In short Online therapy in English in Gothenburg: individual and couples sessions over secure video, scheduled across time zones. Psychodynamic depth work with a US-trained therapist. You pay directly, so nothing runs through local insurance or health records. Fees and fit are covered in a free 15-minute call.

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 character underneath

Most people come in with low mood, anxiety, or burnout. Or a relationship that has gone quiet. The work goes a layer beneath that. A pattern that fits this city is competence as identity. The engineer or manager whose worth is built on solving problems and making things work. They turn the same instinct on their own inner life and treat it as a system to be optimized. It does not yield to that. A private sense of emptiness gets handled like a fault to be fixed. That keeps it sealed off instead of understood. The harder a person works the problem, the more stuck it gets. West-coast understatement and the lagom habit of not making a fuss let the whole thing stay quiet for years. Depth work is interested in the defense itself, the self-reliance that has quietly become a way of never needing anyone, and in the history that made it feel necessary in the first place. The same pattern tends to surface in close relationships, where a partner can experience all that problem-solving as distance rather than care, and the gap widens without anyone meaning it to.

Why people in Gothenburg work with me

Three reasons. Availability, first: English-language depth work is scarce and booked out here, and I have room. Fit, second: my entire practice is people living outside their home country, so being an international in Gothenburg needs no translating, and the work is depth-oriented. Privacy, third: I am outside the Swedish system entirely, with nothing on any public record. For public or in-person care, I will point you toward it.

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.

In shortOnline psychodynamic therapy in English for people in Gothenburg. Fully private. You pay directly. No waitlist, and nothing on a public-system record.

The Gothenburg patterns

The city has a grounded, west-coast character. The engineer or manager at Volvo, a supplier, or the port. Hired or posted into a town that is friendly on the surface and slow to let outsiders in. The trailing partner facing Swedish reserve and dark winters with their own career on hold. The high performer whose work is solid and whose inner life has flattened. Swedish culture prizes lagom and not making a fuss, which can leave a struggle unspoken for a long time. The work meets it directly, in fluent English.

A smaller city, a smaller pool

Gothenburg is not a capital, and that changes the texture of the isolation. The international community is smaller than Stockholm's, the local networks are tighter and longer-settled, and the pool of English-speaking depth therapists is thinner still. People who move here for a role at Volvo, a supplier, or the port often find a town that is warm on the surface and slow to open underneath, with fewer of the ready-made international structures a larger city throws off. That is part of why the loneliness can bite harder here than the size of the place would suggest: there are fewer easy ways in, and the contrast between a friendly daily texture and the absence of close ties wears on a person. Working online widens the options. It puts depth work in fluent English within reach regardless of how thin the local supply is, and because it is not tied to a place, it holds steady if a posting later moves you to another city or country.

Therapy in Gothenburg: an industrial city short on English depth work

Sweden's public system gatekeeps hard and works in Swedish. Care starts at your vårdcentral, where a doctor assesses you and decides whether to write a referral (remiss) onward. Public treatment leans heavily on KBT, the Swedish form of cognitive behavioural therapy, and runs to a limited number of sessions aimed at a named condition such as mild to moderate depression, anxiety, or stress. App-based public options exist for milder cases, also short and structured. The care guarantee sets target times, an assessment quickly and a specialist visit within ninety days, but it governs the wait rather than the depth, and referral onward can be slow. Couples work sits largely outside the public system. Private individual sessions run roughly 1,000 to 1,500 kronor, more for couples, and English-speaking depth therapists are scarce outside Stockholm. Gothenburg draws international talent into automotive, manufacturing, and shipping, and the supply of English-language depth therapy is thin. This is private depth work in English, paid directly, outside the public system.

Questions people ask from Gothenburg

Will the public system cover therapy with you?
No. Public care runs through your vårdcentral, the waits can be long, the treatment is usually short-term CBT in Swedish, and couples work sits mostly outside it. I work privately and directly, in English, outside the public system, for people who want sustained depth work without the wait.
Do I need a referral to start?
No. Private work needs no referral and has no waitlist beyond my own availability, so we can usually begin within days.
Are you a licensed psychologist in Sweden?
No. The protected titles legitimerad psykolog and legitimerad psykoterapeut are issued by Socialstyrelsen, which I do not hold. I am US-trained (MA, Counseling) and work privately online, outside the Swedish registers. For a licensed Swedish clinician, public care, or medication, I will point you toward it.
How long is the wait in the public system?
It varies by region and by how your case is assessed. The care guarantee sets target times, including a specialist visit within ninety days, but the target governs the wait, not whether your situation qualifies, and referral onward can be slow when services are stretched. Private work has no waitlist beyond my own availability, so we can usually begin within days, which is part of why many internationals here go private.

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.