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 Montreal: a real market with real friction
Montreal is a bilingual city where the public mental-health route runs in French and the English-language private pool is in demand. Provincial health, RAMQ in Quebec, does not reimburse private online therapy with a practitioner outside its public system, so private work is paid directly. Private sessions in Canada generally run from roughly 130 to 240 Canadian dollars depending on the practitioner's designation, with registered psychologists at the upper end. Some private insurance and employee benefit plans reimburse therapy depending on the practitioner category named in the policy, so it is worth checking your plan's wording. The fuller picture of the Canadian system and provincial regulation is on my Canada page.
The Montreal patterns
The people who come are Montreal's anglophones and internationals. The English-speaking professionals and academics navigating a French-first administration, the immigrants and newcomers building a life in their second or third language, and the relocated partners who find a charming, affordable city that does not by itself resolve isolation. Working in English with someone who is not inside the local professional circle is the appeal.
Why people in Montreal pick online work with me
Three reasons recur. Privacy: I am not registered with a Quebec or other provincial college, bill no provincial plan, and write nothing into a public record. Fit: my whole practice is people living outside their home country, or outside their home language. Logistics: Montreal and my US East Coast hours share a time zone, so scheduling is simple, and the work continues unbroken if you move provinces or leave Canada. For anything needing a regulated Canadian title or a court-recognized assessment, I will point you to a locally registered provider.
Questions people ask from Montreal
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