It's Complicated

Mariana Galuppo

Psychologist & Sex Therapist

Verified by It's Complicated
Available for new clients
Psycho-Sexologist (ECPS) offering online therapy in Portuguese and English, working with sexuality, intimacy, emotional well-being, and relationships for individuals and couples through evidence-based care.

I specialise in:

At a glance
Porto Seguro, BrazilAvailable online only
Last active
Note from MarianaDue to a platform issue allowing overlapping bookings, please contact me directly for the scheduling link. Available Tue–Fri, 9:00–20:00 CET
Illustration of a smiling sun peeking over a cloud, symbolizing warmth and positivity for connecting with the therapist.
Usually responds within 8 hours

About me

Many clients seek therapy feeling confused, distressed, or disconnected — from their desire, their bodies, their emotions, or their relationships. Others arrive carrying questions they have never felt safe enough to name. I offer a calm, respectful, and non judgmental space where these experiences can be explored with depth, clarity, and care. Sexuality is approached as a complex and meaningful part of human life, never reduced to performance, diagnosis, or rigid expectations. My clinical work is grounded in Cognitive Behavioral Therapy (CBT) and Cognitive Sexual Therapy, with an integrative perspective that considers emotional regulation, relational patterns, and personal values. I work primarily with individuals and, when relevant, with relational dynamics that intersect with sexual and emotional experiences. Common themes in my practice include sexual anxiety, desire fluctuations, intimacy difficulties, identity questions, communication challenges, and the emotional impact of life transitions, including migration and cross cultural experiences. In addition to my clinical practice, I am actively involved in professional development and clinical leadership. I am a Subdelegate of the Brazilian Society for the Study of Human Sexuality (SBRASH) for the state of Bahia and the coordinator of a Clinical Sexology Supervision Group, where I support other professionals in deepening ethical, reflective, and evidence based clinical practice. These roles keep my work in constant dialogue with contemporary clinical thinking and lived clinical experience. Working with clients from different countries and cultural backgrounds has shaped a practice that is attentive, flexible, and culturally sensitive. Therapy with me is not about fitting into predefined models of sexuality or relationships, but about understanding your unique experience and building paths that feel coherent, sustainable, and authentic for you. You do not need to have everything figured out before starting therapy. Curiosity, openness, and a willingness to look inward are enough. My role is to walk alongside you with clarity, respect, and clinical responsibility, supporting meaningful change at your own pace.

I speak:

PortugueseEnglish

Connect with me:

Location:

Porto Seguro, Brazil

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Approach

Treatment Approaches
CBT: Cognitive behavioral therapyRecommended for those looking for practical support and accountability to change unhelpful thinking and behaviors.
GSRD (Gender, Sexuality & Relationship Diversity) TherapyRecommended for those seeking affirmative support and guidance while navigating the complexities of identity, sexuality, and relationships.
Sex therapyRecommended for individuals or couples who want help improving their sex life, intimacy, or overcoming sexual issues in a supportive environment.
My therapeutic approach is collaborative, structured, and grounded in evidence based practice. I work from the understanding that sexuality, emotional well being, and relational experiences are interconnected, and that change happens through clarity, safety, and consistent therapeutic work rather than quick solutions. Therapy begins with a careful assessment of what brings you to the process and how your concerns are expressed emotionally, cognitively, and relationally. The first sessions focus on building a clear understanding of your goals and the patterns that maintain distress. From there, we develop a therapeutic path that is intentional, respectful of your pace, and aligned with your personal values and life context. My work is primarily individual and sexology centered, integrating Cognitive Behavioral Therapy and Cognitive Sexual Therapy. I support clients dealing with sexual anxiety, desire difficulties, intimacy concerns, emotional regulation, identity related questions, and the impact of life transitions such as relocation, cultural adaptation, or changes in relationships. When relational dynamics are relevant, they are explored as context, without shifting the focus away from your individual therapeutic process. I offer two therapeutic formats, depending on your needs and goals. Single Session Therapy is a focused and time limited space designed to explore a specific question, decision, or difficulty with depth and clarity in one structured session. It is particularly helpful when you are seeking perspective, emotional organization, or guidance around a defined issue. For clients who benefit from continuity, I also work within an ongoing therapeutic model. This monthly structure allows for thoughtful clinical planning across four or five sessions, supporting more consistent progress while offering financial predictability. Rather than working in isolated or sporadic sessions, therapy develops as a coherent and responsive process over time. My therapeutic style is calm, non judgmental, and culturally sensitive. Working with clients across different European countries has shaped an approach that respects diverse cultural norms, communication styles, and expectations around privacy and autonomy. Therapy with me is not about defining how your sexuality or relationships should look, but about helping you understand yourself more clearly and make informed, sustainable choices. My role is to offer a steady, ethical, and reflective space where insight can develop and change can take place at a realistic and sustainable pace. Therapy is approached as a collaborative process, supporting greater self-awareness, emotional balance, and long term well-being.

Experience

13 years in practice
Clinical Psychologist in Private Practice (Autonomous Practice) – Present Online therapy for individuals and couples in Portuguese and English, focused on relationships, sexuality, and emotional well-being. Professional Affiliations - Subdelegate of the Brazilian Society for the Study of Human Sexuality (SBRASH) – State of Bahia 2025/2026 - Member of the International Society for Sexual Medicine (ISSM) - Member of the Latin American Society for Sexual Medicine (SLAMS)

Education

Education - Postgraduate Degree in Cognitive-Behavioral Therapy – Pontifical Catholic University of Rio Grande do Sul (PUC-RS), 2023 - Postgraduate Degree in Psychology and Sexuality – University of Araraquara, 2016 - Bachelor’s Degree in Psychology – FEAD MINAS, 2013 International Advanced Training - Integrative Behavioral Couple Therapy – Fundación Centro Argentino de Terapias Contextuales, 2025 · Buenos Aires, Argentina - Sexual Medicine – European Society for Sexual Medicine (ESSM) School, 2024 · Budapest, Hungary - Single-Session Therapy – Temenos Education, 2024 · London, United Kingdom Additional Training - Psychopathology – PBE Group, 2024 - Nonviolent Communication – Instituto CNV Brasil, 2023 - Cognitive Therapy for Couples – Pareja Psicologia, 2020 - Clinical Sexology – Ciclo CEAP, 2013 Teaching and Supervision - Guest Lecturer in Cognitive Therapy and Human Sexuality programs - Coordinator of the Clinical Sexology Supervision Group at Learnestima

Services

Individual Therapy (Relationships & Emotional Wellbeing)

€65 50 min Online
I work with individuals facing anxiety, jealousy, insecurity, low self esteem, attachment patterns and recurring challenges in relationships. The process helps you understand emotional cycles, strengthen self trust and create relationships that feel healthier, safer and more aligned with your values.

Individual Sex Therapy

€65 50 min Online
I support individuals experiencing low or absent sexual desire, difficulty reaching orgasm, erectile difficulties, premature ejaculation and concerns related to compulsive sexual behavior or excessive pornography use. The work also includes performance anxiety, questions about gender identity and expression, and challenges in communicating desires and boundaries. Together, we explore emotional, relational and cognitive patterns to help you build confidence and clarity.

Affirmative Therapy

€65 50 min Online
I offer a supportive, research informed and identity affirming space for LGBTQIA+ clients navigating sexuality, relationships, self acceptance, family dynamics, internalized stigma and the impact of minority stress. The work centers your lived experience and helps you build emotional clarity, healthier boundaries and relationships that feel safe, authentic and aligned with who you are.

Couples Session

€85 50 min Online
I assist couples who struggle with communication breakdowns, recurring conflicts, emotional distance and difficulties repairing after tension. The work invites the couple to see each other with more clarity, improve emotional responsiveness and build a partnership grounded in understanding, connection and mutual care.

Couple Sex Therapy

€85 50 min Online
I support couples dealing with mismatched desire, difficulties initiating intimacy, performance concerns, long term sexual disconnection and the emotional impact these challenges create. Together, we explore patterns that keep the couple stuck and build a more open, honest and sustainable sexual connection.

Single Session Therapy

€100 1 hr 20 min Online
Is a brief, goal oriented 1h20 appointment focused on a specific issue you want to explore or resolve. In this session, we clarify the main concern, identify what is keeping you stuck and develop a clear, practical plan you can start applying right away.

Single Session Therapy for Couples

€150 1 hr 20 min Online
Is a focused 1h20 appointment designed to help you understand a specific challenge in your relationship or sexual life. We define a clear goal, explore the emotional and behavioral patterns involved, and build a practical plan you can apply immediately. It is ideal for couples seeking direction, clarity or a next step without committing to ongoing therapy.

Insurances

Private Pay
At a glance
Porto Seguro, BrazilAvailable online only
Last active
Note from MarianaDue to a platform issue allowing overlapping bookings, please contact me directly for the scheduling link. Available Tue–Fri, 9:00–20:00 CET
Illustration of a smiling sun peeking over a cloud, symbolizing warmth and positivity for connecting with the therapist.
Usually responds within 8 hours
Usually responds within 8 hours