English-speaking therapy with real depth is rare in Vietnam. Ho Chi Minh City and Hanoi have some options, but the mental health infrastructure is limited and the options that exist don't always offer the kind of sustained, pattern-focused work that many people need. Online therapy is generally the best practical route.

I work with anyone who needs support in English and is living in Vietnam. Relationship problems, something that's been building, something specific, something diffuse.

Staying busy is an excellent way to avoid things. It doesn't make them smaller.

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 Vietnam

Vietnam draws people for many reasons and the day-to-day life, particularly in Ho Chi Minh City and Hanoi, can be genuinely good, energetic, affordable, easy in certain ways. Staying busy here is not difficult. What that sometimes covers is worth looking at.

If the specific texture of life here is part of what you're dealing with, we can work with it. If what brings you has nothing to do with Vietnam, that's fine.

Mental healthcare in Vietnam: a thin formal layer

Vietnam's formal mental health system is hospital psychiatry: the national institute at Bach Mai in Hanoi, the HCMC Psychiatric Hospital in the south, provincial facilities elsewhere. It treats serious illness, mostly in Vietnamese, mostly with medication, and it is not where anyone goes to think carefully about their marriage or their sense of self. Psychotherapy as a regulated profession barely exists here: there is no national licensing body or statutory ethics framework for talk therapy, which means the title "therapist" in Vietnam is only as good as the training behind it.

What has grown instead is a small, serious private layer. In Ho Chi Minh City and Hanoi you will find foreign-trained psychologists in private practice, a handful of credible local institutes (often with French or Dutch academic lineage), and the psychology departments of international clinics like Family Medical Practice and CMI, which function as the de facto referral network for expats. Rates for qualified practitioners run from roughly 1.5 to 3 million VND with internationally trained clinicians, less with local providers. International insurance plans sometimes reimburse this; Vietnamese social insurance does not.

The practical problem is the size of the pool. The number of genuinely well-trained English-language therapists in the entire country is small enough that fit, not availability, becomes the limiting factor, and many expats quietly end up working online with someone abroad.

Where I stand

I am a US-trained therapist working online and privately, outside any Vietnamese framework, which in Vietnam's case mostly means outside a vacuum. You vet me the same way you should vet anyone here: training, lineage, supervision, and how the first conversation actually feels. That call is free and fifteen minutes.

The two cities and the gap between

Saigon's expat life clusters in Thao Dien and District 1, faster and more commercial; Hanoi's gathers around Tay Ho, smaller and moodier. Da Nang and Hoi An hold the remote-work crowd, who have beaches and almost no clinical infrastructure. The gap between Vietnam's energy and its support systems is exactly the kind of thing people end up wanting to talk about.

Country details last reviewed June 2026.

Questions people ask from Vietnam

What mental health infrastructure does Vietnam have?
Hospital psychiatry with limited English and very little talk-therapy capacity; the therapy profession is young and concentrated in HCMC and Hanoi international clinics. Expats mostly resolve this online.
What does therapy cost in Ho Chi Minh City?
Internationally trained therapists at the expat clinics run roughly 1.5 to 3 million dong a session. The pool is small enough that fit-based choice barely exists locally.
Is psychotherapy regulated in Vietnam?
No single regulatory body exists for the profession, so titles carry little legal meaning and training verification is everything. The section above covers what to check.
How do sessions work from Vietnam?
Standard encrypted video, Vietnam evenings into my US morning, nothing touching any local system. For medication, the international clinics' psychiatrists are the practical route, and I will point you there when it applies.

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