English-Speaking Therapist in Belgium.

Individual & couples therapy · For expats and English-speakers

Aaron Platt

What are you looking for?

Individual therapy

One-on-one work on the patterns underneath. The anxiety. The stuckness. The same outcome showing up across your life.

For myself →

Couples therapy

For two people caught in the same argument. And the dynamic underneath it that neither of you can quite see.

For us →

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therapy is right for you?

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In short Online therapy in English in Belgium: 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.

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.

English-speaking therapy in Belgium exists, but the options are limited. Depth-oriented work is the scarcest kind. Brussels has more than other cities, but the pool is still small. Many people here also want a therapist outside their local professional world.

I work with anyone who needs support in English and is living in Belgium. Relationship strain. A low you can't quite name. Identity questions. Something specific, or something you can't quite pin down.

It's worth taking seriously. That's not a given in most contexts.

Being in Belgium

Belgium has a specific quality for people who aren't from here. The country functions well. The capital is full of international professionals. And the native social world tends to stay separate from both. Brussels can feel like a city of people passing through. That makes real belonging harder to find than the infrastructure would suggest.

If that's part of what you're dealing with, we can work with it. If what brings you has nothing to do with Belgium, that's fine.

My position next to the mutualite

I am a US-trained therapist working online and privately. No INAMI number. No mutualite reimbursement. No Belgian dossier. For people inside the EU bubble, that last point often matters most. Careers there run on discretion. A therapist with zero proximity to the institutions is a structural advantage. If subsidized local care suits you better, Brussels has it, and the free call is where I will tell you so.

Brussels and the rest

The international population centers on Brussels (Ixelles, Etterbeek, the EU quarter's orbit) with secondary clusters in Antwerp's port-and-diamond economy, Ghent's university world, and SHAPE's military community near Mons. The famous Belgian expat complaint, that the country is pleasant and impenetrable, that you can live a decade in Brussels inside an international bubble that never touches Belgium, is itself fertile clinical ground.

The Brussels page goes deeper on the EU-institution and NATO world, the bubble, and confidentiality for staff and trailing spouses.

Country details last reviewed June 2026.

Belgian mental healthcare: generous, layered, and slow

Belgium actually subsidizes psychotherapy, which makes it unusual on this list. Through the INAMI/RIZIV conventioned-psychologist scheme, sessions with first-line psychologists in the regional networks cost patients a copay of around eleven euros, and the mutualités (health funds) also reimburse a portion of private sessions, with amounts that vary by fund and region. Belgium also regulates the field: since the 2016 law, psychotherapy practice is restricted to clinicians with recognized backgrounds, and "psychologue clinicien / klinisch psycholoog" is a protected, registered title.

The catch is capacity and complexity. Conventioned slots are limited and waitlisted, the reimbursement rules differ between Flanders, Wallonia, and Brussels, and the paperwork rewards people who enjoy Belgian administration, a small club. So Brussels runs a parallel private market, priced typically 60 to 100 euros, with substantial English availability thanks to the EU institutions, NATO, and the lobbying-consulting ecosystem around them. Even there, therapists with open slots who do depth work in native English are scarcer than the city's size suggests.

Questions people ask from Belgium

Are psychologist sessions really 11 euros in Belgium?

Under the conventioned first-line scheme, yes: a capped number of sessions with participating psychologists at roughly an 11-euro copay. Slots are limited, allocations run through networks, and most ongoing private therapy in Brussels still happens at 60 to 100 euros a session.

Who is allowed to practice psychotherapy in Belgium?

Since the 2016 law, psychotherapy is a restricted practice tied to clinical psychology, clinical orthopedagogy, and medicine, with transition rules for earlier practitioners. I am US-trained, work online, and sit outside the Belgian framework, as the section above explains.

Does Belgian insurance reimburse private therapy?

Mutualites give modest partial refunds for a handful of psychologist sessions a year, varying by fund. For weekly work the arithmetic is mostly private regardless, which is why fit tends to matter more than the refund.

Can I do therapy in English in Brussels?

Brussels has one of Europe's better English-language scenes thanks to the EU and NATO populations, and the established names still run waitlists. Online work widens the pool without the queue.

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.

Looking for couples therapy? See Couples Therapy in English in Belgium.

What Clients Say

“I came in thinking I knew what my issues were. I’d been over them a hundred times. But those were just the things I could already see. Aaron helped me notice what I couldn’t, and that’s where everything actually started to change.”

- M.J.

“I didn’t think online therapy could really work. How do you feel a connection through a screen? But I’ve done in-person therapy before, and honestly, I’ve felt more understood by Aaron than by any therapist I’ve sat across from. He listens in a way that’s hard to describe until you experience it.”

- T.L.

“A few years ago I suddenly developed prolonged panic attacks but couldn’t begin to understand what had caused them. Having been in therapy in the past, and being a counseling intern student, I felt I had exhausted my resources trying to figure out “What is wrong with me?” I can honestly say Aaron provides a form of counseling that is difficult to find anywhere else regarding efficacy. Not only has his approach been effective, but he also has provided me a safe space to explore aspects about myself I may not otherwise have felt able to. I cannot recommend him enough as he has helped me feel more myself than ever before.”

- K.R.

“I’d been in and out of therapy for years. Different therapists, different approaches, none of it really stuck. Aaron helped me understand more in a few months than all of them combined. And he talked to me like a normal person, not like all this weird therapy-speak.”

- S.A.

Completely private. No insurance, no diagnosis codes, no health registry, no GP notification, no employer visibility. You pay directly. Your therapy is between us and stays that way. More

Also serving Northwestern Europe. the Netherlands, France, Germany.

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You do not have to be ready. You do not have to know what to say. A few sentences is enough.