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 Ottawa: a real market with real friction
Ottawa is a government town, and a lot of its professionals value a therapist who sits entirely outside local institutions. Ontario's provincial plan does not reimburse private online therapy with a practitioner outside the public system, so private work is paid directly. Across Canada sessions generally run from roughly 130 to 240 Canadian dollars depending on designation, with registered psychologists at the upper end, and some private and employer benefit plans reimburse depending on the category named in your policy. The fuller picture of the Canadian system and provincial regulation is on my Canada page.
The Ottawa patterns
The people who come reflect the capital. The federal public servants and the diplomatic and security-adjacent staff who would rather not carry an institutional record, the bilingual professionals working across two languages, and the partners who relocated for a posting. In a city where professional and institutional circles overlap heavily, an outside and discreet relationship is the point.
Why people in Ottawa pick online work with me
Three reasons recur. Privacy: I am not registered with a provincial college, bill no public plan, and write nothing into a record an institution can reach. Fit: my whole practice is people living and working across borders and languages. Logistics: Ottawa shares my US East Coast time zone, so scheduling is simple, and the work continues if you move or post abroad. For anything requiring a regulated Canadian title or assessment, I will point you to a local provider. People specifically weighing privacy and a security clearance may also want my page on therapy and clearances.
Questions people ask from Ottawa
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