English-Speaking Therapist in Geneva.

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 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 evening sessions are easy to schedule across time zones. When what you need is prescribing, assessment, or covered care, the Swiss system does that well, and I will say so on the call.

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 I see from Geneva

The Geneva caseload stands out twice over. It turns over fast, and it draws from a narrow world. The UN and the agencies run on people posted for a term who never quite put down roots. WHO, UNHCR, the WTO, the missions. And on the spouses. They give up a career at every rotation and start over in a language they half-speak. The commodities houses add the trader whose pay ended the money conversation. Trafigura, Mercuria, Vitol, Gunvor. The marriage went administrative somewhere over the last three closings. The humanitarian sector adds its own. People 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 reads as sensory deprivation.

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.

Questions people ask from Geneva