The work
The work I do is relational and pattern-focused. I don't run through intake checklists or assign exercises between sessions. I pay attention to what happens in the room: what you're saying, what you're not saying, the moments when something shifts or goes flat or speeds up. That's the material we work with.
Most people arrive already knowing the story of their situation. They've told it to themselves a hundred times and always land in the same place. What's missing is a different angle, someone watching in real time who can name what's invisible from inside it. That's what I offer. Not interpretation from a distance, but attention in the room, offered as it happens.
I work with individuals and couples. Individual work is usually about finding the pattern underneath the presenting problem, the thing that keeps recurring in different forms across different circumstances. Couples work is about finding what the argument is really about, which is rarely what it appears to be about. Both come down to the same thing: seeing what you haven't been able to see, and from there, actually being able to do something different.
Why outside-the-country matters here
Liechtenstein is one of the smallest countries in the world and one of the wealthiest, built on private banking, wealth management, and family offices, inside a German-speaking population small enough that everyone is a connection or a connection of one. English-language depth therapy is essentially absent locally, and nothing in a place this size is anonymous. The combination keeps a lot of people from getting help at all.
Working with me solves both problems. I work in English, entirely outside the country, with no connection to the local financial or social world, and there is no record of any kind. If you commute across the border from Switzerland or Austria, that makes no difference.
What Liechtenstein brings to therapy
The texture is wealth and smallness in concentrated form. The private banker and wealth manager, the family-office professional, the industrial wealth around firms like Hilti, the cross-border commuter who works in Vaduz and lives in the Rheintal on the Swiss or Austrian side. The discretion culture that governs everything. The particular flatness of serious money held in a place with shallow roots. And the strain people carry precisely because there is nowhere in a microstate to set it down without being seen.
The arrangement
I am a US-trained psychodynamic therapist working online and privately, in English, entirely outside Liechtenstein. No insurance billing, no diagnosis, no clinical record, and no connection to anyone in the country's professional or social world. You pay directly. Liechtenstein evenings pair with my US mornings, and it makes no difference which side of the border you sleep on. We start with a free 15-minute call.
Questions people ask from Liechtenstein
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