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
The Channel Islands run a dense, interconnected finance industry, trust, fund administration, private banking, inside communities small enough that the social and the professional overlap almost completely. Local mental-health depth provision is limited, and just as importantly it is not anonymous: the therapist you might see could be at the same dinner, the same school gate, the same client. For a lot of people that ends the conversation before it starts.
Working with me solves the specific island problem. I am entirely off-island, with no connection to the local industry or social web, and there is no record of any kind.
What the Islands bring to therapy
The texture is particular to a wealthy, beautiful, very small place. The trust and fund-administration professional and the private banker, often relocated from the UK with the family in tow. The incomer-versus-islander dynamics that never fully resolve. The claustrophobia underneath the scenery, where privacy is structurally impossible and everyone is loosely accountable to everyone. And the strain people carry precisely because they cannot be seen carrying it: the drinking, the marriage, the pressure of a high-stakes role in a place where there is nowhere to take any of it.
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. The time difference is small, so an evening session lines up easily. We start with a free 15-minute call.
Questions people ask from the Channel Islands
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