In most countries, seeing a therapist means entering a system. You file insurance claims. Your diagnosis goes into a health registry. Your GP gets a letter. Your employer's insurance carrier knows you are in treatment. If you work in government, law, finance, medicine, or the military, there may be reporting requirements you did not know about until it was too late. If you move, you start over with someone new who knows nothing about you.
None of that applies here.
I am a private practitioner. I do not bill insurance. I do not file claims. I do not register with any national health system. There is no diagnosis code attached to your name. No letter goes to your GP. No record of your therapy exists anywhere except between us. You pay me directly, in any currency, and that is the end of the paper trail.
Why this matters more than people realize
Most people do not think about the privacy implications of therapy until they are already in the system. In countries with national health insurance, a therapy referral often creates a record that follows you. In Germany, a diagnosis can affect your ability to get private health insurance later. In the UK, your GP is notified. In the Netherlands, your insurer knows your diagnosis. In some Gulf states, there is significant professional and social risk attached to being in psychiatric treatment at all.
Even in countries where records are theoretically confidential, the fact that you are in treatment is often visible to more people than you expect: insurance administrators, HR departments that process claims, employee assistance program coordinators, military medical boards, security clearance reviewers. You may trust your therapist completely and still have no idea who else can see that you are seeing one.
Private pay eliminates all of this. There is no claim. There is no diagnosis code. There is no third party. The only people who know you are in therapy are you and me.
Who this is for
People in public-facing roles who cannot afford to have therapy on record. Executives, diplomats, politicians, lawyers, doctors, military officers, people in finance. Not because therapy is something to be ashamed of, but because systems are not always discreet and careers are not always forgiving.
People who move. Expats, international professionals, trailing spouses, digital nomads, anyone whose life crosses borders. If you are going to be in Copenhagen this year and Singapore next year, you do not want to start over with a new therapist each time. 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. Online therapy means your therapist travels with you. The time zone shifts. Everything else stays.
People who value their privacy on principle. You do not need a professional reason to want your therapy off the books. Some people simply do not want a diagnosis attached to their name. Some do not want their insurer involved in their mental health. Some live in communities where seeing a therapist carries stigma they would rather not manage. These are reasonable preferences, and private pay respects them without requiring you to justify them.
Couples who want to keep their work private. Couples therapy is rarely covered by insurance anyway, because insurers require an individual diagnosis and couples therapy does not involve diagnosing either person. But beyond the insurance question, some couples want the work to stay completely between them and their therapist. No records. No intake forms that become discoverable in legal proceedings. Just the work.
What you get
Weekly sessions over encrypted video. Flexible scheduling across any time zone. A therapist who stays the same no matter where you live. No intake paperwork beyond a brief consultation. No diagnosis unless you specifically need one for a purpose of your own. No records shared with anyone. Payment in any major currency.
I work from a depth-oriented, characterological approach. That means we are not managing symptoms. We are working with the patterns of personality that produce the symptoms. The work is direct, honest, and designed to produce changes that last. More about how I work.
What this costs
Individual sessions are $200 / €170 for 60 minutes. Couples sessions are $200 / €170 for 60 minutes. Longer sessions available at pro-rated rates. Payment is direct, out of pocket, in any currency. I can provide a receipt if you need one for tax purposes or personal records, but I do not submit anything to any insurer or health system.
Before your first session, we have a brief 15-minute call to see if this feels like the right fit for you. It is a chance to see whether the fit is right. No paperwork, no commitment.
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