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    1. Systemic approach
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    Learn more about systemic approach

    The systemic approach is a way of understanding people in the context of their relationships and social systems. Rather than looking only at what is happening inside an individual, a systemic practitioner pays attention to the patterns, roles, and dynamics that develop between people, within families, couples, workplaces, and other significant groups. The core idea is that problems do not exist in isolation. They develop within systems, and they are often maintained by the patterns within those systems. Changing the pattern, not just the individual, is how lasting change becomes possible. The systemic approach is distinct from systemic therapy, which is a specific clinical modality most often used with families and couples. The systemic approach is a broader orientation that can inform individual therapy, coaching, and organisational work.

    In practice, a systemic approach means the therapist or coach consistently holds a wider lens. Even in individual sessions, they are curious about the relational context: who else is involved, what roles have developed, what patterns repeat, and what the system as a whole might need. Work from a systemic orientation may involve:
    • Mapping the significant relationships and dynamics in the client's life
    • Exploring how roles, expectations, and communication patterns have developed over time
    • Identifying circular patterns: how each person's behaviour influences and is influenced by others
    • Working with the meaning that different family or relationship members attach to the same situation
    • Finding points of leverage where a small shift in pattern might create wider change
    A systemic practitioner does not locate the problem in one person. They are interested in how the system organises itself around difficulty, and what different possibilities might look like. The approach is used in individual, couple, family, and group settings, and can be combined with a range of therapeutic modalities.

    The systemic approach is most effective where relational patterns and context are central to the presenting difficulty. Divorce & break up Divorce and separation involve not just two people but often entire family systems: children, extended family, shared social networks. A systemic approach holds this complexity in view, helping individuals and couples navigate separation in ways that account for the broader relational impact. Relationships Relationship difficulties are the most natural fit for systemic thinking. Recurring conflict, distance, misunderstanding, and communication breakdown are all patterns that make more sense, and become more changeable, when viewed systemically rather than as one person's problem. Parenthood Parenting always takes place within a system: the couple relationship, extended family, cultural expectations, and the child's own needs and responses. A systemic approach helps parents understand the patterns that are developing and find different ways of responding that work better for everyone involved. Communication issues Poor communication is rarely just a skill deficit. It is usually a pattern that has developed between people over time. The systemic approach explores what function the communication pattern serves and what conditions would allow it to shift. Choosing an approach isn't something you have to do alone. IC's matching can pair you with a therapist whose approach suits your situation. Get matched

    It's Complicated is a therapist-founded mental health platform connecting clients with verified practitioners across Europe and globally, in over 60 languages. We work with over 2,500 vetted therapists, with in-person availability in Berlin, Amsterdam, Barcelona, Lisbon, Vienna, and other major cities, alongside online sessions worldwide. It's Complicated is free to use, and you pay your chosen therapist directly at rates they set. Finding a therapist who genuinely works systemically, rather than using the label loosely, is easier with targeted matching. Our matching service is built to remove that friction. You complete a short survey, our psychologists combine data-driven insights with human judgement to identify the right therapists for your situation, and you choose from a shortlist of strong candidates. You can also browse our directory directly if you'd prefer to choose yourself. Get matched with a systemic therapist, or browse all systemic approach practitioners in the directory.
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    Our therapist network for systemic approach

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    I think you've succeeded in making a compassionate online platform, and that's energising, especially coming from a country where the waiting lists in therapy are soul-drainingly long.Anonymous client
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    I've now had 10 sessions with my therapist, and she is amazing. I've worked with several therapists over the last few years, but this is the first time I feel like somebody actually understands me.Anonymous client
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    What really sets It's Complicated apart is the care they put into matching you with the right therapist. There are no rushed or random pairings, it's about long-term support and genuine connection.Anonymous client
    I had a really good experience with It's Complicated! As an expat, finding a therapist can feel pretty overwhelming, especially when you don't know where to start. This made it a lot easier.Anonymous client

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    Related approaches

    There's no one-size-fits-all in therapy. If you're exploring systemic approach, these approaches might also be worth a look.
    Systemic therapy
    Systemic therapy
    Family therapy
    Family therapy
    Systemic coaching
    Systemic coaching
    Narrative therapy
    Narrative therapy
    Couples therapy
    Couples therapy

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    Gülcin Abaci
    USUALLY RESPONDS WITHIN 2 HOURS

    Gülcin Abaci

    Gülcin Abaci

    Psychological Counsellor
    Anxiety • Depression • Expat life • Personal development • Relationships • Stress • High sensitivity
    USUALLY RESPONDS WITHIN 2 HOURS
    Anxiety • Depression • Expat life • Personal development • Relationships • Stress • High sensitivity
    €50 / session50
    Berlin
    Online and Text
    Silvia Hoffmann
    USUALLY RESPONDS WITHIN 12 HOURS

    Silvia Hoffmann

    Silvia Hoffmann

    Cognitive Behavioural Therapy (CBT) Psychotherapist & Systemic Coach
    Burnout • Expat life • Work & career • Anxiety • Depression • Social anxiety • ADHD assessment
    USUALLY RESPONDS WITHIN 12 HOURS
    Burnout • Expat life • Work & career • Anxiety • Depression • Social anxiety • ADHD assessment
    €140 / session140
    Hann. Münden
    In-person and Online
    Gina Franziska Knaus
    USUALLY RESPONDS WITHIN 2 HOURS

    Gina Franziska Knaus

    Gina Franziska Knaus

    Systemic Counsellor & Systemic Therapist
    Relationships • ADHD • LGBTQ+ • Trauma • Couples therapy • EFT: Emotionally focused therapy • Systemic approach
    USUALLY RESPONDS WITHIN 2 HOURS
    Relationships • ADHD • LGBTQ+ • Trauma • Couples therapy • EFT: Emotionally focused therapy • Systemic approach
    €120 / session120
    Berlin
    In-person and Online
    Feline Kluxen
    USUALLY RESPONDS WITHIN 8 HOURS

    Feline Kluxen

    Feline Kluxen

    Clinical Psychologist
    Relationships • Self-confidence • Stress • Personal development • Attachment • Grief & loss • EFT: Emotionally focused therapy
    USUALLY RESPONDS WITHIN 8 HOURS
    Relationships • Self-confidence • Stress • Personal development • Attachment • Grief & loss • EFT: Emotionally focused therapy
    €85 / session85
    Hamburg
    Online and Text
    Federico Peduzzi
    Video Profile
    USUALLY RESPONDS WITHIN 8 HOURS

    Federico Peduzzi

    Federico Peduzzi

    Clinical Psychologist & Non-medical Practitioner for Psychotherapy
    Anxiety • Depression • Relationships • Stress • Social anxiety • Couples therapy • Integrative therapy
    USUALLY RESPONDS WITHIN 8 HOURS
    Anxiety • Depression • Relationships • Stress • Social anxiety • Couples therapy • Integrative therapy
    €80 / session80
    Berlin
    In-person and Online
    Sanne Homewood
    USUALLY RESPONDS WITHIN 24 HOURS

    Sanne Homewood

    Sanne Homewood

    Couples Therapist & Relational Counsellor
    Attachment • Relationships • ADHD • Sexuality • Counselling • Couples therapy • EFT: Emotionally focused therapy
    USUALLY RESPONDS WITHIN 24 HOURS
    Attachment • Relationships • ADHD • Sexuality • Counselling • Couples therapy • EFT: Emotionally focused therapy
    €85 / session85
    Lisbon
    In-person and Online

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    Anikó Csengö-Norris
    USUALLY RESPONDS WITHIN 12 HOURS

    Anikó Csengö-Norris

    Anikó Csengö-Norris

    Clinical Psychologist & Psychological Counsellor
    Life transitions • Relationships • Expat life • Stress • Burnout • Grief & loss • Counselling
    USUALLY RESPONDS WITHIN 12 HOURS
    Life transitions • Relationships • Expat life • Stress • Burnout • Grief & loss • Counselling
    €65 / session65
    Hamburg
    Online only
    Hendrik Berg
    USUALLY RESPONDS WITHIN 4 HOURS

    Hendrik Berg

    Hendrik Berg

    Counsellor
    Chronic illness • Gender identity • LGBTQ+ • Academic or educational problems • ADHD • Activism • Relationships
    USUALLY RESPONDS WITHIN 4 HOURS
    Chronic illness • Gender identity • LGBTQ+ • Academic or educational problems • ADHD • Activism • Relationships
    €90 / session90
    Berlin
    In-person and Online
    Lucia Vidable
    USUALLY RESPONDS WITHIN 2 HOURS

    Lucia Vidable

    Lucia Vidable

    Counsellor
    LGBTQ+ • Relationships • Attachment • Life transitions • Communication issues • Parenthood • Polyamory
    USUALLY RESPONDS WITHIN 2 HOURS
    LGBTQ+ • Relationships • Attachment • Life transitions • Communication issues • Parenthood • Polyamory
    €70 / session70
    Berlin
    Online and Text
    Aishwarya Kulkarni
    USUALLY RESPONDS WITHIN 12 HOURS

    Aishwarya Kulkarni

    Aishwarya Kulkarni

    Counsellor & Couples Therapist
    Relationships • Trauma • Addictions • Men's work • Life transitions • Grief & loss • Couples therapy
    USUALLY RESPONDS WITHIN 12 HOURS
    Relationships • Trauma • Addictions • Men's work • Life transitions • Grief & loss • Couples therapy
    £36 / session36
    Gurgaon
    Online only
    Bruna D'Andrea de Andrades
    Video Profile
    USUALLY RESPONDS WITHIN 2 HOURS

    Bruna D'Andrea de Andrades

    Bruna D'Andrea de Andrades

    Psychologist & Counsellor
    Anxiety • Stress • Expat life • Adjustment disorders • Relationships • Academic or educational problems • Work & career
    USUALLY RESPONDS WITHIN 2 HOURS
    Anxiety • Stress • Expat life • Adjustment disorders • Relationships • Academic or educational problems • Work & career
    €70 / session70
    Nuremberg
    Online only
    Dr. med. Tamas Nador
    USUALLY RESPONDS WITHIN 4 HOURS

    Dr. med. Tamas Nador

    Dr. med. Tamas Nador

    Gestalt Therapist & Family Counsellor
    Self-confidence • Relationships • Depression • Anxiety • Life transitions • Expat life • Family therapy
    USUALLY RESPONDS WITHIN 4 HOURS
    Self-confidence • Relationships • Depression • Anxiety • Life transitions • Expat life • Family therapy
    €80 / session80
    Berlin
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    Michael Spaeth
    USUALLY RESPONDS WITHIN 24 HOURS

    Michael Spaeth

    Michael Spaeth

    Clinical and Health Psychologist & Systemic Psychotherapist
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    USUALLY RESPONDS WITHIN 24 HOURS
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    Inning am Ammersee
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    Nghi Phan-Heindl

    Nghi Phan-Heindl

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    Relationships • Trauma • Transgenerational trauma • Life transitions • Spirituality • Expat life • Holistic approach
    Nuremberg
    Online only
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    USUALLY RESPONDS WITHIN 2 HOURS

    Marie Schild

    Marie Schild

    Psychologist & Couples Counsellor
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    USUALLY RESPONDS WITHIN 2 HOURS
    Anger • Anxiety • Attachment • ADHD • LGBTQ+ • Borderline personality disorder • ADHD assessment
    €100 / session100
    Berlin
    In-person and Online
    Melanie Eichhorn
    USUALLY RESPONDS WITHIN 24 HOURS

    Melanie Eichhorn

    Melanie Eichhorn

    Psychologist & Systemic Counsellor
    Autism • ADHD • Burnout • Anxiety • Parenthood • Trauma • ACT: Acceptance and commitment therapy
    USUALLY RESPONDS WITHIN 24 HOURS
    Autism • ADHD • Burnout • Anxiety • Parenthood • Trauma • ACT: Acceptance and commitment therapy
    €100 / session100
    Bietigheim-Bissingen
    In-person and Online
    Ofri GRYNBAUM
    USUALLY RESPONDS WITHIN 24 HOURS

    Ofri GRYNBAUM

    Ofri GRYNBAUM

    Counsellor & Family Counsellor
    Attachment • Children • Parenthood • Divorce & break up • Relationships • Counselling • Solution-focused therapy
    USUALLY RESPONDS WITHIN 24 HOURS
    Attachment • Children • Parenthood • Divorce & break up • Relationships • Counselling • Solution-focused therapy
    €60 / session60
    Paris
    In-person, Online and Text
    Georgina Tergazi
    USUALLY RESPONDS WITHIN 8 HOURS

    Georgina Tergazi

    Georgina Tergazi

    Psychologist
    Life transitions • Stress • Relationships • Depression • Adolescents • Anxiety • Clinical psychology
    USUALLY RESPONDS WITHIN 8 HOURS
    Life transitions • Stress • Relationships • Depression • Adolescents • Anxiety • Clinical psychology
    €65 / session65
    Rotterdam
    In-person and Online
    Elliot Lima-Pinto Helt
    USUALLY RESPONDS AFTER 24 HOURS

    Elliot Lima-Pinto Helt

    Elliot Lima-Pinto Helt

    Couples Therapist & Counsellor
    LGBTQ+ • Polyamory • Chronic illness • ADHD • Autism • Relationships • Counselling
    USUALLY RESPONDS AFTER 24 HOURS
    LGBTQ+ • Polyamory • Chronic illness • ADHD • Autism • Relationships • Counselling
    €100 / session100
    Berlin
    Online only
    Blu Doppe
    RESPONSE TIME UNKNOWN

    Blu Doppe

    Blu Doppe

    Systemic Counsellor & Relationship Coach
    LGBTQ+ • Depression • Gender identity • Kink & BDSM • Sexuality • Supervision • Polyamory
    RESPONSE TIME UNKNOWN
    LGBTQ+ • Depression • Gender identity • Kink & BDSM • Sexuality • Supervision • Polyamory
    €100 / session100
    Berlin
    Online only
    Florencia Balbontín
    USUALLY RESPONDS WITHIN 24 HOURS

    Florencia Balbontín

    Florencia Balbontín

    Clinical Psychologist
    Anxiety • Depression • Grief & loss • Trauma • Parenthood • Personal development • Attachment
    USUALLY RESPONDS WITHIN 24 HOURS
    Anxiety • Depression • Grief & loss • Trauma • Parenthood • Personal development • Attachment
    €95 / session95
    Berlin
    In-person and Online
    Irene Papadakis
    Video Profile
    USUALLY RESPONDS WITHIN 24 HOURS

    Irene Papadakis

    Irene Papadakis

    Counsellor
    Attachment • Depression • Relationships • Expat life • Life transitions • Anxiety • CBT: Cognitive behavioural therapy
    USUALLY RESPONDS WITHIN 24 HOURS
    Attachment • Depression • Relationships • Expat life • Life transitions • Anxiety • CBT: Cognitive behavioural therapy
    €75 / session75
    Athens
    Online only
    Angelina Pelevic
    USUALLY RESPONDS WITHIN 2 HOURS

    Angelina Pelevic

    Angelina Pelevic

    Clinical Psychologist & Systemic Therapist
    LGBTQ+ • Personal development • Trauma • Anxiety • Self-confidence • Relationships • Couples therapy
    USUALLY RESPONDS WITHIN 2 HOURS
    LGBTQ+ • Personal development • Trauma • Anxiety • Self-confidence • Relationships • Couples therapy
    €100 / session100
    Bonn
    Online and Text
    Outi Turunen
    USUALLY RESPONDS WITHIN 24 HOURS

    Outi Turunen

    Outi Turunen

    Systemic Therapist & Sex Therapist
    Divorce & break up • Personal development • Sexual dysfunctions • Sexuality • Polyamory • Parenthood • Couples therapy
    USUALLY RESPONDS WITHIN 24 HOURS
    Divorce & break up • Personal development • Sexual dysfunctions • Sexuality • Polyamory • Parenthood • Couples therapy
    €90 / session90
    Berlin
    In-person and Online
    Marijana Batan
    RESPONSE TIME UNKNOWN

    Marijana Batan

    Marijana Batan

    Psychologist
    Divorce & break up • Life transitions • Burnout • Chronic illness • Perimenopause & menopause • Relationships • Mood disorders
    RESPONSE TIME UNKNOWN
    Divorce & break up • Life transitions • Burnout • Chronic illness • Perimenopause & menopause • Relationships • Mood disorders
    €50 / session50
    Prague
    In-person and Online
    Marina Papadopoulou
    USUALLY RESPONDS WITHIN 8 HOURS

    Marina Papadopoulou

    Marina Papadopoulou

    Psychologist & Counsellor
    Relationships • Life transitions • Discrimination • ADHD • Autism • Transgenerational trauma • Expat life
    USUALLY RESPONDS WITHIN 8 HOURS
    Relationships • Life transitions • Discrimination • ADHD • Autism • Transgenerational trauma • Expat life
    €70 / session70
    Berlin
    In-person and Online
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