English-Speaking Therapist in Iceland.

Iceland has a small therapy market and some of the highest private fees in Europe, though nearly every therapist here speaks English. Video work is completely normal, which makes seeing someone abroad feel routine.

I work with anyone who needs support in English and is living in Iceland. The isolation of a small, dark-wintered place, relationship difficulties, or something you can't quite name.

The work

The work I do is relational and pattern-focused. I don't run intake checklists or assign homework between sessions; I pay attention to what happens in the session, the moments when something shifts or goes flat, and the recurring pattern underneath the presenting problem. Most people already know the story of their situation and keep landing in the same place. What's missing is someone watching in real time who can name what's invisible from inside it. More on how I work, and how I work with couples.

Being in Iceland

Iceland is small, remote, and striking, and it can be isolating in ways that surprise people. The community is tight and conducted largely in Icelandic, the winters are dark, and the population of English-speaking newcomers is small enough that everyone seems connected to everyone. The people who come are the professionals on local contracts, the tech and tourism staff, the academics, and the partners who moved for someone else and are finding their footing.

The Icelandic system: public, but weighted to medication

Iceland has publicly funded healthcare that includes mental health through primary care centres and hospitals, but the provision leans toward medication and psychiatric assessment, and the waits for psychological therapy can run many months. Public CBT, where available, is delivered in a small fixed number of sessions. Icelandic Health Insurance reimburses some psychological costs, but only with a referral, a framework-agreement psychologist, and after six months of legal residency. Many people lean on union grants, which subsidise a set number of private sessions a year.

Where I stand relative to the Icelandic registers

I am US-trained and not on the Icelandic registers. Psychologist is a regulated title here, held through the Icelandic Psychological Association, which I do not hold, and Iceland's health authorities do not currently recognise psychotherapists as a separate registered profession at all. Sessions with me are private and are not reimbursed by Icelandic Health Insurance. What I offer is sustained depth work in English, paid directly. For reimbursed care, prescriptions, or a registered local psychologist, I will point you toward it.

Reykjavik, and everywhere else by video

Private therapy in Iceland is expensive, generally 120 to 160 euros a session, among the highest in Europe, and the English-speaking practitioners are concentrated in Reykjavik. The upside for an English-speaker is that nearly every Icelandic therapist speaks English, and video consultation is completely normal here, so working with someone abroad feels routine. Outside the capital the local options thin to almost nothing. A Reykjavik afternoon sits in my US morning.

Questions people ask from Iceland

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.