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.
The isolation of the chair
Being a founder removes, one by one, the people you could be honest with. Not the team, who need you steady. Not the board, who are reading you for confidence. Not investors, to whom everything is signal. Often not your co-founder, because that is politics now, and frequently not your partner, because you are already carrying enough home. So the person under the most pressure ends up with nowhere to put any of it, and learns to perform certainty full-time.
This is the one room built for the actual thing, and it is completely private: no diagnosis, no record, nothing that surfaces in a future raise or diligence.
What founders bring
The presentations track the stage. The seed-stage founder white-knuckling runway and calling it focus. The scaled CEO who got what they wanted and misses the version of the company that fit in a room. The technical founder pushed into managing people they do not know how to manage. The post-exit founder with money, time, and no idea who they are without the thing. Across all of it runs the same fusion: the company and the self have merged, so a bad quarter is a personal verdict, the highs are vertiginous, the lows are total, and there is no off switch. Burnout that looks identical to hustle, right up until it does not.
The arrangement
I am a US-trained psychodynamic therapist working online and privately, around founder schedules and across time zones. No insurance billing, no diagnosis, no clinical record, nothing that could surface in future fundraising or diligence. You pay directly, in any currency. We start with a free 15-minute call.
Questions founders 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