- Guilt and shame
- Attachment issues
- Depression support
About Massimiliano
Massimiliano Cattafi is a counsellor registered with the British Association for Counselling and Psychotherapy (BACP) and has six years of clinical experience in the United Kingdom. He works with people facing relationship difficulties, trauma and abuse, low self-esteem, depression, and life changes. He also pays attention to problems such as abandonment, attachment issues, body image, chronic illness or pain, caregiver stress, and feelings of guilt and shame.
Massimiliano aims to help people make sense of what matters to them so they can take actions that fit their lives. In sessions he listens for the patterns that keep someone stuck and looks for practical steps people can try between meetings. He describes therapy as a place to sort through tangled thoughts and feelings, and to practice different ways of responding to hard situations.
He works in English and Italian and follows the BACP ethical framework. That means he uses accepted professional standards in how he works with clients and how he manages the counselling relationship. He does not accept international clients at this time.
People who come because of shame or guilt often bring related issues like isolation, forgiveness questions, or trouble communicating in relationships. Massimiliano helps people name those connections and test small changes to see if they shift daily life. His approach is grounded in evidence-based therapeutic techniques and focused on practical, understandable steps.
To begin, people complete a short matching questionnaire and then schedule a first session. His fee structure varies by location and uses a cancellable subscription model.
How therapeutic approaches are used in online sessions
Massimiliano draws on evidence-based therapeutic techniques to help people with relationship pain, trauma, low mood and feelings of guilt or shame. One common approach he uses focuses on identifying patterns in thoughts and behaviours, and then practising small changes to those patterns so daily life feels more manageable. Another approach helps map attachment and communication patterns, which can clarify where difficulties in relationships begin and what to try differently.Deciding which approach to use is collaborative. The therapist and client look at what matters most, what has been tried before, and what is realistic to work on now. They regularly review if the method is helping and adjust the plan together to better fit the client’s goals and preferences.
Confirm the exact online session formats before booking, as the biography does not list specific options. In general, online work can make it easier to fit sessions around work or family time, allow shorter check-ins when that suits a week, and remove travel time. Phone sessions can be useful when less bandwidth is needed, while video sessions allow face-to-face conversation and visual cues. Registered or accredited professionals can discuss which format will suit the person’s needs when arranging the first appointment.
Areas of expertise
Primary focus
Additional focus areas
Experience
6+ years
Listed in
United Kingdom
Languages
English, Italian
Frequently asked questions
What concerns does he work with?
He works with relationship difficulties, trauma and abuse, self-esteem, depression and coping with life changes, plus a range of related issues such as guilt and shame.
How does he approach guilt and shame?
He helps people name the connections between feelings and behaviour, then tests small practical steps to change how those feelings affect daily life.
How much experience does he have?
He has six years of experience working as a counsellor in the United Kingdom.
What credentials and location are listed?
He is a registered member of the British Association for Counselling and Psychotherapy (BACP) and practises in the United Kingdom.
Which languages are supported?
Sessions are offered in English and Italian.
Can people outside the UK work with him?
He does not accept international clients at this time.
How are sessions priced?
Fees vary with location and sessions use a subscription that can be cancelled at any time.
What do I do to start?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.