Online Individual Therapy in Milan.

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 Italian system, and why people go private

Italy's public mental-health provision is underfunded, the waits are long, and the contact tends to be brief, so anything sustained generally moves to private practice. Within that, the pool of therapists doing depth work in English is small and concentrated in Milan. The mechanics are on my Italy page.

Work with me is private, outside the Italian system, with no record and no wait.

What Milan brings to therapy

Milan is the one Italian city organized around work, money, and appearance, and each of those exacts something. The finance world around Piazza Affari, the private banks, the fashion and design houses with their studios and their seasonal churn, the multinational headquarters. Over all of it sits la bella figura, the obligation to keep up the surface, and the quiet exhaustion of maintaining it. The expat who arrived expecting the warm Italy of the imagination and found Milan cooler, faster, and harder to enter. The perfectionism that dresses itself as elegance. The high achiever whose composure is total and whose private life has gone hollow. It photographs beautifully and costs more than it shows.

The arrangement

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

Questions people ask from Milan

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.