
Marianna Sepe
Registered Member MÍø±¬ÃÅ
Contact information
Therapist - London
Features
- Flexible hours available
- Concessionary rates
Availability
Online session only
Flexible schedule and Saturday appointments available
About me and my therapy practice
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.
Practice description
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.
My first session
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.
What I can help with
Abuse, Addictions, Adoption, Anger management, Anxiety, Child related issues, Cultural issues, Depression, Health related issues, Identity issues, Infertility, Life coaching, Loss, Menopause, Obsessions, OCD, Personal development, Post-traumatic stress, Pregnancy related issues, Redundancy, Relationships, Self esteem, Sex-related issues, Sexual identity, Sexuality, Spirituality, Stress, Trauma, Women's issues, Work related issues
Types of therapy
CBT, Person centred, Solution focused brief therapy
Clients I work with
Adults, Couples, Older adults, Young people
How I deliver therapy
Long term sessions, Online therapy, Short term sessions, Telephone therapy
Languages spoken
Italian
Therapist - Edinburgh
Features
- Flexible hours available
- Concessionary rates
Availability
In person sessions available on THURSADY only
About me and my therapy practice
Fertility challenges can affect every part of life—your 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.
Practice description
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.
My first session
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.
Types of therapy
Brief therapy, CBT, Person centred, Relational
Clients I work with
Adults, Couples, Older adults, Young people
How I deliver therapy
Long term sessions, Long-term face-to-face work, Online therapy, Short term sessions, Short-term face-to-face work, Single session therapy (SST)
Languages spoken
Italian
Therapist - Edinburgh
Features
- Flexible hours available
- Concessionary rates
Availability
Monday/Tuesday/Wednesday online session available from 5 pm
Thursday in person session
Saturday online morning session
About me and my therapy practice
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.
Practice description
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.
My first session
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.
What I can help with
Abuse, Adoption, Anger management, Anxiety, Child related issues, Cultural issues, Depression, Health related issues, Identity issues, Infertility, Life coaching, Loss, Menopause, Personal development, Post-traumatic stress, Pregnancy related issues, Redundancy, Relationships, Self esteem, Sex-related issues, Sexual identity, Sexuality, Spirituality, Stress, Trauma, Women's issues, Work related issues
Types of therapy
Brief therapy, CBT, Person centred
Clients I work with
Adults, Couples, Older adults, Young people
How I deliver therapy
Long term sessions, Long-term face-to-face work, Online therapy, Short term sessions, Short-term face-to-face work
Languages spoken
Italian