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.
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.
The international London I work with
London expats are a different species from expats elsewhere. No language barrier. No visa-class isolation. And a more confusing kind of displacement because of it. The Americans in St John's Wood and Notting Hill who keep waiting for the foreignness to wear off. It merely goes quieter. The bankers and lawyers, Canary Wharf to the City, working New York hours at London pace. Their marriages absorb the difference. The Europeans who came pre-Brexit and now hold a country that holds them differently. The grind is specific here. The commute. The cost math that makes a good salary feel like treading water. The social code where everyone is lovely and no one is close. People arrive fluent and stay foreign. There is no obvious place to put that, which is roughly where I come in.
Where I fit in a crowded market
I am a US-trained psychodynamic therapist, online, private pay at a fee in the middle of London's ordinary private range, well below the W1 tier. I am outside the NHS, outside UK registration, outside your firm's networks, and outside the city's professional ecosystem entirely, which for senior people is a feature money otherwise cannot buy in London. Sessions sit comfortably in the London evening, scheduled to suit your day. And when the NHS course, a UK-registered clinician, or a prescriber is the right call, I will say exactly that on the free fifteen minutes.
London therapy: abundance with a catch
The numbers first. NHS Talking Therapies is free and self-referred through your borough's service; officially three-quarters of people start within six weeks, and the broader truth most Londoners learn is that the assessment comes quickly and the actual therapy follows later, in a short, structured, CBT-shaped course. Private London is the opposite problem: enormous choice at 60 to 138 pounds a session for counsellors and psychotherapists, 100 to 230 for clinical psychologists, and a postcode tax that pushes Harley Street and Mayfair rooms toward 250 and beyond. Training clinics like WPF and Metanoia offer serious low-cost work if your budget is the constraint. Insurance through Bupa, AXA, or Vitality covers a capped course, usually GP-gated; employer EAPs hand out six or eight sessions. The UK's title system, what BACP, UKCP, and HCPC actually mean, is on my UK page.
So why would anyone in the deepest therapy market in the world work with someone in another country entirely? My London clients give the same three answers: the therapists they actually wanted had no openings, the ones with openings were protocol-first, and the city's professional circles are smaller than its size suggests. The lawyer does not want her therapist two floors above opposing counsel.
Questions people ask from London
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.