Infertility-related and prenatal depression: Uncovering the secret struggle

Infertility-related and prenatal depression: Uncovering the secret struggle

You would deduce that with a bundle of joy on the way, you would feel nothing but—well as the saying goes, joy. But what if you don’t? Or maybe part of you is excited to be expecting, however you have inexplicable sadness. Or perhaps you would love nothing more than to fall pregnant, but are dealing with biological issues, medical interventions, hormone treatments, loss and constant setbacks leading to a distressed state of mind.

We have heard about postpartum depression. However, what about prenatal depression? Or infertility-related depression? With the emphasis on pre, the before-baby blues are not just something in your head. It’s time to put shame and stigma aside to shine a light on what can only be described as a very dark time for sufferers of both these conditions.

Painful path to parenthood: infertility-related depression

Trying to become a mother can be a battle behind closed doors, but staying silent can have detrimental effects on one’s mental disposition. For Natalie Kalfus, 42, lawyer, Netflix Singapore, “self-censoring information that we consider to not be socially appropriate” played a role in her trauma experience. “There’s this women’s business that we don’t talk about. It’s interesting when you look at fertility and having babies—there’s so much celebration around it in society, so much focus on the positive. But we just ignore the negative. It’s like the dirty business that no one wants to talk about”. 

After a long, taxing journey trying to conceive and two pregnancies that ended in miscarriage just before the second trimester, Natalie recognised she had depressive symptoms, but kept it to herself and carried on. “It’s labelled as part of the private bucket. I compartmentalised everything and got on with it, which was really hard at the time because you have this hidden thing that you’re dealing with that no one sees. You’re showing up and no one knows that it’s all going on underneath the surface”. For Natalie, the “loss of hope” became an oppressive mental burden, “I didn’t give myself permission to talk about it. I had so many emotions that I didn’t know how to process.”

Similarly, in my case, the never ending cyclical failure of negative tests every month, a loss and countless doctors appointments full of bad news, all the while having to put on a smile took me from a place of heartbreak to the edge of breakdown. I was diagnosed by a psychiatrist with depression, but an outside observer would be none the wiser. 

According to Dr Aarti Mundae, psychotherapist and director, Incontact Counselling and Training Singapore, offers a psychological perspective, “infertility does come under the trauma definition”. A lack of control and a sense of non-performance can also be damaging: “there is a lot of shame attached to not being able to conceive or just even the whole infertility piece. And this could be compounded by shame with your body—that the body is not doing what it is naturally supposed to do, that the body has failed me”. Socio-cultural factors should not be ignored when it comes to the stigma according to Dr Mundae, “I think Asian cultures in general are more taboo when it comes to talking about feelings, emotions and failures. It’s a transgenerational, cultural belief system. Infertility has a feeling and an emotion which people don’t often see. They see it as a physiological condition”. 

Pregnancy blues: prenatal depression

“Is this a thing? I didn’t know it was a thing”. After suffering from postpartum depression with her first child, Michelle Holland, 43, TV presenter and Fox Sports Asia anchor was taken aback when she sensed those familiar emotions when pregnant with her second. “The feelings were very similar and I thought it can’t be, I’ve not had the baby”. Michelle was unaware of prenatal depression, “chalk this up on the list of things people don’t talk about. You’re warned that there’s postpartum depression, but nobody ever says you could have these feelings prior to giving birth”. 

After seeing her obstetrician who did confirm that such a condition does indeed exist, even though she felt a sense of relief, she took no further action. Antidepressants were not entertained, “the fact is when you’re pregnant, especially when you’ve had assistance to get pregnant, you live in a bubble of fear for those nine months. You don’t want to do anything that could rock the boat—even popping a paracetamol—you question whether you need to do it”. And it was still a case of mum’s the word. “I thought I just needed to deal with it. I’ll just bite my tongue and get on with it. I never spoke to anyone about it except my doctor”. On why she thought it was her cross to bear, “I didn’t even talk to my husband about it. I rationalised it by thinking about the hormones—you’re pregnant, you’ve got chemical imbalances going on, your body is going through a lot. And what could he do about it? I didn’t think he could necessarily help me with the burden. Women are very good at gritting and bearing it”.

As Dr Kamini Rajaratnam, consultant psychiatrist, Better Life Psychological Medicine Clinic Singapore explains, “prenatal depression can masquerade as a number of different things” and it’s right from the beginning “when mum guilt starts—from the moment of conception. There are so many psycho-social issues that come up”. While most of us will experience the dreaded mum guilt at some stage, “there are some factors that predispose a mum to prenatal depression. It is usually in mums who might have had a history with depression before. A family history of postnatal depression is a very important risk factor and of course, mums who are socially isolated. A lot of us can fall into that category as we don’t have our village anymore. We don’t give birth and come home to our grandparents and mums and aunts and everyone. So these are things to look out for. But of course there are women who have never had any issues—they’re perfectly fine, then they get pregnant and it hits them”.

They say it takes a village to raise a child, but without the child and the village, those of us who do seek external help are sometimes looking in the wrong places. 

The physiological and psychological impact of infertility

Unfortunately there is rarely a holistic approach to infertility. Medical physicians will typically focus on clinical treatments, drug therapy and surgery to help investigate, repair reproductive organs or synthetically compensate for any hormonal shortcomings. While often necessary and sometimes a crucial piece of the infertility puzzle, these actions can take an emotional toll and potentially even exacerbate feelings of anxiety and stress. For me, medical intervention was essential, but potentially compounded my mental health distress. 

I was prescribed two different oral medications over the course of a year to help induce ovulation—Letrozole and Clomiphene. Both did not work for me, however, in addition to tufts of hair falling out, bloating that made me look pregnant and breakouts, the possible side effects of Clomid include anxiety, mood swings, sleep disturbances and more—reactions so notorious they’re known colloquially as the “Clomid Crazies”. 

When it comes to pregnancy, again the onus is typically on the biological and logistical. As Michelle describes it, “when you go to baby classes, you’re taught how to put a nappy on, how to bathe your child, but you don’t learn how to deal with emotions. You are going through physical change, but there are also hormones, chemicals—it affects everything and I feel like not enough attention is put on how you are doing mentally on your journey through motherhood. When you see your gynae, you have your physical exam, but there is no push to ask how you’re doing in your head”. 

Breaking the silence

When it comes to a clinical bedside manner or approach, for Dr Mundae, it could come down to a lack of psychological awareness and training, “but you are treating humans and you’re treating very tender and fragile issues of the human body—reproduction”. According to Dr Mundae, in an ideal world, alongside your fertility doctor, there wouldn’t be just a one-time counselling session, but “a designated professional who will explain and educate you on the grief, anger and despair and hope that you may experience during this event. Normalise those feelings, help you create some self-compassionate behaviours”.

From Dr Rajaratnam’s perspective, when it comes to medical doctors and prenatal depression, it’s about making mums-to-be comfortable enough to reach out, “a psychiatric assessment is beyond their scope and they also don’t have the time, but it’s about creating that safe space and awareness. Just by saying this is a tough time, a lot of other mums have had a lot of emotional upheaval and if you experience anything, please feel free to let me know and I can direct you to the resources” could potentially help.

After her ordeal, Natalie was blessed with two daughters and now leads the women’s employee resource group at Netflix Singapore called SGWomen@Netflix. The focus is on female employees and their allies and their ability to raise issues, educate and engage in meaningful conversations, especially around these sensitive subjects. “Netflix is a company that is about storytelling, and I do believe there is a lot of power in storytelling and people sharing”. But she has found most women still want to keep their journeys anonymous, “even that says a lot about stigma in society, but I do find a lot of people are happy when they’ve finally talked about it, because it’s releasing that burden”.

“I wish when I started feeling those familiar feelings come back that I would’ve said something immediately”. From Michelle’s viewpoint, open dialogue with healthcare professionals from the outset would be the first step to healing. “It probably took me my third visit of feeling those emotions to actually blurt it out and ask my doctor is this normal? Because I was having an inward battle with myself. I wish that it was a question that was asked. “How are you coping?” never gets asked. Perhaps if you’re newly pregnant, your doctor lays it out for you and says “potentially you could be feeling these emotions and if you do, let me know”. That’s all it takes. Just knowing someone has your back and if you did have those feelings, you would have an open channel to talk about it.”

If you are experiencing the infertility and prenatal-related depression, you are not alone. Contact KK Women’s and Children’s Hospital Women’s Mental Health Service division or support: pnd@kkh.com.sg

Navigating The Pandemic Blues

Navigating The Pandemic Blues

The world is no longer what we know. When global lockdowns begun, it was new and even exciting. We were all busy adapting, avoiding the virus, gathering information as scientists and doctors make daily new discoveries. We turned our attentions to accommodating everyone working and schooling from home.

Eighteen months on, after settling into our routines of working and schooling from home, reading the news of how the virus has made its reappearances and continues to rage on in many parts of the world, we are all fed up. Most of us are scratching our heads and asking: Now what? When will this end?

Call it whatever: Pandemic Blues, Languishing, or simply Meh – this period of swinging between high anxiety and mundaneness has indeed not spared anyone in the universe.

The important question is not really how to stop the pandemic, leave that to the experts – it is how do we navigate out of this funk?

Have you been experiencing some form of negative emotional indescribability? The unpredictable easing and tightening of pandemic measures globally have taken a toll on all of us. Have you been thinking:

⦁ “I am feeling stuck.”  

⦁ “I am feeling stuck.” 

 ⦁ “I am feeling Meh.” 

⦁ “Some days, I just don’t feel like getting out of bed.”

 ⦁ “Not being able to see my family overseas has been a huge challenge for me.”

⦁ “Today was like yesterday & I know how it’ll be tomorrow; I’ve nothing much to look forward to.”

 If you have had some of these thoughts, you are definitely not alone.  Whilst we cannot change what is going on beyond our own thoughts, actions and behaviours, we can make brave attempts to see where can we shift them to feel more in control.  

 Here are some ways:

  Psychologists recommend that one of the best strategies is to simply name them. 

  I have not been able to get myself to catch up with friends over the phone or even to have one or two over – why am I isolating myself?

Each time I go out, I feel extra anxious over the possibility of catching the virus – do I have healthy anxiety?

 Reach out to a talk to someone.

  Realise that it is totally ok to call a close friend to tell him/her how tough a week you have just had; sometimes just realising you are not feeling like this alone makes you feel better.

You could be grieving the loss of your freedom.  It is hard when you cannot do what you have always enjoyed but cannot do so now.  

Revisit something else you have enjoyed doing or pick up a new hobby.  

What about learning how to play the piano or the guitar online?  Or do an online course?

Prepare a weekly work as well as an exercise and social calendar.

Besides knowing what to expect for your coming work or school week, create another calendar to make plans to either call or meet family and friends.

Exercising helps our bodies overall – no further details needed to remind you of its importance.   

Social connection alters our motivational landscape which will create the inertia to make more connections.

Whilst recognising that ‘it is ok not to be ok’, do not be afraid to seek professional help.

“I think I need help.”  is one of the most courageous yet fruitful deed one can do for oneself.

Asking for help often makes people feel uneasy because it requires surrendering of control to someone else or they fear judgment.

 Perhaps it is time to remember too, that the human brain is highly adaptable.  Flashback to the time you struggled with video linked meetings; how exhausted we all felt but these days, it has become part & parcel of our daily lives that we no longer feel the initial exhaustion.  In fact, there many who are bemoaning the fact that they might have to return to the office!  This adaptability is called neuroplasticity – the ability of the brain to adapt to changes in an individual’s environment by forming new neural connections over time. Neuroplasticity explains how the human brain is able to adapt, master new skills, store memories and information and even recover after a traumatic brain injury.

 As we wait out the end of this pandemic, let us focus on elements and areas of our lives we can control, adapt to and change.  From this, we can also choose to count the areas of our lives that has, in fact, turned out more positively, list the lessons learnt and continue trudging on this path toward the new normal.  

 

 

 

31 Psychiatrists, Marriage Counsellors, Therapists and Centres for Counselling in Singapore

31 Psychiatrists, Marriage Counsellors, Therapists and Centres for Counselling in Singapore

Everyone needs a little help to get through life’s challenges. Here’s our list of therapists, psychiatrists, marriage counsellors and counselling centres in Singapore

For many, life in Singapore can be a challenge. Some of us may be stressed out with work or family relationships, some may have a limited support network (especially if you’re an expat who is far from home) and some may just be struggling with challenges such as anxiety or other mental health issues. However, it’s important to remember that you’re not alone, and there’s plenty of help to be found from therapy or counselling in Singapore.

Whether you’re looking for marriage counselling, therapists to help with your self-worth, counselling for postpartum depression, a listening ear for your child or teen, or just someone to help your family navigate life harmoniously, these counselling services in Singapore can help you find the solutions you’re looking for. Confused about the differences between a psychotherapist and a psychologist, counselling or therapy? Here’s a simple breakdown to get you started.

  • Counselling vs. therapy: These terms are often used interchangeably, but typically, counselling focuses on problem-solving specific issues that are happening to you in the present, and is usually applied for shorter terms than therapy.
  • Psychotherapy: This long-term, in-depth solution zooms into a wider range of issues, and involves dissecting your past experiences and childhood to find answers for your current behavioural patterns and issues.
  • Psychotherapist: This umbrella term applies to any professional trained to treat people for their mental health, and can encompass psychiatrists, counselling and clinical psychologists.
  • Psychiatrists: These mental health experts ave a medical degree and specialise in preventing, diagnosing, and treating mental illness. Unlike most psychotherapists, they can also prescribe medication.
  • Psychologists: They usually have  a Master’s Degree or Ph.D. in psychology and as well as talk therapy, they perform psychological testing and are qualified to do counselling and psychotherapy for mental disorders. A counselling psychologist will tend to work with clients with emotional and social issues, whereas a clinical psychologist will normally work with people suffering from more complex mental health conditions, such as personality disorders and major depressive disorders.
  • Counsellors: They typically help clients explore the challenges or difficulties being faced, whether its a dissatisfaction with life or even a loss of purpose.

While our roundup of places to get counselling in Singapore isn’t exhaustive, we hope it’s a good starting point for you to find a therapist that suits your needs. Remember, mama – it is perfectly okay to ask for help.

Sources*

      Read more: How this mama overcame societal stigma of postpartum anxiety and mental health

SACAC Counselling

One of the oldest and largest mental health practices in Singapore, SACAC Counselling offers psychotherapy support, psychometric and personality assessment services, as well as counselling in Singapore to children, teens, adults, couples and families. Additionally, SACAC also offers an array of for children and adults. They work with a broader community of doctors, psychiatrists, dieticians, educators in the public and private sectors and other specialists to aid you with your mental health, too, and actively offer Employee Assistance Programmes (EAP) to employees in local and foreign companies. In an effort to promote mental health from an early age, SACAC Counselling also provides extensive support to many educational institutions and international schools in Singapore and around the region. Language won’t be barrier here, as the team of psychologists and counsellors is a diverse one. In all, they are able to converse in various languages such as English, French, Italian, Dutch, Spanish, Arabic, Japanese, Malay, Bahasa, Hindi, Cantonese, Hokkien and Mandarin. SACAC Counselling conducts in-person counselling in Singapore seven days a week. However, if you prefer online counselling, the highly qualified and experienced team here can conduct your session over video or phone, too.
SACAC Counselling, 15 Scotts Road, Thong Teck Building, #09-04, Singapore 228218, Tel: (+65) 6733 9249 / (+65) 8285 0476 (Whatsapp), www.sacac.sg

Rebecca Versolato (White Canvas Therapy)

One of the few psychoanalysts in Singapore, Rebecca Versolato offers psychoanalysis services, individual and couples counselling, psychotherapy for teenagers and counselling in Singapore for intimacy issues. Rebecca has amassed years of quality experience as a registered counsellor in Singapore and as a member of national and international psychotherapy associations. Rebecca is also a popular choice for parents looking for parenting advice and guidance. She firmly believes that parenting styles can affect a couple’s relationship, which, in turn, affects how they are able to smoothly parent their children. Rebecca often advises her patients that there is no one way to heal, and that as a psychoanalyst, “we have to constantly work on the projections we bring and add to our kids or partners’ lives – based on our past behaviours, our attachment patterns and our family background.” And while her psychoanalysis services are not an easy fix, it offers you an integrated solution to help manage your own symptoms and outcomes – all in a non-judgmental setting.
Rebecca Versolator (White Canvas Therapy)rebeccaversolato@gmail.comwww.rebeccaversolato.com

Elephant Therapy & Training

One of the first psychotherapist practices in Singapore, Elephant Therapy & Training aims to empower the community through client consultations and by upskilling Asia-based clinicians via its training and supervision centre. Led by clinical psychologist, researcher and trainer, Adriana Giotta, the pool of highly qualified therapists here offers a series of treatments such as individual psychotherapy sessions for adults, couples, families and children, group therapy and organisational consultancy. They also provide executive and peak performance coaching, which is designed to help those who are impacted by issues such as low self-esteem, anxiety, depression, relationship and parenting troubles and more. There is no mental health issue that’s too complex for the Elephant team, as they work to help you resolve your challenges at its source instead of its symptoms – they do it all in eight different languages, too! Personal growth isn’t just for their clients either, as the team ensures they are supported through individual and peer supervision, and also attend clinician programmes and workshops.
Elephant Therapy & Training, 87 Club Street, #03-01, Singapore 069455, admin@elephant.com.sg, Tel: (+65) 6224 1545, www.elephant.com.sg

Alliance Counselling

The team of counsellors and psychologists offers empathetic professional support and guidance for couples, children, teens, families and individuals. Alliance Counselling offers its clients the highest level of confidential care and support and the right tools to deal with life’s challenges at every stage in life. Each client is carefully assigned to the right therapist, so they feel comfortable and supported in a safe environment. Alliance Counselling has supported clients from more than 60 international cultures, and the multilingual team can conduct sessions in English, French, Italian, Spanish, Portuguese, Mandarin, Cantonese, Korean, Hindi and Dutch. The team also partners with educational institutions, and offers clinical supervision, corporate workshops and psychological assessments.
Alliance Counselling, 501 Bukit Timah Road, #03-02 & #04-03, Cluny Court, Singapore 259760, admin@alliancecounselling.com.sg, Tel: (+65) 6466 8120, www.alliancecounselling.com.sg

Fernhill Psychology and Counselling

Serving both Singaporeans and expatriates from all walks of life, the Fernhill team offers psychological services, meditation, coaching and counselling in Singapore in multiple languages – English, Mandarin, Russian, Polish and Malay. Ensuring that therapy is accessible and ethical, the therapists at Fernhill counsel individuals, couples and families, aiming to provide a space that’s compassionate and safe. The team is highly skilled in working with a range of issues such as depression and anxiety, relationship challenges, trauma and personality disorders. Every client is unique and the journey you go on together is tailored to meet those unique needs. In-person consultations are available on weekdays and Saturdays.
Fernhill Psychology and Counselling, 27 Woking Road, Wessex Estate, Singapore 138705, contact@fernhill.com.sg, Tel: (+65) 9623 4461, www.fernhill.com.sg

Incontact Counselling & Training

This small, specialising counselling practice in Singapore is helmed by three psychotherapists who are passionate in individualised interventions. They adopt an integrative and holistic approach that incorporates cognitive behaviour therapy, Eye Movement Desensitisation & Reprocessing (EMDR), Gottman couples therapy, brain spotting and Transactional Analysis techniques alongside various other evidence-based, professional techniques. Incontact works to build deep, therapeutic relationships with their clients, ultimately empowering them to work towards positive change. While the team typically focuses on in-person counselling sessions, they also provide telephone-based psychotherapy services and online counselling for those who still wish to practice social distancing.
Incontact Counselling & Training, 7 Maxwell Road, #04-04, Annexe B, MND Complex, Singapore 069111, admin@incontact.com.sg, Tel: (+65) 9134 8147, www.incontact.com.sg

International Counselling & Psychology Centre (ICPC)

With more than 40 years of experience under their belts, the team of counsellors, psychologists and professional therapists at International Counselling & Psychology Centre (ICPC) work with children, adolescents, couples and families to address various mental health issues that interfere with interpersonal relationships. The team can aid with mental health obstacles such as depression, anxiety, bereavement, third culture experiences, relationship struggles such as cross-cultural issues, infidelity and pre-marital preparation, violence, expat life struggles, sexual dysfunction, anger management, parent-child relationships and much more. ICPC can help at home, in school or in a work environment, and aims to boost your well-being, which helps prevent significant concerns in your future.
International Counselling & Psychology Centre, 360 Orchard Road, #06-08, International Building, Singapore 238869, Tel:(+65) 6734 6463, www.intlcounselling.com

Lotus Therapy (Anita Barot)

A licensed marriage and family therapist from California, Anita Barot’s expertise includes couples and family counselling, depression and anxiety management, women’s issues (separation/divorce, self-esteem, body image, career, etc) and more. She believes that therapy is a journey involving both the client and therapist, and it involves building trust, skill and hard work. Her caring and honest approach has helped many people, and she works with you – based on your mental health and life history – so your life choices offer happiness, fulfilment and help you achieve your life goals. She offers a safe space in which to explore your feelings, allowing you to let go of past wounds and find productive coping mechanisms to deal with tough challenges. Anita’s background has also enabled her to work well with expats and third culture children who are dealing with multiple moves and grief, helping them find meaning and connection in a new country.
Lotus Psychotherapy, 10 Winstedt Road, #01-04, Singapore, 227977, info@lotustherapy.com, Tel: (+65) 9177 9326, www.lotustherapy.com

              Read more: Are You Feeling Low? The Signs of Depression in Women to Watch For

Psychology Blossom

The Psychology Blossom team are qualified to help you with individual and couples therapy, child and family therapy and marriage counselling in Singapore. They aim to help you achieve your therapy goals by focusing on strategies you can apply in the present, all while you understand and process your past. Clients are ushered into cosy, welcoming spaces that are non-judgmental, and sessions may take place over a few weeks or months, depending on your needs. The psychologists and therapists here enable you to evolve into your own therapist by equipping you with the right techniques and coping methods. These will help you manage any issue or situation that arises over the course of your therapy. They also prioritise awareness, self-compassion and corrective experiences, which ultimately help you heal from any past struggles that may still be troubling you.
Psychology Blossom, 308 Tanglin Road, #02-15, Phoenix Park, Singapore 247974, hello@psychologyblossom.com, Tel: (+65) 8800 0554, www.psychologyblossom.com

All in the Family Counselling

Tammy Fontana is a US-trained mental health therapist specialising in relationships ranging from pre-marriage, to marriage, parenting, sex and divorce. With her clinical training in attachment and trauma, she helps the underlying issues that affect individuals and their relationships and offers an online portal for 24×7 support. She also offers online counselling in Singapore.

Anoushka Beh

Psychologist Anoushka Beh has been a great resource to mamas in her Sassy Mama columns. Her main areas of focus include anxiety, grief and loss, couples counselling and self-empowerment, and she offers online counselling via Skype.

AWARE (Association of Women for Action and Research)

AWARE is Singapore’s leading gender equality advocacy group, providing counselling services as well as advocacy and training. Anyone can call AWARE’s helpline at 1-800-777-5555 (open Monday to Friday from 10am – 6pm) for emotional support and direction to AWARE’s counselling services and further resources.

Body with Soul Total Healthcare Network

Body with Soul dispenses a holistic approach to wellness, which includes counselling in Singapore alongside medical and nutritional support. Shri uses a scientific, integrated model based on neuroscience and tailored to client needs, drawing on the strengths of different approaches such as cognitive-behaviour therapy, attachment theory and positive psychology.

CARE Singapore

Catering to children, youths and their families, CARE Singapore offers support through individualised counselling in Singapore, case work management and group work. The counsellors and therapists here works closely with parents, teachers and the community at large to help enhance its clients’ way of life. CARE Singapore also offers counselling services to individuals or families experiencing emotional, psychological, relationship and marital issues

Coloured Canvas

Art psychotherapist, author and doctoral researcher. Dr Huma Durrani provides art psychotherapy to children with developmental and behavioural problems, psychological and emotional issues relating to autism and learning difficulties.

The Center for Psychology

The Center for Psychology provides a culturally and gender-sensitive approach to counselling in Singapore across a diverse range of women’s issues. They also provide comprehensive psychological tests for intelligence, autism, ADHD, Dyslexia and other learning disabilities. They value the importance of respect and therapeutic support for clients to help them make needed changes at their own pace.

Counselling and Care Centre

This non-governmental non-profit organisation offers quality counselling and psychological counselling in Singapore. Employee Assistance Programmes (EAP) are also available.

Counselling Perspective

Dr. Glenn Graves’ name comes up a lot when you ask for a recommended psychologist in Singapore – particularly for men. Dr. Graves holds a PhD in Psychology and provides counselling in Singapore on a variety of issues, including post-traumatic stress disorder, anger management, anxiety, stress, alcohol abuse, marital conflicts and divorce, sex addiction, sexual abuse and more.

The Counselling Place (TCP)

TCP is a team of international psychologists, therapists, and life coaches specialising in issues affecting women in all life stages, including stress and anger management, anxiety, depression, infertility, pregnancy, postpartum depression, adoption and more. They take an integrated approach with their counselling, drawing from established therapeutic approaches, including acceptance commitment therapy (ACT), family system therapy and cognitive behavioural therapy (CBT). www.thecounsellingplace.com

The Counsellors: Expat Psychological Services

The Counsellors: Expat Psychological Services work to provide non-judgemental, empathic, and discrete, professional support, whatever your situation is.

CPH Online Counselling

If you’re struggling with family or marital problems, then you can speak to a counsellor via live chat (available on weekdays from 9am to 6pm) or drop an email with your enquiries instead. The website also has a handy FAQ guide if you’re new to online counselling in Singapore.

Dr. Oberdan Marianetti

As a qualified psychologist and clinical sexologist, with experiences spanning from military leadership, to corporate, clinical and business practices, Dr. Oberdan works with individuals, couples, business owners and leaders to live a more purposeful life and enhance their sense of fulfilment and satisfaction. He works with individuals and couples on matters ranging from sexual identity and orientation to sexual function and education.

Family Services Centres

Family Service Centres (FSCs) are a key community-based support centre for individuals and families in need. FSCs are staffed with social workers and other professionals to provide a helping hand. Anyone, regardless of age, race, language or religion, can benefit from FSC services. There are currently 43 such centres in Singapore.

Leonardo Talpo

Leonardo Talpo specialises in marriage relationship counselling, helping clients regain control of their lives and re-educating them about marriage itself.

Mount Elizabeth Hospital

The psychiatrists here are qualified to diagnose and treat a range of psychiatric and mental health disorders. Other areas of specialisation include addiction, anger management, eating disorders, PTSD and more.

More Mindful

More Mindful provides multilingual, specialised counselling in Singapore to address the psychological and emotional needs of women during pregnancy and the postpartum period. The small team of specialised counsellors are very passionate about supporting women in a caring and compassionate manner, and issues addressed include prenatal and postpartum anxiety or depression, fertility struggles, pregnancy loss and birth trauma.

Mindful Pathway

The Mindful Pathway clinic provides the latest interventions in mind-body health, using biofeedback and neurofeedback to reduce symptoms of anxiety, depression, ADHD, insomnia and general life stress. Using the latest technology, Mindful Pathway therapists can monitor and help you learn how to change your body’s habitual response to stress. All therapists are mental health professionals with different areas of specialisation including addiction, depression, anxiety and perinatal mental health.

Promises Healthcare

Founded by Dr. Munidasa Winslow, a renowned expert in the addictions field, Promises Healthcare now has more than 30 psychiatrists, psychologists, and therapists, each offering offering counselling in Singapore for addiction and mental health treatment and recovery. Winifred Ling is a couples’ therapist and relationship coach who comes particularly highly recommended for marriage counselling.

Psychology Experts

Psychology Experts is a private clinical psychology service providing counselling in Singapore to children, teenagers, adults, couples and families. Sessions take place under the supervision of clinical psychologist Dr. Elefant-Yanni, who has 15 years of clinical practice and avoids labelling and medicalisation.

Rebecca Wright 

Psychotherapist Rebecca Wright draws widespread praise for being such a caring therapist and counsellor. Rebecca has been practicing as a psychotherapist & counsellor for over 14 years, in Singapore, the UAE and the UK.

Scott Psychological Services

Ms. Irena Constantin is an occupational and educational Psychologist with extensive experience in dealing with learning and socio-emotional difficulties experienced by teenagers and young adults in school and work. She offers regular family therapy, support group/parenting meetings and counselling in Singapore for parents with small children or teens. Her sessions are conducted in English, German or Greek.

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