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.
The character underneath
Underneath the presenting complaint, low mood, anxiety, a relationship gone quiet, the work is about character. A common configuration here is a well-kept surface: the capable newcomer who does everything right, stays busy and pleasant and productive, and treats the private sense of emptiness as something to be managed rather than felt. The competence is real, and it is also a defense, a way of staying in control and out of reach at the same time. Swedish reserve and the evenness of lagom make the performance easy to sustain, because nobody is asking you to drop it. That is the trouble. A person can keep the surface intact for years while the loneliness underneath goes untouched. Depth work is interested in what the surface is protecting, and in the history that made self-sufficiency feel safer than need, rather than in techniques for managing the symptom on top.
The arrangement
I am a US-trained psychodynamic therapist working online and privately: no Swedish license, no public-system involvement, no diagnosis on any record. You pay directly, in any currency. Stockholm evening sessions are easy to schedule across time zones. When what you need is prescribing, assessment, or covered care, the Swedish system handles that, and I will say so directly.
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.
English here is fine; belonging is the problem
Almost everyone in Stockholm speaks excellent English. This is not really a language story. It is a belonging story. Swedish public mental-health care has its waits. Private depth work in English is a smaller pool than the city's polish suggests. Rarer still with someone who knows the outsider experience. But the deeper issue most internationals hit is not finding a therapist. It is access to anyone. A society that is famously kind, famously reserved, and famously hard to enter.
Working with me is private and online, in your first language, with no Swedish record and no wait.
What I see from Stockholm
Stockholm runs on a world-class tech and startup scene. Spotify, Klarna, the unicorn pipeline. Plus finance and the institutions. The city imports international talent that the local social fabric does not easily absorb. The recurring story is the foreigner who did everything right. Learned some Swedish. Joined the gym and the after-works. Three years in, still no close local friends. Swedish friendship forms early and slowly, and it rarely opens to newcomers. Add the long, dark winters and their real pull on mood. The reserve that reads as rejection even when none is meant. The lagom flatness. What you get is capable, well-paid people who are quietly, structurally lonely.
The public route, and what it leaves out
Sweden's public path starts at a vårdcentral, the local health center. A doctor assesses you there and decides whether to write a referral (remiss) for psychotherapy. Public treatment leans heavily on KBT, the Swedish form of cognitive behavioural therapy, and is capped at a limited number of sessions aimed at a named condition, such as mild to moderate depression, anxiety, or stress. You pay a small fee per visit up to the annual high-cost ceiling, after which a frikort covers the rest. The care guarantee promises an assessment quickly and a specialist visit within ninety days, but it governs the wait, not the depth, and in practice you may not be referred onward until things are bad. Couples work is private throughout. So are the concerns that bring most internationals in: relocation, a relationship under strain, identity, the loneliness that has no diagnosis. For those you are private from the start.
When the job that brought you here changes
A lot of people came to Stockholm for the tech economy: a scale-up, a unicorn, a role that was the whole reason for the move. That economy runs in cycles, and the last few years have brought sharp contractions and layoffs across the sector. When the job that justified the relocation disappears or shrinks, the hit is not only financial. For many people the role was carrying their sense of identity and their place in the city, and losing it exposes how thin the rest of the footing was. This is workable, and it is often where the deeper material turns out to be. The online format helps in a specific way here. If the next role takes you to another country, the therapy does not restart from scratch. The same work continues, in the same language, with the history already in the room.
Questions people ask from Stockholm
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
The full reading list is on the approach page.