Counselling & Psychotherapy for Individuals and couples

Blackheath Village & Virtual

elena miari is a couples therapist in southeast london

Hello, I’m a BACP Accredited Existential Psychotherapist and Counsellor, qualified since 2008 and working full time in private practice. I offer both long term and short term counselling, as well as Single Session Therapy, for individuals and couples. Sessions are available in Blackheath, Southeast London (SE3), and online across the UK and Europe.

My main work is with couples around communication, infidelity, neurodiverse relationships, and navigating life transitions together.

I also work with individuals around narcissistic abuse and ADHD, supporting people who are trying to make sense of complex or destabilising relationship dynamics, as well as difficulties with emotional regulation and self perception. I have experience working with parental alienation and significant life transitions, particularly where these intersect with questions of identity, relationships, and direction.

If you’d like to learn more about my approach, feel free to get in touch to arrange an informal conversation.

You can read more about me here.

Approach

My approach is Existential and Humanistic, grounded in your lived experience and how you make meaning in your world. 

I take an active role in sessions, asking questions and offering gentle challenge to help you see things from new perspectives.

When suitable, I incorporate bodywork and inner child work to facilitate trauma healing and access deeper layers of experience that talking alone might not reach.

In couples therapy, I take a direct, engaged, and collaborative approach. Together, we explore the patterns that leave you feeling stuck, disconnected, or caught in the same arguments.

I am interested not only in what is happening between you, but also in how each of you experiences the relationship. Often, what we hear, how we respond, and what we expect from one another is shaped by our past experiences, insecurities, fears, and assumptions. These can quietly influence the way we relate and contribute to conflict, misunderstanding, or distance.

My work is influenced by existential therapy and the concept of differentiation. I help couples develop the capacity to remain emotionally connected whilst also maintaining a clear sense of themselves. Rather than focusing on changing your partner, therapy invites both of you to better understand your own reactions, choices, and responsibilities within the relationship.

I will challenge you with compassion and curiosity, inviting both of you to look honestly at the patterns you create together and the ways in which they may be keeping the relationship stuck. Together, we will explore not only the relationship you have, but the relationship you want to have.

My Approach page explains my therapeutic approach in greater depth. There you'll discover how existential therapy addresses different life challenges and what our work together might look like in practice.

Specialisms

Couples Therapy

Relationships can be a source of both deep fulfilment and profound pain. I help couples understand the patterns that keep them stuck, improve communication, and navigate challenges such as conflict, infidelity, ADHD, and major life transitions.

Learn more about couples therapy →

Infidelity & Betrayal Trauma

The discovery of an affair or betrayal often brings shock, confusion, grief, and countless unanswered questions. Together, we explore not only what happened, but what it means for you, the relationship, and the choices that lie ahead.

Learn more about infidelity recovery for couples →
Learn more about betrayal trauma therapy →

Neurodiverse and Mixed Neurotype Relationships

Many neurodiverse couples find themselves caught in the same misunderstandings and frustrations repeatedly, despite caring deeply for one another. Together, we explore how ADHD and other forms of neurodiversity shape the relationship, helping each partner better understand themselves, each other, and the patterns they create together.

Read more about neurodiverse and mixed neurotype relationships →

Relational Trauma & Narcissistic Abuse

Narcissistic abuse can leave you doubting your reality, questioning yourself, and struggling to trust your own perceptions. I work with clients to make sense of these experiences, understand their impact, and reconnect with their own voice, values, and sense of self.

I have a particular interest in family dynamics, especially where a parent is emotionally immature or has narcissistic traits, and how these early relationships continue to shape our lives long into adulthood.

Read more about narcissistic abuse therapy →

ADHD

ADHD is about far more than symptoms. I help clients understand their neurodivergent minds, make sense of their experiences, and develop a more compassionate and authentic relationship with themselves.

Read more about ADHD therapy →

Qualifications

  • Advanced Diploma In Relationship Psychotherapy - NAOS Institute

  • MA in Psychosocial Studies - University of East London

  • PgDip in Counselling - University of West London

  • Foundation in Psychotherapy and Counselling - NSPC

  • BSc Psychology - Middlesex University

Memberships

  • BACP (British Association of Counselling and Psychotherapy)

  • COSRT (College of Sexual and Relationship Therapists)

  • WFADHD (World Federation for ADHD)

  • SEA (Society of Existential Analysis)

BACP accredited therapist in Lewisham for infidelity, betrayal and adhd for couples.
Middlesex University psychology graduate working as a existential couples therapist in Southeast London and online
Logo of the University of East London featuring a stylized bird and shield with text.
University of West London logo with a stylized 'U' and 'W' in gray, blue, and white, accompanied by the university name.