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 Bern: a diplomatic capital with little English depth work
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. Bern is smaller and quieter than Zurich or Geneva, and English-language depth therapists are correspondingly scarce. This is private depth work in English, paid directly, outside the Swiss insurance system.
The Bern patterns
The capital draws its own population. The diplomat or embassy spouse posted here for a few years. The staffer at a federal agency or an international body who works in English but lives in a German-speaking city. The accompanying partner navigating a quiet town where social circles form early and close slowly. The high-functioning professional whose week looks orderly and whose evenings have gone flat. None of it is weakness. It is the ordinary cost of a posted, mobile life in a place that keeps to itself.
Why people in Bern work with me
Three reasons. Availability, first: English-language depth work is scarce here, and I have room. Fit, second: my entire practice is people living outside their home country, so the texture of a diplomatic or federal posting in Bern needs no translating, and the work is depth-oriented. Privacy, third: I am outside the Swiss system entirely, with no insurance file and nothing on any local record, which matters more than usual in a small capital. For reimbursed or in-person care inside the Swiss system, I will point you toward it.
Questions people ask from Bern
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