English-Speaking Therapist in Bangkok.

The work

The work I do is relational and focused on pattern. I don't run intake checklists. I don't assign homework. I pay attention to what happens in the session. The moments when something shifts or goes flat. The pattern that keeps showing up underneath the problem. Most people already know their own story. They still keep landing in the same place. What's missing is someone watching in real time, someone who can name what you cannot see from inside it. More on how I work, and how I work with couples.

Why people in Bangkok work with me

Three reasons. Continuity, first. Expats and nomads lose their therapist with every move. Online depth work follows you anywhere with a connection. Fit, second. My whole practice is people living outside their home country. The texture of expat or nomadic life in Bangkok needs no explaining. And the work is depth-oriented. Privacy, third. I work outside the Thai system entirely. Nothing on any local record. For hospital-based or in-person care, I will point you toward it.

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.

The Bangkok patterns

The city draws a wide mix. The corporate expat or regional-HQ professional. The long-term expat caught in the trap of paradise. The life looks idyllic and feels isolating. The digital nomad with no continuity of care across moves. The teacher far from home. The expat couple reworking their life abroad. The capable person whose feed looks like an endless holiday. Their inner life has quietly emptied. None of it is failure. It is the underside of a mobile life in an easy place. The work meets it directly, in fluent English.

Therapy in Bangkok: a regional hub short on English depth work

Thailand's public mental health system is overstretched, and stigma runs deep, so many people avoid local services. Bangkok has private clinics, but sustained depth therapy in fluent English is scarce and the international hospitals can be expensive, while the city's large expat and remote-working population keeps demand high. Bangkok draws expats, regional executives, and a large remote-working population, and English-language depth therapy is thin and often costly. This is private depth work in English. You pay directly, outside the local system.

Roughly one psychiatrist per eighty thousand people

Thailand's mental health arithmetic explains most of what expats experience here. In 2022, Thai health officials counted about 1.3 psychiatrists per hundred thousand people. That is about one in eighty thousand. An older WHO profile put it lower still. Thailand's universal coverage is for its own citizens. It does not cover you. If you work here in a skilled job, you have social security through that job. Or you have private insurance. The workable version is on my Thailand page; the short version is that expat mental healthcare in Bangkok runs through the private international hospitals.

Those hospitals are genuinely good at what they do. A first visit to a psychiatrist there runs about 2,500 to 6,000 baht. Ask the price before you book. English is standard, and international insurance is often accepted. What they offer is hospital medicine: assessment, diagnosis, medication, review. English-language counseling in the city commonly runs 2,500 to 3,500 baht a session, and since counselors are loosely regulated in Thailand, the accreditation behind any given name is worth checking rather than assuming.

What remains thin, even in a city this size, is sustained psychodynamic depth work in fluent English, which is the specific gap I fill from outside the Thai market altogether.

Working remotely from here for a season? See my page on therapy for digital nomads.

Learning Thai well enough for therapy

The US Foreign Service Institute trains American diplomats. For more than 70 years it has studied how long English speakers take to learn a new language. Its estimate for Thai is about 44 weeks of class, some 1,100 hours, to reach a professional working level. Some people learn faster. At five hours a week, though, that is more than four years. Therapy asks a lot of a language. If you came here recently and learn in your spare time, therapy in Thai is likely years away.

Questions people ask from Bangkok