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 South Africans abroad come to therapy
The South African emigration is unlike most others. It is often permanent, often made for the children or for safety, and almost always tangled up in guilt: about leaving family behind, about the judgment that comes with going, about complicated feelings toward a country you love and could not stay in. Relief and grief arrive together and never quite settle. Most people carry it privately, because the people who would understand are either back home or working through the same thing themselves.
I am American-trained and work with South African expats across the world. The work is in English, at depth, completely private, with no record, and it does not require you to have tidy feelings about any of it.
What South African expats bring
The shapes recur across the diaspora in the UK, Australia, New Zealand, Canada, the US, and the Gulf. The professional, finance, medical, and engineering emigrant. The family that left for the kids' future and is still adjusting years on. The one with parents and siblings still in South Africa and the constant low worry that comes with it. The identity questions, the survivor's-guilt-adjacent feelings, the homesickness for a home that was never simple, and the quiet sense of being permanently between two places without fully belonging to either.
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 reaches anyone at home. You pay directly, in any currency. We start with a free 15-minute call.
Questions South African 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