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, 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 evening sessions are easy to schedule across time zones, and it makes no difference which side of the border you sleep on. We start with a free 15-minute 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.
Why off-Rock matters here
Gibraltar packs online gaming and finance onto a rock small enough to walk across. The professional world and the social one are the same thing here. Local depth therapy is scarce. And nothing on the Rock is anonymous. Many people who work here live across the border in Spain. That adds its own wrinkles to using anything local.
Working with me removes the problem. I am off-Rock. No connection to the local industry or social web. No record of any kind. 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. Then the drive home to La Línea or the Spanish coast. The closed-in feeling 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.
How the Rock handles mental health
Gibraltar's public route runs through the GHA. GPs at the Primary Care Centre refer into counselling and psychology services, the Community Mental Health Team covers ongoing care, and Ocean Views is the dedicated mental health facility. Since 2021 there has also been a 111 clinical triage line, running around the clock, as the single point of contact for a mental health crisis. For a territory of around thirty-four thousand people, it is a serious little system.
It is also, by the government's own description, not a route into long-term therapy: the crisis pathway exists to get people through the acute moment, and the counselling provision behind it is finite and local. And local is the operative word. The GHA's confidentiality is real, but the waiting rooms, the staff, and the patients all belong to the same few square kilometres you work in.
Working with me moves the entire thing off the Rock. No GHA referral, no local record, no chance of sharing a waiting room with someone from your firm or your building, and no difference whether you live in Gibraltar itself or across the border in Spain.
Questions people ask from Gibraltar
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.