In short Online therapy in English in Luxembourg: individual and couples sessions over secure video, scheduled across time zones. Psychodynamic depth work with a US-trained therapist. You pay directly, so nothing runs through local insurance or health records. Fees and fit are covered in a free 15-minute call.

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.

In shortOnline psychodynamic therapy in English for internationals in Luxembourg. Private. Outside the CNS system. Available now.

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.

Not sure yet? That's what the free call is for.

Request a free 15-min call

How the CNS covers psychotherapy, and what it leaves out

Since February 2023 the CNS has covered therapy, on its own terms. It pays seventy percent for adults, and all of it for under-18s. You need a prescription from a doctor. The therapist must be approved by the state and hold a CNS provider code. You pay first and claim the money back. The sessions are counted. You get three to start and a first block of 24 on one prescription. Then come more blocks of 24, each on a new prescription, up to 147 in ten years. Supplementary insurance may cover part of what is left. Two limits matter for expats. A psychologist the state has not approved is not covered at all. And video sessions are not on the CNS list of covered acts. So the CNS pays nothing for them, in Luxembourg or abroad, whoever gives them. Working privately with me sits outside all of it. There is no prescription, no wait, and no hunt for someone who works in English.

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

Does Luxembourg health insurance cover therapy?

Since February 2023, yes, on conditions. The CNS pays seventy percent for adults, and all of it for under-18s. You need a doctor's prescription. The therapist must hold state approval and a CNS provider code. You pay first and claim it back, and the sessions are capped. Two limits catch expats. A psychologist the state has not approved is not covered. And video sessions are not on the CNS list of covered acts, so the CNS pays nothing for them. Working with me is private by design, with no record and no wait.

Finding an English-speaking therapist here is hard. Is that just me?

It is the same for most people here. The international population is large and the pool of English-working private therapists with availability is small. The booking platforms frequently show no current capacity. Online opens the pool to anyone, starting now.

I commute from Arlon, Thionville, or Trier. Does that matter?

It makes no difference. Sessions are online and outside the Luxembourg system regardless of which country you sleep in.

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.

Fifteen minutes is enough to know if this fits.

Request a free 15-min call