The work
The work I do is relational and pattern-focused. I don't run through intake checklists or assign exercises between sessions. I pay attention to what happens in the room: what you're saying, what you're not saying, the moments when something shifts or goes flat or speeds up. That's the material we work with.
Most people arrive already knowing the story of their situation. They've told it to themselves a hundred times and always land in the same place. What's missing is a different angle, someone watching in real time who can name what's invisible from inside it. That's what I offer. Not interpretation from a distance, but attention in the room, offered as it happens.
I work with individuals and couples. Individual work is usually about finding the pattern underneath the presenting problem, the thing that keeps recurring in different forms across different circumstances. Couples work is about finding what the argument is really about, which is rarely what it appears to be about. Both come down to the same thing: seeing what you haven't been able to see, and from there, actually being able to do something different.
What the platforms are built for
The large platforms are built for scale and access, and that has real value: they are cheaper and far easier to start than traditional therapy, and for mild, situational difficulty that can be enough. But the same model has features that work against depth. Therapists carry very large caseloads. Reassignment is common, so people often cycle through several before anything settles. A lot of the contact leans on messaging. And the incentives point at volume. For the problems that keep recurring across your life, the every-few-weeks-new-name experience makes the one thing that actually drives outcomes, a sustained relationship with someone who remembers, the hardest thing to build.
What this is instead
One therapist. The same one every week, who remembers what you said last month and notices what changed. Depth and character work rather than coping-skill worksheets. Live video sessions rather than message threads. Complete privacy, outside any insurance system, with no diagnosis on a record. And it is portable: if you move countries, the therapist moves with you. The relationship is not the packaging around the method. It is the method.
The honest tradeoffs
This costs more than a subscription, because it is the fee for an experienced therapist's hour rather than a membership. It is not instant: we start with a 15-minute call. And it is not crisis care. If cost is the binding constraint, or you want something light and immediate, a platform may genuinely fit you better, and I will say so rather than talk you into this. What you are choosing here is continuity and depth, and those are worth paying for only if they are what you actually need.
Questions people ask
What people bring to online therapy
The people I work with in English come for a wide range of reasons: anxiety, depression, stress and burnout, anger management, grief and loss, relationship difficulties, loneliness, self-esteem issues, procrastination, sleep problems, attachment patterns, self-sabotage, perfectionism, identity questions, and existential concerns. Online counseling makes this work possible from wherever you are, whether you need an English-speaking therapist, a virtual counselor, or simply someone who can work in your language at a depth that matters.
How it works
Sessions are online via secure video call. I work with individuals and couples (60 minutes). Before your first session, we have a free 15-minute call to see if this feels like the right fit for you.
Selected research on this approach
My work is psychodynamic and depth-oriented. These are some of the studies on the effectiveness of that kind of therapy. They describe research on the method in general, and are not claims about any individual outcome.
- Shedler, J. (2010). The efficacy of psychodynamic psychotherapy. American Psychologist, 65(2), 98-109. doi:10.1037/a0018378
- Steinert, C., Munder, T., Rabung, S., Hoyer, J., & Leichsenring, F. (2017). Psychodynamic therapy: as efficacious as other empirically supported treatments? A meta-analysis testing equivalence of outcomes. American Journal of Psychiatry, 174(10), 943-953. PMID 28541091
- Leichsenring, F., Abbass, A., Heim, N., Keefe, J. R., Kisely, S., Luyten, P., Rabung, S., & Steinert, C. (2023). The status of psychodynamic psychotherapy as an empirically supported treatment for common mental disorders: an umbrella review based on updated criteria. World Psychiatry, 22(2), 286-304. PMC10168167