Anna Prusinska

I work with individuals and couples who feel stuck in painful relational patterns that have become difficult to change alone.

People often come to therapy because they are tired of the same arguments, emotional distance, lack of intimacy, resentment, silence, criticism, defensiveness, mistrust, jealousy, betrayal, or the feeling that they are living alongside each other rather than truly connecting.

Couples may describe feeling unheard, rejected, blamed, controlled, lonely, unimportant, emotionally unsafe, or unsure whether the relationship can recover. Often there is still care between partners, but communication has become tense, guarded, reactive, or avoidant.

Individuals may come with relationship anxiety, fear of abandonment, difficulty setting boundaries, low self-worth, people-pleasing, overthinking, emotional overwhelm, repeated relationship disappointments, or a sense of losing themselves in relationships.

My work goes beyond communication techniques. Together, we explore the emotional and relational patterns underneath the presenting problems, including attachment wounds, protective responses, family dynamics, unmet needs, shame, fear, grief, anger, and the ways past experiences may still influence present relationships.

My approach is relational, psychodynamic and integrative, drawing on attachment theory, embodied awareness, existential reflection and emotionally focused work. I offer a thoughtful, structured and compassionate space to help clients understand what keeps repeating, strengthen emotional awareness, develop healthier boundaries, rebuild trust where possible, and create more honest, secure and meaningful relationships.

I am an MBACP Accredited Relational Integrative Psychotherapist working online and in person in London with individuals and couples from diverse cultural, relational and professional backgrounds.

I work with individuals and couples, intercultural and interfaith relationships, heterosexual and LGBTQ+ as well as people navigating complex emotional, relational challenges.

Many of my clients are thoughtful, emotionally aware and capable people who nevertheless find themselves struggling in close relationships. They may feel caught in recurring conflict, emotional distance, mistrust, anxiety in relationships, difficulties with intimacy, fear of abandonment, people-pleasing, emotional shutdown, or patterns that leave them feeling unseen, rejected or emotionally alone.

In couples work, I support partners who want to understand not only what they are arguing about, but what is happening underneath the conflict itself. This may include breakdowns in trust, resentment, criticism, defensiveness, withdrawal, loss of closeness, differences in emotional needs, sexuality, communication styles, family expectations or cultural pressures.

I work affirmatively with LGBTQ+ individuals and couples, offering a space where clients can explore relationship dynamics, identity, intimacy, attachment, family experiences and emotional struggles without judgement or assumptions.

In individual therapy, I help clients develop a clearer understanding of themselves emotionally and relationally, particularly around self-worth, boundaries, attachment patterns, anxiety, relational trauma, identity, life transitions and difficulties balancing closeness with autonomy.

My approach is relational, psychodynamic and integrative. I bring warmth, depth, honesty and psychological insight, while creating a thoughtful and grounded therapeutic space where meaningful and lasting change can emerge.

My work is active, thoughtful and engaged. I do not sit silently while clients struggle to make sense of everything alone. I listen carefully, reflect what I notice, ask precise questions, and help you see the emotional structure of what is happening.

I also provide short reflections or summaries after sessions, so clients can remember the key themes, insights and areas for further attention. In structured programmes, we regularly review goals, expectations and progress, so the work remains focused rather than vague or open-ended.

I may also share relevant readings, reflection questions or therapeutic exercises between sessions. 

For most new clients, I recommend beginning with a structured process first. This creates a clear therapeutic container, agreed goals, regular reviews, and enough consistency for meaningful work to begin. Rather than attending isolated sessions when things feel difficult, clients are invited to commit to a focused period of therapy where we can properly understand what is happening, work with the deeper dynamics, and begin to create change.

After completing the initial programme, clients may choose to continue with open-ended therapy on a weekly or fortnightly basis. This allows space for deeper integration, ongoing support, personal development, and continued work with relational or emotional themes that may need more time.

This way of working offers both structure and depth: a clear beginning, a focused therapeutic process, and the possibility of longer-term work where appropriate.

Starting Therapy

I offer a free 30-minute consultation for individuals and couples who are considering working with me. This is an opportunity to briefly discuss what is bringing you to therapy, ask questions about my approach, and get a sense of whether working together feels like the right fit.

After this, we can decide whether an individual 10-session process, a couples 6-session process, open-ended therapy, or an intensive format would be most suitable.

Structured Programmes and Open-Ended Therapy

For individuals, I usually recommend 10 sessions. For couples, I usually recommend 6 sessions. This gives the work enough consistency, depth and continuity to move beyond crisis conversations or isolated sessions, and allows us to properly understand what keeps repeating.

The structured process is active, dynamic and collaborative. Sessions build on one another, so we can track recurring themes, review goals, notice changes as they emerge, and work with what is happening both inside and outside the therapy room.

The process  include reflective exercises, relevant readings, therapeutic resources, session summaries, and focus between sessions.

Many clients notice important shifts throughout the course of therapy: greater emotional clarity, stronger boundaries, reduced reactivity, more confidence in expressing needs, and a more grounded sense of self, understanding the cycles beneath recurring conflict, reduction of defensiveness or withdrawal, communication with more honesty, rebuilding trust where possible, and gaining greater clarity about the relationship and the changes needed.

After completing the structured programme, clients may continue with open-ended therapy if needed.

Weekend Intensive Couples Therapy

I also offer bespoke intensive therapy sessions and weekend intensives for couples who may not be able to commit to regular weekly therapy, are travelling internationally, or feel they need a more concentrated and immersive therapeutic process.

This format can be particularly helpful for couples experiencing high levels of conflict, emotional disconnection, relationship crisis, betrayal, major decision-making, or long-standing patterns that require deeper, focused attention over a shorter period of time.