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Therapists In Ecuador


Maria Gracia Abad

Maria Gracia Abad

Psychologist

Greystones, Greystones
Online Therapy, Psych & Diagnostic Assessment +7
English, Spanish
Life Transitions, Anxiety +8
Online & In-person

Hi, I'm María Gracia Abad, a Psychologist and EMDR Therapist, offering online psychological care and therapy in English and Spanish. Our sessions are a safe, non-judgmental space to freely express. Together, let's find solutions to the problems you're facing in order to restore your well-being.

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Verónica Espinosa Sánchez

Mrs Verónica Espinosa Sánchez

CBT Psychotherapist

Cumbaya, Quito
Neuro & Psychological Assessment, Psychometric Testing +9
English, French, Spanish
Abuse, Anxiety +7
Online & In-person

Warm, evidence-based therapy in Spanish, English and French. I help teens, adults & couples heal anxiety, trauma, self-esteem & relationship issues. Also: neuropsychology & leadership mentoring. Online worldwide & in-person in Ecuador

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Josseline Leon

Josseline Leon

Licensed Clinical Psychologists

Totoracocha, Cuenca
Counseling, Prevention +4
English, Spanish
Life Transitions, Anxiety +7
Online & In-person

Psychotherapy transformed how I support others. It taught me to listen more deeply, to integrate faith with emotional wellbeing, and to create a space where healing is possible without setting aside Christian values. I offer online sessions in Spanish and English, always from a space of compassion, faith, and respect.

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Andrea Fernández

Miss Andrea Fernández

Clinical Psychologist

Quito, Quito
Counseling, Psych & Diagnostic Assessment +5
Spanish
Mood Disorder, Anxiety
Online & In-person

Psicóloga Clínica por la Pontificia Universidad Católica del Ecuador. Consulta y acompañamiento psicoterapéutico de orientación psicoanalítica - modalidad presencial y virtual - dirigido a niños, niñas, adolescentes, jóvenes y adultos. Diplomado en Intervención Clínica en Terapia Sistémica.

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Maria Jose Leon Fuenmayor

Ms Maria Jose Leon Fuenmayor

Psychologist

Quito, Quito
Psych & Diagnostic Assessment
Spanish
Abuse, Addiction +4
Online & In-person

As a professional, I am skilled in various areas of human behavior, applying psychological principles to evaluate, diagnose, intervene, and prevent issues at individual, group, and corporate levels. Additionally, I conduct research to obtain relevant psychological information.

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Diego Guaranda

Dr Diego Guaranda

Licensed Clinical Psychologists

Kennedy, Guayaquil
ACT (Acceptance & Commitment Therapy), Relationship Counseling +1
Spanish
Addiction, Anxiety +6
Online & In-person

Tengo experiencia en el ámbito clínico, tratando problemas como depresión, ansiedad, toc, bipolaridad, problemas sexuales y de pareja.

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Patricia Parrales

Dr Patricia Parrales

Registered Clinical Psychologists

Quito, Quito
Relationship Counseling, Online Therapy
Spanish
Anxiety, Behaviour or Conduct Issues +8
Online & In-person

Dr. Parrales is a clinical psychologist and therapist who provides therapy & counseling by online video to Spanish speaking population.

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Unknown Availability
Patricia Guzman

Miss Patricia Guzman

Licensed Clinical Psychologists

La Carolina, Quito
Psych & Diagnostic Assessment, Psychotherapy +1
Spanish
Life Transitions, Family Issues +6
Online & In-person

Master in Conflict Resolution and Clinical Psychologist with more than 7 years of experience in therapeutic care, mediation and facilitation of social processes. Specializing in systemic and narrative therapy, with a focus on crisis intervention, conflict resolution, and developing personalized treatment plans.

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Therapists by Cities in Ecuador

READ THIS FIRST. If you are in immediate danger or thinking about harming yourself, please get help now. Visit a nearby emergency service, hospital, or mental health clinic immediately. If you are in crisis, consider these helplines and suicide hotlines worldwide.

Show Crisis Numbers
  • Australia: Lifeline 13 11 14 | Text 0477 13 11 14
  • Canada: 988 Suicide Crisis Helpline | 1-833-456-4566
  • France: SOS Amitié 09 72 39 40 50 | Suicide Écoute 01 45 39 40 00
  • Germany: Telefonseelsorge 0800 111 0 111
  • India: AASRA 91-22-27546669 | Sneha Foundation 044-24640050
  • Ireland: Samaritans 116 123 | Pieta House 1800 247 247
  • New Zealand: Lifeline 0800 543 354 | Depression Helpline 0800 111 757
  • South Africa: LifeLine 0861 322 322 | SADAG 0800 567 567
  • United Kingdom: 111 (Option 2) | Samaritans 116 123 | Text SHOUT to 85258
  • United States: 988 Suicide & Crisis Lifeline | SAMHSA 1-800-662-4357

Welcome, and well done for taking steps towards positive change! We are here to help you find your best-fit therapist in Ecuador put you in the driver's seat. They focus on finding the right fit, tailoring sessions to your unique needs, and taking the time to understand your goals before you commit—all without strict program rules or corporate quotas.

This model provides several key benefits:

  • Direct Relationship: You and your therapist agree on goals and methods together. No algorithmic assignment interferes with your care.
  • Tailored Methods: Clinicians can adapt their approach to your needs, including session length and pace, integrating multiple methods as you evolve.
  • Privacy & Continuity: With fewer parties involved, your privacy is better protected. You can see the same trusted clinician over time, which supports deeper work.
How do I choose a therapist in Ecuador?

Choosing a therapist involves four key factors: credentials, experience, therapeutic approach, and personal fit.3 Here is a step-by-step guide:

1. Check Credentials and Registration

Therapists in Ecuador include several types of mental health professionals, each with specialized training:

  • Clinical psychologists and counsellors provide psychotherapy for concerns like depression, anxiety, trauma, grief, relationship difficulties, and life transitions. They use evidence-based approaches to help you understand patterns, develop coping strategies, and work toward your goals.
  • Marriage and family therapists work with couples, families, and individuals on relationship dynamics, communication patterns, conflict resolution, parenting challenges, and family transitions like divorce or blending families.
  • Psychiatrists are medical doctors who can diagnose mental health conditions and prescribe medication. Choose a psychiatrist if you think medication might help alongside therapy—such as for moderate-to-severe depression, bipolar disorder, or ADHD.

The right choice depends on your specific needs. Many concerns can be addressed by different types of therapists, so focus on finding someone with relevant experience who feels like a good fit.

2. Consider Their Experience and Approach

Look for therapists with experience in your specific concern. Different therapeutic approaches work in different ways:

  • Cognitive Behavioral Therapy (CBT) helps you identify and change unhelpful thought patterns and behaviors. It works well for anxiety, depression, and OCD.
  • Psychodynamic therapy explores how unconscious patterns and past experiences shape your current relationships and behaviors, addressing deeper personality patterns.
  • Person-centered therapy provides a warm, non-judgmental space where you lead the conversation, helping you find your own solutions.

Research shows that the therapeutic fit—feeling understood, respected, and safe—matters more than the specific method for most people.4 A good therapist will adapt their approach to what works for you.

3. Use the Filters to Narrow Your Search

Filter by issue, therapist type, language, cultural background, gender identity, fee range, and availability to find your best match.

4. Review Profiles and Contact 2-3 Therapists

Read profiles carefully and contact a few therapists for an initial consultation, many of which are free. Ask questions like, "How do you typically work with [your concern]?" and "What would a typical session look like?"

5. Trust Your Instincts

The therapeutic relationship is one of the strongest predictors of treatment success.3 Choose someone you feel comfortable with. If the fit isn’t right after a few sessions, it is okay to try someone else.

To learn more, read our comprehensive guide on How to Choose a Therapist.

Our Commitment to Verification & Safety

Your trust is paramount. We are committed to ensuring that every therapist on our platform meets high professional and ethical standards.

  • License & Registration: We verify that all therapists hold a valid license and are in good standing with their professional regulatory body.
  • Correct Titles: We ensure that practitioners only use professional titles (like "Psychologist") that they are legally entitled to use in their region.
  • Ongoing Checks: Enhanced listings undergo periodic re-verification to ensure their credentials remain current.

This commitment to transparency and quality means you can search with confidence, knowing you are connecting with credible, vetted professionals.

How much does therapy cost in Ecuador?

Therapists' fees in Ecuador vary based on training background, experience level, and specialization.

Insurance and Coverage

Many insurance plans cover mental health services. Before booking, ask your insurer about your coverage for in-network and out-of-network providers, your copay or coinsurance, and any session limits.

Affordable Options

Many therapists offer sliding-scale fees based on income, flexible session arrangements, or group therapy as a lower-cost option. Contact therapists directly to ask about these possibilities.

Independent therapists control their own pricing and can offer flexible payment options. They can provide the paperwork needed for insurance claims and will openly discuss fees.

To learn more, read our guides on Therapy Cost Considerations.

What should I expect in the first session?

The first session is an orientation and brief assessment. It's a chance to see if you feel comfortable. Sessions typically last 50-60 minutes.

What Happens:

  • Introductions & Paperwork: You’ll discuss confidentiality, fees, and policies.
  • Your Story: The therapist will ask what brings you to therapy and what you hope to achieve.
  • Questions & Answers: This is your chance to ask about their approach and experience.
  • Next Steps: You'll decide if it's a good fit and schedule future sessions.

You do not need to have anything prepared. The most important thing is to show up as you are.

How to Know if It's a Good Fit:

A good therapist will listen, show empathy, and create a safe space. Trust your instincts. People experience better outcomes when the therapeutic relationship is strong,3 but it can take 3-4 sessions to build trust.

Independent therapists can offer flexible first sessions—in-person or online—and take the time to understand your needs without pressure to commit to a rigid program.

To learn more, read our guide on What is Therapy?

About TherapyRoute

Real choice. Authentic independent, clinician-led care.

TherapyRoute is a clinician-led directory that champions independent practitioners who answer to you and their professional ethics, not to investors or corporate interests. We don’t take commissions, sell your data, or assign therapists by algorithm. You browse, compare, and choose.

— Vincenzo (Enzo) Sinisi, Clinical Psychologist (HPCSA), Psychoanalyst (IPA/SAPA), Group Analyst (IGA)

References

[1] World Health Organization (2022). Mental Health Fact Sheet. Link

[2] World Health Organization (2022). World Mental Health Report. Link

[3] Ardito, R. B., & Rabellino, D. (2011). Therapeutic alliance and outcome of psychotherapy. DOI

[4] American Psychological Association (2019). The therapeutic relationship. Link

IMPORTANT!!

TherapyRoute is not for emergencies and does not provide medical advice. All of our content is informational and cannot replace professional healthcare. In an emergency, contact a local emergency service. For immediate support, consider a local helpline.