Online Individual Therapy in Geneva.

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.

Swiss coverage, and why English here is scarce

Switzerland reorganized therapy funding in 2022: under the prescription model, psychologists bill basic insurance when a physician prescribes the sessions, in supervised blocks. But Swiss cost-sharing means you pay everything until your annual franchise is met and ten percent after, so anyone on a high-deductible plan is substantially self-funding a year of weekly therapy anyway, while also needing the doctor's gateway and a diagnosis on file. Private rates in Geneva run 150 to 250 francs. The fuller picture is on my Switzerland page.

Geneva has a specific problem Zurich does not. The working city is French, so the pool of therapists who can do real depth work in English is small relative to the size of the international population, and the well-regarded ones tend to be full. The practical Geneva question is rarely whether good therapy exists. It is whether you can start this month, in English, without routing it through a French-speaking GP, an insurer, and a wait.

What Geneva brings to therapy

The Geneva caseload is unusually transient and unusually composed. The UN and the agencies, WHO, UNHCR, the WTO, the missions, run on people posted for a term who never quite put down roots, and on the spouses who give up a career at every rotation and start over in a language they half-speak. The commodities houses, Trafigura, Mercuria, Vitol, Gunvor, add the trader whose compensation ended the money conversation and whose marriage went administrative somewhere over the last three closings. The humanitarian sector adds its own: people who carry the field back to a quiet desk in Geneva and have nowhere to put it. Underneath the Cologny and Champel addresses, the recurring setups: the couple three years into a politeness that has replaced the relationship, the partner who learned French and joined the clubs and is still outside the glass, the Sunday silence the relocation guide called charming and your nervous system experiences as sensory deprivation.

The arrangement

I am a US-trained psychodynamic therapist working online and privately: no Swiss license, no LAMal billing, no prescription, no entry in any Swiss record, and nothing routed through a mission medical service. Given the deductible math, my fee often lands near what insured clients effectively pay out of pocket anyway, minus the gateway and the diagnosis. Geneva evenings pair with my US mornings. When what you need is prescribing, assessment, or covered care, the Swiss system does that well, and I will say so on the call.

Questions people ask from Geneva

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.