In short Online therapy in English in Berlin: 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.

In shortOnline psychodynamic therapy in English for internationals in Berlin. No waitlist. No Kasse paperwork. A start date measured in days, not seasons.

Berlin's particular clientele

The people who write to me from Berlin fall into familiar groups. The tech and startup arrivals who came for the job and stayed for the city. Three years in, they are fluent in everything except the paperwork and the closeness. The creative class of Neukolln and Kreuzberg, for whom looking inward is practically a civic duty. Their lives still circle the same relationships and the same mixed feelings. The corporate transfers in Mitte and Prenzlauer Berg, whose families absorb the move at different speeds. And under all of them, the long Berlin winter. It has a well-known way of turning a low mood you can manage into something that needs a room of its own.

What I offer that the queue does not

A start date this month instead of next spring. Native-English psychodynamic work, chosen rather than assigned. And a structural kind of privacy: I am US-trained, fully outside the German system, and nothing we do creates a diagnosis in your Krankenkasse file, which matters more than people expect when private insurance, Verbeamtung, or simply German data sensibilities are in play. If you want covered care and can wait for it, the Kasse route is real and free, and I will tell you so on the call.

The Therapieplatz problem, honestly stated

Berlin has a therapy culture and a therapy shortage at the same time. The public route runs through therapists holding a Kassensitz, the rationed insurance seats, and demand swamps them: getting a regular GKV-covered slot commonly takes four to six months, and the subset of Kassensitz therapists who work in English is small enough that internationals often give up before they start. There is a workaround, the Kostenerstattungsverfahren, where your Kasse reimburses private treatment if you can document that no approved therapist had room, but it is paperwork-heavy and approval is never guaranteed. The structure of the whole German system, including how the protected titles work and where I stand relative to them, is on my Germany page.

So Berlin's actual therapy economy is substantially private. Sessions run about 100 to 150 euros, couples work up to 200, and a sizable share of the city's bilingual therapists practice under arrangements outside the Kasse system precisely because the licensed seats are so scarce. In other words: paying privately for English-language therapy in Berlin is not the exotic option. It is the default behavior of the international city, and my practice is one more version of it.

The national numbers behind the Berlin queue

The Berlin wait is not a Berlin quirk. The Bundespsychotherapeutenkammer, the federal chamber of psychotherapists, put the national average wait for a therapy place at twenty weeks in its 2025 position paper, with rural regions running past half a year. Earlier analysis by the same chamber, built on statutory insurance billing records, found an average of 142 days between a first consultation and the start of treatment. Berlin sits inside those numbers with a twist: the city has more therapists per head than most of Germany, and even more demand, so the queue holds even where the supply looks good on paper.

One more structural fact matters for couples. Paartherapie is not a Kassenleistung. German statutory and private insurers treat relationship problems as something other than an illness, so couples work is excluded from coverage no matter how long you wait, with narrow exceptions when one partner is in treatment for a diagnosed condition. Couples in Berlin pay privately for that work either way. I cover how that plays out on the couples therapy in Germany page.

Questions people ask from Berlin

How long are therapy waitlists in Berlin?
For a GKV-covered Kassensitz slot, four to six months is normal, and English-speaking covered therapists are rarer still. Private therapists in Berlin, around 100 to 150 euros a session, can usually start within weeks. I can typically start sooner than that.
What is the Kostenerstattungsverfahren?
A reimbursement route where your public insurer pays for private treatment if you document that no Kasse-approved therapist had capacity within a reasonable time. It exists, it works for some people, and it involves real paperwork and no guarantee. My practice sits outside it entirely: direct private pay, no Kasse involvement.
Do I need a diagnosis to work with you?
No. German covered therapy requires a diagnosis coded into your insurance record; private work with me requires nothing on file anywhere. That difference is a primary reason Berlin clients choose this arrangement.

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.