In shortOnline psychodynamic therapy in English for people in Cologne: fully private, paid directly, with no waitlist and no statutory-insurance paperwork.

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 Cologne: an open city, a narrow English-language supply

Germany has good psychotherapy and a hard front door. Statutory insurance covers treatment with a contracted (Kassensitz) therapist, but the wait for a place commonly runs many months, the Kostenerstattung reimbursement workaround is bureaucratic and increasingly refused, and couples therapy is not covered at all and is self-pay everywhere. Private self-pay sessions run roughly 80 to 150 euros, more for couples, and English-speaking depth therapists are concentrated in Berlin and thin in most other cities. Cologne is friendlier and more open than much of Germany, but the supply of English-language depth therapy is still thin. This is private depth work in English, paid directly, outside the statutory system.

The Cologne patterns

The city draws its own crowd. The professional in media and broadcasting, advertising, or the insurance industry, hired or posted into a city famous for its sociability. The international who finds the surface warm and the deeper friendships still slow to form. The partner who relocated and lost their own footing in the move. The high-functioning person whose week looks full and whose inner life has quietly emptied. Cologne's openness can make the gap between looking fine and feeling fine easier to overlook. The work meets that gap directly, in English.

Why people in Cologne work with me

Three reasons. Fit, first: my whole practice is people living outside their home country, so being an international in Cologne needs no explaining, and depth work in fluent English is the default. Availability, second: English-language depth therapy is scarce and booked out here, and I have room, online, on a schedule that can cross time zones for family abroad. Privacy, third: I work outside the German system entirely, with no insurance file and nothing on any local record. For statutory or in-person care, I will point you toward it.

Questions people ask from Cologne

Will my German statutory insurance cover therapy with you?
No. Statutory insurance (gesetzliche Krankenversicherung) covers psychotherapy with a contracted Kassensitz therapist, but the wait for a place commonly runs months, the Kostenerstattung workaround is bureaucratic and often refused, and couples therapy is not covered at all. I work privately and directly, in English, outside that system, for people who want sustained depth work without the wait or the paperwork.
Do I need a referral to start?
No. Private work needs no referral and no insurance approval, and there is no waitlist beyond my own availability, so we can usually begin within days.
Are you a licensed Psychotherapeut in Germany?
No. The title Psychologischer Psychotherapeut is protected and requires the German Approbation, which I do not hold. I am US-trained (MA, Counseling) and work privately online, outside the German registers. For an Approbation-holding therapist, statutory care, or medication, I am glad to point you toward it.

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