Online Individual Therapy in Brussels.

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.

Coverage in Belgium, and the institution problem

Belgium reimburses a limited number of psychologist sessions through the convention network, with referral conditions, session caps, and waits of their own. Outside that, private practice is the norm, and the pool of therapists doing depth work in English is much smaller than the international population would suggest. The institutions run their own staff support, but for most people those services are limited, time-boxed, and not exactly confidential from a career point of view.

Work with me sits outside all of it: private, no Belgian record, nothing routed through an institution's medical service or insurer.

What Brussels brings to therapy

Brussels is a company town where the company is the European project, plus NATO. It runs on Commission and Parliament and Council staff, on contract agents whose renewal is never quite certain, on the lobbyists and trade associations and law firms orbiting all of it, and on the seconded national experts posted from a member state for a few years. What they bring has a recognizable shape. The fifteen-year lifer who became an immigrant without ever deciding to. The trailing spouse of an official posted from another country, on the third move and the third abandoned career. The particular flatness of a transient international class that never quite joins Belgian life and never quite leaves the bubble. The Ixelles flat, the European Quarter lunch, the social world made entirely of other people who will also rotate out. It looks like a good life from outside, and from inside it has started to feel like a departure lounge.

The arrangement

I am a US-trained psychodynamic therapist working online and privately: no Belgian license, no insurance billing, no diagnosis on any record, and nothing that touches an institution's medical service, a security file, or a career file. You pay directly. Brussels evenings pair with my US mornings. When what you need is prescribing, assessment, or covered care, the Belgian system handles that, and I will say so directly.

Questions people ask from Brussels

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.