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 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, paid directly, outside the local system.
The Bangkok patterns
The city draws a wide mix. The corporate expat or regional-headquarters professional; the long-term expat caught in the trap of paradise, where 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 renegotiating their life abroad. The capable person whose feed looks like an endless holiday and whose 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.
Why people in Bangkok work with me
Three reasons. Continuity, first: expats and nomads lose their therapist with every move, and online depth work follows you anywhere with a connection. Fit, second: my whole practice is people living outside their home country, so 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, with nothing on any local record. For hospital-based or in-person care, I will point you toward it.
Questions people ask from Bangkok
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