In shortOnline psychodynamic therapy in English for people living in Bali: private, paid directly, and built for an international population with thin local options.

The work

The work I do is relational and pattern-focused. I don't run intake checklists or assign homework between sessions; I pay attention to what happens in the session, the moments when something shifts or goes flat, and the recurring pattern underneath the presenting problem. Most people already know the story of their situation and keep landing in the same place. What's missing is someone watching in real time who can name what's invisible from inside it. More on how I work, and how I work with couples.

Therapy in Bali: a real market with real friction

Bali has a large international population and very few sources of sustained English-language depth work. The public system, BPJS, runs through a referral chain starting at the puskesmas, oriented toward psychiatry and medication, and is slow, public, and Indonesian-language. International-standard private clinics, concentrated in South Jakarta and Bali, run roughly 800 thousand to 1.5 million rupiah a session, and the English-fluent, internationally trained pool is small. The fuller picture of the Indonesian system, where regulation under HIMPSI is thin and verifying training matters, is on my Indonesia page.

The Bali patterns

The people who come are Bali's particular mix. The digital nomads and remote workers whose freedom can tip into drift and isolation, the long-term expats and business owners running lives on rolling visas, and the partners and families who relocated for the lifestyle and ran into the gap between the image and the day-to-day. Paradise does not remove the patterns a person brought with them.

Why people in Bali pick online work with me

Three reasons recur. Privacy: I hold no Indonesian license, bill no Indonesian insurer, and write nothing into an Indonesian record. Fit: my whole practice is people living outside their home country, and the nomad and long-stay expat experience needs no translating. Logistics: a Bali evening overlaps my morning hours, connection quality permitting, and location inside Indonesia is irrelevant to the work. If you need medication or local in-person care, I will point you toward it on the free call.

Questions people ask from Bali

What does private therapy cost in Bali?
International-standard clinics run roughly 800 thousand to 1.5 million rupiah a session, and the English-fluent pool is small and concentrated in South Jakarta and Bali. My fee is private-pay, billed directly, with nothing entering an Indonesian health record.
Does BPJS cover ongoing therapy?
BPJS runs through a referral chain starting at the puskesmas, oriented toward psychiatry and medication. It is slow, public, and Indonesian-language; sustained talk therapy is not its product. I work privately, in English.
Can I do sessions from Bali with a therapist abroad?
Yes. Connection quality permitting, location inside Indonesia is irrelevant, and a Bali evening overlaps my morning hours. I am US-trained and work privately, outside the Indonesian system; for medication you would see a local clinician.

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