In short Online therapy in English in Bangkok: individual and couples sessions over secure video, scheduled across time zones. Psychodynamic depth work with a US-trained therapist. You pay directly, so nothing runs through local insurance or health records. Fees and fit are covered in a free 15-minute call.

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.

In shortOnline psychodynamic therapy in English for people in Bangkok. Fully private. Paid directly. No waitlist. Continuity if you move again.

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. The country has about 1.3 licensed psychiatrists per hundred thousand people, roughly one for every eighty thousand, against a WHO benchmark of ten per hundred thousand, and the public system that carries Thai nationals through universal coverage is not a practical route for most foreigners. 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 psychiatric consultation typically costs 2,000 to 5,000 baht, English is standard, and international insurance is often accepted. What they offer is hospital medicine: assessment, diagnosis, medication, review. English-language counselling in the city commonly runs 2,500 to 3,500 baht a session, and since counsellors 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.

Questions people ask from Bangkok

Will my insurance or a local hospital cover therapy with you?
No. I work privately and directly, in English, outside the Thai system. Bangkok's international hospitals offer psychology at a premium; what I offer is sustained depth work in fluent English, with privacy and continuity if you move on.
Do I need a referral to start?
No. Private work needs no referral and has no waitlist beyond my own availability, so we can usually begin within days.
Are you a registered psychologist in Thailand?
No. I am US-trained (MA, Counseling) and work privately online, outside the Thai registers. For a locally registered clinician, hospital-based care, or medication, I will point you toward it.
Are the international hospitals a good option for mental health?
For psychiatry, medication and crisis care, yes, genuinely. A first consult typically runs 2,000 to 5,000 baht and English is standard. They are hospitals, though: built around diagnosis and medication management, with rotating clinicians and 15-minute reviews. Weekly depth work with one consistent therapist over months is a different instrument, and it is not the one they are set up to provide.
How regulated are counsellors in Thailand?
Loosely. Psychiatrists are licensed physicians, but talk-therapy titles carry much less formal control, and quality in the private market varies accordingly. Check training and accreditation before you commit to anyone, including me: my own background, degrees and registrations are laid out on the professional information page.

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

The full reading list is on the approach page.

Related Reading

Therapy for trailing spouses
Therapy for expats
Therapy in English in other countries