In shortOnline depth therapy in English for Canadian expats worldwide: completely private, with no record, from a culturally close US-trained therapist.

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 Canadians abroad come to therapy

Canadians abroad tend to be good guests: adaptable, easygoing, reluctant to complain, and quick to reassure everyone that things are fine. That niceness is real, and it is also excellent cover. Abroad, the identity work gets louder, the constant low-grade business of being the one who is not American, the explaining, the distinguishing, and the safety net of public healthcare you grew up with is suddenly gone, replaced by private systems you have to navigate alone.

I am American-trained, which in practice is a close cultural fit for Canadian clients: the references land, the norms are shared, and you do not have to translate yourself. The work is in English, completely private, with no record.

What Canadian expats bring

The shapes recur across the diaspora. The tech and finance professional in the US or the UK, the energy-sector worker in the Gulf, the academic, the trailing spouse. The homesickness for a specific kind of ease. The healthcare-system whiplash and the anxiety of being uninsured or underinsured abroad. The politeness held up as armor long after it has stopped protecting anything. And the quiet difficulty of admitting, in a culture that prizes being low-maintenance, that you are not actually low-maintenance right now.

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. You pay directly, in any currency. We start with a free 15-minute call.

Questions Canadian expats ask

You're American, not Canadian. Is that a fit?
In practice, a close one. American and Canadian cultural norms overlap heavily, so the references land and you do not spend the session explaining where you come from. The work is in English, at depth, and completely private.
I'm used to public healthcare. How does paying work?
You pay directly, in any currency, at a flat session fee. There is no insurance, no claim, and no record, which is the point for a lot of people.
I'm in a different time zone now. Does that work?
Yes. Sessions are online and we find a window that fits each week.

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