The work
The work I do is relational and pattern-focused. I don't run intake checklists or assign homework between sessions; I pay attention to what happens in the session, the moments when something shifts or goes flat, and the recurring pattern underneath the presenting problem. Most people already know the story of their situation and keep landing in the same place. What's missing is someone watching in real time who can name what's invisible from inside it. More on how I work, and how I work with couples.
Therapy in English in Mexico: a huge expat population, a thin English supply
Mexico has public health coverage through IMSS and ISSSTE and a large, affordable private sector, but English-language depth therapy is another matter. Public mental health care is overstretched and works in Spanish, and while local private therapy is inexpensive, sustained depth work in fluent English is scarce against one of the largest US, Canadian, and remote-working populations abroad. This is private depth work in English, paid directly, outside the Mexican system, for the large English-speaking population that wants sustained depth therapy rather than the cheapest local option.
The patterns
Mexico draws the internationally mobile in numbers. The American or Canadian who relocated for cost, climate, or a lighter life and found the isolation heavier than expected. The corporate transferee in finance, manufacturing, or a regional headquarters. The remote worker or founder building a life across borders. The expat couple renegotiating who they are after a big move. The bicultural person holding two worlds at once. Local therapy is inexpensive and often excellent in Spanish; what is scarce is sustained depth work in fluent English that travels with you. The work meets that, directly.
Why people in Mexico work with me
Three reasons. Continuity, first: expats and nomads lose their therapist with every move, and online depth work follows you anywhere with a connection. Fit, second: my whole practice is people living outside their home country, so the texture of a relocation to Mexico needs no explaining, and the work is depth-oriented rather than a short course. Candor, third: I work outside the Mexican system entirely, with nothing on any local record, and I am clear that local private therapy can cost less; what I offer is depth and fluent English, not the lowest price.
Questions people ask from Mexico
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.
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
- Leichsenring, F., Abbass, A., Heim, N., Keefe, J. R., Kisely, S., Luyten, P., Rabung, S., & Steinert, C. (2023). The status of psychodynamic psychotherapy as an empirically supported treatment for common mental disorders: an umbrella review based on updated criteria. World Psychiatry, 22(2), 286-304. PMC10168167