In short Online therapy in English in Zug: individual and couples sessions over secure video, scheduled across time zones. Psychodynamic depth work with a US-trained therapist. You pay directly, so nothing runs through local insurance or health records. Fees and fit are covered in a free 15-minute call.
In shortPrivate online therapy in English for internationals in Zug and the wider canton. Discreet. No prescription needed. Outside the Swiss system.

The work

The work I do is relational and focused on pattern. I don't run intake checklists. I don't assign homework. I pay attention to what happens in the session. The moments when something shifts or goes flat. The pattern that keeps showing up underneath the problem. Most people already know their own story. They still keep landing in the same place. What's missing is someone watching in real time, someone who can name what you cannot see from inside it. More on how I work, and how I work with couples.

The character underneath

The presenting problem is often vaguer here than elsewhere. A flatness. A restlessness. A marriage that has cooled. A success that does not feel like anything. The work is about character. A pattern specific to this population is an identity fused with achievement, the founder who was the venture, the trader whose number became the measure of the person, who has little practice at being valued for anything other than performance and finds that unsettling rather than reassuring. Needing help cuts against the whole self-image. For people whose standing rests on competence and control, admitting that something inside is not working can feel less like a normal human event and more like an exposure, which is exactly why it stays hidden. The orderly surface holds while the inside goes unattended. Depth work is interested in what the achievement has been standing in for, and in the history that made being impressive feel safer than being known.

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 evening sessions are easy to schedule across time zones. When what you need is prescribing, assessment, or covered care, the Swiss system does that well, and I will say so directly.

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.

Small place, high discretion

Zug's whole proposition is low tax and low friction. That has drawn a dense, tight-knit crowd into a truly small place. That is precisely what makes local therapy awkward. The Crypto Valley founders. The commodities people. The corporate-HQ executives. The tax migrants. They largely move in the same circles. There is no way to need help here without being seen needing it. On the Swiss system itself, the prescription model and the deductible math are covered on my Switzerland page. The Zurich page goes deeper.

Work with me sits fully outside the Swiss system. No one local sees a trace of it. No Swiss record. No local practice. 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 pay ended the money conversation years ago. The executive who moved 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. Everyone you might confide in is also someone you might run into. So most people confide in no one.

Money, and what it does not reach

Wealth shapes the problems people bring, and not in the way outsiders assume. Money ends certain conversations early: security, options, the logistics of a life. What it does not touch is loneliness, the sense that a relationship has gone hollow, the question of what any of it is for. Worse, the insulation that money buys can deepen the isolation. Staff, distance, and a circle of people with parallel interests all reduce the ordinary friction through which closeness usually forms, so a person can be surrounded and unmet. There is also the suspicion that arrives with means, the quiet question of whether people are drawn to you or to what you have, which makes trust harder to extend and easier to withhold. None of this is solved by more of what already did not help. It is worked with directly, as the particular shape a well-resourced life can take when something essential has gone missing from it.

When you move on

Zug's population is mobile by nature. People come for the structure and the rate, keep a foot in other jurisdictions, and move again when the arrangement changes. Online work fits a life like that. It does not depend on where you are registered or which border you crossed this morning, and it does not end when you relocate to the next place. The same work continues, in the same language, with the history already known. For people whose lives are arranged around optionality and movement, having one thing that does not reset each time is steadier than the rest of the arrangement. And because none of it is registered locally, leaving Zug changes nothing about the therapy itself, which is rarely true of anything else tied to this place.

Questions people ask from Zug

Zug is small and everyone knows everyone. Is this actually discreet?
Yes. The work is online, outside the Swiss system, with no local practice and no record. Nobody in your circle has any way to see it.
I commute across a canton or country border. Does that matter?
No. Online sessions are jurisdiction-light by design. I am outside the Swiss system regardless of where you sleep.
Is this private and off the record?
Completely. No Swiss license, no insurer, no prescription, no diagnosis on any file.
I can afford to see anyone, anywhere. Why online therapy?
Access is not the constraint for most people here; discretion, fit, and continuity are. Online keeps the work entirely outside the local circle, with no Swiss record and nothing visible to anyone you might run into. It also means the same therapist regardless of where you travel or move next, and a practice built around international lives rather than the local mainstream. For the kind of depth work this is, those things matter more than proximity or price.

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

The full reading list is on the approach page.