Integrative and somatic therapy, online

Therapy is a space to work through what’s difficult, understand what keeps repeating, reconnect with the parts of yourself you’ve had to set aside, and take your own growth further.

Some people come in crisis. Some come during a transition, or because something that used to work has stopped working. Some want to get to know themselves more and keep exploring who they are. All of those are good reasons.

I work online, primarily in English, with people who want to take a further step on their personal journey. I’m an expat therapist myself, having lived and worked across seven countries – Malta, Italy, France, the UK, Denmark, Germany and Spain – so building a life, and a sense of self, somewhere unfamiliar isn’t abstract to me.

I work integratively, which means I don’t fit you into a single model. The main container is the body, because a great deal of what we carry is held somatically – in tension, in numbness, in the breath. Feeling it – safely and at your own pace – is often what shifts it. But it’s also important to connect the body to the mind, because they feed into and inform each other.

In practice, this draws on several therapeutic approaches, used as they fit rather than followed as a script. CBT helps spot and interrupt the patterns of thought and behaviour that keep something running, while psychodynamic work looks at how earlier experience still shapes the present. EMDR gives the brain a way to reprocess memories that have stayed stuck, and somatic approaches work with what the body is holding, not just what the mind can put into words. Underneath it all, the relationship between us – humanistic and relational – is often where change actually happens. No single one of these is the whole picture on its own; held together integratively, they are.

Alongside that, this often means looking at:

  • what your early relationships taught you about how to relate, and how those patterns still turn up today
  • experiences that seem to have stayed lodged in the body, long after the events themselves
  • the habits and reactions that keep repeating no matter what you try
  • what you actually want your life to look like, and what’s standing in the way

Over the years, I’ve become increasingly influenced by Eastern traditions, Taoism in particular. It’s shaped a philosophical thread that runs through how I work: accepting what you cannot change, flowing with what comes up, while still honouring your own desires and taking whatever action is genuinely available to you.

I’m also a queer gay man, and it shapes how I work – with everyone, not only queer clients. It means I take identity, difference, exclusion, and belonging seriously, wherever they show up.

I’ve worked in mental health for over 15 years, including in trauma services and postgraduate clinical training. You can read more about my background on the About page.

Much of what I work with relates to situations that many of us experience:

  • anxiety, panic and overwhelm
  • depression and low mood
  • stress and burnout
  • grief, loss and bereavement
  • shame, guilt and self-criticism
  • low self-esteem and confidence
  • anger and emotional regulation
  • obsessive thoughts and compulsive patterns
  • difficulties in relationships, intimacy and communication
  • life transitions, and the feeling of being stuck
  • self-understanding and personal growth

Alongside these, three areas make up the core of my practice.

Trauma isn’t only what happened; it’s what stayed. I’m a trained EMDR therapist and work with single-incident trauma, complex and developmental trauma, and PTSD.

Work around sexual orientation, gender identity and expression, coming out at any age, minority stress, internalised shame, intimacy and desire, kink and BDSM, non-monogamy and polyamory. My approach is sex-positive and affirming.

Preparation before a psychedelic experience and integration afterwards, so that what surfaces becomes usable. I’ve trained in ketamine-assisted therapy and in psychedelic facilitation.

We start with a free introductory call. The first full session is mostly your story. After that, it depends on what we’ve agreed to focus on. It’s collaborative throughout.

The honest answer is that it depends on you. I usually suggest allowing four to six sessions to settle in before judging whether it’s working. Therapy also doesn’t need to go on forever.

Sessions usually last 50 minutes. Weekly or fortnightly sessions work best for continuity and depth. Sessions are in English or Maltese but I can also work with Italian and Spanish speakers. Fees and other practicalities are on the Practical Information page.

Michael Conti Services - Psychotherapy, Counselling, EMDR, Coaching, Clinical Supervision, Training

Ready to talk?

If this sounds like the kind of support you’re after, I offer a free initial call – a chance to say what’s bringing you, ask anything, and see whether we’re a good fit.
No obligation either way.

Does online therapy actually work?

It depends on what you need. Online therapy is genuinely more convenient for a number of people – no commute, more flexibility, easier to start. For others, being in the same room matters more, and that’s a fair preference too. Either way, what tends to matter most is the fit between you and your therapist.

How many sessions will I need?

There’s no fixed number. I’d suggest four to six sessions to settle in, and we review the progress regularly.

What therapeutic approach do you use?

I work integratively, with the body as the main container, alongside CBT, psychodynamic, EMDR, humanistic and relational approaches. Which one we use depends on what’s in front of us, not a fixed model.

Do you work with LGBTQIA+ clients?

Yes. It’s one of my specialist areas. I’m a queer gay man myself.

I don’t really know what’s wrong. Is that a problem?

No. Working out what it is you’re carrying is part of the work.

Can I claim therapy back on my insurance?

Some policies reimburse and many don’t. I provide invoices but don’t bill insurers directly.