Online Individual Therapy in Madrid.

The work

The work I do is relational and pattern-focused. I don't run through intake checklists or assign exercises between sessions. I pay attention to what happens in the room: what you're saying, what you're not saying, the moments when something shifts or goes flat or speeds up. That's the material we work with.

Most people arrive already knowing the story of their situation. They've told it to themselves a hundred times and always land in the same place. What's missing is a different angle, someone watching in real time who can name what's invisible from inside it. That's what I offer. Not interpretation from a distance, but attention in the room, offered as it happens.

I work with individuals and couples. Individual work is usually about finding the pattern underneath the presenting problem, the thing that keeps recurring in different forms across different circumstances. Couples work is about finding what the argument is really about, which is rarely what it appears to be about. Both come down to the same thing: seeing what you haven't been able to see, and from there, actually being able to do something different.

The Spanish system, and the English pool

Spain's public mental-health care has waits and limited sessions, so sustained work generally moves to private practice. In Madrid the English-speaking depth-therapy pool is real but smaller than the international population, and notably smaller than the heavily anglophone scene in Barcelona, which also means less competition for an appointment that fits. The wider picture is on my Spain page.

Work with me is private and online, with no Spanish record and no wait.

What Madrid brings to therapy

Madrid is the corporate, financial, and diplomatic capital, the serious Spanish business city rather than the tourist or nomad one. Multinational headquarters, the banks and consultancies, the embassies. The thing internationals run into is that the famously warm, late-night, social culture is genuinely hard to enter from the outside without native Spanish, and the rhythm that looks liberating in the guidebook can feel exhausting when you are doing it alone. The recurring presentation is high-functioning depression behind a full social calendar: you are out, you are included, you are fine on paper, and none of it reaches you. Warmth all around, and a person standing slightly outside it.

The arrangement

I am a US-trained psychodynamic therapist working online and privately: no Spanish license, no public-system involvement, no diagnosis on any record. You pay directly, in any currency. Madrid evenings pair with my US mornings. When what you need is prescribing, assessment, or covered care, the Spanish system handles that, and I will say so directly.

Questions people ask from Madrid

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.