Zuzana Tarcalova, UKCP Accredited Psychotherapist

Zuzana Tarcalova

London W1G Czech, English, Slovak
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Zuzana Tarcalova, UKCP Accredited Psychotherapist

Zuzana Tarcalova

London W1G Czech, English, Slovak
Shortlist Share

My Approach

My approach is primarily existential and relational, with close attention to embodied experience. My work is trauma-informed, neurodiversity-affirming and open to questions of spirituality, meaning and transcendence where these are important to the person I am working with.

My broader psychotherapy training also means that my work has been informed by humanistic and integrative, psychoanalytic and psychodynamic traditions, although existential-phenomenological psychotherapy has become my principal orientation.

I do not begin from the assumption that a person needs to be fixed or reduced to a collection of symptoms. I am interested in understanding difficulties within the context of a whole life: what you have experienced, how you learned to survive, the relationships and environments that shaped you, and what those adaptations may now be costing.

The therapeutic relationship is central to my work. I value genuine encounter, curiosity, honesty and difference. Therapy is not something I simply apply to another person. It is a collaborative exploration in which understanding and new possibilities can emerge through the relationship between us.

Alongside thoughts and emotions, we may attend to bodily experience, relationships, sexuality, family and ancestral histories, culture, identity, values, creativity and the wider social worlds in which a person lives.

Existential psychotherapy also makes room for questions that cannot always be resolved by technique: freedom and responsibility, uncertainty, love and loneliness, meaning, loss, ageing, mortality, choice and the passing of time.

When trauma or adversity has shaped someone's life, I am interested not simply in asking “What is wrong?”, but in understanding what happened, how you survived, what those adaptations protected, and what might now become possible.

I believe psychotherapy can involve more than symptom reduction. Relief from distress is important, but deeper therapeutic work can also involve developing greater self-trust and freedom, reclaiming neglected parts of ourselves, making choices with greater ownership, and becoming more able to live with uncertainty and respond to change.

Therapy need not concern itself only with suffering. Joy, humour, pleasure, beauty, intimacy, creativity, achievement, hope and wonder are equally part of what makes a human life worth living.

Ultimately, my hope is not that therapy makes someone into a different person, or leads to a life in which everything is finally resolved. Rather, it can help people become more fully themselves and more deeply alive within the uncertainty, change and possibility of the life they actually have.

About Me

I work with thoughtful adults seeking not only relief from psychological distress, but a deeper understanding of themselves, their relationships and how they want to live.

People come to me with anxiety, depression, complex and developmental trauma, experiences of emotional, psychological, physical or sexual abuse, coercive or controlling relationships, neurodivergence including ADHD and autism, grief and loss, relationship difficulties, chronic or serious physical illness, pain, identity questions and significant life transitions.

Others find it harder to name what brings them to therapy.

Life may appear successful or well managed from the outside, yet feel constrained, disconnected or somehow not fully one's own. You may understand yourself extremely well intellectually but find that insight alone has not changed the patterns in which you find yourself. You may be questioning meaning, purpose, belonging, ageing, mortality, or what you want from the next part of your life.

I am a UKCP Registered Existential Psychotherapist and Registered Member MBACP.

I trained at Regent’s College London, now Regent’s University London, within the School of Psychotherapy and Counselling Psychology. My earlier psychotherapy training was broad and included humanistic and integrative, psychoanalytic and psychodynamic, and existential-phenomenological approaches, leading to the Postgraduate Diploma in Psychotherapy and Counselling.

I subsequently specialised in existential psychotherapy and completed the Advanced Diploma in Existential Psychotherapy (ADEP) at Regent’s. My academic background also includes a BSc (Hons) in Psychology from the University of Bedfordshire.

I have worked clinically since 2015 and have been in private practice since March 2017. My professional background also includes work with Mind, voluntary work with Samaritans, and wider experience across mental health and social care. These experiences have contributed to my understanding of psychological distress, crisis, trauma, disability, chronic illness, neurodivergence and the many ways in which people adapt to difficult circumstances.

My initial training has been followed by extensive continuing professional development, particularly in complex trauma, neurodivergence, embodied and affect-based approaches, grief and bereavement, sexual violence, attachment, shame and existential psychotherapy.

I am interested in the whole person rather than a diagnosis in isolation. Therapy can involve understanding suffering and survival, but also developing greater self-trust, authenticity, freedom and choice, reconnecting with creativity, joy and relationships, and becoming more able to live fully within a life that continues to change.

I work with

  • Companies
  • Couples
  • Families
  • Groups
  • Individuals
  • Private healthcare referrals

Special Interests

Like all UKCP registered psychotherapists and psychotherapeutic counsellors I can work with a wide range of issues, but here are some areas in which I have a special interest or additional experience.

I work with adults with ADHD, including people diagnosed or recognised later in life. Therapy may explore masking, exhaustion, emotional intensity, shame, relationships, perfectionism, difficulty fitting conventional expectations, and the impact of having spent many years feeling somehow different. My approach is neurodiversity-affirming: the aim is not to make someone more conventional, but to develop greater self-understanding and find ways of living that are more authentic and sustainable.
Grief can follow the death of someone we love, but loss takes many forms. We may also grieve relationships, health, identity, youth, imagined futures, opportunities, former versions of ourselves or lives that can no longer be lived. I am interested in allowing grief its complexity while also exploring how encounters with loss and mortality can deepen our understanding of what matters and how we want to live.
Chronic or serious physical illness, pain, disability and bodily change can profoundly alter our relationship with ourselves, our bodies, relationships, freedom and hopes for the future. They can also confront us with uncertainty, limitation, dependency, ageing and mortality. I offer space for these psychological and existential dimensions of illness while remaining attentive to the person's life beyond the illness itself.
Identity can become uncertain at many points in life. We may question who we are beyond roles, relationships, achievement, cultural expectations or ways of being that once helped us belong or survive. This can become particularly significant following trauma, neurodivergent discovery, illness, loss, relationship change or major life transitions. I see therapy as a place to explore identity with curiosity rather than trying to arrive at a fixed definition of the self, and to discover ways of living that feel increasingly authentic and genuinely one's own.
I have a particular interest in complex, developmental and relational trauma, including experiences of neglect, betrayal, coercion and emotional, psychological, physical or sexual abuse. I am interested in understanding how people learned to survive difficult environments, what those adaptations protected, and how they may later affect identity, relationships, trust, boundaries and connection with the body. Therapy can gradually create space for ways of living that are no longer organised primarily around survival.

Types of Therapies Offered

  • Existential Psychotherapist

What I can help with

  • Abuse
  • ADHD
  • Age-related Issues
  • Anxiety
  • Autism
  • Bereavement
  • Chronic Illness
  • Cultural Issues
  • Depression
  • Disability
  • Domestic Violence
  • Employment Difficulties
  • Health-related Issues
  • Identity Problems
  • Mental Health Issues
  • Physical Abuse
  • Post-Traumatic Stress
  • Relationships
  • Sexual Abuse
  • Sexuality
  • Spirituality
  • Stress
  • Trauma
  • Workplace Counselling

Types of sessions

  • Face to Face - Long Term
  • Face to Face - Short Term
  • Online Therapy
  • Telephone Therapy

London Office

Pendulum Psychotherapy
37 Queen Anne Street
London W1G 9JB
United Kingdom

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UKCP College

  • Constructivist and Existential College (CEC)
Zuzana Tarcalova

Zuzana Tarcalova

London W1G

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