In shortOnline psychodynamic therapy in English for people in Lausanne: fully private, paid directly, with no waitlist and nothing on a Swiss insurance record.

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.

Therapy in Lausanne: international, French-speaking, and short on English depth work

Switzerland regulates psychotherapy tightly and prices it high. Since the 2022 reform, basic insurance (Grundversicherung) can cover psychological psychotherapy, but only on a doctor's referral and only with a clinician holding the right cantonal authorization, usually working in German or French, and couples therapy is not covered at all and is private everywhere. Private individual sessions run roughly CHF 150 to 250, and couples work more, with English-speaking depth therapists concentrated in Geneva and Zurich and thin elsewhere. Lausanne adds a French-speaking public system to that picture, which narrows English-language options further. This is private depth work in English, paid directly, outside the Swiss insurance system.

The Lausanne patterns

The city draws a specific crowd. The executive or MBA passing through IMD, the EPFL researcher far from home, the staffer at the IOC or one of the international sports federations based on the lake. The French-speaking professional who functions fully in French all day and wants therapy in their own first language. The affluent, beautiful lakeside setting that can make isolation harder to admit. The work is depth-oriented and in fluent English, for the parts of life that the polished surface does not cover.

Why people in Lausanne work with me

Three reasons. Fit, first: my whole practice is people living outside their home country, so being an international in Lausanne needs no explaining, and depth work in fluent English is the default. Availability, second: English-language depth therapy is scarce and booked out here, and I have room, online, on a schedule that can cross time zones for family abroad. Privacy, third: I work entirely outside the Swiss system, so there is no insurance file and nothing on any local record. For reimbursed care, medication, or in-person work, there are good Swiss options and I will point you toward them.

Questions people ask from Lausanne

Will my Swiss basic insurance cover therapy with you?
No. Since 2022 basic insurance can reimburse psychological psychotherapy, but only with a doctor's referral and an authorized clinician inside the Swiss system, and couples therapy is not covered on any model. I work privately and directly, in English, outside that system, for people who want sustained depth work without the referral, the wait, or anything entered on an insurance record.
Do I need a doctor's referral to start?
No. A referral is only for the reimbursed route. Private work needs none and has no waitlist beyond my own availability, so we can usually begin within days.
Are you a registered psychologist in Switzerland?
No. The titles Psychologe and Psychotherapeut are federally protected under the PsyG and require Swiss qualifications and registration, which I do not hold. I am US-trained (MA, Counseling) and work privately online, outside the Swiss registers. For a registered Swiss clinician, reimbursed care, or medication, I am glad to 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.

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