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.
The HSE wait, and going private
Public mental-health care in Ireland runs through the HSE, and the waits are long, six to twelve months is common, even for locals. The private sector is where most sustained work happens, and the English-speaking pool, while real, is stretched by the size of the international population. The mechanics are on my Ireland page.
Work with me is private and online, with no HSE wait, no Irish record, and no referral.
What Dublin brings to therapy
Dublin is the EMEA headquarters town for global tech and pharma, Google, Meta, Apple, LinkedIn, the lot, and it imports a young, mobile, international workforce faster than the city can house or hold it. The recurring presentation is specific: you moved for the job, the job is fine, and everything around it is hard. The housing crisis and its grinding stress. The transient colleague-friendships that dissolve when contracts end. The drinking culture that absorbs a lot and resolves none of it. And the quiet realization that you relocated your whole life for a role, and the role was the only part that came with a structure.
The arrangement
I am a US-trained psychodynamic therapist working online and privately: no Irish license, no HSE involvement, no referral, no diagnosis on any record. You pay directly, in any currency. Dublin evenings pair with my US mornings. When what you need is prescribing, assessment, or covered care, the Irish system handles that, and I will say so directly.
Questions people ask from Dublin
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