NHS waiting lists run many months. IAPT offers structured CBT with a session limit. Private therapy in the UK is expensive, and even private providers have queues. If you're an American or other non-British person living in the UK, there's an added layer: shared language doesn't mean shared frame of reference, and therapy across a cultural gap, where the therapist requires translation of basic context, is slower and thinner than it needs to be.
I work with anyone who needs support in English and is living in the UK. Relationship problems, a low you can't quite name, a life that's not working the way you hoped, something from years back that's been quietly running everything.
Speaking the language doesn't mean you feel understood. Those are different things. Some of the longest-running work I do is with English speakers in the UK, people who've been here for years and never quite stopped feeling like a foreigner in ways they couldn't fully name.
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.
One thing worth naming: I'm American. That comes with a different frame of reference than most UK-based therapy - less CBT-by-default, more interest in what's underneath the surface. The NHS routes to IAPT, IAPT routes to structured CBT with a session limit. That works for some things. For others, what's needed is slower and less protocol-driven. Some people find that the American approach to therapy - more open-ended, more interested in pattern and history - is closer to what they were looking for.
Being in the UK
The UK has a particular quality for non-British English speakers: the shared language creates an expectation that it should feel like home, which makes the ways it doesn't all the more disorienting. It's supposed to be easy. When it isn't, people tend to blame themselves rather than the situation.
If that specific texture is part of what brings you, the foreignness disguised as familiarity, the ways British culture reads as familiar at a distance and isn't up close, we can work with it. If what you're dealing with has nothing to do with being foreign in Britain, that's fine.
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 brief 15-minute call to see if this feels like the right fit for you.