Andrea Pavarini

I grew up in northern Italy and spent much of my early life searching for where I belonged, and what it meant to live in a way that felt true. I was drawn to literature, philosophy and spiritual inquiry, and I still value depth and meaning, without dogma.

Before training as a counsellor, I worked in luxury interior design. That world shaped my respect for discretion, detail, and calm, and I bring the same steady attention into the therapy room. I tend to notice the quieter patterns, the ones that sit underneath anxiety, shame, people-pleasing, or the feeling of always having to perform.

In our work together, you could expect me to be warm, present and direct, with care. I will listen closely, ask thoughtful questions, and help you make sense of what you are carrying, at a pace that feels manageable. Some sessions are mostly conversation. At times, if it suits you, we might use simple grounding, guided imagery, or gentle ways of mapping what is happening inside, especially when words are not enough.

I work with individuals and couples, including LGBTQ+ clients. My focus includes intimacy, identity, relationships, shame and life transitions. Sessions are available in Harley Street and online. If you are considering therapy, you are welcome to get in touch with any questions.

Therapy with me is a calm, discreet space where you do not need to have the right words, or hold everything together. Many people I work with look “fine” from the outside, yet privately feel anxious, low, burnt out, or stuck in patterns of overthinking and people-pleasing, especially around family, relationships, sexuality, identity, or major life changes.

In our sessions we slow things down. We make sense of what is happening in your life now, and we gently explore where certain patterns began. Often, what feels like a problem today once had a purpose, it helped you cope, stay safe, or belong. Together we look at what you have outgrown, and what you are ready to choose differently.

You could expect a warm, direct, and respectful approach. I will listen carefully, ask thoughtful questions, and help you notice what is going on beneath the surface, including the inner critic, shame, or the pressure to perform. We work towards steadier self-trust, clearer boundaries, and relationships that feel more honest and nourishing.

Sometimes we will talk. At other times, if it feels helpful, we might use simple guided imagery, mindfulness, or practical ways of mapping what is happening internally. You are always in control of the pace, and nothing is forced.

I work with individuals and couples. Sessions are available in Harley Street and online. If you are ready to begin, or simply want to ask a few questions first, you are welcome to get in touch.

Your first session is slightly different from ongoing therapy. It is a 60-minute meeting designed to help you feel your way in, and to see whether working together feels right.

We will begin gently, with space for you to share what has brought you to therapy now, and what you would like to be different. I will ask some focused questions to understand your current situation, relevant history, and what support might be most helpful. If it feels appropriate, we will also look at any repeating patterns (for example anxiety, people-pleasing, shame, or relationship dynamics), and start to clarify goals for the work.

Some clients find it helpful to complete a short intake form beforehand. This is optional, but it can support the assessment and help us use the session time well.

By the end of the first session, you should have a clearer sense of how I work, what therapy with me could look like, and the next steps if you decide to continue.