In shortPrivate online therapy for residents of Bermuda: off-island, discreet, with no record and no connection to the local industry.

The work

The work I do is relational and pattern-focused. I don't run through intake checklists or assign exercises between sessions. I pay attention to what happens in the room: what you're saying, what you're not saying, the moments when something shifts or goes flat or speeds up. That's the material we work with.

Most people arrive already knowing the story of their situation. They've told it to themselves a hundred times and always land in the same place. What's missing is a different angle, someone watching in real time who can name what's invisible from inside it. That's what I offer. Not interpretation from a distance, but attention in the room, offered as it happens.

I work with individuals and couples. Individual work is usually about finding the pattern underneath the presenting problem, the thing that keeps recurring in different forms across different circumstances. Couples work is about finding what the argument is really about, which is rarely what it appears to be about. Both come down to the same thing: seeing what you haven't been able to see, and from there, actually being able to do something different.

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.

What the island brings to therapy

The texture is shaped by isolation and concentration. The reinsurance and ILS professional, the actuaries and underwriters and brokers, the executive relocated on a tax-advantaged package. The mid-Atlantic remoteness, a long flight from anywhere, that 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 genuinely nowhere private to set it down.

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, and no connection to anyone in your industry or community. You pay directly. Bermuda runs close to my US schedule, so scheduling is straightforward. We start with a free 15-minute call.

Questions people ask from Bermuda

On an island this small, is this really discreet?
Yes. I am entirely 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. Bermuda runs close to my US schedule, so daytime and evening slots both work.

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