In short Online therapy in English in Bermuda: 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.

The arrangement

I am a US-trained psychodynamic therapist working online and privately. Off-island, and outside every local system. No insurance billing. No diagnosis. No clinical record. No tie to anyone in your industry or community. You pay directly. Scheduling across time zones is easy. We start with a free 15-minute call.

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 shortPrivate online therapy for residents of Bermuda. Off-island and discreet. No record, and no tie to the local industry.

What I see from the island

The texture is shaped by isolation and concentration. The reinsurance and ILS professional. The actuaries and underwriters and brokers. The executive brought over on a tax-advantaged package. The mid-Atlantic remoteness, a long flight from anywhere. It turns a beautiful island into a small enclosed world. The weather-bound, season-bound confinement. The trailing spouse with a narrowing life. And the high-functioning strain of a high-stakes industry. On a rock where there is truly nowhere private to set it down.

What mental healthcare on Bermuda actually looks like

Bermuda runs its public mental health care through the Bermuda Hospitals Board, and the Mid-Atlantic Wellness Institute is the island's only psychiatric hospital. It does real work: inpatient units, community teams, crisis coverage. What it is not is a discreet setting for a reinsurance executive to do open-ended depth therapy, and it was never meant to be.

Everyone employed on the island is required to carry health insurance through their employer, which means the paper trail for care usually starts at work. The other fixture of Bermudian working life is the EAP: useful, fast, and typically capped at six to eight sessions arranged through your employer's provider. For a rough patch, that can be enough. For the patterns underneath the rough patch, it is a different instrument than the one you need.

The private pool on a twenty-one-square-mile island of around sixty-four thousand people is, by necessity, small, and everyone in it is local. Working with me means the therapy happens entirely off the island: no local file, no insurer, no employer channel, no waiting room anyone walks past.

Why off-island matters here

Bermuda concentrates the global reinsurance and insurance-linked-securities industry onto a tiny mid-Atlantic island, which means a dense, interconnected professional community in a place where privacy is structurally hard. Local depth-therapy provision is limited, and in a community this small it is not anonymous. The combination keeps a lot of people from getting help at all.

Working with me solves it. I am off-island, with no connection to the local industry or social web, and there is no record of any kind.

Questions people ask from Bermuda

On an island this small, is this really discreet?
Yes. I am fully off-island with no link to the local industry or social circle, and there is no record. No one here has any way to know.
Is it confidential from the local industry?
Completely. No claim, no diagnosis, no file, and no overlap with the island.
Does the time difference cause problems?
No. Scheduling is flexible, so daytime and evening slots both work.
Will my Bermudian health insurance cover sessions with you?
No. I work outside insurance entirely, on Bermuda and everywhere else. You pay directly, nothing is billed, and nothing enters the insurance system your employer arranged. For most of my Bermuda clients that is not a drawback. It is the point.
What about the EAP through my employer?
EAPs on the island are genuinely useful for short-term support, and they typically run six to eight sessions through a provider your employer contracts. If that fits what you need, use it. The work I do is longer, deeper, and structurally separate from your employer, which matters when the thing you want to talk about is partly about work.

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.

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