
English-Speaking Therapy in Lisbon
In-person, walking and online sessions for high-achieving people who are tired of managing themselves.
In-person, walking and online sessions for high-achieving people who are tired of managing themselves.
Nicola McAdam, UK-Registered Psychotherapist (BACP Registration no: 423139).
Nicola McAdam, UK-Registered Psychotherapist (BACP Registration no: 423139).
You’ve built a career and a reputation for being capable. Yet something keeps repeating: a behaviour pattern that’s impacting on your happiness, struggles with food, perfectionism that never lets you rest, or habits in work and relationships that follow you from one chapter to the next.
You’ve built a career and a reputation for being capable. Yet something keeps repeating: a behaviour pattern that’s impacting on your happiness, struggles with food, perfectionism that never lets you rest, or habits in work and relationships that follow you from one chapter to the next.
I offer confidential one-to-one therapy in English, in person at my therapy space in central Lisbon, walking therapy on the beach, and online.
I offer confidential one-to-one therapy in English, in person at my therapy space in central Lisbon, walking therapy on the beach, and online.
Who I work with
I work with successful, self-aware adults whose difficulties run deeper than “a bit of stress.”
I work with successful, self-aware adults whose difficulties run deeper than “a bit of stress.”
I completed clinical hours with an NHS commissioned organisation in the UK specialising in eating disorders and disordered eating: restricting, bingeing, purging, over-exercising, or a preoccupation with food or your body that quietly runs your day.
I completed clinical hours with an NHS commissioned organisation in the UK specialising in eating disorders and disordered eating: restricting, bingeing, purging, over-exercising, or a preoccupation with food or your body that quietly runs your day.
I also work with:
I also work with:
Attachment trauma. Early experiences that still shape how you feel, relate and cope.
Neurodivergence. ADHD or autism, diagnosed or suspected, and the exhaustion of masking in a demanding career. (I offer therapy, not diagnostic assessment).
Perimenopause & PMDD. The emotional and psychological challenges including mood, identity and how you relate to your body.
Long-standing emotional and relationship patterns that persist however much you achieve.
These often overlap, so I look at the whole picture rather than one label in isolation.
These often overlap, so I look at the whole picture rather than one label in isolation.
Why my MindVibes approach is different

I spent years as a corporate leader, then six years as a health coach, before training as a therapist. I understand how achievement can hide distress and take a holistic approach to my work.
I spent years as a corporate leader, then six years as a health coach, before training as a therapist. I understand how achievement can hide distress and take a holistic approach to my work.
I’ve worked alongside psychiatrists supporting patients with complex, co-occurring personality presentations and personality disorders. I’m trained in Person Centred Therapy, Transactional Analysis and CBT-E (the gold-star, evidence-based treatment for eating disorders recommended by NICE guidelines, developed by British psychiatrist Dr Christopher Fairburn at the University of Oxford). As an integrative therapist I also work with Schema Therapy, Experiential Psychotherapy and Gestault.
I’ve worked alongside psychiatrists supporting patients with complex, co-occurring personality presentations and personality disorders. I’m trained in Person Centred Therapy, Transactional Analysis and CBT-E (the gold-star, evidence-based treatment for eating disorders recommended by NICE guidelines, developed by British psychiatrist Dr Christopher Fairburn at the University of Oxford). As an integrative therapist I also work with Schema Therapy, Experiential Psychotherapy and Gestault.
I overcame a severe eight-year eating disorder myself. I’m also diagnosed with ADHD and PMDD. I don’t bring these into sessions unless it helps you, but it shapes how I work: without judgement, and with respect for how hard repetitive behavioural patterns and creating change can feel.
I overcame a severe eight-year eating disorder myself. I’m also diagnosed with ADHD and PMDD. I don’t bring these into sessions unless it helps you, but it shapes how I work: without judgement, and with respect for how hard repetitive behavioural patterns and creating change can feel.
How we can work together
In person in central Lisbon: Rua. Correia Garção 11, 1200-661 Lisboa
In person in central Lisbon: Rua. Correia Garção 11, 1200-661 Lisboa
Online (globally) by secure video.
Online (globally) by secure video.
Walking therapy on the beach and scenic walks in Cascais and Lisbon.
Walking therapy on the beach and scenic walks in Cascais and Lisbon.
Sessions: £90 per 50 minute session booked in blocks of 4. Please note that pricing differs from my coaching programmes as therapy takes a different approach and is a longer ongoing process with pricing to reflect this.
Sessions: £90 per 50 minute session booked in blocks of 4. Please note that pricing differs from my coaching programmes as therapy takes a different approach and is a longer ongoing process with pricing to reflect this.
Cancellation: 48 hours’ notice is needed to cancel or move a session without charge. Full terms are available via the Website policies link in the footer.
Cancellation: 48 hours’ notice is needed to cancel or move a session without charge. Full terms are available via the Website policies link in the footer.
What to expect: a free introductory online call to see if we’re a good fit, then an assessment session followed by weekly therapy.
What to expect: a free introductory online call to see if we’re a good fit, then an assessment session followed by weekly therapy.
Frequently asked questions
Do you offer therapy in English in Cascais and Lisbon?
Do you offer therapy in English in Cascais and Lisbon?
Yes. As a UK-registered therapist, all sessions are in English, in person, on a walk or online.
Yes. As a UK-registered therapist, all sessions are in English, in person, on a walk or online.
Do you treat eating disorders?
Do you treat eating disorders?
Yes. If you’re medically unwell, you’ll also need a doctor involved, and I’ll help you work out the right team.
Yes. If you’re medically unwell, you’ll also need a doctor involved, and I’ll help you work out the right team.
I’m a high performer and I hide it well. Is therapy for me?
I’m a high performer and I hide it well. Is therapy for me?
Often, yes. Many people who seek therapy would never be guessed to be struggling.
Often, yes. Many people who seek therapy would never be guessed to be struggling.
Is it confidential?
Is it confidential?
Yes, within the limits of safety, which I’ll explain clearly before we begin.
Yes, within the limits of safety, which I’ll explain clearly before we begin.
How do I complain if something goes wrong?
How do I complain if something goes wrong?
Please raise it with me first and I will respond in writing. As a BACP Registered Member, I work within the BACP Ethical Framework, and you can also contact the BACP.
Please raise it with me first and I will respond in writing. As a BACP Registered Member, I work within the BACP Ethical Framework, and you can also contact the BACP.
If you’re in crisis or medically at risk, call 112 in Portugal or 999 in the UK or go to your nearest emergency department.
If you’re in crisis or medically at risk, call 112 in Portugal or 999 in the UK or go to your nearest emergency department.
Book your free introductory call
Contact me
All therapeutic services are rendered under the legal jurisdiction of England & Wales.
All therapeutic services are rendered under the legal jurisdiction of England & Wales.
Contact me
If you have a question before booking an introductory call, you’re welcome to get in touch.
nicola@mindvibes.io
+44 7584 658610
Please keep your message brief and avoid sharing sensitive medical details. This form is not for emergencies.