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.
Why Brits abroad come to therapy
The British relationship to feelings, mustn't grumble, mustn't make a fuss, the joke that deflects the thing, travels abroad with you and gets lonelier on arrival. The pub, the banter, the old network that absorbed it all without anyone naming anything, that is the part you cannot pack. You left for the weather, the money, the job, or to get out, and underneath the move sits homesickness and a quieter set of identity questions you did not expect and have no one to ask.
I am American-trained and work with British expats across the world. What matters here is not that your therapist is British, but that the work is in English, with someone who understands the expat experience and sits entirely outside your circle, with no record of any kind.
What British expats bring
The shapes are familiar across the diaspora. The finance and professional crowd in Dubai, Singapore, Zurich, and Hong Kong. The retiree in Spain, Portugal, or France who got the dream and found the homesickness in it. The trailing spouse on the third posting. The academic. Underneath sits the specific, double-edged grief of leaving the UK, relief and loss at the same time, the humour that defuses everything until it cannot, the drinking culture exported wholesale, and the marriage that frayed quietly under one relocation too many. The British talent for seeming fine is real, and it is exactly what keeps the not-fine from getting any air.
The arrangement
I am a US-trained psychodynamic therapist working online and privately, in English, across every time zone. No insurance billing, no diagnosis, no clinical record, and nothing that touches anyone back home. You pay directly, in any currency. We start with a free 15-minute call.
Questions British expats 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