English-Speaking Therapist in Rome.

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 Rome: a real market with real friction

Rome has a real English-speaking population, the institutions, the embassies, the universities, the UN agencies, and a therapy market that mostly serves the city in Italian. The public route runs through the SSN and the regional ASL, where the bonus psicologo is small and runs out each cycle and ongoing psychotherapy is limited, slow, and delivered almost entirely in Italian. Private practice is the realistic option for sustained work in English, paid directly, with no referral needed beyond a therapist's availability. The full picture of the Italian system and the protected Psicologo and Psicoterapeuta titles is on my Italy page.

The Rome patterns

The people who come are the ones Rome keeps at a slight distance. The Holy See and diplomatic staff who cannot be candid inside their own institutions. The FAO and WFP officers carrying field exposure home to a desk job. The academic or the foreign professional who has been here for years and still feels outside the language. And the partner who followed someone else's posting to a beautiful city and quietly lost their own footing in it. Rome rewards endurance and hides the cost of it well.

Why people in Rome pick online work with me

Three reasons recur. Privacy: I hold no Italian license, bill no Italian insurer, and put nothing into any record the SSN or an employer can reach. Fit: my whole practice is people living outside their home country, so Roman expat life needs no explaining. Logistics: a Roman evening sits in my US morning, which is where busy schedules have room. If what you need is medication, a formal assessment, or a clinician inside the Italian system, Rome has good options and I will point you to them on the free call.

Questions people ask from Rome

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.