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.
Therapy in English with real depth is rare in Bulgaria. Sofia has some options. Outside Sofia there is almost nothing. Bulgaria has become a magnet for digital nomads and remote workers. English-language mental healthcare has not kept pace with that growth. The gap is real, and it is easy to feel it.
I work with anyone who needs support in English and lives in Bulgaria. Relationship trouble. Questions about where things are going. Something long-standing.
Being in Bulgaria
People come here for specific reasons. Cost. Ease. The digital nomad scene. A pace that's different from where most people come from. The freedom is real. So is the specific loneliness of being somewhere that doesn't quite know you're there. Freedom and rootlessness look similar from the outside. They feel different from the inside.
If that's part of what you're carrying, we can work with it. If what brings you is something else, that's fine.
My role, honestly
I am a US-trained therapist working online and privately. That puts me outside a Bulgarian system that barely exists to be outside of. The vetting burden in Bulgaria is on the client either way; my training, lineage, and approach are documented on this site, and the free call exists so you can test the fit directly rather than take a webpage's word for it.
Sofia, mostly, and the new arrivals
Sofia holds the international employers, the embassies, and the bulk of the English-language professional class. The newer layer is remote workers and relocated tech employees, including a sizable post-2022 Russian and Ukrainian professional diaspora, for whom therapy in English is the lingua-franca choice. Bansko's seasonal nomad scene has Wi-Fi and mountains and no therapists at all.
Country details last reviewed June 2026.
Mental healthcare in Bulgaria: psychiatry funded, therapy not
Bulgaria's public health fund (NZOK) covers psychiatric treatment in the medical sense: psychiatrists, hospital care, medication. Psychotherapy is another matter. There is no statutory regulation of the psychotherapist title in Bulgaria, no state licensing of the profession, and effectively no public funding for talk therapy; the Bulgarian Psychotherapy Association and modality-specific societies maintain voluntary registers that serious clinicians join, but the legal floor under the word "therapist" is thin. The work happens privately, and the good news is that privately it is inexpensive: 60 to 120 leva per session (roughly 30 to 60 euros) is the normal Sofia range.
For English-speakers the pool is small but real. Sofia has a modest circuit of internationally trained therapists serving the multinational offices, the EU-institution adjacent crowd, and the growing remote-work population drawn by cost and the Vitosha backdrop. Plovdiv and Varna have far less. International insurance occasionally reimburses; Bulgarian public insurance will not.
Questions people ask from Bulgaria
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.