How I Work
A short, no-obligation conversation to see whether working together feels right
How I Work — Thoughtfully, Relationally, and Across Contexts
Many people come to therapy not because one thing is “wrong”, but because a part of life no longer feels workable — within themselves, in their relationships, or in their wider world. I work with adults, couples, and parents who are seeking a reflective, psychologically informed space — often in times of transition, complexity, or responsibility. I work online with clients based in the UK and internationally, particularly with people living between roles, cultures, or expectations, as well as in person where appropriate.
Alongside psychological and relational understanding, I also welcome the spiritual and existential dimensions of experience. By spirituality I mean a felt sense of connection — to oneself, to others, to the natural world, and to questions of meaning and purpose that can arise in times of challenge. Some people find that their difficulties reach beyond symptom patterns into the experience of existential questions about direction, belonging, or what matters most. In our work together there is space to explore these dimensions with curiosity and care, allowing what is felt to emerge without pressure to define or explain it.
Relational and Systemic Understanding
My work is relational, systemic, and developmentally informed. Rather than seeing emotional distress as a problem inside a person, I pay attention to how it shows up in real time — between people, within relationships, and within the therapeutic space itself. Difficulties are understood as signals within a system, not symptoms to be eliminated.
Whether we are working together individually, as a couple, or in parent support, close attention is given to:
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relational expectations and roles
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attachment and patterning
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emotional and nervous system responses
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unspoken dynamics within relationships
This is not therapy that treats parts in isolation. It is therapy that values context, connection, and continuity.
Working with relationships
I work with couples, paying attention to how relational patterns become visible within the relationship itself.
Early sessions often include psychoeducation and reflection on:
the difference between expectations and wants
mutual respect and difference
how relational patterns are created and maintained
Relationship work is not primarily about intensity or conflict. It is about seeing clearly.
Observing how two people relate to one another often reveals aspects of a dynamic that cannot be accessed through individual description alone. For this reason, movement from relationship work into individual therapy is sometimes helpful. Having seen the relational patterns directly, the individual work that follows is grounded in observed relational reality, rather than narrative alone.
Individual therapy in context
When I work individually, I do not treat a person as separate from their relational world.
Individual therapy may focus on personal history, emotional regulation, or internal conflict, but it is always held within the wider context of relationships, family dynamics, and lived experience.
I remain attentive to the limits of individual perspective and to the ways blind spots can form. Where appropriate, individual work may later be enriched by relationship or parent-focused work, allowing understanding to be held across contexts.
Parent support as relational and systemic work
Parent support is a central part of my practice and focuses on helping parents make sense of their child’s behaviour within the wider family and relational context.
Many parents come feeling worried, confused, or unsure whether they are responding in the “right” way. Often, the concern is initially framed around a child’s behaviour or emotions. My work with parents looks beyond surface behaviour to understand what may be happening underneath and around it.
Parenting places particular strain on emotional regulation, identity, and relationships. Children often express what the wider system is carrying, especially during periods of transition, stress, or change. Rather than offering quick strategies alone, I work reflectively with parents to help them understand these dynamics and respond with greater steadiness and confidence.
Parent support may involve exploring:
patterns of interaction between parent and child
how a child’s behaviour makes sense in context
how a parent’s own experiences influence their responses
ways of staying regulated under pressure
The work is collaborative and respectful of parents’ knowledge of their own family. Support may remain focused on parenting itself, or it may naturally open into wider relational or personal reflection, depending on what feels appropriate.
Integrative work (in person only)
Some clients choose integrative work from the outset, guided by an intuitive sense that they want to work in a way that includes both conversation and the body. Others become curious about this approach later. Both starting points are welcome.
By integrative, I mean a way of working that brings together talking therapy and gentle, body-based work, held within a clear therapeutic relationship.
Sessions usually begin with conversation. We explore what is present, what feels stuck, and what understanding has already been reached. When appropriate, the work may then move to the couch, where the client lies down fully clothed.
The body-based aspect of the work involves gentle, non-manipulative touch, used to support regulation of the nervous system. This is a physical treatment, but it is not medical, corrective, or manipulative in nature. Touch is used carefully and intentionally, always in service of psychological integration rather than physical adjustment.
Talking and embodied experience remain in dialogue throughout the session. The aim is not to replace reflection with bodily awareness, nor to work with the body in isolation, but to allow what is already understood psychologically to be experienced and integrated more directly.
Integrative work is not assumed to be helpful for everyone, nor is it offered simply because something feels difficult to articulate. Some people choose it intuitively from the beginning; for others, it becomes relevant later. In all cases, the work is introduced thoughtfully, with clear consent and ongoing attention to what genuinely supports psychological change.
Working across contexts
People may begin therapy through different entry points:
individual therapy
relationship counselling
parent support
These are not separate silos in my work. They are different contexts in which relational patterns become visible.
It is common for the focus of the work to shift over time. For example:
relationship work may lead into individual therapy
parent support may open questions about personal history or partnership
individual therapy may later widen to include relational or parenting dynamics
Any shift is discussed openly and agreed collaboratively. Movement between contexts is held with clarity, consent, and care.
Structure, boundaries, and clarity
I work within clear, gently held agreements. The way we meet — when, how, and in what format — is part of the therapeutic field itself. This shared frame creates continuity, safety, and the quiet conditions in which deeper understanding can unfold.
Online (via Zoom). Online sessions are available for individual therapy, relationship counselling, and parent support. Parent support is offered online only.
In person (Brentwood, Essex). In-person sessions are available for individual therapy, integrative therapy, and relationship counselling. In-person spaces are limited.
Whatever the format, we agree the structure of our work together before we begin, and revisit it as your needs evolve.
I engage in ongoing supervision to support reflective practice and ethical clarity.
Details about session structure, booking, and fees can be found here.
What the work often feels like
Clients often describe the work as:
thoughtful and steady
clarifying rather than overwhelming
spacious rather than directive
I pay attention not only to what is being talked about, but to what is happening between us, and to what may be emerging gradually over time.
Beginning the work
You do not need to know in advance which type of work you are seeking.
If you are unsure where to begin, we can take time to understand what feels most appropriate and allow the work to find its shape.
For me, therapy is not about fixing what is broken, but about understanding what has been shaped in relationship — and allowing new ways of relating to emerge.
A short, no-obligation conversation to see whether working together feels right.
© Ruta Gabalis Integrative Psychology & Therapy
Individual Therapy (UK & International) | Reflective Consultancy (Online & International)