In short Online couples therapy in English in Russia: weekly video sessions with both partners, wherever you each are, including couples living in different cities or countries. Psychodynamic depth work with a US-trained therapist. You pay directly, so nothing runs through local insurance or health records. Fees and fit are covered in a free 15-minute call.

The work

The work I do is relational and pattern-focused. I don't run intake checklists. I don't assign homework 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, goes flat, or speeds up. That's the material we work with.

Most people arrive already knowing their own story. 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 you cannot see from inside it. That's what I offer. Not interpretation from a distance. 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.

Working in English solves one thing outright. Sessions run fully outside any local institution, in a language you can both reach yourselves in. In a second language people speak more carefully, more guarded. What gets edited out is often exactly what the work needs.

What couples bring

The conflicts that surface usually rest on a deeper question. Sometimes it is the stay-or-leave decision and everything it stands for. Sometimes it is the unequal way two people are metabolizing displacement or pressure. Often it is the accumulation of things left unsaid because the larger situation made the relationship feel like the least urgent thing to attend to.

I also work with couples on the standard material: recurring conflict, growing distance, infidelity and trust repair, sexlessness, the question of whether to stay together. For couples tied to Russia that question is rarely clean, and it often stands in for older differences. The work looks at what is underneath the surface fight, not the fight itself.

Finding an English-speaking couples therapist for two people tied to Russia is not easy. You want real depth, fully outside any local institution. That distance from local systems is often just what a couple wants. The field at home is loosely regulated. The cultural weight around seeking help is heavy. And many people no longer assume their confidences are safe.

I work with couples who need to work in English and are in Russia, or who have recently left it. That might mean the events of recent years have strained the relationship. The two of you cannot untangle it alone. It might mean something already there grew louder under the pressure. It might mean neither of you can name when it shifted, only that the distance between you is now hard to ignore.

Couples work is about finding what the fight is really about. That is usually not its surface. The same argument in different forms. The fight about staying or leaving that stands in for older, deeper differences. The way outside pressure bares the fault lines a relationship was already living with.

The same argument in different forms is one pattern, not many problems. Patterns have a logic.

Being a couple connected to Russia now

The pressure on relationships connected to Russia in recent years has been unusual and severe. The most common fault line I see is the question of whether to stay or to go, and it is rarely a clean disagreement. It carries everything underneath it: differing tolerances for risk, attachments to family and place that pull in opposite directions, one partner's readiness to start over against the other's need to hold on. A decision that looks practical on the surface is loaded with the whole history of the relationship.

For couples who have left, the strain takes another shape. The relocation was often sudden and unchosen in its particulars, and two people can land in a new country coping at very different speeds. One throws themselves into building the next life; the other is still grieving the one left behind. The mismatch in pace becomes a source of quiet resentment that neither quite knows how to name.

And for couples still inside Russia, there is the weight of constraint itself, the things that cannot be said freely even at home, the chronic background stress that wears on intimacy in ways that are hard to attribute to any single cause.

Not sure yet? That's what the free call is for.

Request a free 15-min call

How couples therapy in English works for couples connected to Russia

Sessions are online via secure video, entirely outside any local network. Both partners can be on the same screen or in separate locations, including different countries if you are living apart. Sessions are 60 minutes, usually weekly. A free 15-minute call comes first.

The work is depth-oriented. We do not run through communication-skills modules. We pay attention to the pattern producing the same impasse under different surfaces. For couples tied to Russia it usually wears the leaving question, and what sits underneath predates the events that forced it.

You can pay in any currency. There is no local record and no institutional involvement from our work together. If you are inside Russia, we can discuss workable payment arrangements on our introductory call. No single law in Russia says who may work as a psychologist. A bill to set that out went to the State Duma in February 2025 and was still in draft that year. The journal Psychology and Law went through it then.

Questions couples in Russia ask

Can we pay for sessions from Russia?

Yes. Payment works in any currency, and the practical arrangements are discussed plainly on the free call before any commitment. Couples split between Russia and somewhere else can join the same session from two locations, and continuity holds if one or both of you later move.

Can we do couples therapy in English if one of us is Russian?

Yes. Mixed couples, and couples whose life has been reshaped by the events of recent years, are most of what I see connected to Russia. The work runs in English over secure video, entirely outside any local network, and the disagreements that displacement loads onto a marriage (stay or go, cope or change) are treated as material rather than as one partner's failing.

Can we do sessions from two different cities or countries?

Yes. Both partners join the same secure video session from wherever you each are, and I schedule across time zones. Couples split between Russia and somewhere else, one partner traveling for work, a relationship running long-distance for a season: the format is built for exactly that.

How do online couples sessions work?

Sessions are 60 minutes, weekly, over secure video, with both partners on the call. Before your first session, we have a free 15-minute call to see if this feels like the right fit.

Does anything go through local insurance or records?

No. You pay directly, so nothing runs through local insurance, health records, or an employer. What you say in session stays between the three of us.

What does it cost, and how do we start?

Fees are discussed during your free 15-minute call, and that call is also how we start. If the fit feels right, we set a weekly time that works for both of you. More at fees.