Online Therapy for Physicians and Surgeons.

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 doctors hide it

Medicine trains people out of their own needs and then penalizes the admission of them. Licensing boards and fitness-to-practise questions make a mental-health record feel like a threat to the career itself, whether or not that fear is proportionate, and the culture of invulnerability does the rest. So physicians, who carry more distress than almost any profession, are among the least likely to seek help, and most likely to manage it privately, medicate it themselves, or simply absorb it until something gives.

This is a way to get the work with no record any board, hospital, or insurer could reach: no claim, no diagnosis, nothing on file.

What physicians bring

The shapes are familiar from the inside of medicine. The attending running on empty who cannot say so. The surgeon whose hands are steady and whose marriage is not. The resident in the grinder. The accumulated weight of outcomes you could not change and the moral injury that comes with them. The error-fear that never fully switches off. The drift toward the bottle or the prescription pad. And under all of it, the belief that needing help is itself a professional failure, which is exactly the belief that keeps it from getting better.

The arrangement

I am a US-trained psychodynamic therapist working online and privately, around clinical schedules and across time zones. No insurance billing, no diagnosis, no clinical record a licensing board, hospital, or insurer could request. You pay directly, in any currency. We start with a free 15-minute call. If what you need is medication or formal psychiatric care, that is a different route and I will say so directly.

Questions physicians 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.