welcome to
Therapy with Gisela
I help adults break free from OCD, anxiety and trauma — with warm, evidence-based CBT and EMDR.
Sessions online across the UK and worldwide, in English or Spanish — and in person in Prestwich and Hebden Bridge.
I can help with:

About Gisela
Founder of Sanctuary Therapy Centre
I'm Gisela Ramirez — a BABCP-accredited Cognitive Behaviour Therapist and EMDR Accredited Practitioner.
I see clients in person at Sanctuary Therapy Centre in Prestwich, Manchester — my permanent base — and in Hebden Bridge, West Yorkshire. I also work online across the UK and worldwide, in English and in Spanish.
Where would you like to start?
Pick the door closest to what's going on. Each one opens onto the detail — what it looks like, how I treat it, and what to expect.
OCD therapy
Intrusive thoughts, checking, contamination fears, rumination and the taboo themes people find hardest to say out loud.OCD therapy →Anxiety & panic
Constant worry, health anxiety, social anxiety, panic attacks and phobias — treated with CBT that gets to the pattern underneath.Anxiety & panic →Trauma & PTSD
The after-effects of trauma — flashbacks, hypervigilance, avoidance — treated with EMDR, online or in person.Trauma & PTSD →Terapia en español
También ofrezco terapia en español — online o en persona. If you'd prefer to work in Spanish, just say so in your enquiry.Terapia en español →How I work
Five evidence-based approaches. Once we've talked, I'll suggest the fit.
Cognitive Behavioural Therapy (CBT)
Most of my work is built on CBT. It maps the loop between what you think, what you feel and what you do, then changes it a step at a time. NICE-recommended for anxiety, OCD and depression.How it works →EMDR
A structured trauma therapy that works on the memory itself, so a past event stops firing as though it were still happening.How it works →Inference-based CBT (I-CBT)
A newer OCD treatment that works on the reasoning that makes an obsessional doubt feel credible. An alternative for people who can't get on with exposure work, or for whom it hasn't held.How it works →Acceptance & Commitment Therapy (ACT)
Loosening the grip of difficult thoughts and feelings, instead of arguing with them, so you can get on with what matters to you.How it works →Internal Family Systems (IFS)
A way of meeting the different, often conflicting parts of you with curiosity: the critic, the perfectionist, the part that shuts down.How it works →Where we meet
Gisela sees a small number of clients in person at Sanctuary Therapy Centre, which has two homes: a calm, characterful Victorian building in Prestwich, Manchester — with private therapy rooms, a quiet waiting area and on-site parking — and a welcoming centre on Market Street in Hebden Bridge, West Yorkshire.
In-person places are limited — if you'd prefer to meet face to face, say so in your enquiry and Gisela will confirm current availability when she replies.

Online sessions
Secure video sessions across the UK and worldwide, in English or Spanish. Same length, same approach, same therapist as meeting in person.
Prestwich, Manchester
Oakhill Court, 171 Bury New Road, Prestwich, M25 9ND
A calm, characterful Victorian building on Bury New Road — private therapy rooms, a quiet waiting area and on-site parking. Gisela's permanent base.
View gallery →Map
Hebden Bridge, West Yorkshire
36 Market Street, Hebden Bridge, HX7 6AA
A welcoming centre on Market Street in the heart of Hebden Bridge — the second home of Sanctuary Therapy Centre.
View gallery →MapTake the first step
A free consultation — no pressure, just a conversation to see how I can help.
What clients say
Working with Gisela is one of the best decisions I have ever made. I was incredibly nervous explaining my experiences with OCD over the phone when I had my initial consultation with her but from that very moment, I knew I had chosen the right therapist to work with.
Gisela was able to fit me in for my first one to one session at the Sanctuary within a week and although I was very nervous Gisela put me at ease immediately.
The Sanctuary is a beautiful building, and the therapy room is calming and welcoming, it is also conveniently situated on a main road with ample parking.






