Your Questions, Answered
Gestalt therapy in a nutshell
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Gestalt therapy is a humanistic, present-focused approach that emphasizes awareness of your thoughts, feelings, bodily sensations, and environment as they arise right now. Although it is important to explore the details of past events and future anxieties, their importance lies in the idea that psychological distress often comes from unfinished emotional business, fragmented self-perception, or patterns of avoidance that interrupt natural experience. Rather than analyzing problems from a distance, the therapist and client engage in live, relational work that uses dialogue, embodied exercises, and creative experiments to bring awareness into contact with what's real and felt in the moment. The goal is to help clients become more fully themselves: integrated, self-aware, and capable of genuine contact with themselves, with others, and with life itself.
For further reading, I recommend Good Therapy’s brief introduction to gestalt therapy and how it works: https://www.goodtherapy.org/learn-about-therapy/types/gestalt-therapy
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CBT works on the content of your thinking. You identify a distorted thought, test it against the evidence, and replace it with a more accurate one. It’s structured, usually time-limited, and works well at addressing a wide range of problems.
However, when we stay focused solely on the mind and its thoughts, we’re missing out on important information that appears elsewhere.
Gestalt therapy asks us to look past the story you’re telling and to pay attention to what’s happening while you talk: the way your voice tightens when you mention your brother, or the fact that you speed up when discussing something painful and laugh right after you’re finished saying it.
That’s the material that we work with because it’s something occurring right now, in the room, where both of us can notice and connect with it. Here, when you rush past the painful thing and laugh right after saying it, I'll ask you to slow down and say it again without the laugh — and we'll both find out what's underneath.
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The first session is what’s called an “intake session,” where we’ll discuss what's bringing you to therapy right now, and what you’re hoping to get out of it.
I’ll ask you some questions about when things started, the shape of your life now, whether you've tried therapy before and how it went. The goal is to get a sense of what you’re carrying and what we might work on together.
We’ll also go over the therapy contract, which sets out the practical terms — scheduling, fees, cancellations, and confidentiality — so you know what you’re agreeing to before we begin.
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That varies from person to person. Some people come in with something specific they need to explore and find what they need in a few months. Work that touches upon longer-standing patterns tends to take longer. I generally start clients weekly, since consistency is what builds the therapeutic relationship that’s necessary for the work we’ll do together. The frequency can shift once that foundation is in place. Most people have a felt sense of when something shifts for them, and when that happens, we talk about it and decide where to go from there.
Please note that scheduling priority is given to clients with recurring weekly sessions.
Working with me
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Adults — individually and in groups — in English and Spanish.
I specialize in gay and queer men's issues related to:
the distance between the family you were born into and the life you’ve built somewhere else;
sex and intimacy (and how they’re not the same);
the weight of constant self-monitoring and censure;
the way shame gets rerouted into perfectionism and/or a running list of what’s wrong with your partner.
I’m a gay man myself, so you won’t have to spend the first month translating your experience to me.
You may have noticed that most of the items on that list aren’t exclusive to the queer experience.
Neither is my practice.
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Yes, both — and you don’t have to pick one and stay there.
I grew up in the U.S., started learning Spanish at twelve, did a high school exchange in Buenos Aires, and immigrated to Spain in 2018. That's nearly thirty years of Spanish, the last eight of them daily. Spanish is as much a part of my internal landscape as English is.
So if you’re an English speaker in Madrid, you don’t have to do therapy in your second language. If you’re a Spanish speaker, you won’t be working with someone who’s grasping for vocabulary.
And if you live between the two, you already know that some things only feel real in the language they happened in. Switch mid-sentence if you need to, que yo te sigo.
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No — I’m a Gestalt therapist completing my training at El Olivo Psicoterapia Humanista, a three-year program accredited by the AETG and the FEAP. I’m in my final year, and all my client work is supervised by an AETG-accredited supervisor, as the association requires.
That being said, Gestalt therapists are not qualified to make mental health diagnoses or prescribe medication — for that, you’d need to see a clinical psychologist or psychiatrist. If that’s what you’re looking for, tell me and I’ll point you in the right direction.
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Practical details
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Yes! Research has shown that online video therapy is effective in treating a range of difficulties, and that clients form just as strong a working relationship with their therapist as they would through in-person sessions.
Before becoming a therapist, I spent six years teaching English online — all of it 1-on-1, and much of it with people working through things that mattered a great deal to them. I can attest that the relationships I built with my students were genuine and close.
There’s something uniquely powerful about sharing physical presence in this work, which is why I offer in-person sessions. But distance isn’t a limitation here.
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What you pay will reflect market rates for mental health services where you live. A client in Madrid, for example, will pay less than a client in New York. More detailed rate information can be found on the Rates page.
Unfortunately, I don’t accept insurance, and I’m unable to provide superbills or out-of-network documentation for U.S. insurers.
A limited number of sliding-scale spots are available if my standard rates puts therapy out of reach for you. If that’s you, say so when you get in touch — it won’t affect the kind of care you receive.
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