Psychological support for adults
in Vilnius and online

Andrej Gušča · Medical psychologist

When a crisis, burnout or anxiety starts to take over everyday life, I help you pause, understand what is happening and find your own way forward.

I want to give you time and attention, listen and understand how I might help. I invite you to a free introductory consultation to share what matters to you, get to know each other and see how it feels to talk together. You can then take your time to decide whether you would like to continue working together.

Free · No obligation to continue

In person in Vilnius or via Google Meet.

What I can help with

I work with adults facing emotional difficulties, changes, or questions about themselves and their lives.

Crises, turning points and searching for meaning

Loss, separation, losing a job or a difficult choice — when what seemed solid falls apart and it is no longer clear what truly matters.

Burnout and exhaustion

When you are living on autopilot, rest no longer helps, and what used to bring joy has become just another obligation.

Anxiety and tension

Thoughts that will not stop, poor sleep, a constant “what if…” and a body that never quite relaxes.

Challenges for leaders and entrepreneurs

Responsibility for others, decisions no one else will make for you, and a loneliness that is never talked about at work.

Relationships and self-worth

When the same conflicts keep repeating, it is hard to say “no”, and you keep doubting your own decisions.

About me

I am a medical psychologist. I work at a private psychiatric clinic, where I lead therapy groups and see clients individually, and I also have a private practice.

I came to psychology from business. For many years I worked in leadership: building businesses from scratch, leading companies through their most difficult periods, and managing both rapid growth and crises. I have known both success and failure — failures after which I had to rebuild everything from scratch.

So I know what pressure, responsibility for others and loss can feel like — and that it is possible to recover afterwards. That experience helps me talk with clients side by side, not from above.

  • Medical psychology, Vytautas Magnus University (VMU)
  • Medical psychologist licence No. ASL-16100
  • Clinical experience: group and individual therapy
  • Consultations in Lithuanian, Polish, English and Russian
Andrej Gušča, medical psychologist, Vilnius

My approach

For me, health is more than the absence of illness. It is the ability to face difficulty, work through it and recover — each time a little differently than before.

In therapy, we look for your own way rather than the ‘right’ answer: what matters to you, what gets in the way and what resources you already have.

You can hear how I work with real-life situations in an episode of the podcast ‘Sprendimas yra!’ (in Lithuanian) — a conversation about relationship crises, fear of divorce and loneliness.

Approaches I draw on

Existential therapy

For questions of meaning, choice and responsibility. When life calls on you to decide what truly matters.

Cognitive behavioural therapy (CBT)

Practical tools to recognise thoughts and habits that maintain anxiety or tension, and to try new ones.

Transactional analysis

To understand relationships and life scripts: why we repeat the same patterns and how to move beyond them.

I draw on these approaches according to what brings you here and what you need at this point: practical steps, clarity about what matters to you, or an understanding of recurring patterns in relationships. We decide together how to work and adjust our approach when needed.

Our work together

You can start with a short, free session. It is an opportunity to get to know each other, ask questions and discuss whether you would like to continue working together.

Introductory consultation

Free
An introductory consultation is a shorter meeting to get to know each other, usually lasting around 20–30 minutes. We discuss what has brought you here, your expectations and the possibility of working together. If more time is needed, we can discuss extending the meeting.

Follow-up sessions

50 min
Individual sessions in person or online. We usually start with weekly sessions, which can later become less frequent. We talk about what matters most to you at the time, and sometimes agree on small steps between sessions. If you feel the format or way of working does not suit you, it is worth talking about — together we will look at what to change.

Free · No obligation to continue

Frequently asked questions (FAQ)

Are consultations confidential?

Consultations are covered by professional confidentiality. We discuss its limits and the exceptions provided for by law when we begin working together. Information about the processing of personal data is in the privacy policy.

A psychologist helps you explore emotional and psychological difficulties. A psychiatrist is a doctor who can prescribe medication. A medical psychologist does not prescribe medication.

We discuss the number of sessions individually, taking your questions, needs and the progress of our work into account.

Yes, sessions can take place via Google Meet. Please make sure you have a quiet, private space and a reliable internet connection. We discuss the most suitable format together.

Please give at least 24 hours’ notice if you need to cancel or reschedule. Use the link in your booking confirmation or contact me by email.

These consultations are not an emergency service. If there is an immediate threat to life or health, call 112. Emotional support in Lithuania (in Lithuanian): Vilties linija — 116 123; Jaunimo linija — 0 800 28888 (for people aged 16–35). If you are in another country, please contact your local emergency services.