The work
The work I do is relational and pattern-focused. I don't run through intake checklists or assign exercises 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 or goes flat or speeds up. That's the material we work with.
Most people arrive already knowing the story of their situation. 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's invisible from inside it. That's what I offer. Not interpretation from a distance, but 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.
The Dutch system, and the referral wait
Covered psychological care in the Netherlands runs through your huisarts: you need a GP referral and basic insurance for the GGZ route, the eigen risico deductible applies, and the wait for an English-speaking covered place can run months. Outside that, depth work in English is private-pay. The mechanics are on my Netherlands page.
Work with me needs no referral and no huisarts gatekeeping. It is private, outside the Dutch system, and starts now, with no GGZ file and no record.
What The Hague brings to therapy
The Hague concentrates a kind of work that very few cities ask of people. The International Court of Justice, the ICC, the OPCW, Europol, Eurojust, the Hague Conference: lawyers, judges, investigators, and analysts whose ordinary working material is atrocity, testimony, and evidence most people never have to look at once. Sustained exposure to that has a name and a shape, and it does not stay at the office. Around it sits the diplomatic corps, the security-cleared analyst who cannot say what they work on, the corporate international population, and the international-school world of Benoordenhout and Statenkwartier. The contrast is the thing: holding the worst of the world by day, then a quiet Dutch evening that gives you nowhere to put any of it.
The arrangement
I am a US-trained psychodynamic therapist working online and privately: no Dutch license, no GGZ file, no referral, no diagnosis on any record, and nothing that touches a clearance or career file. I work with patterns and how you organize experience, which does not require you to disclose anything classified. You pay directly. The Hague evening pairs with my US morning. When what you need is prescribing, assessment, or covered care, the Dutch system handles that, and I will say so directly.
Questions people ask from The Hague
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