Antonia Macaro

Bristol, BS1
Registered / Accredited

About me

I am an existential therapist with over 20 years’ experience and I offer a reflective, supportive dialogue to help you to understand yourself better, clarify what matters, identify what needs to change and start taking steps towards authentic goals, dealing with obstacles constructively.

Maybe you feel that something needs to change in your life but you are not sure how to move forward and could do with some help in clarifying things. Maybe you’re going through a life transition, or would like a change of direction; or you feel you’re not quite being the person you’d like to be; or you are struggling with a difficult decision.

I believe that to lay the foundations for lasting change we need to start by understanding ourselves, our experience of being alive and our values. This needs to go hand in hand with finding strengths, solutions and practical ways forward. This is why I combine existential therapy and philosophy with more action-based approaches, such as Solution-Focused Brief Therapy and Acceptance and Commitment Therapy. My precise approach depends entirely on the client and issue.

The first step is to arrange an initial session to look at the issues and the best way forward. This is a full session, and my hope is that you will have something constructive to take away from it anyway. If we decide to keep working together, our sessions will be tailored to you and your needs. Focus, length of sessions and timescale are flexible.

Training, qualifications & experience

I trained as an existential psychotherapist at Regents College London, with Emmy Van Deurzen and Ernesto Spinelli. I have an MA in philosophy and I was involved with the philosophical counselling movement since its early days in the UK. I have a particular interest in decision-making, moral dilemmas and ‘weakness of will’.

The more cognitive-behavioural and practical slant to my approach was developed initially by working as a drugs and alcohol counsellor for many years, when I received trainings in Motivational Interviewing and Solution-Focused Brief Therapy.

I am committed to CPD and have attended recent trainings in: cognitive-behavioural coaching, health and wellbeing coaching (Centre for Coaching, London); Acceptance and Commitment Therapy; Mindful Self-Compassion.

I am currently particularly 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 no matter how we happen to be feeling.

I am the author of: Reason, Virtue and Psychotherapy (John Wiley, 2006) and More Than Happiness: Buddhist and Stoic Wisdom for a Sceptical Age (Icon, 2018). I am co-author, with Julian Baggini, of The Shrink and the Sage (Icon, 2012) and Life: a User’s Manual (Ebury Press, 2020).

Member organisations

Registered / Accredited

Registered / Accredited

Being registered/accredited with a professional body means an individual must have achieved a substantial level of training and experience approved by their member organisation.


UK Council for Psychotherapy

The UK Council for Psychotherapy (UKCP) is a leading professional body for the education, training and regulation of psychotherapists and psychotherapeutic counsellors. Its register is accredited by the government's Professional Standards Authority.

As part of its commitment to protect the public, it works to improve access to psychotherapy, to support and disseminate research, to improve standards and to respond effectively to complaints against its members.

UKCP standards cover the range of different psychotherapies. Registration is obtained by training or accrediting with one of its member organisations, or by holding a European Certificate in Psychotherapy. Accredited by the Professional Standards Authority.

Accredited register membership

UK Council for Psychotherapy

Accredited Register Scheme

The Accredited Register Scheme was set up in 2013 by the Department of Health (DoH) as a way to recognise organisations that hold voluntary registers which meet certain standards. These standards are set by the Professional Standards Authority (PSA).

This therapist has indicated that they belong to an Accredited Register.

Other areas of counselling I deal with


Personal development

Philosophical counselling

Therapies offered

  • Acceptance and commitment therapy (ACT)
  • Compassion-Focused Therapy
  • Existential therapy
  • Solution focused brief therapy


£60 per session (including the first, which is a full session).

Concessions offered for

  • Low income
  • OAPs
  • Unemployed

Type of session

In person
Home visits

Practical details

Sign language
Other languages None

Types of client

Older adults
Antonia Macaro

Antonia Macaro