Services
Anxiety and Depression
Mood and anxiety are among the most common reasons people look for therapy. This space works with both the symptom and what sustains it.
This might sound familiar if…
- It's been hard to make sense of a tiredness that sleep alone doesn't explain.
- You notice it's harder to enjoy things you used to enjoy.
- The worry feels present almost all the time, even when you know "there's nothing to worry about".
- You've had stretches where your mood or energy shift in a very marked way.
Major depression and the depressive spectrum
Includes dysthymia, apathy, and a sense of emptiness.
How it can feel
Persistent tiredness, loss of interest in what used to matter, difficulty getting up, a sense of emptiness that doesn’t always have a clear cause.
How we work with it
The work looks at what sustains that state, not just naming it. We review together whether psychiatric support would help.
This process may call for psychiatric support alongside therapy. IMALVA coordinates with psychiatry; it does not prescribe medication.
Bipolar disorder
How it can feel
Marked cycles of energy and mood, sometimes with no obvious trigger.
How we work with it
Psychotherapy supports the emotional process; bipolar disorder usually needs parallel psychiatric management, which IMALVA does not replace.
This process may call for psychiatric support alongside therapy. IMALVA coordinates with psychiatry; it does not prescribe medication.
Anxiety disorders
GAD, panic, phobias, social anxiety, angustia.
How it can feel
Constant worry, physical tension, panic attacks, avoiding situations or people.
How we work with it
We work on where the anxiety comes from, not just how to manage it in the moment, so it stops organizing so many decisions.
People usually arrive at this space in a critical moment — an anxiety crisis, tears, or a situation that feels overwhelming, looking for an immediate space to be heard, held, and given a clear compass. The work starts by putting into words what hurts, to find the unconscious triggers. When major depression is involved, the process runs alongside psychiatry for medication management together with the analytic work.
Not sure this is it?
If what resonates most is not knowing who you are outside your relationships, a major life change, or an identity crisis, rather than mood or anxiety themselves, that conversation belongs on Identity and Diversity.
See Identity and DiversityFrequently asked questions
Does online therapy work for anxiety? +
Yes — the online format doesn’t change the underlying psychoanalytic work.
Do you treat bipolar disorder without medication? +
Psychotherapy supports the process; psychiatric and pharmacological management, when needed, is handled in parallel by a psychiatrist.
One step at a time
You don't need this figured out, or even the right words for it, to start. The first step isn't a diagnosis. It's a conversation.