Kara Rosenberg

People often come to me when the way they've been living stops working quietly. From the outside things may look fine, even enviable; inside, it has become hard to recognise yourself. Many of my clients are the ones others lean on: capable at work, steady for their families, good in a crisis, and quietly exhausted by all of it. Low self-esteem hides well in capable people. Before retraining as a therapist I spent fifteen years in international finance and consulting, working at a fast pace across countries, cultures and languages. Alongside that career, I counselled men in prison. One truth kept showing up in both worlds: people can begin again from anywhere. I work integratively, which means I shape the approach around you rather than fitting you to a method. The relationship comes first, always. Alongside it I pay close attention to what happens as we talk, in the room and in the body, and where it helps, we look at where a pattern began. I have worked with clients in prison, in the NHS and now in private practice. I have a particular interest in what sits underneath the symptoms people arrive with. Anxiety, low mood, burnout and self-criticism are usually what bring someone to therapy, but in my experience they are often the surface of something quieter: a lifelong pattern of disordered eating or a difficult relationship with food and the body; the exhaustion of living with undiagnosed or late-diagnosed ADHD, and the self-blame that builds over years of feeling "why is this so hard for me"; the intrusive thoughts and quiet rituals of OCD, which my recent research explored through the lived experience of those who carry them; or the relational patterns we learn early, which shape how we love, argue, please and protect ourselves as adults. That interest extends to sex and intimacy, which is often where these patterns show themselves most clearly and are hardest to talk about: compulsive porn use that has quietly become a way of coping rather than a choice, distance or conflict in a relationship that repeats no matter who the partner is, or family dynamics that follow us long after we've left home. These things carry more shame than almost anything else people bring, and they are met here without judgement. Working at this level changes what therapy can do. Rather than only managing the anxiety or lifting the mood, we make sense of where it comes from, and the symptoms tend to loosen because the ground they grew from is finally understood. I do not diagnose; what I offer is a steady, unhurried place to explore these patterns with someone who takes them seriously. Sessions can be held entirely in English, French or Italian. We begin with a free 20-minute call to see whether we're the right fit.