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.
Small place, high discretion
Zug's whole proposition is low tax and low friction, which has drawn a dense, interconnected crowd into a genuinely small place. That is precisely what makes local therapy awkward: the Crypto Valley founders, the commodities people, the corporate-HQ executives, and the tax migrants substantially move in the same circles, and there is no anonymous way to be seen needing help. On the Swiss system itself, the prescription model and the deductible math are covered on my Switzerland page and in more depth on the Zurich page.
Work with me is fully outside the Swiss system and invisible locally: no Swiss record, no local practice, and jurisdiction-light if you commute across a border.
What Zug brings to therapy
Zug is wealth and newness packed tightly together. The token-rich Crypto Valley founder who arrived for the structure and is unsettled by how little of them it requires. The commodities trader whose compensation ended the money conversation years ago. The executive relocated for the tax rate into a life that is efficient and strangely empty. The tax migrant with a great deal of money and almost no roots. The smallness magnifies all of it: a beautiful, orderly canton where everyone you might confide in is also someone you might run into, so most people confide in no one.
The arrangement
I am a US-trained psychodynamic therapist working online and privately: no Swiss license, no insurance billing, no prescription, no entry in any Swiss record, and nothing visible inside the local circle. You pay directly. Zug evenings pair with my US mornings. When what you need is prescribing, assessment, or covered care, the Swiss system does that well, and I will say so directly.
Questions people ask from Zug
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