Frequently asked questions

No. I am a psychologist registered with the Brazilian Federal Council of Psychology under CRP 03/22210, and I work from Brazil. Sessions are delivered remotely under Brazilian professional regulation and law, which permits serving clients located abroad when they agree to that arrangement. This is not a licensed health service in any U.S. state, and it does not replace care from a provider licensed where you live. I'd rather be plain about this than have you find out later.

I hold dual Brazilian and American nationality and work in both languages. Most of my English-speaking clients are Brazilians and Portuguese speakers living abroad, and people of other nationalities who can work in Portuguese or English. If you need a provider who can coordinate with a U.S. medical team, bill insurance, or write documentation recognised locally, I am not the right choice — and I'll tell you that directly.

There is a consistent body of research comparing video-based psychotherapy with in-person sessions for conditions such as anxiety and depression, and outcomes are largely comparable. What carries the work is the quality of the relationship, regularity, and method. Online is not suitable for every situation; if I judge that your case needs a different level of care, I will say so.

That question doesn't get settled by an internet quiz. ADHD is a neurodevelopmental condition: signs are present from childhood, appear across more than one area of life, and cause real impairment. Situational disorganisation usually has a beginning, a cause and an end. In assessment I rebuild that timeline with you and use standardised instruments. Formal medical diagnosis is a physician's role, and I refer when it's needed.

Whichever you prefer — Portuguese or English. Many people find it easier to talk about difficult things in their first language, and living abroad often means spending all day operating in a second one. Having the choice matters.

We agree a time that works in both places. Tell me which country you're in when you first message and I'll take the difference into account when proposing slots.

A practical test: when the difficulty has started to affect areas of your life — work, sleep, relationships — or when you've tried to sort it out alone and the pattern came back. You don't need to be in crisis or hold a diagnosis to start. Coming earlier usually makes the work shorter, not longer.

Different premises. CBT works in the present, with defined goals, session structure and work between sessions, focused on the patterns maintaining the problem now. Psychoanalysis investigates unconscious processes and personal history, with a different kind of listening and pace. Neither is superior in the abstract — they answer different questions. I work in CBT.

You describe what brought you, in your own words. I ask about your history, your current context and what you've already tried. I explain how I work, confidentiality and the practical terms. At the end I tell you what I've understood and propose a direction — and you decide whether to continue.

No. I don't record sessions and I ask that you don't either. The records I keep are clinical notes, protected by professional confidentiality and Brazilian data protection law.

The fee is given directly at first contact on WhatsApp. I don't publish prices here: Brazilian professional regulation restricts advertising fees and promotions.

Yes, with the notice we agree at the start. Regularity is part of treatment, but life happens — the terms are clear from the beginning, with no small print.

Yes. I see adolescents and adults. With adolescents the work runs on two fronts: intervention with the young person and guidance for their carers, because much of what sustains improvement happens in the home routine. Assessment uses age-appropriate instruments. For younger children I can point you towards the right kind of professional.

It means practice that integrates three things: the best available research, the clinician's experience, and the characteristics, values and preferences of the person being seen. In practice: the interventions I propose have research behind them, and I can tell you what that research is when you ask.