Antonia Macaro

Antonia Macaro


About me

I am an existential psychotherapist and coach.

I have over 20 years experience and offer sessions to help you to:

• explore what really matters and what is holding you back

• think through dilemma and decisions

• get to know yourself better

• make realistic decisions, which take into account opportunities and limitations, and implement them

I believe you can make sound decisions and start moving towards goals only when you’ve clarified what really matters and resolved any ambivalence, so I work with both inner exploration and problem-solving to clarify your values, ways of thinking, assumptions, hidden contradictions. I aim to give you the opportunity to talk things through and grapple with your inner life to find the way forward, then help you to take appropriate the next steps and work on stumbling blocks.

I have also been influenced by Solution-Focused Brief Therapy, Acceptance and Commitment Therapy and philosophical counselling. My precise approach depends entirely on the client and issue.

I work flexibly and offer one-off consultations, short-term or longer-term work.

Training, qualifications & experience

I originally trained as an existential psychotherapist at Regents College London, with Emmy Van Deurzen and Ernesto Spinelli. I then worked as a drugs and alcohol counsellor for many years, during which time I developed more cognitive-behavioural and practical ways of working (such as Solution-Focused Brief Therapy), focusing on helping people to resolve their ambivalence and move towards appropriate goals, looking ahead to counter any obstacles and dealing with relapses.

Later I studied philosophy and I was involved with the philosophical counselling movement since its early days in the UK. Philosophical counselling is an exploration of the concepts and values that implicitly or explicitly make up our worldview, and can be used to clarify what really matters in life or examine the different aspects of a moral dilemma, with the aim of living a meaningful and flourishing life. I have a particular interest in decision-making.

More recently I have become interested in Acceptance and Commitment Therapy, which uses mindfulness skills to manage our inner experience so we are better able to move in a valued direction however we may happen to be feeling. I have received training in this model as well as Mindfulness-Based Relapse Prevention. I have received training in this model as well as Mindfulness-Based Relapse Prevention.

I am the author of Reason, Virtue and Psychotherapy (John Wiley, 2006) and co-author of The Shrink and the Sage (Icon, 2012).

Member organisations

Registered / Accredited


Accredited register membership

Other areas of counselling I deal with

Finding meaning
Life review

Maps & Directions

Bristol, BS6

Type of session

Online counselling: Yes
Telephone counselling: No
Face to face counselling: Yes

Practical details

Sign language: No
Other languages: None
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