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¡HOLA!

I am pleased to announce the opening of my second office in Bilbao, Spain, expanding my practice internationally while continuing to serve clients with care, depth, and cultural sensitivity. As an American expat and a clinician who is both Basque and American, this space reflects not only my professional work, but also my lived experience navigating multiple cultures, identities, and systems.

 

 

My clinical specialties include working with individuals experiencing general mood disorders, anxiety, depression, and neurological-related concerns, as well as offering dedicated expat therapy, training and consultation in expat mental health, and support for Third Culture Kids (TCKs) and internationally mobile families. I understand firsthand the emotional complexity of relocation, cultural transitions, identity integration, and the impact these experiences can have across the lifespan.

 

 

Located on the beautiful Gran Vía in the heart of Bilbao, my office offers a calm, comfortable, and welcoming environment designed to support reflection, regulation, and meaningful therapeutic work. This practice bridges American clinical training with European and Basque cultural understanding, allowing me to provide care that is both evidence-based and deeply culturally informed.

 

 

Whether you are navigating life as an expat, raising children across cultures, adjusting to neurological or mood-related challenges, or seeking therapy with a provider who understands the nuances of cross-cultural living, this space was created with you in mind.

Therapy can be a space to process:

  • Grief and loss connected to distance from family, friends, and familiar ways of life

  • Identity shifts that come with living between cultures

  • Cultural adjustment stress, including culture shock and reverse culture shock​​

  • Parenting and relationship dynamics in an international context

  • Anxiety, overwhelm, or burnout related to starting over in a new system

  • The emotional complexity of building a life abroad while holding ties to home

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Bilbao Office​

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saioa@saioalcsw.org

224.408.0017

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Gran Via 19

3rd Floor

Bilbao, Bizkaia, Spain, 48001

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