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 Basel: an international workforce, a thin English-language supply
Switzerland regulates psychotherapy tightly and prices it high. Since the 2022 reform, basic insurance (Grundversicherung) can cover psychological psychotherapy, but only on a doctor's referral and only with a clinician holding the right cantonal authorization, usually working in German or French, and couples therapy is not covered at all and is private everywhere. Private individual sessions run roughly CHF 150 to 250, and couples work more, with English-speaking depth therapists concentrated in Geneva and Zurich and thin elsewhere. Basel concentrates a large international workforce in a compact city, and the supply of English-language depth therapy has not kept pace. This is private depth work in English, paid directly, outside the Swiss insurance system entirely.
The Basel patterns
The city selects for a particular kind of life. The pharma or life-sciences professional posted here on a multi-year contract with Roche, Novartis, or a supplier, doing well on paper and quietly depleted. The trailing partner who left a career for the move and is isolated in a small, Swiss-German city where social entry is slow and the working language is not theirs. The researcher whose work is going well while the inner life has flattened. And the particular texture of trinational life, a home in Germany or France, a desk in Switzerland, a sense of belonging fully to none of them. None of it is failure. It is the cost of a demanding, mobile life, and most of it does not show.
Why people in Basel work with me
Three reasons. Availability, first: the English-language depth work you are looking for is scarce and booked out here, and I have room. Fit, second: my entire practice is people living outside their home country, so the texture of an international posting in Basel needs no translating, and the work is depth-oriented rather than a short course. Privacy, third: I am outside the Swiss system entirely, so there is no insurance file and nothing on any local record. If what you need is reimbursed care, medication, or an in-person assessment inside the Swiss system, there are good options and I will point you toward them.
Questions people ask from Basel
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