The therapeutic alliance is the engaged working relationship between clients and therapist. This connection is a critical factor in therapeutic outcome. Romana focuses on building and nurturing this relationship with her clients throughout therapy by collaboratively creating a space that is safe, compassionate, authentic, judgement-free and open. She invites client reflections on the process and progression of therapy and welcomes both positive and negative feedback, which assist Romana to further tailor and strengthen her approach for each client.