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 Rotterdam: a direct city, a twenty-four-week public wait
The Netherlands has a serious access problem. Public mental health care runs through the GGZ on a referral from your huisarts, and basic insurance covers it, but waiting lists now average around twenty-four weeks, the work is often in Dutch, and relationship therapy is not covered at all and is private everywhere. Private individual sessions run roughly 90 to 150 euros, more for couples, and English-speaking depth therapists are in high demand and frequently booked. Rotterdam combines a large international workforce with the same long GGZ waits as the rest of the country. This is private depth work in English, paid directly, outside the GGZ entirely.
The Rotterdam patterns
The city has a working, unpolished character. The professional in the port, logistics, architecture, or at Erasmus, drawn to a city that prides itself on directness. The international who finds the bluntness refreshing until it touches something tender. The partner who relocated for one career and is renegotiating the rest. The high-functioning person whose week looks productive and whose inner life has gone flat. Rotterdam's no-nonsense culture can make slowing down to look inward feel indulgent. It is not. The work makes room for it, in English.
Why people in Rotterdam work with me
Three reasons. Speed, first: the GGZ wait averages around twenty-four weeks, and I have room now, with no referral required. Fit, second: my entire practice is people living outside their home country, so being an international in Rotterdam needs no translating, and the work is depth-oriented. Privacy, third: I work outside the Dutch system entirely, so there is no GGZ file and nothing on any record your insurer or GP can reach. For GGZ or in-person care, I will point you toward it.
Questions people ask from Rotterdam
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