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.
Working with me from Paris
I am a US-trained psychodynamic therapist working online and privately. No French registration. No Secu, no mutuelle paperwork. Nothing enters any French system. The fee is comparable to a private Paris psychologue, and Paris evening sessions are easy to schedule across time zones. What I add is native-English depth work with someone whose entire practice is people living outside their home country, including the specific Paris version of it. For medication or French-system care, a psychiatre or a Mon soutien psy psychologist is the right door, and if that is the truer fit, I will point you there on the call.
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.
The Paris caseload
Paris does something specific to foreigners. It makes their unhappiness feel like ingratitude. You are living the postcard, so who are you to be miserable in it? Meanwhile, the actual texture of the life. The apartment that took four months and a dossier as thick as a thesis. The prefecture appointments. The office where your French gets praised in a way that tells you it will never be enough. The Parisian social wall that makes Viennese reserve look warm. Couples take a distinct hit here. One partner is usually living their dream, and the other is hosting it. And the long-term Anglos. Ten years in, fluent, settled, always slightly outside. They carry a quiet grief with no obvious name. All of it is real material for therapy, whatever the postcard says.
How therapy works in France, and where English fits
France finally built a public route into psychology: Mon soutien psy, which since its June 2024 overhaul covers twelve sessions a year with a participating psychologue at a fixed fifty-euro tariff, no referral needed, with the Assurance Maladie paying sixty percent and most mutuelles topping up the rest. It is a genuine improvement and a constrained one: the sessions are short, the frame is mild-to-moderate difficulties, only a few thousand psychologists have signed on nationally, and the work happens overwhelmingly in French. Outside the program, ordinary psychologue sessions are private at sixty to a hundred-plus euros in Paris, unreimbursed by the Secu, while psychiatrists remain the covered route for medication. The full system, titles and all, is on my France page.
Anglophone Paris has its institutions, the American Hospital out in Neuilly, the long-running SOS Help listening line, a circuit of English-speaking therapists clustered around the 6th, 7th, and 16th, and the circuit is small. The therapists internationals most want, trained analytically, genuinely bilingual, taking new clients, fill their books fast in a city that practically invented the couch.
Questions people ask from Paris
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.