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: no Luxembourg licensing question for off-system online work, no CNS billing, no diagnosis on any record, and nothing that touches an institution's medical service or your employer. You pay directly, in any currency. Luxembourg evening sessions are easy to schedule across time zones. When what you need is prescribing, assessment, or covered care, Luxembourg's system handles that, and I will say so directly.
Dedicated city page: Luxembourg City.
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 I see from Luxembourg
Luxembourg is the richest country per head on earth, and one of the most rootless. Those two facts are not a coincidence. Roughly half the residents are foreign. The institutions run on professionals posted here for a term. The Court of Justice. The EIB. The ESM. The Parliament secretariat. The translators. Terms end. People move on. The city resets. The fund-administration and private-banking machine on Kirchberg runs on people. People who arrived for the salary. Stayed for the school fees. And somewhere in there stopped recognizing the life. English is the working language of finance. That makes the isolation quieter and harder to name. You function perfectly. The country's actual social life happens in Luxembourgish, and it closes early. Then you commute home across a border, to Arlon or Thionville or Trier. The recurring story is not crisis. It is a life that is objectively excellent and privately flat. And a person who can no longer tell whether the flatness is the country or themselves.
Therapy in Luxembourg is private-pay already
Most of Europe makes you weigh coverage against speed. Luxembourg mostly does not. The CNS reimburses psychiatric treatment by approved doctors, but independent psychologists and psychotherapists generally sit outside reimbursement, so private therapy here is the default rather than the exception. Many residents already use private insurance for it. That means working privately with me changes nothing about your reimbursement. It removes the wait and the language search and nothing else.
And the wait is real. The English-speaking population is enormous relative to the small pool of therapists who can do depth work in English, and the booking platforms routinely show practitioners listing no current capacity. Online widens the pool to anyone, immediately.
Questions people ask from Luxembourg
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.