Alexandra Madureira

Expertise My approach to therapy and treatment plans Training and education
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I’m Alexandra Madureira, a Clinical Psychologist with over sixteen years of experience helping adults with various mental health conditions.

I’ve worked in addiction and eating disorder rehabilitation clinics, and in a psychiatric hospital for seven years. Due to my rich experience working in these settings, I have developed specialist knowledge in treating Obsessive-Compulsive Disorder (OCD), Borderline Personality Disorder (BPD) and addiction rehabilitation using psychotherapeutic approaches.

As a therapist, my goal is to make you feel safe, as feeling safe is a prerequisite for change. Once you feel safe, you will be amazed at your courage and ability to break unhelpful behaviour patterns and thoughts. The more comfortable and accepted someone feels, the easier it will be for them to begin healing, no matter how lost they felt before starting treatment.

My treatment approach combines psychotherapy with an understanding of neurobiological mechanisms, to formulate the most effective treatment plan for you. I also take into account your life circumstances (social support) and individual personality traits. I’ll develop a treatment that naturally brings out your inner strengths while building resilience and healing emotionally.

I’m a clinical psychologist that thinks outside of the box. I have a creative and passionate approach that focuses on healing emotions while also considering life situations and neurobiological mechanisms.

Expertise

Obsessive-Compulsive Disorder (OCD)

OCD symptoms can cause a great deal of distress and pain as they are often so overwhelming.
When treating OCD, I understand the importance of providing my patients with an open, non-judgemental and empathetic environment to discuss their symptoms. Many people with OCD may feel embarrassed or ashamed about their intrusive thoughts and compulsions, and some people may even feel traumatised by them. My approach to treating OCD is to help my patients understand that these symptoms aren’t related to their identity; they’re simply a result of a dysfunctional stress response.

I have helped many people with OCD overcome intrusive thoughts by systematically breaking down the root cause and reducing the overwhelming emotional response. Often, I find a combination of Exposure Response Prevention (ERP) and Cognitive Behavioural Therapy (CBT) can be helpful, as these approaches aim to separate one’s mind from the distressing thoughts caused by the brain. These approaches also address the safety-seeking behaviours (compulsions) that develop as coping mechanisms for the anxiety caused by the intrusive thoughts. Breaking the cycle between intrusive thoughts, compulsions, and negative emotions subsequently leads to relief, a reduction in stress levels and the ability to overcome these symptoms with kindness and compassion for oneself.

 

Borderline Personality Disorder (BPD)

Helping people with BPD is incredibly rewarding as they are very emotionally intelligent, loyal and loving individuals. Unfortunately, many people with BPD suffer from overwhelming and intense emotions that they find difficult to control. Through my extensive experience working with this condition, I often find that this is due to people with BPD being highly sensitive to detecting threats, especially in perceived rejection or abandonment.

When people come to me for help with their BPD symptoms, my first goal is to make sure that they feel entirely accepted as they are. People with BPD may have unintentionally developed unhelpful communication or attachment styles due to their intense emotions. Discussing these in an open, honest and non-judgemental environment is crucial for the healing process to begin.

Family or couple therapy (systemic therapy) is also extremely helpful in improving symptoms of BPD. I believe that psychoeducation (psychological education) about BDP is vital for family members or partners, improving their understanding of BPD communication styles and behaviours. Improving understanding and communication leads to better relationships and awareness of what may trigger BPD symptoms.

Once patients begin therapy for BPD, their emotions become easier to manage, and they gain confidence in exploring and experiencing situations without fear. This feeling of safety enables them to enjoy things fully and engage with the world in a more meaningful way.

 

Addictions

After becoming sober, the first three months are a crucial period where therapeutic support can substantially reduce the risk of relapse. People suffering from addictions often experience a distorted perception of reality, where they may be in denial about the severity of their addiction or rationalise their use of addictive substances. Relapse can occur even after someone has successfully been sober for many years.

If you are concerned about a loved one suffering from an addiction, this can be extremely distressing because often people with addictions don’t want help. My extensive experience working in addiction rehabilitation centres has demonstrated that social, emotional and environmental triggers need to be considered during therapy, to reduce the risk of relapse.

When it comes to treating addiction, I take a neurobiological approach to treating the symptoms while also addressing its underlying psychological root cause. I favour psychotherapeutic approaches that are based on changing neurotransmitters in the brain, as these are the most effective techniques for overcoming cravings and urges, to promote long-term recovery.

My approach to therapy and treatment plans

Therapy

I believe therapy enhances one’s unique strengths and builds confidence by increasing self-awareness. I fully support my patients on their journey to overcome their mental health symptoms to feel encouraged to understand their internal conflicts and strengths. I help my patients make changes or recognise unhelpful patterns of thought and behaviour, without causing them distress or rejection feelings.

My approach to therapy is adaptive and flexible, I’m compassionate and understanding, but I also challenge my patients when I see they are ready for change. Helping patients to identify, experience, accept, make sense of, and manage their emotions is critical in the therapeutic process.

Another pivotal step is to help clients to become aware of the conflict between two principles in our psyche: the part of us that wants us to remain the same, to hold on to what is familiar, to maintain the status quo; and the other principle that drives us to change, to progress and evolve towards become the best version of ourselves.

 

Treatment plans

When creating a treatment plan, I combine my knowledge of clinical psychology and neurobiological mechanisms to provide treatment that is tailored to the individual and their symptoms. I believe the best way to help people is to consider both biological factors about the condition and life situations, which includes personality traits, life circumstances and social support.

I have experience using various psychological approaches, so I tailor my therapeutic approach according to the needs of the patient. Some of the approaches I use most often include:

  • Cognitive Behavioural Therapy (CBT)
  • Dialectic Behavioural Therapy (DBT)
  • Acceptance Commitment Therapy (ACT)
  • Developmental or Schema Therapy
  • Family or couple therapy (systemic therapy)

I believe medication can compliment therapy because it can help clients become stable and improve their symptoms to get the most out of treatment. Medication can be beneficial if there is a neurobiological impairment in the brain, such as addiction or obsessive-compulsive disorder (OCD). Sometimes medication can also be helpful if emotions are too intense to be processed, resulting from trauma or borderline personality disorder (BPD).

Training and education

I’m a registered Clinical Psychologist, with over sixteen years of clinical experience. I’ve been registered as a psychologist with the British Psychology Society since 2003 and the Portuguese Society of Health Psychology and the Spanish International Union of Psychological Science.

I’m currently working as a Consultant Psychologist in two medical centres in Marbella, Spain, while also offering private online consultations. I completed my Psychology and Masters Degree in 2005 in Portugal, followed by post-graduate training in Counseling in Kent in 2006 and post-graduate training in Neurofeedback in Spain in 2011. I’m currently completing another post-graduate certification in EMDR.

In 2004, I had the privilege of working at PROMIS Clinic in the UK for over ten years, specialising in addiction rehabilitation. While working with PROMIS, I opened and managed new medical centres in Marbella, Madrid and Portugal. In 2010, I opened the Neurofeedback NeurOptimal in Portugal, which I co-founded with NeuroBonding, a clinic dedicated to mental health with diverse approaches.

In 2014, I was headhunted to work as the head psychologist at Cortijo Care, a psychiatric hospital in Marbella. During my time here, I implemented clinical strategies, approaches, and the psychology department’s therapeutic programme.

Conditions I treat

Obsessive-Compulsive DisorderPersonality disorders (such as Borderline Personality Disorder)Drug addictions Alcohol addictionBehavioural addiction (gambling, internet, shopping, sex, etc.)Anxiety disordersDepressionBipolar disorder Trauma and complex traumaPost-traumatic stress disorder (PTSD)Attention-deficit hyperactivity disorder (ADHD) and attention deficit disorder (ADD)Eating disordersLow self-esteemLoss and grief

My personal interests

I’m originally from Portugal, and I moved to Spain to become a Clinical Psychologist. Before I started studying psychology, I initially completed a philosophy degree. However, I realised I loved helping an understanding people, so I soon decided to pursue my passion for psychology as a career.

I currently live in Marbella, where you can often find me walking in the mountains with my dogs. I believe being in nature has a powerful and calming effect on my mental health, so I try to encourage my patients to find activities outdoors that they will also enjoy.

When I am not working, I enjoy going out for meals with my partner, listening to music, going to shows and concerts, or making travel plans.

Fees

Please contact us for more information

Private medical insurance

I am recognised by all major insurance companies including Aviva, Cigna, Pru Health, Allianz, Bupa International, WPA, Simplyhealth. Please note I am not registered with BUPA UK and AXA PPP.

Patient success stories

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Hannah Cartwright

I’m Hannah Cartwright, a Registered Associate Nutritionist (ANutr) certified with the Association for Nutrition, UK. I hold a Masters degree in Human Nutrition, Bachelor degree in Psychology, and have completed accredited nutritional counselling courses in Disordered Eating and Body Image.

Conditions I treat:

Disordered eatingEmotional eatingBody imageOptimising gut healthDigestive symptomsIrritable bowel syndromeFood intolerancesNutritional deficienciesWeight managementDiet optimisationFitness goalsNutrition for runners and preparing for marathonsHormonal imbalancesMenopause

I believe nutrition is about nourishing your body with the food you enjoy and embracing a healthy way of living so you can live your life to the fullest.

Fees

First consultations: £200 (1 hour)

Follow-up consultations: £170 (1 hour)

Dr Maria M. Herves

I am a General Psychiatrist with great interest in childhood and adolescence psychiatry. I have been working specifically in this field over the last 10 years. I believe that supporting mental health at early stages in life can prevent it from developing further into more persistent difficulties in adulthood.

Conditions I treat:
ADHDAnxietyAutismBehaviour problemsBipolar disorderChronic painComplex trauma and PTSDDBT(Dialectical behaviour therapyDepressionEmotional DysregulationFamily workFibromyalgiaMemory problemsOCDPanic AttacksParentingPersonality DisordersPsychosisPsychosomaticSchool bullying and cyberbullyingSleep problems

I regard the patient as the product, not the problem. They are a result of their environmental, genetic and social influences, all of which can be addressed and supported with professional help.

Fees
First Consultation:
£580
(1 hour)
First Consultation:
£870
(1.5 hours)
First Consultation:
£1145
(2 hours)
Follow-up consultations:
£290
(30 min)
Follow-up consultations:
£385
(40 min)
Follow-up consultations:
£580
(60 min)

Dr Nagore Benito

I am a General Adult Psychiatrist with extensive experience in the diagnosis and treatment of most mental health conditions. I offer a person-centered and holistic approach.

Conditions I treat:
ADHDAnxietyBDDBipolar disorderDepression OCDPanic AttacksPsychosisSleep problemsTrauma & PTSD

The best six doctors anywhere, and no one can deny it are sunshine, water, rest, and air, exercise and diet. These six will gladly you attend If only you are willing Your mind they’ll ease Your will they’ll mend And charge you not a shilling
– Nursery rhyme quoted by Wayne Fields, What the River Knows, 1990

Dr Jonathan Garabette

I am a Psychiatrist specialising in General Psychiatry and Medical Psychotherapy.
I treat most mental health difficulties and offer a range of approaches including medication, psychological therapies and lifestyle modification.

Conditions I treat:
Addictions AnxietyBDDBipolar disorderBorderline Personality DisorderComplex TraumaDepersonalisationDepression Eating DisordersInsomniaOCDSleep problemsPanic AttacksPsychosisTrauma & PTSD

I always try to focus on understanding you as a whole person and how any symptoms, problems and diagnoses affect you, your life and what is important to you.

Fees
Initial Consultation:
£1160
(2 hours)
Initial Consultation:
£870
(1.5 hours)
Follow-up Consultation:
£580
(1 hour)
Follow-up Consultation:
£290
(30 min)

Dr Srinvas Lanka

I am a Consultant Psychiatrist specialising in Adult Psychiatry and Neuropsychiatry. I treat a wide variety of mental health and emotional conditions and have specialist expertise in managing complex and long term conditions.

Conditions I treat:
ADHDAutismAddictions AnxietyBDDBipolar disorderBrain inuryBehaviour problemsChronic painDepression Eating DisordersFibromyalgiaMemory problemsOCDPanic AttacksPersonality DisordersPsychosisSleep problemsTrauma & PTSD

I try to understand your treatment goals, values, limitations and preferences, so we can personalise your treatment using the best approach that gives you sustained recovery.

Fees
ADHD Initial Consultation:
£1160
(2 hours)
Initial Consultation:
£870
(1.5 hours)
Follow-up Consultation:
£290
(30 min)
Follow-up Consultation:
£580
(1 hour)

Dr Lara Lavadiño

I am a General Adult Psychiatrist specialised in Adult, Child and Adolescent Psychiatry. I have specialist expertise in managing complex and long term conditions. I am an EMDR (Eye Movement Desensitization and Reprocessing) certified psychotherapist also integrating Cognitive-Behavioural Therapy (CBT), Systemic Therapy and Psychodynamic Psychotherapy principles.

Conditions I treat:
ADHDAnxietyAutismBDDBehaviour problemsBrain injuryChronic fatigueChronic painDepressionDissociationFibromyalgiaLearning DisabilityOCDPanic AttacksPanic/AgoraphobiaParentingPerformance anxiety in Music, Acting and SportsPerinatal PsychiatryPersonality DisordersPsychosisSleep problemsSocial phobiaTinnitus and VertigoTrauma & PTSD

I believe in a positive psychiatry approach, empowering both children and adults to overcome any difficulties by providing education and support on their condition, along with a holistic and personalised treatment plan.

Fees
First Consultation:
£475
(1 hour)
First Consultation:
£720
(1.5 hours)
First Consultation:
£895
(2 hours)
Follow-up consultations:
£320
(40 min)
Follow-up consultations:
£475
(60 min)

Dr Luis Alameda

I am a General Adult Psychiatrist and a Neuroscience Researcher. I specialise in severe mental conditions including trauma. I offer an individualised intervention integrating psychotherapy and medical approaches.

Conditions I treat:
AnxietyBorderline Personality DisorderBipolar disorderBrain inuryBehaviour problemsChronic painDepression Dissociative disordersNarcissistic Personality DisorderOCDPanic AttacksPersonality DisordersPsychosisReactions to acute stressSchizophreniaSchizoaffective DisorderSleep problemsTrauma & PTSD

I believe that difficulties in managing mental health are a normal part of life and far more common than you might think. They present an opportunity to understand the problem, become more self-aware and progress on your journey.

Fees
First Consultation:
£395
(1 hour)
Follow-up consultations:
£220
(30 min)
Follow-up consultations:
£330
(45 min)

Dr Iyas Assalman

I am a Consultant Psychiatrist specialised in General Adult Psychiatry. I treat a wide variety of mental health and emotional conditions and I have an expertise in treating Adults with ADHD.

Conditions I treat:
ADHDAnxietyBDDBehaviour problemsBipolar disorderDepressionMemory problemsOCDPanic AttacksPsychosisSleep problemsTrauma and PTSD

Rather than seeing you as a diagnosis or trying to change your personality, I want to understand my patients as a whole person.

Fees
First Consultation:
£495
(1 hour)
First Consultation:
£745
(1.5 hours)
First Consultation:
£980
(2 hours)
Follow-up consultations:
£290
(30 min)
Follow-up consultations:
£385
(40 min)
Follow-up consultations:
£495
(60 min)

Dr Regina Sala

I am a caring and approachable medical doctor specializing in cognitive, behavioural and emotional well-being in children, adolescents, adults and their families. My ethos is to offer excellence of care based on evidence-based research with respect and compassion.

Conditions I treat:
ADHDAutismAddictions AnxietyAttachment difficultiesBDDBehaviour problemsBereavement, grief and lossBipolar disorderBrain injuryChronic painDepressionEating DisordersFamily TherapyFibromyalgiaIntellectual disabilityMedically unexplained symptomsOCDPanic AttacksPersonality DisordersPsychosisPsychosomatic symptomsSleep problemsSocial communication disorderSpecific learning disordersTics and Tourette’s syndromeTrauma & PTSD

I see my patients as human beings and aim to foster a sincere and relaxed environment so that we can build trust during our sessions. I believe in a positive body-mind integration with neuroscience’s principles to empower self-awareness, resilience and personal growth

Fees
First Consultation:
£475
(1 hour)
First Consultation:
£720
(1.5 hours)
First Consultation:
£895
(2 hours)
Follow-up consultations:
£320
(40 min)
Follow-up consultations:
£475
(60 min)

Dr Dinesh Kumar

I’m Dr Dinesh Kumar and I am a Consultant Psychiatrist with over 20 years of clinical experience, gained while working in Australia, NHS and private sector.

Conditions I treat:
ADHDAnxietyPTSDBipolar disorderPhobiasDepression OCDSchizophreniaPsychosisPanic disordersPersonality disorder
When developing your personalised treatment plan, my goal is to help you as a person rather than a patient, so that you can achieve your full potential.
Fees
ADHD Initial Consultation:
£985
(2 hours)
Initial Consultation:
£495
(60 min)
Follow-up Consultation:
£245
(20 min)
Follow-up Consultation:
£290
(30 min)
Follow-up Consultation:
£345
(40 min)
Follow-up Consultation:
£495
(60 min)
Follow-up Consultation:
£745
(90 min)
Follow-up Consultation:
£985
(120 min)

Dr Triveni Joshi

I am a Consultant Psychiatrist specialising in Child and Adolescent Psychiatry with over 15 years clinical experience. I treat a wide variety of mental health and emotional conditions with an emphasis on holistic treatment and working with parents/carers.

Conditions I treat:
ADHDAngerAnxietyAutismBDDBipolar disorderBehavioural difficultiesDepression Emerging Personality DisordersOCDPanic AttacksParentingPsychosisSleep problemsTrauma & PTSD

I love to work with children. I wholeheartedly believe that early intervention is one of the best ways to successfully manage long term mental health problems.

Fees
First Consultation:
£475
(1 hour)
First Consultation:
£720
(1.5 hours)
First Consultation:
£895
(2 hours)
Follow-up consultations:
£320
(40 min)
Follow-up consultations:
£475
(60 min)

Lynn Gruwez

I’m a Clinical Psychologist with experience across a range of mental health conditions. My goal as a therapist is to see each person as someone unique and human. I seek to understand in depth the nature of any mental health symptoms so that I can flexibly and creatively adapt therapy to suit your circumstances.

Conditions I treat:
ADHDAddictions AnxietyBDDBipolar disorderBehaviour problemsChronic painDepression Eating DisordersFibromyalgiaOCDPanic AttacksSleep problemsTrauma & PTSD

I believe in a holistic, non-judgemental approach where clients have the space and freedom to share their fears without constraint. I have a strong interest and passion for Mindfulness.

Fees

Please contact us for more information

Dr Jonathan Garabette

I am a Psychiatrist specialising in General Psychiatry and Medical Psychotherapy. I treat most mental health difficulties and offer a range of approaches including medication, psychological therapies and lifestyle modification.
Conditions I treat:
Depression and Dysthymia​Depression and Dysthymia​Depression and Dysthymia​

I always try to focus on understanding you as a whole person and how any symptoms, problems and diagnoses affect you, your life and what is important to you.

Fees
First Consultation:
£475
(1 hour)
First Consultation:
£720
(1.5 hours)
First Consultation:
£895
(2 hours)
Follow-up consultations:
£275
(30 minutes)
Follow-up consultations:
£320
(40 minutes)
Follow-up consultations:
£475
(60 minutes)

Dr Ana Tsakiri

My Trauma-informed practice and holistic therapeutic approach aims to support children during periods of acute crisis but also help them with long standing emotional and behavioural difficulties. I work with families to understand how adversity and trauma has impacted a child’s world causing emotional and mental health difficulties as well as physical symptoms. I am also a Consultant Psychiatrist specialised in Interventional Psychiatry with TMS therapy for young people with resistant emotional difficulties and severe depression.

Conditions I treat:
ADHDAnxietyAutismBehavioural problemsBDDBipolar disorderBrain inuryComplex TraumaDepression Eating DisordersEmotional Difficulties Family workInterpersonal relationship problemsOCDPanic AttacksParental Psychoeducation about Mental Health DisordersPersonality DisordersPhychosomatic symptomsPsychosisPTSDSleep problems

The aim is always for your child to overcome the negative influence of the experience, redefine how they feel and rebuild their confidence

Fees
First Consultation:
£395
(1 hour)
First Consultation:
£650
(1.5 hours)
First Consultation:
£790
(2 hours)
Follow-up consultations:
£245
(30 min)
Follow-up consultations:
£295
(40 min)
Follow-up consultations:
£395
(60 min)

Alexandra Madureira

I’m a Clinical Psychologist who thinks outside the box. I have a creative and passionate approach that focuses on healing emotions while also considering life situations and neurobiological mechanisms.

Conditions I treat:
ADHDAddictions AnxietyBDDBipolar disorderBrain inuryBehaviour problemsChronic painDepression Eating DisordersFibromyalgiaMemory problemsOCDPanic AttacksPersonality DisordersTrauma & PTSD

I believe feeling safe is a prerequisite for change and therefore I focus on making people feel comfortable, so they can gain the courage to face and break unhelpful psychological patterns.

Fees

Please contact us for more information

Gemma Luke

My name is Dr Gemma Luke, a consultant clinical psychologist. I have been working in the field of mental health for over 20 years, and as a qualified clinical psychologist since 2011.

Conditions I treat:
Self-HarmAddictions AnxietyBDDBipolar disorderBehaviour problemsDepression Eating DisordersOCDPanic AttacksPersonality DisordersTrauma & PTSDOffending behaviour (domestic, violent, and sexual abuse)Behavioural issues

I am passionate about promoting positive mental health and strive to work holistically with both mind and body to help my clients achieve lasting change.

Fees

Initial consultations: £245 (1 hour)

Follow-up consultations: £245 (1 hour)

Dr Alberto Pertusa

I have a strong interest in behaviour modification, lifestyle optimisation and the use of self-quantification as a way to foster wellbeing and increase performance.

Conditions I treat:
ADHDAddictionsAnxietyBinge EatingOCDOrthorexiaSleep problems

I always strive to provide the highest standards of care to all my patients.
I endeavour to offer personalised and bespoke treatment in order to meet your specific needs