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A Psychotherapist in Kathmandu

Entry 1 April 2019

Tereza Nogueira, Child and Adolescent Psychotherapist and senior supervisor for ‘Child in Time’, writes to us from Kathmandu, Nepal where she’s spending two weeks working as a volunteer with Unity in Health  Their mission is to work together to improve global mental health, and Tereza has travelled over to help plant the seeds for school counselling services in Nepal through training and discussion with adults at Tribhuvan University.  

Kathmandu is a blowing mind place, I never imagined I’d go to!  When I was 37 I emigrated to England from Brazil with very limited English, enough just to get basically by. At that time, I thought I was too old for such an adventure. I did all sorts of jobs until I re-trained to be a child and adolescent psychotherapist. I thought I was done with big changes.  Yet at 65, coming to Nepal feels like another life changing experience.   I am already flooded with feelings of excitement and anxiety, my passion for the project versus my physical limitations which humble me.

Crazy traffic, noisy, with a constant smell of petrol and a mist of dust and pollution, it feels almost apocalyptic. The pollution has been challenging for my breathing but I have been managing by wearing a face mask, Vaseline to prevent it to go inside my nose, nose drops and inhalers. So far so good! Luckily wearing a mask is very fashionable and a real necessity over here. The amount of motor bikes is incredible. They look like ninjas coming from everywhere and nowhere. I find myself closing my eyes imagining we are going to crash into every on-coming vehicle.  But somehow everyone finds their own place to drive. In a very small space you can see an overcrowded minibus, a bunch of motorbikes, cars, pedestrians, cows and street vendors, all sharing this chaotic space. 

The state of the roads and buildings is a reminder of the 2015 earthquake and it looks as if the country is working hard to rebuild itself in every aspect. One can sense an attempt to either recover the original shape or create a new one from scratch. But before this happens it is all chaos.   In some ways it reminds me of a therapeutic process, and the reason I’m here…

Read all Tereza’s blog posts here:


The Counselling provision at our school is now excellent. This is due to Chloe’s understanding of the needs of pupils, parents and the school as an organization. I would whole-heartedly recommend ‘Child in Time’ to head-teachers considering their own counselling provision.

Head-teacher of Woolmore School, Tower Hamlets

Parent Consultation: They have become much better at expressing their feelings and opening up to me and their siblings.

Parent, 2023

School Counselling: My son has completely turned around and is simply wonderful at the moment. He is back to his normal self at home, being very happy, caring and kind. He is especial kind and caring with his sister and just the best brother ever now. As a family, we are happy and content.

Parent, 2023

It is quality time well spent not letting pupils leave with negative patterns that make them vulnerable beyond school. One of the best decisions I have made.

Head-teacher of St Saviour’s School, Tower Hamlets

You have helped me build a barrier of protection against pain and I can’t thank you enough for that…I have never felt so emotionally strong.

Student, aged 15

Child in Time is a tremendous resource for head-teachers. It’s a consultancy that offers a short-cut to setting up a counselling service in your school with highly trained, qualified practitioners. Child in Time brings peace of mind to staff, knowing that the most vulnerable students are in safe hands.

Tereza Nogueira, Child and Adolescent Psychotherapist and Senior supervisor UKCP

This intervention has had an enormous, positive impact for us all and we sincerely hope that other families benefit from the same programme…his positive behaviour is having a really good impact on all elements of his school life.

Parent of child, age 8

I am glad I am coming to see you every Thursday because I used to hold all these things in my head and that was hard.

Girl, age 10

We are very happy with the counselling service we are receiving and in particular ‘our therapist’s’ flexible and accommodating nature. Parents are very pleased, both the target children’s parents and the consultation one’s too.

SENCO, Rhodes Avenue School, Haringey

She is an outstanding therapist who has made a real difference to the lives of pupils in our school. ‘Our therapist’ possesses excellent skills in connecting with others, creating a safe space for staff, parents and pupils to discuss a range of issues. Her expertise, compassion, and dedication are truly commendable and we have really benefited from her thorough understanding of child development and psychology.

Deputy Head, Highgate Pre-Prep

I want to say thank you. I found these sessions very very helpful. I could talk about anything with you. I remember our first one, when I was so worried that everything was my fault. I can now see things more clearly.

student, age 11