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.
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.
Therapy in English here sits mostly in Warsaw and Krakow. Outside those two cities, it thins out fast. The mental health culture here is changing. But depth-oriented work in English takes real searching. So does a Western clinical approach.
I work with anyone who needs support in English and is living in Poland. Relationship trouble. A low you can't quite name. Questions about your life. Something you've been managing for years.
Being in Poland
Poland has changed fast over the last decade, Warsaw and Krakow most of all. Both now hold a big international professional scene. The social world for English speakers is a mix of expat circles and work networks. Real friendships form more slowly.
If the specific texture of life here is part of what you're dealing with, we can work with it. If what brings you has nothing to do with Poland, that's fine.
The cities, briefly
Warsaw holds the multinationals and the embassies. Mokotow. Wola's new skyline. Krakow runs on shared-services centers. It also holds a big international student crowd. Wroclaw and the Tricity have grown their own expat scenes. And since 2022 the country hosts a vast displaced population. Their presence has stretched every mental health resource Poland has. The private English-language pool was never deep. It is thinner now.
Country details last reviewed June 2026.
Getting therapy in Poland: the NFZ route and the real one
On paper, Poland's public system covers mental healthcare: you go through your GP or straight to an NFZ-contracted mental health clinic (poradnia zdrowia psychicznego), and treatment is free. In practice the NFZ route means waiting lists you can check on a government portal and still not quite believe, assessment-first structures, a capped number of sessions, and treatment in Polish. For an English-speaker the public system is, with rare exceptions, not a realistic path to ongoing psychotherapy, and most Poles with the means have quietly reached the same conclusion about it for themselves.
So the private market does the work. Warsaw, Krakow, Wroclaw, and Gdansk all have dense private therapy scenes, with sessions typically 150 to 300 zloty and English-speaking therapists findable through clinics and booking platforms. The regulatory picture deserves one honest sentence: Poland has no statute comprehensively regulating psychotherapy, the long-debated psychologist profession law was never fully implemented, and so a Polish psychoterapeuta is defined by training (usually a four-year school in a recognized modality) rather than by a state license. Good training is common; the floor is just not legally guaranteed.
My place in that picture
I am a US-trained therapist working online and privately, outside the NFZ and outside Polish frameworks, which, as just noted, is also where most Polish psychotherapy functionally happens. Nothing is recorded in the Polish system. For the international crowd in Warsaw's corporate towers and Krakow's tech offices, the practical difference from a private local therapist is the native-English depth work and the time-zone fit, since I can work across time zones to suit your day.
The clinical patterns I see most from Poland
Across Poland, four patterns account for most of what reaches me in English.
From the Warsaw and Krakow corporate world: burnout and impostor strain, in careers that grew faster than their owners' sense of solid ground. From internationals who moved for a Polish partner: the slow identity compression of living inside someone else's country. It is the situation the moved-for-my-partner essay is about. From returnee Poles raised abroad: a self out of sync with its setting. Home on paper, foreign in feeling. And from people rebuilding lives here after displacement: the delayed reckoning. It arrives only once things are finally stable enough to feel anything at all.
Couples therapy for expats and internationals in Poland
I see couples from across Poland together on one video call, in the evening, same time zone as my calendar. The configuration I see most is the Polish-international pair whose relationship runs in English. Couples work in the relationship's actual language, rather than one partner's second language, changes what can be said in the room. The relocation couple is the other regular shape: one career, two lives rearranged.
The work is described on the couples therapy page and on couples therapy after moving abroad. Warsaw couples can also start from the dedicated Warsaw page.
Questions people ask from Poland
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.