Private Online Therapy, in English

I do not bill insurance. I do not file claims. I do not register with any national health system. No diagnosis codes. No GP notification. No employer visibility. No shared records. You pay directly. Sessions are encrypted. Your therapy stays between us.

How I work

I practice characterological therapy. I am not managing symptoms or teaching coping strategies. I am working with the patterns of personality that produce the symptoms. The way your mind automatically organizes experience. The defenses you built so early they feel like who you are.

Most people who come to me are intelligent and self-aware. They can describe their patterns fluently. They have read the books. They may have been in therapy before, possibly more than once. They are surprised that understanding the pattern has not changed it.

The pattern does not live where understanding lives. It runs faster than your awareness of it.

By the time you notice you are doing the thing, you are already mid-sentence in it: apologizing for taking up meeting time, agreeing to a deadline you know is impossible. The pattern fired first. Your awareness arrived second, holding the report.

You cannot think your way out of something that runs underneath thinking. That is what the work is for.

In sessions, I track how your mind is working in real time. What you elaborate and what you skip. Where the feeling begins to form and the analysis arrives to replace it. The moment the counterargument shows up is usually the moment something was about to be felt.

I am direct. If I see something, I say it. You will always know what I am thinking.

Most clients work with me weekly for a year or more. The patterns you are living with took decades to build. But the changes, when they come, do not require maintenance. You do not have to keep practicing them.

Why previous therapy may not have worked

There are two common ways therapy fails smart people. The first is the therapist who is too careful. They validate everything. They affirm your feelings. You leave each session feeling slightly better and nothing changes. The therapy replicates the same dynamic that maintains the problem: perform well for an authority figure, receive approval.

The second is the therapist who is too directive. Homework, goals, progress metrics. This adds another task to a life already organized around tasks.

And then there is the insight trap. You already understand yourself quite well. You can trace the pattern back to childhood. You know you are a perfectionist, you know you over-function, you know you avoid vulnerability. Knowing has not changed it, because the pattern operates at a level that self-narration cannot reach.

Who this is for

People in public-facing roles who cannot afford to have therapy on record. Executives, diplomats, politicians, lawyers, physicians, military officers, people in finance. Not because therapy is something to be ashamed of. Because systems are not always discreet and careers are not always forgiving.

That worry has numbers behind it. A 2017 survey reached 5,829 US physicians. Nearly 40 percent said they would hesitate to seek formal care for a mental health condition. The reason was fear for their license. The share ran higher in states whose license forms asked about mental health history.

People who move between countries. Expats, international professionals, trailing spouses. You want one person who knows your history, who has watched the patterns with you over time, who does not need six sessions of backstory every time you change countries.

People who have tried therapy before and found it insufficient. And people who value their privacy on principle. You do not need a professional reason to want your therapy off the books.

Frequently asked questions

Related

What Clients Say

I am an English-speaking therapist working online in more than 30 countries. The English-speaking therapist page explains what that means in practice.