In short Online couples therapy in English in France: weekly video sessions with both partners, wherever you each are, including couples living in different cities or countries. Psychodynamic depth work with a US-trained therapist. You pay directly, so nothing runs through local insurance or health records. Fees and fit are covered in a free 15-minute call.

The work

The work I do is relational and pattern-focused. I don't run intake checklists. I don't assign homework 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, goes flat, or speeds up. That's the material we work with.

Most people arrive already knowing their own story. 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 you cannot see from inside it. That's what I offer. Not interpretation from a distance. 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 coming back in different forms, in different settings. Couples work is about finding what the argument is really about. That 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, being able to do something different.

What couples bring

The recurring fights usually have a deeper question underneath. Whose family of origin defines normal. Whose career drove the move and whether that conversation ever closed. The bilingual relationship's quiet question about which version of yourself shows up in which language. Couples therapy in English is partly about giving each of you a space where your English-speaking inner life gets to do the talking.

The standard material is here too: recurring conflict, distance, infidelity, sexlessness, the question of staying together. The work is psychodynamic.

How couples therapy in English works in France

Sessions are online via secure video, 60 minutes, usually weekly. Both partners can be on the same screen at home, or in separate locations across Paris, Lyon, Marseille, Toulouse, Bordeaux, Nice, or anywhere else. There is a free 15-minute call first.

There is no Securite Sociale involvement, no Mon Soutien Psy paperwork, no French health record generated by our work. You can pay in any currency, by card or bank transfer.

English-speaking couples therapy in France is hard to find outside Paris. Even in Paris the options for depth work are thin. The psychoanalytic tradition here is strong, but it runs almost entirely in French.

I work with couples who need to work in English and are living in France. France has its own effect on couples who moved here together. The person who pushed for the move is often doing better than the person who followed. Neither of them wants to say it. The asymmetry is real and it has weight.

Sometimes one person is thriving, one person is going under, and the relationship is holding the whole thing. Couples work is about making that visible rather than waiting for it to become a crisis.

France works differently for each person in a couple. If neither person has said so, that's usually the problem.

Being in France as a couple

France produces a specific kind of relational friction for English-speaking couples that the mythology of the country tends to hide. The mythology is the food, the conversation, the philosophical seriousness, the long evenings. The daily life is the bureaucracy, the housing scarcity in Paris, the slowness of forming close friendships, and the particular French social code in which intellectual sparring counts as care. The gap between these is wider than most people expected, and it has weight inside the relationship.

For binational couples, the most common pattern involves cultural-script difference. The French partner has a vocabulary for closeness that runs on irony, indirection, and intellectual play. The non-French partner has spent years calibrating to that, sometimes very successfully, and at some point realizes they have gotten quieter than they used to be. The French partner often feels accused of being emotionally inaccessible. The non-French partner often feels they have to perform a more articulate, more arch version of themselves than the one they were back home. Both partners are right about the asymmetry and neither one is the problem.

For two-foreigner couples in Paris, the dynamic is different. The expat social world is dense but specific. Your French is good enough to function and not good enough to be your inner self in. The friendships you have are often other expats who will leave when the posting ends. The closeness ends up unevenly distributed across your week, and the relationship absorbs more of it than was built into the original arrangement.

Questions couples in France ask

Does French health insurance cover couples therapy?
No. The Assurance Maladie reimburses individual care, and thérapie de couple is not among the acts it covers. Mon soutien psy, the public psychologist scheme, pays for twelve sessions a year at 50 euros each for one patient with mild to moderate difficulties, and couples therapy is excluded from it too. Some premium mutuelle plans contribute a small capped amount, often three or four sessions a year. In practice French couples pay privately, commonly 60 to 150 euros per session, and couples sessions often run longer than an hour.
How much does couples counseling for expats in France usually cost?
Privately and per session. Couples counseling in France is, in practice, a private market: public reimbursement is built around individual care, not relationship work, and the English-speaking couples therapists, concentrated in Paris, set independent fees. I charge per 60-minute session, discussed plainly on your free 15-minute call before any commitment, payable in any currency. Online removes travel from the equation and works the same from Paris, Lyon, or a village in the Dordogne, including weeks when you and your partner are not in the same place.
Can we do couples therapy in English if one of us is French?
Yes, and it is common in my practice. Sessions run in English, so the French partner needs comfortable English rather than perfection. What changes is the dynamic: neither of you is on home ground in the language of the therapy, which tends to even the field. And if one of you carries the local system while the other carries the foreignness, that asymmetry is usually part of what we end up working on.
Can we do sessions from two different cities or countries?
Yes. Both partners join the same secure video session from wherever you each are, and I schedule across time zones. Couples split between France and somewhere else, one partner traveling for work, a relationship running long-distance for a season: the format is built for exactly that.
How do online couples sessions work?
Sessions are 60 minutes, weekly, over secure video, with both partners on the call. Before your first session, we have a free 15-minute call to see if this feels like the right fit.
Does anything go through local insurance or records?
No. You pay directly, so nothing runs through local insurance, health records, or an employer. What you say in session stays between the three of us.