No insurance. No registry. No local records. Just therapy.

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.

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. None of your therapy goes to an insurer or a registry. That is the whole design. 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 side 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. Stiftung Warentest is Germany's consumer testing foundation. It says a person still in therapy has little chance of a policy. In the UK, your GP is notified. In the Netherlands, your diagnosis group goes on the bill your insurer sees. It stays off if you and your therapist sign a privacy statement. In some Gulf states, there is real 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.

A concrete version: a physician in the Gulf wants therapy but knows a psychiatric record could surface at license renewal. An engineer with a security clearance would rather not explain a claims history at his next review. Neither one is ashamed. Both are being realistic.

That worry has numbers behind it. In a study published in 2017, 5,829 US physicians answered a survey. 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.

With private pay, I file no claim and use no diagnosis code. Forms that ask about treatment still ask you directly.

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.

People who value their privacy on principle. 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 between them and their therapist.

What you get

Weekly sessions over encrypted video. Flexible scheduling across time zones. No intake paperwork beyond a brief consultation. No diagnoses. 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 and couples session fees are discussed during your free consultation call. 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 free 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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