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.
The arrangement
I am a US-trained psychodynamic therapist working online and privately: no German license, no Kasse billing, no prescription, no diagnosis entering any record, no GP letter, no employer visibility. You pay directly. Frankfurt evening sessions are easy to schedule across time zones. When what you need is prescribing, assessment, or covered care, the German system does that well, and I will name it outright.
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.
What Frankfurt brings to therapy
Frankfurt is the banking core of the eurozone, and it draws a specific crowd. The ECB and the Bundesbank. Deutsche Bank and the trading floors. The consulting firms and the Big Four. All of them bring in internationals and their families faster than German-language therapy can keep up. What they bring to the room has a consistent shape. The banker bound by compliance rules, who cannot have a mental-health record without it becoming a talk at work. The Singapore-London-Frankfurt rotation that left a marriage run by text across time zones. The drinking that is precise and scheduled and increasing. The Westend apartment. The international-school world. The tidy German comfort that never quite warms. And under it all, the move that solved every logistic and quietly removed everything familiar.
A third of the city, on a foreign passport
Frankfurt's international weight is out of proportion to its size. The financial center holds around 280 banks and some 70,000 finance jobs, on Frankfurt Main Finance's count, in a city of about 780,000 people. Roughly a third of residents, about 248,000 people across 178 nationalities, hold a foreign passport, per the city's statistics office. They cluster in Westend and Nordend, in Sachsenhausen across the river, in Ostend around the ECB, and out along the Taunus commuter belt. And they rate the experience poorly: in InterNations' 2024 city ranking, the most recent city edition of the survey, expats placed Frankfurt 45th of 53 cities worldwide. Efficient, prosperous, and hard to land in. The people who live here mostly already know that.
The German system, and why people go private
Germany has good covered therapy and a structural bottleneck in front of it. Reimbursed treatment runs through the Kassensitz system, and the national numbers are blunt: the federal chamber of psychotherapists puts the average wait between a first consultation and the actual start of treatment at 142 days, close to five months, and has warned that the statutory fee cut that took effect in April 2026 could stretch it further. That is the German average, in German. An English-speaking covered slot in Frankfurt sits behind it. Going private with a German provider typically runs 80 to 150 euros a session. The mechanics, GKV, private coverage, the Kassensitz shortage, are laid out on my Germany page. The practical Frankfurt choice is usually a long wait, a German-language slot, or a screen.
Your family's GKV or private coverage continues exactly as it is. Work with me is a separate private arrangement that touches no German records, no insurer, and no Kasse.
Questions people ask from Frankfurt
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
The full reading list is on the approach page.