English-Speaking Therapist in Perth.

Perth is a long way from everywhere, and the distance is the point. Therapy reaches you across it. Online, in English, around the roster and with no connection to any record.

Aaron Platt

What is bringing you here?

Depression Anxiety Burnout Impostor
Syndrome Overthinking Self-Sabotage Perfectionism People-Pleasing Expat Issues Loneliness Something else

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In shortOnline psychodynamic therapy in English for people living in Perth: private, paid directly, and built for a city where distance is the defining fact.

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 Perth: a real market with real friction

Perth is one of the most isolated cities in the world, and the supply of experienced English-speaking therapists is thin against the demand. The funded route, Medicare's Better Access scheme, needs a GP Mental Health Care Plan and covers a capped number of sessions with an AHPRA-registered psychologist, usually with a gap fee and a short, structured focus. Private work needs no plan and no referral, and there is no waitlist beyond a therapist's availability. The fuller picture of the Australian system is on my Australia page.

The Perth patterns

The people who come are shaped by Perth's isolation. The FIFO and resources-sector workers whose rosters wreck routine and strain relationships, the large British and South African expat communities a long flight from home, and the partners managing a household through long absences. Distance is the recurring theme, and online work is built for distance.

Why people in Perth pick online work with me

Three reasons recur. Privacy: I hold no Australian license and write nothing into a record an employer or Medicare can reach. Fit: my whole practice is people living outside their home country. Logistics: Perth's time zone actually sits closer to my working hours than the eastern cities, and a roster that rules out fixed local appointments is easier to work around online. The relationship also continues if you rotate sites, move interstate, or leave Australia. For a Medicare rebate, medication, or in-person care, I will point you to a registered psychologist.

Questions people ask from Perth

Will Medicare or Better Access cover therapy with you?

No. Better Access needs a GP Mental Health Care Plan and covers a capped number of sessions with an AHPRA-registered psychologist, usually with a gap fee and a short, structured focus. I work privately, in English, for sustained depth work.

Does this work with a FIFO roster?

Yes. Online sessions are arranged around your roster rather than a fixed local slot, and the relationship continues if you rotate sites or move. There is no referral and no waitlist beyond my availability.

Can I do therapy online from Perth with a therapist abroad?

Yes. Sessions run over secure video, and Perth's time zone sits relatively close to my working hours. I am US-trained and work privately, outside the Australian registers; for a rebate or in-person care you would see a registered Australian psychologist.

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

What Clients Say

“I came in thinking I knew what my issues were. I’d been over them a hundred times. But those were just the things I could already see. Aaron helped me notice what I couldn’t, and that’s where everything actually started to change.”

— M.J.

“I didn’t think online therapy could really work. How do you feel a connection through a screen? But I’ve done in-person therapy before, and honestly, I’ve felt more understood by Aaron than by any therapist I’ve sat across from. He listens in a way that’s hard to describe until you experience it.”

— T.L.

“A few years ago I suddenly developed prolonged panic attacks but couldn’t begin to understand what had caused them. Having been in therapy in the past, and being a counseling intern student, I felt I had exhausted my resources trying to figure out “What is wrong with me?” I can honestly say Aaron provides a form of counseling that is difficult to find anywhere else regarding efficacy. Not only has his approach been effective, but he also has provided me a safe space to explore aspects about myself I may not otherwise have felt able to. I cannot recommend him enough as he has helped me feel more myself than ever before.”

— K.R.

“I’d been in and out of therapy for years. Different therapists, different approaches, none of it really stuck. Aaron helped me understand more in a few months than all of them combined. And he talked to me like a normal person, not like all this weird therapy-speak.”

— S.A.

Completely private. No insurance, no diagnosis codes, no health registry, no GP notification, no employer visibility. You pay directly. Your therapy is between us and stays that way. More

Also serving Australia. Australia, Sydney, Melbourne.

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You do not have to be ready. You do not have to know what to say. A few sentences is enough.