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 clinical patterns I see most
A few patterns come up again and again. The olim adjustment that turned out heavier than the aliyah story allowed. The paperwork. The Hebrew. The distance from family. The gap between the ideal and the daily reality. The high-functioning professional, often in tech, who looks fine and feels hollow. The couple who moved for one partner's dream or job. They have been quietly re-working that deal ever since. The dual-identity strain of belonging fully to neither the country you left nor the one you joined. And, threaded through almost everything since October 2023, the weight of living with sustained security stress, sirens and shelters and a grief that has touched nearly everyone, which is not a disorder to be fixed but a reality to be carried and worked with. None of these require a diagnosis to be worth taking seriously.
Who reaches out tracks those patterns closely. Tech professionals in Tel Aviv whose English-speaking work life runs smoothly while everything outside the office stays foreign. Olim a year or two past the landing, when the formal welcome has faded and the real question, whether you can actually live here, has arrived. Anglo parents in Jerusalem or Modi'in carrying a family through a reality their own parents cannot picture from abroad. Couples still re-negotiating the move itself, sometimes years after it happened. This is the population my practice was built around, and the wider picture of that work is on the therapy for expats page. The same rule applies here as everywhere: your reasons do not need to be about Israel at all.
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.
Israel has a lot of English speakers and a real therapy culture. Even so, finding someone who does sustained depth work in English takes searching. The therapists who do that work are in high demand, and many are fully booked.
I work with anyone in Israel who needs support in English. Relationship difficulties. A low you can't quite name. Something specific, or something harder to name.
Being in Israel
Israel has a specific intensity. Political, social, familial. Most people find it charged or draining, often both. For English speakers who moved here, the olim experience has its own texture. The country welcomes you formally. Then the real learning curve starts, personal and cultural at once.
Hebrew is the first wall. Ulpan gets you shopping and small talk, and then you hit the ceiling: the meetings, the school notes, the bureaucratic letters that decide real things. Plenty of my clients function in Hebrew all day and still cannot feel like themselves in it. The second wall is the distance. Family is a flight away, on a different clock, and every holiday forces the same arithmetic about who flies. And there is the gap the aliyah story leaves out: you can believe in being here, fully, and still grieve the life you closed to do it. Those two things sit side by side in almost everyone I see from Israel. The intensity of the place does not resolve the grief. It postpones it.
If the texture of life here is part of what you're dealing with, we can work with it. If what brings you has nothing to do with being in Israel, that's fine.
The cities, briefly
Most of my clients in Israel live in or near the main English-speaking hubs. Tel Aviv is the fast, secular, high-tech heart of the country. It has a big international crowd. There is a dedicated page on therapy in English in Tel Aviv. Jerusalem has one of the biggest Anglo and Orthodox olim communities. It also draws gap-year students, seminaries, and lone soldiers. See therapy in English in Jerusalem. Tel Aviv also runs on relocation. London and New York stints sit on half the tech floor's resume, and clients who move mid-therapy keep the same hour. For that end, see therapy in English in London. Beyond them, Anglo communities cluster in Beit Shemesh, Ra'anana, Modi'in, and Netanya. Online work reaches all of them the same way. Where you live inside Israel does not change the access.
Marriage counseling and couples therapy for expats in Israel
Many of the couples I work with in Israel are olim, mixed-status partnerships (one Israeli, one not), or English-speaking expats whose relationship is doing something different than it did before the move. The pressures specific to Israel, the family proximity, the security context, the language asymmetry, the in-law dynamics, the question of where home actually is, surface in the marriage in ways that look like ordinary conflict but are not.
What often gets called a communication problem is usually something else: one partner integrating into Israeli life faster than the other, an unspoken disagreement about whether the move was for one of you or both, accumulated resentments about which family is closer or louder, or the slow erosion of the version of the relationship that existed somewhere else. Couples therapy in English makes it possible to talk about these things in the language where you can actually say what you mean.
Sessions are online via secure video call, both partners on the same screen or in separate locations across Israel, Tel Aviv, Jerusalem, Haifa, the periphery, or one of you abroad temporarily. The work is depth-oriented: not communication skills training, but understanding the pattern underneath the recurring fight. Read more about marriage counseling and couples therapy in Israel or schedule a free 15-minute call.
Israeli mental healthcare, briefly: why people seek private English therapy
Israel has universal coverage through four health funds, the kupot holim, and since the 2015 mental-health reform, psychological and psychiatric care runs through them. In principle every resident is entitled to subsidized treatment, often around fifteen sessions a year, for a small periodic co-payment. In practice mental health receives a small share of the health budget, the system is stretched, the public model leans toward short-term, protocol-driven treatment, and waits are long. For an English speaker the difficulty compounds: the language of the public system is Hebrew unless a particular clinician works in English, and the English-speaking therapists who do sustained depth work, across Tel Aviv, Jerusalem, and beyond, are in high demand and frequently fully booked. Demand rose sharply after the pandemic and again after October 2023. This is much of why private, English-language work, online and outside the kupot, has become the practical route for so many internationals and olim.
In practice the choice is rarely ideological. People try the kupot route, sit on a list, get offered a short course of protocol work in Hebrew, and conclude that what they need is a different kind of room. Private English-language therapy is that room: no referral, no queue, and the whole of your inner life admissible in the language it actually runs in.
The regulatory picture, in plain language
Israel regulates some clinical titles and not others, which is worth understanding. Psychologist is a protected title under the Psychology Law, held by clinicians registered with the Ministry of Health, and clinical psychology in particular involves a long regulated training. Psychiatrists are physicians who can prescribe. Clinical social workers are licensed and do much of the country's therapy. The terms therapist and psychotherapist, by contrast, are not legally protected in Israel, which means the title alone tells you little about training, so what matters is the training behind it. I am US-trained, with a master's in counseling, and I work online and privately. The Israeli registers do not govern my practice, and I am not a licensed Israeli psychologist. For subsidized treatment, medication, or anything that requires a regulated Israeli credential, you want a licensed local clinician, and I am glad to point you toward the right route.
Questions people ask from Israel
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.