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.
Why off-Rock matters here
Gibraltar runs a dense online-gaming and financial-services economy on a territory small enough to walk across, where the professional community and the social one are effectively the same. Local depth-therapy provision is limited, and nothing on the Rock is anonymous. Many people who work here also live across the border in Spain, which adds its own complications to using anything local.
Working with me removes the problem. I am off-Rock, with no connection to the local industry or social web, no record of any kind, and jurisdiction-light if you commute from the Spanish side.
What Gibraltar brings to therapy
The texture is unusual: a British enclave on the Mediterranean, tiny and intensely interconnected. The igaming professional, the financial-services and insurance crowd, the cross-border worker who clocks out in Gibraltar and drives home to La Línea or the Spanish coast. The claustrophobia of two and a half square miles where everyone knows everyone. The British-abroad oddness of the place. And the strain people carry without anywhere local to take it: the pressure of a fast industry, the drinking, the marriage, all of it lived in a space with no privacy by design.
The arrangement
I am a US-trained psychodynamic therapist working online and privately, off-Rock and outside every local system. No insurance billing, no diagnosis, no clinical record, and no connection to anyone in your industry or community. You pay directly. Gibraltar evenings pair with my US mornings, and it makes no difference which side of the border you sleep on. We start with a free 15-minute call.
Questions people ask from Gibraltar
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