English-speaking therapy with real depth is very limited in Saudi Arabia. The mental health infrastructure is developing in Riyadh and Jeddah, but options for sustained, depth-oriented work in English remain scarce. Many people here, particularly non-working spouses, who have very few options for support and specifically want a therapist completely outside their local context.

I work with anyone who needs support in English and is living in Saudi Arabia. Relationship difficulties, a low you can't quite name, identity questions, something specific.

It deserves to be taken seriously.

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.

Being in Saudi Arabia

Saudi Arabia has a particular structure for international professionals: a country where the material conditions are often excellent, the social world is largely organized around nationality and company, and life outside of work and the compound can be limited in ways that accumulate over time.

For non-working partners especially, the isolation can be significant. If any of that is part of what you're carrying, we can work with it. If what brings you is something else, that's fine.

Mental healthcare in the Kingdom: what is actually available

Saudi Arabia has put real money behind mental health in the Vision 2030 era. Psychological services are being folded into primary care centers, telehealth is officially sanctioned, and the stigma conversation is happening in public in a way it was not a decade ago. The public system, though, primarily serves citizens. As an expat your access runs through the mandatory employer health insurance that the CCHI framework requires, and the policies vary enormously. Coverage ceilings for psychiatric care have been raised in recent regulatory rounds, but plenty of plans still treat psychotherapy as an afterthought: psychiatrist visits covered, talk therapy capped or excluded.

The private sector is dense in Riyadh, Jeddah, and the Khobar-Dammam corridor: large hospital groups with psychiatry and psychology departments, plus a growing number of standalone clinics. Practitioners must hold a license from the Saudi Commission for Health Specialties (SCFHS) to practice in the Kingdom, and the better clinics display this prominently. English-speaking clinicians exist, particularly in Jeddah and at the international hospitals, though the fit question (someone who actually understands your situation as a foreigner) is harder than the language question.

And there is the record itself. In a country where your employer sponsors your residency, many expats are simply not willing to run a mental health claim through company insurance, whatever the policy technically covers. That caution is the single most common reason people in Saudi end up across a screen from me.

Where I fit, stated plainly

I am not SCFHS-licensed and I do not practice inside the Saudi system. I am a US-trained therapist working online and privately. You pay directly, nothing touches your insurance file, and your employer has no way to know the work is happening. If what you need is medication, a local diagnosis, or in-person care, the Kingdom's private hospitals can provide it and a 15-minute call with me will tell you so honestly.

Riyadh, Jeddah, and the compounds

Riyadh is the seat of government and the new corporate gravity; Jeddah is looser, coastal, more cosmopolitan by Saudi standards; the Eastern Province runs on Aramco time. Compound life shapes all three: comfortable, contained, and socially recursive. NEOM and the giga-project postings are their own category, remote in ways that make online therapy less a preference than the only realistic format.

Country details last reviewed June 2026.

Questions people ask from Saudi Arabia

How do expats access mental health care in Saudi Arabia?
Through mandatory employer insurance into the private hospital systems, where psychiatry is straightforward to reach and talk therapy varies by hospital tier. The public system primarily serves citizens.
Is therapy culturally complicated in Saudi?
Stigma is real and shifting fast, especially in Riyadh and Jeddah's professional class. Even so, most expat clients want their employer and insurer nowhere near it, which private online work guarantees by structure.
Who licenses practitioners in the Kingdom?
The Saudi Commission for Health Specialties licenses in-Kingdom clinicians. I am US-trained and work online from the United States under a direct private arrangement, outside Saudi systems entirely, as the section above sets out.
Do session times work from Saudi Arabia?
Well: Saudi evenings land in my US East Coast morning, and the work runs over standard encrypted video without any local footprint.

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