English-Speaking Therapist in the Czech Republic.

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 limited in the Czech Republic. Prague has some options but the pool is small; outside Prague it's almost nonexistent. Online therapy gives you access regardless of where in the country you are.

The Prague page goes deeper on the long-term expat experience and the drift into permanence.

I work with anyone who needs support in English and is living in the Czech Republic. Relationship trouble. A low you can't quite name. Something specific. Something harder to name.

Being in the Czech Republic

The Czech Republic, Prague especially, has a specific quality for English speakers. The city is livable, beautiful, and culturally rich. The expat community is large enough to sustain a social life. It is not large enough to stand in for belonging. The Czech social world tends to stay separate.

If that mix is part of what you're carrying, we can work with it. Livable but not quite home. Surrounded by people but not quite seen. If what brings you is something else, that's fine.

The Czech system: insured in theory, queued in practice

Czech public insurance (VZP and the other zdravotní pojišťovny) does cover psychotherapy, with a structure worth understanding: covered talk therapy is delivered by clinical psychologists who hold insurance contracts, usually reached via referral, and those contracted slots are the bottleneck of the entire system. Waits of several months are normal in Prague; new-patient books close entirely. Psychiatrists are easier to reach and covered, but their format is medication management, not weekly depth work. Outside the health system, "psychoterapeut" was an unprotected title until July 2026. Since 1 July 2026 counseling psychotherapy is a licensed trade: a master's degree and an accredited training, with existing practitioners given until July 2027 to comply. So the large private market still spans rigorously trained therapists and people catching up with the new rule.

Private therapy in Prague runs roughly 1,200 to 2,200 koruna per session, with a genuine English-speaking scene serving the city's large international population, plus smaller pools in Brno's tech-and-university world. Most public insurers now pay a bonus toward private sessions with a therapist on their list; VZP and the interior ministry insurer pay 500 crowns a session for up to ten sessions a year. Beyond that, Czech public insurance does not pay for private, non-contracted work.

Placing myself accurately

I am a US-trained therapist working online and privately, outside the pojišťovna system and outside Czech records. Functionally I compete with Prague's private English-speaking therapists, not the insured route. The differences are specialization (expats and internationals are my entire practice, not a sideline) and continuity: when the Prague chapter ends, as it does for most, the work does not have to.

Prague, Brno, and the long Czech middle

Prague's international life clusters in Vinohrady, Letná, and Karlín, with a corporate band through Pankrác. Brno has its own younger expat ecosystem around the tech scene. Beyond the two cities, English-language therapy is functionally absent, and the famous Czech reserve, which expats describe as a wall that takes years to soften, is itself a recurring topic in this work.

Country details last reviewed September 2026.

I have written a longer guide to how therapy is paid for in the Czech Republic in 2026: insurance, cost, referrals and waiting lists.

Questions people ask from the Czech Republic