Doug Pazienza BA (Double Major), Dip, BSc (Hons), Reg. MBACP

Doug Pazienza  BA (Double Major), Dip, BSc (Hons), Reg. MBACP

Station Terrace
Tynemouth Metro Station
Tyne And Wear
NE30 4RE

Whitley Bay
Tyne And Wear

07956 591 647

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Station Terrace
Tynemouth Metro Station
Tyne And Wear
NE30 4RE

Whitley Bay
Tyne And Wear

07956 591 647

About me


Hello, I'm Doug Pazienza, a BACP-registered counsellor and psychotherapist at the Coast.  I operate Face2Face Counselling Service  and offer individual counselling and psychotherapy from two locations on North Tyneside.


I have a welcoming counselling room at my home in the tranquil surroundings of a farm just outside Whitley Bay.  There are photos below.  I also see clients at Swissphysio, a multidisciplinary holistic therapies centre in Tynemouth.  A weblink to my team profile can be found next to my photo above.

The farm lies beside the boundary of North Tyneside and Northumberland so it's convenient to the Seaton Valley and Blyth.  It's walkable from Whitley Lodge or Beaumont Park along the Waggonways.  I'll give you my address when we arrange our first session.

Swissphysio is located at the Tynemouth Metro station making it convenient to all of Tyne and Wear including Newcastle.

At either location, our meetings are safe and confidential.

My approach

As a humanistic practitioner, I look at things holistically and that includes gaining an understanding of the totality of the person and their contextual experience.  The humanistic approach is a fundamentally optimistic and relational talking - and listening - therapy.  It emphasizes the working alliance between client and therapist as the facilitator for therapeutic change.

My belief in this puts you, the client, at the centre of my practice.

I work in an accepting and empathic way that fosters a safe environment where you can find the headspace to express yourself openly and explore difficult feelings with me.  I will do my best to be non-directive, non-judgemental, non-advisory and impartial as we work through your issues.

True to the humanistic principle of self-agency, I will use my skills to support and encourage you to drive forward the constructive changes you wish to make in your life and I shall accompany you on the therapeutic journey.

My skills in the person centered approach, gestalt and transactional analysis impart versatility in my clinical work that allows me to adjust my orientation in order to privilege the client’s way of relating.  As a reflective practitioner, I am better equipped to deal with real, complex and difficult situations in a dynamic, ethical and skilful way.

As a qualified and experienced professional adhering to the BACP code of ethics, I am committed to respect, trust and honesty in my dealings and a commitment to the autonomy and well-being of my clients.

What you can expect

Most clients consult me via email messaging through Counselling Directory.  Initially, I need to establish that I can be of service to them.  If not I will explain why and offer to redirect them to someone or something better suited.  Prior to meeting, I always arrange a telephone call for a brief chat wherein I can take some basic information and we can book an assessment for the two of us to get a taste of meeting together.

Sometimes reaching your goals can be frightening, difficult or painful and you may very well need the continued support of a trusted therapist to accompany you.  Therefore, it's important for you to get a sense that we could form a trusting relationship and constructive working alliance.

We'll use the first session to look at why you came to counselling and what you hope to get from it.  If we agree to work together, we'll use the second session to do some necessary form filling, I'll explain the ethical and legal limits of disclosure and then the two of us will draw up an administrative contract and therapy plan that constitutes the counselling frame, i.e., time, place, fees, number of sessions and goals.

If, for any number of reasons, we can't work together, I’ll help you find an appropriate referral.

How I work

I regard the therapeutic process as a shared, organic experience that is unique to each dyad whatever the client's presentation.  I track the client and try to time my interventions to suit the client's pace.

The methodology I employ will vary from client to client and session to session.  I do not adhere to a prescriptive formula or time structured protocols that impose limitations on the unfolding discoveries and personal journeys of my clients.

The duration of therapy may be short-term, long-term or open-ended at the discretion of the client.  We will always agree a course of therapy at the outset and it is always open to renegotiation.

  • Dialogic Practice: Primarily our sessions will consist of an open dialogue or conversation in which you decide the topic of its content.  Unlike social dialogue, nearly nothing is off limits and rather than it being about you, I shall be trying to be with you by living through your situation as you experienced it.  I shall use the counselling skills I have acquired to sense the conscious and unconscious communication between us and gain a better understanding of what it is like to be you.
  • Attachment Therapy: Attachment theory features prominently in my practice as it is arguably the basis for understanding our lifelong pattern of relationships with the self and others that is formed from our earliest intimate relationships with parental figures.  If you struggle in relationships and don't know why, we might need to explore your early relationships to understand your present ones.
  • Music Therapy:  I often think in lyrical metaphor and if I am working with a client that mutually shares this natural inclination, I might introduce songs or lyrics to our work or encourage the client to bring a piece of music that encapsulates a situation or captures an emotion that is otherwise ineffable.
  • Art Therapy:  A picture is worth a thousand words.  Sometimes I have brought art therapy into the work and provide a sketch pad and coloured pencils/markers as a medium for the client to lay down their stuff in a creative, non-verbal way.
  • Animal Assisted Therapy in Counselling (AAT-C):  The psychological and physiological benefits of human-animal interaction is widely acknowledged and there is a strong evidence base to support this. For more than two years my certified therapy dog and I have been visiting patients suffering from delirium at North Tyneside General Hospital as volunteers for a registered charity.  She (photo below) also works with me in my counselling practice.  If I think she might be of service to a client or if her presence might in some way enhance the counselling frame, I will consult the client for their thoughts on introducing her and following an assessment and amendment to our therapy contract, will bring her into our work.
  • Nature-based Therapy:  The restorative benefits of nature are measurable and noticeable.  A new and evolving focus for my practice is nature-based therapy.  Communing with nature outdoors in good weather can be a therapeutic setting in which to do counselling.  As I live on a farm, I have a tranquil and healthful outdoor space in a semi-secluded garden (photo below).  A dynamic natural environment can open new possibilities as well as refresh the therapeutic dyad.  With consent from the client, we may hold our session outside.

If you gravitate toward any of these in particular, please feel free to express your interest and I'll do my best to accommodate you.

About me

I am American British and have lived in England since the mid-1990s.  I relocated from London to the North East in 2016 after visiting here for ten years.  I began practicing as a trainee in 2013.  Previously I managed an individualized health promotion and self-management programme for an interactive healthcare company. My clients included institutional and corporate clients in the financial services, leisure, aerospace and offshore sectors and the NHS.

My background in Geography and Urban & Regional Studies imparts a deeper sociological understanding of the environment, culture, economy and politics from the external world that impact upon the psychological experience of the individual's internal world of emotions, thoughts and behaviours.

Training, qualifications & experience

Academic credentials

I trained at the Metanoia Institute in London on a two-track academic programme.  Upon completion, I was awarded a Diploma in Humanistic Counselling by Metanoia Institute and a BSc (Hons) in Reflective Therapeutic Practice by Middlesex University.

Clinical training

Over the duration of my training, I attended weekly counselling.  I began practicing as a trainee counsellor in 2013 in a volunteer placement at a community outreach service and subsequently at a holistic health service in an NHS outpatient centre for wellness.  At both placements, I undertook clinical supervision.


I have experience of working with a culturally diverse clientele of men, women and trans-identified persons from their mid-20s to late 60s.

I have supported my clients through their difficulties with generalized anxiety, domestic abuse, low self-esteem, suicidal ideation, chemsex addiction, co-dependency, body image, low mood, living with medical conditions, LGBT issues, relationship issues and anger management.

Patient representative

Before relocating to the North East, I was a patient representative for my local NHS surgery with a seat on a forum consisting of patients, the practice manager and GP.  We addressed the impact of NHS commissioning, consolidation and government mandates on the surgery and its service users.


Diploma in Humanistic Counselling - Metanoia Institute, London 2016

BSc (Hons) in Reflective Therapeutic Practice - Middlesex University, London 2016

BA (Double Major) in Geography and Urban & Regional Studies - University of Minnesota Duluth 1988


Registered Member BACP - my registration number and logo are displayed below

Volunteer - Pets As Therapy since 2017


Full professional liability insurance - Towergate Insurance

Member organisations


Accredited register membership

Other areas of counselling I deal with

Chemsex, Co-dependency, Insecure Attachment.

Photos & videos

  • Home counselling room
  • Countryside meets the Coast
  • My business card
  • My business card
  • Animal Assisted Therapy
  • Nature based therapy


Fees for sessions taking place at my home

£30 for an assessment.  Future sessions cost £50.  Under special circumstances, a concessionary fee may be available.

Fees for sessions taking place at Swissphysio

Please see  for rates, cancellation fees and advance payments for sessions booked at Swissphysio.*


I collect a £50 retainer prior to the commencement of any course of counselling whether at my home or at Swissphysio.  Please direct any enquiries to me personally as I administer the retainer.

All sessions

All sessions are a 50-minute therapeutic hour.  They occur weekly and generally follow a pattern of same time, day and place.

I usually recommend a course of six sessions with most clients to begin with.  However, there is no obligation.  Whatever the duration of any course of counselling, I ask that we plan for an ending because I believe it's important to terminate after we have reflected on our work and you have processed any unexpected feelings that may arise.

To enquire about booking a session at either location

Please message me through the Counselling Directory or email me at or alternatively, call me on 07956 591 647.

Please be sure to leave your telephone number if your call goes to my personal voicemail.

A photo of my two-sided business card is further up the page.

Further information

I would like to hear from any local therapists who would be interested in meeting informally from time to time for peer supervision, to mutually promote our practices for client referrals and discussion of any other counselling related matters of local importance.

Please get in touch.

Maps & Directions

Tynemouth, NE30 4RE
Whitley Bay, NE26

Type of session

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

Practical details

Sign language: Unspecified
Other languages: None


Wheelchair access: Unspecified


Monday afternoon and evening appointments at Swissphysio. Flexible scheduling at home.

Types of client

Older adults