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 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 wait for a covered, English-speaking slot is routinely several months. 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.
What Frankfurt brings to therapy
Frankfurt is the eurozone's banking core and it draws a specific population: the ECB and Bundesbank, Deutsche Bank and the trading floors, the consulting firms and the Big Four, all importing internationals and their families faster than the German-language therapy infrastructure can serve them. What they bring to the room has a consistent shape. The compliance-bound professional who cannot have a mental-health record without it becoming a conversation with the bank. The Singapore-London-Frankfurt rotation that left a marriage being run by text across time zones. The drinking that is precise and scheduled and increasing. The Westend apartment and the international-school orbit and the orderly German prosperity that never quite warms, and underneath it the relocation that solved every logistic and quietly removed everything familiar.
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 evenings pair with my US mornings. When what you need is prescribing, assessment, or covered care, the German system does that well, and I will name it outright.
Questions people ask from Frankfurt
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