In shortOnline psychodynamic therapy in English for the international community in Prague: private, outside the Czech system, and available now.

The work

The work I do is relational and pattern-focused. I don't run through intake checklists or assign exercises between sessions. I pay attention to what happens in the room: what you're saying, what you're not saying, the moments when something shifts or goes flat or speeds up. That's the material we work with.

Most people arrive already knowing the story of their situation. They've told it to themselves a hundred times and always land in the same place. What's missing is a different angle, someone watching in real time who can name what's invisible from inside it. That's what I offer. Not interpretation from a distance, but attention in the room, offered as it happens.

I work with individuals and couples. Individual work is usually about finding the pattern underneath the presenting problem, the thing that keeps recurring in different forms across different circumstances. Couples work is about finding what the argument is really about, which is rarely what it appears to be about. Both come down to the same thing: seeing what you haven't been able to see, and from there, actually being able to do something different.

English depth therapy in Prague

Prague has a large, long-settled expat community, but English-language depth therapy is a smaller pool than that community needs, and the Czech public system works in Czech by default with its own waits. For sustained work in English, online is usually the more practical route. The wider picture is on my Czech Republic page.

Work with me is private and online, with no Czech record and no wait.

What Prague brings to therapy

Prague specializes in a particular kind of expat: the one who arrived for a year and is somehow eight years in. The long-term drifter who never quite chose to stay, the digital nomad, the English teacher, the shared-services and IT professional in one of the city's many back-office hubs, the international student. The city is beautiful and cheap and hard to belong to, the Czech language a real wall, the locals warm but reserved. The recurring presentation is the slow accretion of a life that was supposed to be temporary: the transient expat bubble, the very cheap beer doing a lot of quiet work, and the question, surfacing around year five or eight, of whether this was a life you chose or one you simply did not leave.

The arrangement

I am a US-trained psychodynamic therapist working online and privately: no Czech license, no public-system involvement, no diagnosis on any record. You pay directly, in any currency. Prague evenings pair with my US mornings. When what you need is prescribing, assessment, or covered care, the Czech system handles that, and I will say so directly.

Questions people ask from Prague

Is English-speaking depth therapy hard to find in Prague?
The English-working pool is smaller than the expat community needs. Online opens it up immediately, with no wait.
I came for a year and it's been many. Is that worth bringing in?
Yes. The drift into an unchosen permanence is one of the most common things long-term expats work on here.
Is this private and off the record?
Yes. No Czech license, no public-system involvement, no diagnosis on any record. You pay directly and it stays between us.

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