Hi, I’m Doug Pazienza. I am American British and I have lived in England since the 1990s. I am a qualified and experienced counsellor and registered member of the British Association for Counselling and Psychotherapy.
I trained at the Metanoia Institute in London and earned a Diploma in Humanistic Counselling and a BSc (Hons) in Reflective Therapeutic Practice from Middlesex University.
My skills in the person centered approach, gestalt and transactional analysis impart versatility in my clinical work that allows me to adjust my orientation in order to privilege the client’s way of relating. As a reflective practitioner, I am better equipped to deal with real, complex and difficult situations in a dynamic, ethical and skilful way.
I have been practicing since I was a trainee in 2013 and have offered counselling support to a diverse clientele in both community outreach and holistic health services.
Before relocating to the North East, I was a patient representative for my local NHS surgery with a seat on a forum consisting of patients, the practice manager and GP. We addressed the impact of NHS commissioning, consolidation and government mandates on the surgery and its service users.
I enhance my practice and personal wellness by volunteering for a national charity making weekly therapeutic visits to a local hospital with my certified therapy dog to improve the lives of people suffering from delirium.
Previously, I worked for an interactive healthcare company managing the implementation of an individualized health promotion and self-management programme for public and private sector clients, including the NHS.
I hold a BA in Geography and Urban & Regional Studies and in my previous career, I worked in digital mapping. I believe that my clinical practice benefits from my having a sociological perspective.
How I work
I offer a confidential face to face counselling service here at Swissphysio. Sessions are a 50 minute therapy hour and occur weekly at the same time and place unless otherwise specified.
As a follower of the humanistic approach, I am inclined to examine things with a holistic vision, to work relationally with you from a standpoint that you are the expert on yourself, and to regard you as someone with great potential. In other words, you are greater than the problem, however significant, that you have brought to counselling.
My role is to support, encourage and accompany you in driving forward the constructive changes you wish to make and in order for that to be effective, we need to be able to find trust, honesty and respect for each other. There is a large evidence base to prove that the quality of the counselling relationship has a significant influence on positive client outcomes.
The therapeutic relationship is like none other and stands apart from family, social, organizational and professional circles. It needs to be robust and resilient enough to stay intact through the sometimes difficult, frightening and challenging moments. Over time it becomes a working alliance in which there is an open line of communication for you to express anger, disappointment, sadness, desolation, frustration, shame, anxiety as well as elation, achievement, pride, love and relief.
I work in a non-judgemental, accepting and empathic way that fosters a respectful environment that is safe, supportive and conducive to your self-development.
What you can expect from me
When we initially meet, I’ll ask you to explain what brought you to counselling and what you hope to get from it. I’ll cover the necessities of the counselling contract and explain the nature of a counsellor and client relationship. If we can’t work together for any number of reasons, I’ll help you find an appropriate referral.
Following the assessment, our sessions will focus on the issues you need to talk about. Our work will involve what’s important to you, looking at how you respond to different situations and exploring your thoughts and feelings about those things. In subsequent sessions, we will reflect on the goals we agreed and how we are meeting them.
Disclosure and Limits of Confidentiality
I am committed to the BACP Code of Ethics and to protect the confidentiality of our sessions.
It is important for you to understand that there are exceptions when confidentiality may be broken:
- It is an ethical requirement for me to be in clinical supervision and on occasion I might discuss our work to ensure good practice. My supervisor is bound to the same code of ethics as me and will protect your confidentiality;
Disclosure of any of the following is a legal requirement that would necessitate a break of confidentiality but I shall make every effort to speak with you first before I do that in the case of:
- Threat of serious injury or harm caused to another individual or yourself;
- Child abuse;
- Miscarriage of justice is likely to occur;
- Subpoena by a Court of Law;
- An act of terrorism;
- Drug and human trafficking and/or money laundering.
I offer short-term and long-term counselling and we’ll decide what’s right for you.
To contact me for a private consultation, please use the following confidential mobile or email.
Mobile: 07956 591 647
My fee is £50 per session.
Sessions last for a therapeutic hour of 50 minutes.
In accordance with Swissphysio:
- Payment for the first session is collected in advance.
- If you cannot attend an appointment, you must always notify us more than 24 hours prior to avoid a £25 cancellation fee.