Who looks for an English-speaking therapist
Most people who find this page live outside the country they grew up in. Some speak the local language well enough for work and not well enough for this. Some are fluent and still want to do this part of life in English. Some are couples with two first languages and one shared one. And some live at home and want a therapist trained in a different tradition than the one on offer locally.
All of them run into the same problem. The local system works in the local language. The English-speaking options are few, booked out, or a long drive away. So the search widens to online, and that is where I come in.
What "works in English" usually means
Many therapists list English as a working language. Fluency for a consultation is not the same as fluency for this work. Therapy runs on small words: the exact phrase you reach for, the joke you make instead of the feeling, the pause before a sentence. A therapist who is fully at home in English hears those. A therapist who is translating in their head hears the content and misses the rest.
I am a native English speaker. The work happens in the language you think in, or in the language your relationship lives in. If a word only exists in your first language, we use that word.
People who speak two languages often say their first one moves them more. A 2009 study tested this with Turkish college students who had learned English as a foreign language. They listened to emotional phrases in both languages. Sensors on their skin tracked how strongly their bodies reacted. The reaction was weaker in English than in Turkish. The gap was widest for the scoldings of childhood.
What I offer
Individual therapy and couples therapy, online, in English. My approach is psychodynamic. I work on the patterns underneath the problem rather than the surface symptoms. Sessions are 60 minutes over secure video. Most clients meet weekly or biweekly. I am on Central European Time, in Copenhagen, and I see clients across time zones.
I hold a master's degree in counseling from La Salle University and a master's degree in sociology from UC Berkeley. I completed an 18-month clinical internship at the Philadelphia Consultation Center, and I am a member of the American Counseling Association. More on the about page.
A local therapist, or an online therapist in English?
There is a good case for a local therapist. If you need a diagnosis, a prescription, a sick note, or care your insurance will pay for, the local system is the right address. Every country guide on this site says so.
The case for an online therapist in English is different. You want the work itself to happen in English. You want to start this month, not next season. You want a therapist who stays with you if you move again. And you may not want a record of therapy in a system you did not choose. That is the work I do, and it stays private.
Not sure yet? That's what the free call is for.
Request a free 15-min callWhere I work
I work with people in more than 30 countries. Most of my clients live in Europe, the Gulf, and Asia. Each country and city page on this site explains how therapy works there: the public route, what it costs, and how long you wait. The 34-country reference puts all of it in one table.
Country and city pages people reach this site from most often: Germany, Switzerland, Austria, the Netherlands, Denmark, Spain, Israel, the UK, and the cities of Vienna, Zurich, Basel, Paris, Berlin and Tel Aviv. The full list covers every country and city with a page. I am not available to clients based in the United States.
Licensing, plainly
I am US-trained. I hold no license in the country you live in, and I do not bill local insurance. The work is private and paid out of pocket. I say this on every country page because it matters for what you are buying. What you get is a therapist whose training and practice are in English, working directly with you, outside any local registry.
How it works
The first step is a free 15-minute call. We talk about what is going on and whether I am the right fit. If we go ahead, we book a first session. Session fees are discussed during the call. There is no referral, no waiting list, and no online booking calendar. You write to me, and I reply within 24 hours, usually much sooner.
What this is not
This is talk therapy, not medical care. I do not prescribe medication, provide psychiatric care, or do psychological testing. If you are in crisis, please use the crisis resources page and your local emergency services.
Frequently asked questions
Do I have to be an expat to work with you?
No. Most of my clients live abroad, but some are at home and want a therapist who works in English and in a depth tradition. What matters is the fit, not the passport.
My English is good, but it is not my first language. Does that work?
Usually, yes. Many of my clients did their education or their career in English. If English is the language you think in for most of your day, it is a language we can work in. If a word only exists in your first language, we use it.
We are a couple with different first languages. Can you work with us?
Yes, and this is common. English is often the language the relationship was built in, so we work in it. Each partner still gets to bring the words that only exist in their own language when they need them.
Which countries do you work with?
Clients in more than 30 countries, most of them in Europe, the Gulf, and Asia. Scheduling works from Central European Time across most time zones. I am not available to clients based in the United States.
Are you licensed where I live?
No. I am US-trained and I hold no license in your country. I do not bill local insurance, and nothing about our work enters a local record. If you need covered care, a diagnosis, or medication, your local system is the right place to start, and I will say so on the call.
Therapy in English by country
Sessions are online, so I work with clients wherever they live. These are the country pages people reach most often, grouped by region.
Gulf and Middle East. Large English-speaking expat populations and long waits for private care. UAE · Qatar · Saudi Arabia · Kuwait · Lebanon · Israel
Asia and Pacific. Established expat hubs where local English-language options are limited or heavily booked. Singapore · Hong Kong · Japan · South Korea · Taiwan · China · India · Indonesia · Malaysia · Thailand · Vietnam · Australia · New Zealand
Europe. Internationals and dual-culture households who would rather not work through a second language. UK · Ireland · Germany · Netherlands · Switzerland · Austria · Belgium · France · Spain · Portugal · Italy · Greece · Denmark · Norway · Sweden · Poland · Czech Republic · Bulgaria · Romania · Estonia · Luxembourg · Monaco · Channel Islands · Cayman Islands · Bermuda · Gibraltar · Liechtenstein · Malta · Russia
North America. English-speaking clients outside the United States. Canada · Mexico. For a wider country-by-country look at how mental-health care works abroad, see the expat mental healthcare guide.
Major cities. Direct city pages for the metros internationals search most often. London · Paris · Amsterdam · The Hague · Brussels · Berlin · Munich · Frankfurt · Vienna · Zurich · Geneva · Zug · Madrid · Barcelona · Lisbon · Milan · Prague · Oslo · Stockholm · Dublin · Dubai · Abu Dhabi · Doha · Toronto · Vancouver · Sydney · Melbourne · Tokyo · Copenhagen · Riyadh · Tel Aviv · Jerusalem · Basel · Lausanne · Bern · Hamburg · Cologne · Stuttgart · Rotterdam · Utrecht · Eindhoven · Gothenburg · Malmö · Aarhus · Luxembourg City · Porto · Kuala Lumpur · Bangkok · Seoul · Kuwait City · Mexico City
Therapy in English by profession
Different working lives put pressure on different things. These pages are written for the specific shape of each. Professionals (overview) · Finance professionals · Consultants & lawyers · Founders · Physicians · Diplomats · Cleared professionals · Pilots · Digital nomads · Faculty · Postdocs · Graduate students · Undergraduates · International students · International school teachers
What Clients Say
“I came in thinking I knew what my issues were. I'd been over them a hundred times. But those were just the things I could already see. Aaron helped me notice what I couldn't, and that's where everything actually started to change.”
- M.J.
“I didn't think online therapy could really work. How do you feel a connection through a screen? But I've done in-person therapy before, and honestly, I've felt more understood by Aaron than by any therapist I've sat across from. He listens in a way that's hard to describe until you experience it.”
- T.L.
“A few years ago I suddenly developed prolonged panic attacks but couldn't begin to understand what had caused them. Having been in therapy in the past, and being a counseling intern student, I felt I had exhausted my resources trying to figure out “What is wrong with me?” I can honestly say Aaron provides a form of counseling that is difficult to find anywhere else regarding efficacy. Not only has his approach been effective, but he also has provided me a safe space to explore aspects about myself I may not otherwise have felt able to. I cannot recommend him enough as he has helped me feel more myself than ever before.”
- K.R.
“I'd been in and out of therapy for years. Different therapists, different approaches, none of it really stuck. Aaron helped me understand more in a few months than all of them combined. And he talked to me like a normal person, not like all this weird therapy-speak.”
- S.A.