In short Online therapy in English in Luxembourg City: 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.

Why people in Luxembourg City work with me

Three reasons. Privacy, first. This is a small city. The institutional world and the professional one overlap. I sit outside the local system entirely. No file. Nothing on any record. Fit, second. My whole practice is people living outside their home country. The texture of an EU posting or a finance role in Luxembourg needs no translating. And the work is depth-oriented. Availability, third. English-language depth work is scarce here. I have room, online, across time zones. For reimbursed or in-person care, I will point you toward it.

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 people in Luxembourg City. Fully private. Paid directly. No waitlist. Nothing on a local record.

The Luxembourg City patterns

The city draws a distinct crowd. The official at the Court of Justice, the EIB, or the Parliament secretariat. Or another EU body. Posted for years far from home. The professional in funds, banking, or the Big Four. Long hours in a transient, high-turnover world. The partner who came along, to a place where almost everyone is from somewhere else. Few stay long enough for roots. The high-functioning person whose career is on track and whose inner life has flattened. Discretion matters here. It is a small place, and professional circles overlap. The work is depth-oriented. In fluent English. Entirely private.

Therapy in Luxembourg City: a global workforce, a narrow English supply

Luxembourg is multilingual on paper and thin on English-language depth therapy in practice. Public reimbursement through the CNS is limited and still developing, much local care works in French, German, or Luxembourgish, and couples work is private. Private sessions run roughly 90 to 175 euros, more for couples, and English-speaking depth therapists are scarce against one of the most international populations in the world. Luxembourg City concentrates EU institutions and a large funds-and-finance industry into a small, intensely international city, and English-language depth therapy has not kept pace. This is private depth work in English. You pay directly, outside the local system.

The CNS reimburses psychotherapy now. Here is the fine print.

Since February 2023 Luxembourg's CNS reimburses psychotherapy, which sounds like it should have solved the problem. The mechanics are what my clients here find worth knowing. Reimbursement requires a medical prescription. It pays seventy percent for adults, and it is capped in a very particular architecture: three introductory sessions and up to twenty-four supportive ones per five years, then up to one hundred twenty extended sessions per ten years, each tranche needing fresh prescriptions. You pay first and claim afterwards, and the psychotherapist must be established in the EU, EEA or Switzerland and fit the official nomenclature. More on the country as a whole is on my Luxembourg page.

It is a real benefit, and for many residents the right one. It is also prescription-gated, session-counted, paperwork-forward, and it leaves a reimbursement trail with your caisse, which is precisely what some people in a small, professionally dense capital prefer to avoid.

I sit outside the nomenclature by design: a US-trained therapist working privately, paid directly, with no prescription required, no session ledger held by anyone but us, and no CNS record that the work ever happened.

Questions people ask from Luxembourg City

Will the CNS or my insurance cover therapy with you?
No. Public reimbursement through the CNS is limited and still developing, much local care works in French or German, and couples work is private. I work privately and directly, in English, outside that system, for people who want sustained depth work in their own language without the wait.
Do I need a referral to start?
No. Private work needs no referral and has no waitlist beyond my own availability, so we can usually begin within days.
Are you a licensed psychologist in Luxembourg?
No. The clinical titles are regulated here, which I do not hold. I am US-trained (MA, Counseling) and work privately online, outside the Luxembourg registers. For a licensed local clinician, reimbursed care, or medication, I will point you toward it.
Who counts as a psychotherapist under the CNS rules?
A psychologist or doctor with state-approved psychotherapy training, listed in the official nomenclature and working from a medical prescription. That definition is the gate to the seventy percent reimbursement, and the sessions come pre-counted. I fall outside it on purpose: US-trained, privately practicing, no prescription needed, nothing claimed and nothing counted.
Is the CNS psychotherapy route worth using?
For many people, yes, and I would rather you know it exists. If a prescribed, reimbursed, session-capped structure fits your situation and you can find a nomenclature psychotherapist working in English with room in their calendar, take it. The people who come to me instead usually want one of three things the CNS route cannot give: immediate start, open-ended depth, or total discretion.

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.

Related Reading

Therapy for trailing spouses
Therapy for expats
Therapy in English in other countries