In shortConfidential online therapy for pilots, first officers, and cabin crew: no diagnosis, no clinical record, and nothing that touches your aeromedical certification or your airline.

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 disclosure trap

Aviation has a mental-health problem it largely built itself. Because a documented diagnosis or a course of treatment can trigger review, deferral, or the loss of a medical certificate, the rational move for a working pilot is to create no record at all. That is not paranoia. It is the incentive structure, and the industry itself has acknowledged it produces a chilling effect: the people who most need support are the ones structurally discouraged from getting it. So it goes underground. White-knuckled, self-managed, hidden from the AME, hidden from the roster, hidden at home.

There is a version of help that sits entirely outside that machinery, because it generates nothing the machinery can see.

What this is, and what it is not

Let me be exact, because in your job the distinction matters. I am not an aviation medical examiner. I do not do fitness-to-fly assessments, I do not sign anyone off, and I do not prescribe. I keep no clinical record that an AME, an airline, or a regulator could request. What I do is talk therapy at depth: the patterns, the marriage, the drinking, the thing you have been managing for years. If what you actually need is a medical sign-off or psychiatric care, that is a different address and I will tell you so directly, on the first call.

What crew bring to therapy

The shapes are consistent across the flight deck and the cabin. The commuting pilot living out of a crashpad, married by text across four time zones. The captain whose drinking is scheduled with the same precision as everything else and is quietly increasing. The fatigue that is not only physical. The cabin-crew member who manages everyone's comfort all day and has no one managing theirs. The slow fusion of the whole self with the uniform, until there is no version of you that is off duty. And under all of it, the specific fear that one honest conversation could end the career you organized your life around.

The arrangement

Sessions are online by secure video, which suits an irregular roster better than any clinic could: we work around your rotation instead of a fixed weekly slot, across every time zone. You pay directly, in any currency. There is no insurance claim, no diagnosis, no clinical file with your name on it, nothing that reaches a medical examiner or your airline. Before the first session we have a free 15-minute call to see whether this fits.

Questions pilots and crew ask

Will this show up on my aeromedical, or reach my AME or employer?
No. I do not bill insurance, file diagnoses, or keep the kind of record that reaches a medical examiner, an airline, or a regulator. There is no clinical file with your name on it.
Are you an aviation medical examiner? Can you clear me to fly?
No. I do not do assessments, sign-offs, or medication, and I will not pretend to. This is private talk therapy. For anything that needs a medical sign-off, you need an AME, and I will tell you so directly.
My roster is chaos. Can scheduling actually work?
Yes. Sessions are online across every time zone, and we work around your roster rather than holding a fixed weekly slot.

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