English-Speaking Therapist in Prague.

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.

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 evening sessions are easy to schedule across time zones. When what you need is prescribing, assessment, or covered care, the Czech system handles that, and I will say so directly.

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.

What I see from Prague

Prague makes 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. What keeps showing up is the slow build 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: was this a life you chose, or one you simply did not leave?

Where the insured route actually bottlenecks

Czech public insurance does cover psychotherapy, but only through clinical psychology practices that hold contracts with the insurers, and that is where the system chokes. Czechia has roughly twelve to fifteen clinical psychologists per hundred thousand people, and only a minority of them hold insurer contracts, so the contracted clinics run waiting lists of three to six months and sometimes a year. One more wrinkle that matters for internationals: systematic online psychotherapy cannot be billed through Czech insurance at all.

The insurers know the gap exists and paper over it with wellness contributions: VZP, for instance, will contribute around 500 crowns a session for up to ten sessions with therapists registered in its programme. Helpful, finite, and tied to their list. Direct-pay private therapy in Prague needs no referral and commonly costs 1,300 to 2,300 crowns for fifty minutes.

My practice sits outside the Czech system entirely, which given the arithmetic above is less a workaround than the standard route for sustained English-language depth work here.

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.

Questions people ask from Prague