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Psychotherapy in English in São Paulo and Online
A thoughtful space to understand what you are going through and create new possibilities
You may appear to be functioning well while privately dealing with anxiety, exhaustion, low mood, loneliness, or a growing sense of disconnection from yourself.
Perhaps you understand many of your patterns intellectually, yet still find yourself repeating them in relationships, struggling to set boundaries, or making choices that no longer reflect what you want.
Psychotherapy offers a confidential space to slow down and look more closely at your experiences. Together, we can explore how your history, relationships, body, social context, and present circumstances shape the way you feel and participate in your own life.
I offer psychotherapy in English for adults in São Paulo and online, with an active, affirming, and non-judgmental approach.
When might psychotherapy be helpful?
You do not need to wait until things become unbearable before seeking therapy.
Some people begin psychotherapy during a specific crisis. Others arrive after spending a long time quietly managing anxiety, sadness, exhaustion, or relationship difficulties while continuing to meet their daily responsibilities.
Therapy may be helpful if you:
▪️feel that anxiety is taking up too much space in your life;
▪️experience persistent worry, panic attacks, or difficulty resting;
▪️feel emotionally exhausted, irritable, discouraged, or disconnected;
▪️have lost interest in things that once felt meaningful;
▪️recognize recurring patterns in your relationships;
▪️struggle to set boundaries or identify what you genuinely want;
▪️are going through a breakup, grief, relocation, or major life transition;
▪️are adjusting to life in Brazil or living between different cultures;
▪️are exploring questions related to identity, gender, sexuality, or belonging;
▪️want to understand your history and create changes that feel deeper and more sustainable.
Living between languages and cultures
Living in another country can be exciting and deeply transformative. It can also involve isolation, cultural disorientation, changes in identity, and the loss of familiar forms of connection.
Even when relocating was a desired choice, you may still grieve aspects of the life you left behind. Everyday tasks can require more effort, relationships may be affected by cultural differences, and it may become difficult to know where you truly belong.
Therapy can provide a place to think about these experiences without treating cultural adjustment as a purely individual responsibility.
You may choose to speak entirely in English or move between English and Portuguese during your sessions. You do not need perfect fluency. What matters is being able to use the language that allows you to express each experience most naturally.
Anxiety, depression, and emotional exhaustion
Anxiety can appear as persistent worry, fear that something will go wrong, difficulty switching off, physical tension, panic attacks, or the need to anticipate and control every possible outcome.
Depression may involve sadness, loss of interest, low energy, irritability, isolation, or the feeling that even ordinary responsibilities have become unusually heavy.
In therapy, we do not look only at symptoms. We also consider the experiences, relationships, expectations, working conditions, and social pressures that may be producing or sustaining your distress.
The aim is not simply to help you function more efficiently under difficult circumstances. It is to understand what is happening and create more viable ways of living, relating, and making choices.
Relationships and recurring patterns
Relationship difficulties can involve fear of abandonment, emotional dependence, jealousy, recurring conflict, difficulty setting boundaries, or a sense of becoming trapped in the same dynamics with different people.
You may already understand why certain patterns exist and still find them difficult to change.
Psychotherapy can help you recognize how these ways of relating were formed, what keeps them in place, and which other possibilities may gradually become available.
I work without assuming that one model of relationship is appropriate for everyone.
Monogamous and non-monogamous relationships, different family structures, and diverse ways of experiencing intimacy can be discussed without moral judgment.
An active and socially aware approach to therapy
My practice is informed by Schizoanalysis and by an expanded understanding of clinical care.
This means that emotional suffering is not viewed as something that exists only inside the individual. We also consider your personal history, relationships, body, daily life, working conditions, cultural context, and the social forces that shape your experience.
Therapy is not about fitting you into a fixed diagnosis or an ideal model of how a person should live. It is a collaborative process of understanding what has constrained your life and exploring possibilities that are more consistent with your values and desires.
My participation is active. I listen carefully, ask questions, share observations, and help you notice patterns and connections that may be difficult to see from within the situation.
Affirming and anti-racist psychotherapy
My practice is affirming, anti-racist, and committed to human rights and to the diversity of ways in which people live, relate, and build their identities.
I welcome LGBTQIA+ clients, people from different cultural and racial backgrounds, people in non-monogamous relationships, and anyone who has previously felt misunderstood, judged, or pathologized in healthcare settings.
This commitment means that white, heterosexual, cisgender, monogamous, or socially privileged experiences are not treated as universal standards of health or normality.
Questions involving identity, sexuality, migration, racism, discrimination, belonging, family, and relationships can be explored with care, political awareness, and without moral judgment.
How does psychotherapy work?
▪️Sessions last 50 minutes.
▪️They usually take place once a week at a regular agreed time.
▪️Sessions may be held online or in person in São Paulo.
▪️Online sessions are conducted by video call.
▪️You will need a stable internet connection and a private place where you feel comfortable speaking.
▪️Sessions may be conducted in English, Portuguese, or a combination of both.
▪️The fee for individual online psychotherapy in English is BRL 300 per session.
▪️Payment may be made by Pix or Wise.
The first step is to contact me on WhatsApp. We can discuss your needs, available times, language preferences, and whether online or in-person sessions would be the most suitable option.
In-person psychotherapy in São Paulo
In-person sessions may be available at two locations in São Paulo. Appointments at either location are subject to schedule and consulting-room availability and must be arranged in advance.
Santana – North Zone
Espaço Varappe Santana
Rua Voluntários da Pátria, 2468
Santana, São Paulo – SP
Approximately 450 metres from Santana Metro Station.
Perdizes – West Zone
Espaço Varappe Perdizes
Avenida Antártica, 675, Suite 906
Água Branca, São Paulo – SP
05003-020
Near Bourbon Shopping Centre, West Plaza, and Allianz Parque. Approximately 1.4 km from Palmeiras–Barra Funda Station.
In-person appointments at both locations are subject to availability.
Who you'll be working with
I am Letícia Léos, a clinical psychologist trained at São Paulo State University – UNESP, with six years of clinical experience working with adults.
My work focuses particularly on anxiety, depression, panic attacks, emotional exhaustion, relationship difficulties, and questions involving identity, gender, sexuality, and belonging.
My clinical practice is informed by Schizoanalysis, Social Psychology, gender and sexuality studies, and ongoing study of intersectional affirmative care.
I offer an attentive and participatory therapeutic relationship, with respect for the complexity of your history and the social conditions that shape your experience.