OltreConfini was created as a contemporary clinical space. Years of experience taught us that it is not possible to treat the part separately from the whole. Every person is made of body, mind, story, feelings and culture. Life, with its obstacles, traumas and suffering creates blocks in the body, in the mind and in our relationships. To overcome them, one must activate the pool of personal and cultural resources that are unique in each of us. This is possible only when living fully in the present, to find the necessary balance to face the future. At OltreConfini, we help our patients give voice to what the mind experiences and the body expresses. Therapy, like life, is a path of growth and change, a journey of tears and laughter to be experienced one step at a time. This is the journey we take with each one of our patients, striving to go beyond barriers. This is why we chose to call ourselves OltreConfini.

At OltreConfini we give voice to what the mind experiences and the body expresses

Dr. Marzia Negri

Marzia Negri

I am a psychologist and psychotherapist licensed in Italy. My clinical orientation is systemic relational and I work with teenagers and adults in individual, couple and family therapy.

I graduated from the University of Padua and specialized in relational systemic psychotherapy at the Milan Family Therapy Center. Over the years I have collaborated with various hospitals and care facilities including the Salvatore Maugeri Foundation in Pavia and the Luigi Sacco Hospital in Milan. Since 2006 I am the coordinating psychologist in a private / accredited structure of the Maddalena Grassi Foundation, where I focus on the treatment of psychiatric and degenerative physical conditions. Alongside my work in the health sector, I always kept a private practice.

Over time, and with experience, I realized that psychological well-being cannot disregard the connection between mind and body. It is important to heighten our ability to listen to the signals that our body sends via the sensations that it makes us feel. This leads us, each in their own time, to get in touch with our emotions and find greater awareness, knowledge and acceptance of ourselves.

In my work, I offer support, but also voice and dignity, to pain and psychological suffering. The symptom, whatever it may be and of whatever intensity, is the sign of an imbalance within the systems where the individual lives and establishes meaningful relationships. This generates tensions and distress within the individual and in the context in which he lives.

Therapy generates new points of view and energy to read over one’s past and, when necessary, to rewrite it.  Doing so, allows us to look at the present from a new angle, acquiring a broader outlook onto the future to face life from a more adaptive and creative perspective.




“Gestione dello stress occupazionale in pazienti cardiopatici”. I. Giorgi, G. Calsamiglia, M. Negri, F. Scafa, R. Colombi, S. Candura, F. Gigli Berzolari, O. Nervi, O. Bettinardi.

“Modello di counselling integrato nella riabilitazione del cardiopatico”. Riera D., Albertini S., Nicola L., Mazza A., Camera F., Maestri A., Brazzo S., Castiglione K., Manera M., Nervi O., Negri M., Sguazzin C., Calsamiglia G., Tramarin R.

“A model of psychological treatment in cardiac rehabilitation: short-term outcome”. Giorgi I., Negri M., Andreoli A., Riera D., Calsamiglia G., Sommaruga M.

Dr. Silvia Fiammenghi

Silvia Fiammenghi

I am clinical psychologist licensed both in Italy and in New York State.  I am also a yoga teacher, registered with Yoga Alliance (RYT- 200). I work in English, Italian and Spanish with adults, couples, and groups. My areas of expertise are trauma work, severe mental illness, college mental health, and issues related international mobility and study abroad.  After graduating from the University of Pavia, Italy in a Master’s in psychology, I went on to earn my Doctorate in Psychology (PsyD) from Long Island University Post in NY. Over the years I worked in a broad range of settings, across various clinical populations. After working in the field of behavioral medicine in Italy, I focused in serving the severely mentally ill in New York City. Since 2013 as the campus psychologist at New York University in Florence and in my private practice, mostly geared towards expats, I have developed an expertise in working with intercultural issues, such as global relocation, study abroad, and third-culture-family dynamics.

My integrative approach to treatment is routed in relational and interpersonal psychodynamic theory, although I also draw from other approaches to meet my clients’ specific needs. Combining my clinical skills with my knowledge of yoga principles, I guide my patients as they work towards finding their balance between mind, body and culture. I see therapy as a powerful two-person process of discovery and acceptance. In therapy we laugh, we cry, we understand and we grow. Reading over the past, we stay rooted in the present and look forward to the future. 

RYT 200



Knafo, D., Keisner, R. and Fiammeghi, S., (Eds.). (2014). Becoming a Clinical Psychologist: Personal Stories of Doctoral Training. Rowman Littlefield, Lanham, Maryland.

Fiammenghi, S. (2006). “O” come obesa (“O” as in Obese). Rome, Italy: Il Filo


Fiammenghi, S. (2017). I love you to death. In: Psychoanalytic Perspectives on Passion. Meanings and manifestations in the clinical setting and beyond. B. Willock, R. Coleman Curtis. and L.C. Bohm

Fiammenghi, S (2014). Clinical psychology training and romance: for better or for worse. In: Becoming a Clinical Psychologist: Personal Stories of Doctoral Training.Knafo, D., Keisner, R. and Fiammeghi, S., (Eds.). Rowman&Littlefield, Lanham, Maryland.


Fiammenghi, S (2018). Review of the Book: Family and Couple Psychoanalysis: A Global Perspective by David E. Scharff and Elizabeth Palacios Group, Vol. 41, No. 2 (Spring 2018), pp. 77-80

Fiammenghi, S (2012). Considerations of EsaurimentoNervoso (Nerves) for Italian-American Patients of Mental Illness. Italian American Review, 2, 1

Giorgi, I., Sguazzin, C., Fiammenghi, S., Argentero, G. (2007). The Italian Validation of the Constructed Meaning Scale: Preliminary results. Giornale Italiano di Medicina del Lavoro ed Ergonomia, 29, 1 Suppl A: A58-63.


(2011) Translation Italian-English of the manual: Manuale per il Test di Wartegg: Norme per la siglatura, i conteggi, l’Interpretazione by Alessandro Crisi


Fiammenghi S (2018, October). Adoption. Fear of becoming someone’s parent or someone’s child. Can therapy help transform strangers into a family?.
XX International Forum of Psychoanalysis, “New faces of fear. Ongoing transformation in our society and in Psychoanalytic practice”, Florence Italy

Fiammenghi S and Zandanel G (2018, October). Clinical setting and GenZers: a rare shelter for boundaries and intimacy
XX International Forum of Psychoanalysis, “New faces of fear. Ongoing transformation in our society and in Psychoanalytic practice”, Florence Italy

Fiammenghi S (2014, July). I love you to death: on loving the patient who loved to much.
Seventh Joint International Conference: Passion, Florence Italy

Fiammenghi S and DelVita J (2014, January). Going Global: Providing Mental Health Services from the Global Perspective.
Metropolitan Counseling Center Conference, New York University, New York. Lecture conducted in video-conference from Florence, Italy 

Fiammenghi S (2013, October) From Psychiatric Center to University Counseling Center: Uniformity of Clinical Principles Across Diverse Settings. Students for Multicultural Advancement in Research and Training (SMART) lecture series of Long Island University, C.W. Post Campus Psychology Doctoral Program. Lecture conducted in video-conference from Florence, Italy 

Fiammenghi S (2013, February). The Auerbach and Silverstein Method of Qualitative Research Coding. Qualitative Research Team at Long Island University, C.W. Post Campus Psychology Doctoral Program. Lecture conducted in video-conference from Florence, Italy 

Fiammenghi, S, Kobayashi, T & Langdon, G) (2012, November). The Recovery Model and Multidisciplinary Collaboration: A Case Study.
Expressive Therapies Summit, New York, NY.

Fiammenghi, S. (2012, February). Power of Advocacy: aPersonal Account of NY22.
APAGAS on the Road colloquium “What they did not teach me in Graduate School”, New York, NY

Fiammenghi, S. (with  Avivi, A., Osei, A., &Gotterman, B.). (2011, June). Clinical Psychology Training and Romantic Relationships. In Personal Implications of Clinical Psychology Doctoral Training: Students’ Voices.
Symposium at the New York State Psychological Association (NYSPA) Annual Conference.

Fiammenghi, S (2010, October). EsaurimentoNervoso: Fiction or Fact?
The Italian-American Mental Health and Wellness Conference, New York, NY.

Fiammenghi S. (2008, July). Psychological aspects and emotional cost of paramedic work.
Croce Verde Pavese, Pavia, Italy.

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