for those experiencing infertility and related emotional challenges.

My aim is to support each person in their journey toward healing, empowerment, and a more fulfilling life — helping them reconnect with their inner resources and move forward with clarity and confidence.

The first session is an opportunity for us to get to know each other and explore what brings you to therapy. It’s a gentle introduction to the process, where you can share as much or as little as feels comfortable. Together, we will begin to identify your goals and what you hope to gain from counselling, while I explain how I work and answer any questions you might have about the process.

I see the first session as a space to build trust and understanding. There is no expectation to go into deep personal material straight away — it’s more about finding out whether you feel comfortable with my approach and whether we can work well together.

For children and young people, the first session is often focused on helping them feel safe and at ease. I may invite them to use creative materials such as drawings or stories to express themselves. When appropriate, I also meet with parents or caregivers briefly to discuss concerns, practical arrangements, and how we can best support the child together.

Before the session, I send a short intake form to gather basic background information and ensure that the support I offer is the right fit for your needs. We will also go through the therapy agreement, which outlines confidentiality, boundaries, and practical details.

The standard fee applies for the first session, unless otherwise agreed. Each session lasts 50 minutes. After our first meeting, you can decide whether you would like to continue working together, either on a short- or long-term basis.

My aim is for you to leave the first session with a clearer sense of what therapy might look like for you, and with the reassurance that this is a safe, supportive space where you can begin your journey toward healing and growth.

Online and in Person sessions available 

Saturday morning and early afternoon availability 

Fertility challenges can affect every part of life, emotional wellbeing, relationships, identity, and sense of control. In fertility counselling, my role is to help you navigate the uncertainty, loss, and stress that often accompany this experience.

I work with individuals and couples at various stages of the fertility journey, whether you're just beginning to explore options, undergoing treatment, coping with failed cycles, or considering next steps such as third-party reproduction or living without children. Together, we create space to process the emotional toll of this experience, while also identifying ways to build resilience, strengthen coping strategies, and clarify what matters most to you.

My approach is collaborative and structured. I draw on evidence-based practices—primarily Cognitive Behavioural Therapy (CBT), as well as Acceptance and Commitment Therapy (ACT)—to address anxiety, grief, and relationship stress connected to infertility. I also incorporate psychoeducation, communication tools, and values-based planning to support you in making informed and empowered choices.

If you're attending as a couple, sessions will focus on understanding your individual and shared experiences, improving communication, and helping you work as a team—especially in the face of decisions and outcomes that may feel out of your control.

Fertility counselling isn't about offering quick fixes. It’s about helping you find steadiness and clarity during a process that can feel unpredictable and overwhelming. You don’t have to go through it alone.

Fertility counselling offers space to process the emotional impact of infertility and reproductive challenges—whether you're trying to conceive, undergoing treatment, recovering from loss, or exploring options such as IVF, egg/sperm donation, surrogacy, or child-free living.

In my practice, I work with individuals and couples at various points along this journey. I understand that fertility issues can bring feelings of grief, anxiety, isolation, anger, and identity loss. It can affect your mental health, relationships, and how you see the future. My role is to support you in navigating these complex emotions while helping you stay connected to your values and priorities.

Sessions are tailored to your needs and grounded in evidence-based approaches such as Cognitive Behavioural Therapy (CBT) and Acceptance and Commitment Therapy (ACT). I also incorporate strategies from emotion-focused and trauma-informed care when appropriate. If you're attending as a couple, we may work on communication skills, managing different coping styles, and strengthening your connection as you face tough decisions together.

Clients can expect a structured yet compassionate approach. I offer a space to reflect, make sense of what’s happening, and develop tools to move forward—whatever that may look like for you. I’ve also facilitated fertility support groups and conducted research on the use of CBT in group settings to support emotional resilience in those experiencing infertility.

Whether you’re seeking clarity, support, or a place to just exhale, fertility counselling can help you feel less alone in the process.

The first session is a chance for us to explore what brings you to fertility counselling and what you hope to gain from it. You may be in the middle of treatment, recovering from a loss, facing uncertainty about next steps, or just beginning to process the emotional weight of infertility. Wherever you are, the first session is about meeting you there—with clarity, care, and no assumptions.

There is no reduced rate for the initial session, but it is designed to give you space to share your story, ask questions, and decide whether this feels like the right fit for you. We’ll begin with a conversation about your current situation, any past experiences with fertility-related issues, and the emotional impact this has had on your wellbeing, relationships, and daily life.

Before we meet, I’ll ask you to complete a brief intake form that includes consent, background information, and a few screening questions to help guide our discussion. This allows us to use the first session more intentionally and begin identifying your priorities for therapy.

If you're attending as a couple, I’ll also explore how each of you is coping and how the fertility journey is affecting your relationship. The session may include time together and/or individually, depending on your preference and goals.

By the end of our first meeting, we’ll discuss possible focus areas and what ongoing support could look like. Whether you choose to continue or simply needed a space to begin processing, the first session is your starting point—not a commitment, but a step.

Monday/Tuesday/Wednesday online session available from 5 pm 

Thursday online and in person sessions available 

Saturday morning online and in person sessions available 

 I offer counselling and psychotherapy for adults, children, and young people in a safe, warm, and compassionate space. My aim is to help each person feel truly heard, understood, and supported.

For adults, I support a wide range of difficulties, including stress, anxiety, low mood, trauma, relationship challenges, infertility, family issues, and major life changes. I use an integrative and holistic approach, combining evidence-based therapies such as Cognitive Behavioural Therapy (CBT) with an understanding of the strong connection between mind, body, and emotions. Where helpful, I support clients in reconnecting with their inner child, increasing self-awareness, and building confidence and empowerment, so they can move towards a more balanced and fulfilling life.

For children and young people, I offer age-appropriate therapy tailored to their individual needs. I help them explore and express their feelings, build self-esteem, strengthen resilience, and cope with challenges such as anxiety, school pressures, family changes, or the effects of difficult experiences. Sessions are designed to help young people feel safe, understood, and supported as they develop healthy ways of coping and growing in confidence.

Across all my work, I place great importance on building a trusting and respectful therapeutic relationship. I believe that healing happens when people feel accepted and supported without judgement. We work together at a pace that feels right for you or your child, making sense of experiences and moving forward with greater clarity, strength, and hope.

Starting therapy can feel like a big step, and my aim is to help you feel supported, understood, and clear about what to expect from the very beginning.

I work with people experiencing a range of difficulties, including anxiety and panic, low mood, OCD, trauma, and stress related to infertility. I have experience working in both individual and group therapy settings, and I bring this understanding into our work together so you don’t feel alone in what you’re facing.

In our sessions, we’ll gently explore patterns that may be keeping you stuck and work together to find practical, evidence-based tools that support meaningful change. I draw on approaches such as Cognitive Behavioural Therapy (CBT), Exposure and Response Prevention (ERP), and elements of Acceptance and Commitment Therapy (ACT), always tailoring therapy to your needs, goals, and pace. I work in a trauma-informed way and take into account the wider context of your life, including relationships, identity, and culture.

Clients often describe my style as structured, honest, and supportive, with a focus on moving forward. I aim to create a space where we can have open, real conversations — not only about what feels difficult, but also about what matters to you and the life you want to build.

Whether you’re dealing with long-standing struggles or something more recent, therapy can help you develop insight, resilience, and a greater sense of control. And if you’re not sure where to start, that’s absolutely okay — we’ll take it one step at a time, together.

The first session is an opportunity for us to get to know each other and determine whether we’re a good fit for working together. I’ll ask questions to better understand what brings you to therapy, your goals, and any relevant background information that can help guide our work. You’re welcome to share at your own pace—there’s no pressure to have everything figured out right away.

By the end of the session, we’ll identify a few key areas to focus on and discuss what ongoing sessions might look like. There is no obligation to commit beyond this point—this initial meeting is about making an informed decision on whether to continue.

My goal is to make this first step feel as straightforward and supportive as possible.

Online session only

Flexible schedule and Saturday appointments available 

My approach is structured, collaborative, and grounded in evidence-based practices. I begin by getting a clear understanding of what brings you to therapy and what you’d like to achieve. Together, we’ll identify specific goals and develop a plan that feels manageable and tailored to your needs.

I draw primarily from Cognitive Behavioural Therapy (CBT), integrating elements from Acceptance and Commitment Therapy (ACT), Exposure and Response Prevention (ERP), and trauma-informed care, depending on the concerns you bring. Whether you're dealing with anxiety, depression, OCD, trauma, or infertility-related stress, I aim to provide tools that help you better understand your thoughts, emotions, and behaviours—and move toward meaningful change.

I value transparency, accountability, and practical support. I will challenge unhelpful patterns when necessary, but always in a way that respects your pace and readiness. Sessions are focused and goal-oriented, with space to reflect, process, and practice new strategies. Outside of sessions, I may offer optional exercises or resources to help reinforce what we’ve discussed.

You don’t need to have everything figured out before we start—just a willingness to explore what’s not working and what might be possible instead. My role is to support that process with clarity, direction, and compassion.

Starting therapy is a significant step, and my goal is to make the process clear, purposeful, and supportive from the beginning. I work with individuals facing a range of challenges including anxiety and panic, depression, OCD, trauma, and infertility-related stress. My background includes experience in both individual and group therapy settings, and I bring this lens into sessions to help clients feel less alone in what they’re going through.

In our work together, I focus on helping you understand patterns that may be keeping you stuck and support you in developing practical, evidence-based tools to create change. I use approaches such as Cognitive Behavioural Therapy (CBT), Exposure and Response Prevention (ERP), and elements of Acceptance and Commitment Therapy (ACT), always tailoring interventions to your needs and goals. I also work from a trauma-informed perspective and consider the broader context of your life, including relationships, identity, and culture.

Clients often describe my approach as structured, honest, and focused on progress. I aim to create a space where we can have real conversations—not just about what’s difficult, but also about what you want for yourself moving forward. Whether you’re navigating long-standing issues or more recent challenges, therapy can help you build insight, resilience, and a greater sense of control over your life.

If you're unsure about where to begin, that's okay. We'll figure it out together—step by step.

The first session is an opportunity for us to get to know each other and determine whether we’re a good fit for working together. I’ll ask questions to better understand what brings you to therapy, your goals, and any relevant background information that can help guide our work. You’re welcome to share at your own pace—there’s no pressure to have everything figured out right away.

I do not offer a different rate for the first session. However, this session is structured to allow space for both assessment and initial planning. You’ll have the chance to ask questions, get a sense of my approach, and start to clarify what you’d like to focus on in therapy.

Before our session, I’ll send you an intake form to complete. This includes basic information, consent, and a few screening questions to help guide our first conversation. Completing it ahead of time allows us to use our time together more effectively.

By the end of the session, we’ll identify a few key areas to focus on and discuss what ongoing sessions might look like. There is no obligation to commit beyond this point—this initial meeting is about making an informed decision on whether to continue.

My goal is to make this first step feel as straightforward and supportive as possible.