In short Online therapy in English in Mexico 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 Mexico City work with me

Three reasons. Speed and simplicity, first: no referral, no system to enter, and room in my calendar now, across CDMX-friendly hours. Fit, second: my whole practice is people living outside their home country, and the capital's specific mix, remote work drift, posting isolation, the guest-and-gentrifier tension, transient friendship, is daily material in my work. Privacy, third: I sit outside every Mexican structure, public and private, so nothing about our work touches any local record or any employer's ecosystem. And if what you need is a licensed local clinician, Spanish-language care, or medication, I will help you find exactly that.

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 Mexico City. Fully private, paid directly. No waitlist, and the work moves with you if you do.

The Mexico City patterns

The capital's crowd is easy to spot. The American or Canadian in Roma or Condesa whose remote salary built a life that looks perfect online and feels, some weeks, like drift. They know they are both a neighbor and a pressure on the neighborhood. Welcomed and resented on the same block. The corporate transferee in Polanco or Santa Fe, in finance or consumer goods. The posting came with a driver and no map to an actual life. The creative who came for the scene and found the scene is always leaving too. The city's international social world is booming and forever mid-goodbye. Everyone brilliant. Everyone gone in six months. Friendships with the end date printed at the first dinner.

Then the city itself, which is not a neutral backdrop. The altitude that thins your sleep. The scale that turns every errand into a fight. The noise. The traffic. The seismic alert that goes off in your chest before it goes off in the street. Spanish that handles the market and the landlord and fails completely at three in the morning when what you need to say is not transactional. Partners on dependent visas rebuilding careers from a beautiful apartment that functions, some months, like a very well-lit waiting room.

Mexico City hands you intensity as a lifestyle and calls it abundance. Plenty of people thrive on it and still find, underneath, something unattended. That is what the work is for.

Therapy in Mexico City: a city that gives everything except room to feel it

CDMX absorbs more new internationals than anywhere in Latin America: remote workers, corporate transferees, creatives, and the industries that follow them. What it does not have is English-language depth therapy at anything like that scale. Public care through IMSS and ISSSTE is overstretched and runs in Spanish; the city's large private scene is affordable by US standards but overwhelmingly Spanish-speaking, and the small English-capable pool books out. This is private depth work in English, paid directly, outside all of it.

Questions people ask from Mexico City

Will IMSS, ISSSTE, or my insurance cover therapy with you?
No. Public care through IMSS or ISSSTE is overstretched and works in Spanish, and I work privately and directly, in English, outside it. Local private therapy in Mexico can be found much cheaper than my rate, so what I offer is depth, fluent English, and continuity if you move again, not the lowest price.
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 psicólogo in Mexico?
No. Practicing as a psicólogo in Mexico requires a cédula profesional, which I do not hold. I am US-trained (MA, Counseling) and work privately online, outside the Mexican registers. For a licensed local clinician, public IMSS or ISSSTE care, or medication, I will point you toward it.
Is online therapy realistic from Mexico City?
It is how most of international CDMX already handles it. The time zone aligns easily with my calendar, sessions hold up fine on ordinary city bandwidth, and the format sidesteps the two local constraints at once: the thin English-speaking pool and the traffic that would eat the hour on either side of an office visit.

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