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 Tallinn: a real market with real friction
Tallinn's English-language therapy options are good but few, because the licensed clinical pool is small in absolute numbers. The public route runs through Tervisekassa: referral-based care at partner clinics with around a 20-euro copay, psychiatrists reachable without referral, a digital and rational system whose queues are nonetheless real. Private sessions in Tallinn generally run 60 to 90 euros, and English-language availability tightens quickly outside the capital. The fuller picture of the Estonian system is on my Estonia page.
The Tallinn patterns
The people who come are Estonia's compact international layer. The e-residency founders and remote-first tech workers, the start-up staff who relocated for a role, and the partners who followed them into a small, dark-wintered northern capital. The expat scene is real but thin, which is exactly when an outside therapist with room and continuity becomes valuable.
Why people in Tallinn pick online work with me
Three reasons recur, and one is structural to Estonia. Privacy: I hold no Estonian license and write nothing into an Estonian record. Fit: my whole practice is people living outside their home country. Logistics: video consultations are normalized here more than almost anywhere in Europe, so working with a therapist abroad feels like a small step rather than a workaround, and an Estonian evening sits in my US morning. For covered care or prescriptions, the Tervisekassa route is right, and I will point you to it.
Questions people ask from Tallinn
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