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 Mexico City: a booming expat hub, 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. Mexico City in particular has drawn a wave of remote workers and transplants, and English-language depth therapy is stretched thin. This is private depth work in English, paid directly, outside the Mexican system.
The Mexico City patterns
The city draws a recognizable crowd. The US or Canadian transplant in Roma or Condesa, building a life that looks idyllic online and feels, some weeks, like drift. The corporate transferee in Polanco or Santa Fe, in finance, manufacturing, or a regional headquarters. The remote worker or founder living across borders. The expat couple under the strain of a big move. The anonymity of a huge city can coexist with the claustrophobia of a tight expat bubble where everyone knows everyone. The work makes room for what the curated surface does not show, in fluent English.
Why people in Mexico City work with me
Three reasons. Continuity, first: transplants 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 move to Mexico City needs no translating, and the work is depth-oriented. Privacy, third: I work outside the Mexican system entirely, with nothing on any local record, and within a small expat world that can be its own kind of fishbowl. For locally licensed or in-person care, I will point you toward it.
Questions people ask from Mexico 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.
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