English-Speaking Therapist in São Paulo.

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.

Why people in São Paulo pick online work with me

Three reasons come up. Language, first. Few cities anywhere do more therapy than this one, and nearly all of it runs in Portuguese. Depth work in a second language is a different task than ordering lunch in one. Privacy, second. Plano coverage is real, but it runs through networks, referrals, and a diagnosis code on your plan record. I bill no plano and file nothing. Fit, third. My whole practice is people living abroad. The São Paulo setup, the package, the school run, the Portuguese plateau, needs no preamble. If you need medication or testing, the city has strong psychiatrists. I will say so on the free call.

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.

The São Paulo patterns

The city sorts people by work and traffic. Corporate transfers on three-year postings out of Faria Lima and Vila Olímpia towers. Careers up, marriages absorbing the difference. Partners who traded a career for the move and got a driver and a long day. Executives at the Brazilian ends of global firms. They work in English above the line and Portuguese below it. Brazilians back from New York or London years. Fluent everywhere, settled nowhere. Couples split between a Brazilian family that is warm, close, and constant, and another family far away on a bad time zone. And the city itself. Enormous, generous, exhausting, with helicopters overhead to prove the point. People here work too hard to notice what it costs until the bill lands. That is usually when they call.

Therapy in São Paulo: a deep market in the wrong language

Brazil takes therapy seriously. São Paulo carries one of the largest therapy and analytic cultures anywhere. Since August 2022, health plans must cover psychology sessions with no annual cap, once a doctor signs off. So access is not the problem here that it is elsewhere. The catches are specific. Plan coverage runs through the network, in Portuguese. It comes with a referral and a CID diagnosis code on your plano record. And the English slice of the private market is small and packed.

My practice sits outside the Brazilian system entirely. US-trained, private pay, no plano, no CID code filed, no network list. Weekly depth work in English, set across a friendly time gap: your morning is my afternoon. And when a posting ends and you move on, the work moves with you.

Questions people ask from São Paulo