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 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. No connection to anyone in the country's professional or social world. You pay directly. Evening sessions are easy to schedule across time zones. It makes no difference which side of the border you sleep on. We start with a free 15-minute call.
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.
What Liechtenstein brings to therapy
The texture is wealth and smallness, concentrated. 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 runs everything. The flatness of serious money held in a place with shallow roots. And the strain people carry. In a microstate there is nowhere to set it down without being seen.
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.
Insurance that covers it, and almost nobody local to do it
Liechtenstein has mandatory health insurance for everyone living or working in the country, arranged through a small set of licensed insurers, and it does cover psychotherapy when the treatment is for an illness. Consultations in the country commonly run around 100 to 150 francs. On paper, the coverage question is solved.
What insurance cannot manufacture is supply. A country of roughly forty thousand people supports only a handful of practitioners, English-language depth therapy is close to nonexistent, and the practical answer for decades has been to cross into Switzerland or Austria for specialist care. That solves the language problem sometimes and the privacy problem never, since Feldkirch and Buchs are extensions of the same small world.
Online work dissolves the geography. I am outside the Liechtenstein insurance system, outside the Swiss and Austrian ones too, and outside the social radius entirely. You pay directly, nothing is claimed anywhere, and the work does not depend on which side of the Rhine you happen to be on.
Questions people ask from Liechtenstein
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.