Thiago

Mr Thiago Pires de Azevedo

Licensed Clinical Psychologist

Verified

Tired in a way sleep doesn't fix. Days that pass without you quite in them. Goals reached, nothing felt. Your life isn't asking for more discipline. It's asking to be examined. Existential therapy might be for you.

About Me

A profile can list degrees. It cannot tell you who will be sitting across from you. Let me try to do that here. I am a psychologist and educator from Rio de Janeiro. Before private practice, my path went from academic research in phenomenology and emotional flexibility to classrooms in some of the city's most vulnerable areas. Those years left me with a conviction that shapes everything I do: people do not break randomly. Suffering has a logic. When you understand the life around a symptom, the symptom starts to make sense, and what makes sense can begin to change. My two backgrounds still work together every day. Pedagogy taught me how people learn. Psychology taught me how people unlearn: how a way of surviving that was once intelligent becomes, years later, a cage that looks like a personality. Today I work mostly with adults whose suffering does not show. People who are doing everything right and feel almost nothing. Who finally reach the goal and stand there thinking, is this it. Whose anxiety is the body objecting to a life the mind has already approved. Whose burnout is not too much work but effort that has lost its connection to meaning. Who are present in every meeting and absent from their own days. If you recognize yourself in any of this, you are exactly who I had in mind when I wrote this page. I do not experience this work as fixing people, because I have never met a broken person. I have met people who stopped being asked real questions, sometimes decades ago, and who slowly stopped asking them of themselves. Therapy, as I practice it, is the place where those questions come back. How I work session by session is in "My approach". This section exists to say something simpler: if something here resonated, that resonance is worth taking seriously. It is usually how the work begins.

Approach

Maybe your life works. Job, routines, responsibilities, people who care about you. And still something is off in a way that is hard to name: a background anxiety, a tiredness that rest does not fix, an inner voice that speaks to you more harshly than you would ever allow anyone else to. When you try to talk about this, you get labels and quick advice. Anxiety, burnout, you should exercise more. None of it is exactly wrong. It just does not touch what you actually feel. Being explained is not the same as being understood. My work begins at that difference. I am a Brazilian clinical psychologist, and my approach is phenomenological and existential. In practice this means one thing above all: I do not start from theories about you, I start from you. Before any diagnosis or technique there is your experience. How anxiety actually feels in your body on a Tuesday morning. What "I'm just tired" is really carrying. What happens in the silence you avoid. My job is not to fit your life into a framework. It is to open a space where your experience can finally appear, be heard with precision, and begin to move. I did not learn this only from books. I have lived between languages and cultures since I was a teenager: an exchange year in Hungary at eighteen, years of backpacking, a life that taught me that what we call "normal" is always local. There are many ways of being a person, and the one you learned is not a verdict. I work in English, Portuguese, French and Spanish, and many of my clients live far from where they started. If that is you, you know that some things can only be felt in your mother tongue while your daily life happens in another one, and that a specific kind of loneliness grows in exactly that gap. It has a place in our work. You will not need to translate yourself for me. Existential, in my practice, means we take the questions underneath the symptoms seriously. Not only "how do I stop feeling anxious" but "what is this anxiety telling me about how I am living". The decision you have been postponing for years. The life you built because it was expected, and the one you quietly suspect you wanted. The freedom that frightens you more than the routine that numbs you. Much of what gets called burnout is a life asking to be examined, and it does not stop asking because you optimize it, medicate it or push through it. What sessions look like: we meet weekly, online. I am present, I ask real questions, and I will sometimes challenge you, always with care and always on your side. I will not hand you ready-made answers, not out of principle but because you are not struggling for lack of information. You already know what you "should" do, and something in you does not follow. That something deserves to be listened to, not overridden. In my experience, change does not come from forcing new habits on top of an unexamined life. It comes from contact: when you finally experience what you have been running from, it stops running you. I work mostly with adults dealing with anxiety, exhaustion and burnout, harsh self-criticism, and that peculiar feeling of living on autopilot, of watching your own days as a spectator. Many of my clients are competent, high-functioning people whose suffering is invisible from the outside, which often makes it lonelier. If you want to be listened to with depth and seriousness, to understand your life from the inside instead of managing it from the outside, and to build a different relationship with it, you are welcome here. Psychology, without psychologizing.
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Basic Information

Online Only

Services

Anxiety without an obvious object. Not fear of something specific, but a low constant hum: the tightness before an email you have not opened, the scanning for a problem that has not appeared yet, a body that stays alert while your life is objectively fine. We work on what that alertness is protecting, and what it costs to keep it running. Burnout and exhaustion. The tiredness a holiday does not repair, because it was never about hours. It is about effort that lost its connection to meaning. Most of the people I see here are still delivering, still competent, and running on a reserve that ran out some time ago. Living on autopilot. Present in every meeting and absent from your own week. Months pass in a blur. You watch yourself perform your life from a small distance and cannot quite get back inside it. This is one of the most common and least named forms of suffering I meet, and it responds well to finally being taken seriously. Harsh self-criticism and perfectionism. The inner voice that speaks to you in a tone you would never accept from another person. Achievement that never converts into relief, because the standard moves every time you reach it. Meaning, direction and postponed decisions. The quiet "is this it" after arriving where you aimed. A career that fits a person you no longer are. Choices delayed for years because both paths cost something real. The reckoning that arrives in your thirties or forties with no event to explain it. Life transitions. Moving country, ending or starting a relationship, becoming a parent, losing someone, changing profession. Moments when the structure that held your identity in place stops holding, and the question of who you are becomes practical rather than philosophical. If you are in acute crisis, or living with something that calls for psychiatric care or an intensive treatment programme, I will tell you early and help you find the right place. Sometimes that runs alongside our work, sometimes instead of it, and knowing the difference is part of my job.

Services Offered:

  • Humanistic Therapy

    A therapeutic approach grounded in the belief that people are inherently capable of growth and self-understanding, focusing on present experience, personal meaning, and the therapeutic relationship.

  • Mindfulness

    The practice of paying deliberate attention to the present moment without judgement, used to reduce stress and increase awareness of automatic reactions.

    Learn more about Mindfulness
  • Online Therapy

    Therapy sessions conducted over video call, phone, or secure messaging, using the same professional methods delivered remotely.

    Learn more about Online Therapy
  • Philosophy

    A therapeutic approach that uses philosophical inquiry to explore questions of meaning, ethics, identity, and how to live a good life.

  • Integrative Psychotherapy

    An approach that draws on multiple therapeutic models, tailored to the individual, rather than following a single method.

Works With:

  • Adolescents
  • Adults
  • Children
  • Couples
  • Elderly
  • Individuals
  • Organisations
  • Parents

Area of Expertise

Scope of Practice:

  • Anxiety

    Persistent worry, nervousness, or fear that is disproportionate to the situation and interferes with daily functioning.

    Learn more about Anxiety
  • Stress / Burnout

    The body and mind's response to prolonged or excessive demands. When sustained, it can lead to emotional exhaustion, detachment, and reduced functioning (burnout).

    Learn more about Stress / Burnout
  • ADHD / Attention Difficulties

    A neurodevelopmental condition involving persistent difficulty with attention, impulsivity, and/or hyperactivity that interferes with daily functioning.

    Learn more about ADHD / Attention Difficulties
  • Cross-Cultural

    The psychological challenges of living between two or more cultures, including identity conflicts, acculturation stress, and difficulties with belonging.

  • Depression

    A mood disorder marked by persistent low mood, loss of interest or pleasure, and changes in energy, sleep, or appetite that impair daily functioning.

    Learn more about Depression
  • Identity & Self-Image

    A person's sense of who they are, including their values, beliefs, roles, and self-perception, and the distress that arises when this sense is unclear, fragmented, or negative.

  • Life Transitions

    Major life changes, such as relocation, retirement, parenthood, or career shifts, that disrupt routine and require psychological adjustment.

    Learn more about Life Transitions
  • Procrastination

    The habitual delay of important tasks despite knowing the consequences, often driven by underlying anxiety, perfectionism, or fear of failure.

    Learn more about Procrastination
  • Relationship Issues

    Difficulties in romantic relationships, including communication problems, trust breakdowns, conflict patterns, or uncertainty about the relationship's future.

    Learn more about Relationship Issues
  • Relocation / Expat

    The psychological challenges of moving to a new country or city, including loneliness, culture shock, identity shifts, and loss of social support.

    Learn more about Relocation / Expat

Professional Title:

  • Licensed Clinical Psychologist

    A psychologist licensed to independently assess, diagnose, and treat mental health conditions.

Credentials

Registrations

Conselho Federal de Psicologia (CFP)

Psicólogo (CRP)

Registration: 05/83313

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Qualifications

Formação de Psicólogo (Bacharelado)

Centro Universitário IBMR

Year: 2025

Service Areas

Main office

Online Only

Rio de Janeiro

Brazil

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