Therapy With No Note to Your GP.

Why the GP is the gatekeeper

In the UK, the Netherlands, Ireland, and much of Scandinavia, the family doctor is the route into subsidised mental-health care. In the UK you go through your GP to NHS Talking Therapies. In the Netherlands the huisarts refers you into the GGZ. The route works, but it has a cost that is easy to miss: the referral, and usually a diagnosis, goes into your medical record, and the therapy service typically writes back to the GP. That record is durable, and it can be requested later by insurers, occupational health, and some visa and licensing medicals.

How private work avoids it

I take no referral and send no letter. There is no GP, huisarts, or family doctor anywhere in the arrangement. You contact me directly, we start with a free call, and nothing is added to your NHS, huisarts, or national health record, because nothing is sent to it. The work sits entirely outside the system that documents your physical-health care. This holds in every country, because the mechanism is simply that I am not connected to any health service.

Who asks for this

People who do not want a mental-health note in records that follow them, especially where insurance, occupational health, or immigration can later request a GP file. People in regulated professions whose medical records can be examined. And people who simply want their therapy kept separate from the doctor who treats their body, their family, or their children.

The honest limits

Going private means no NHS or insurance reimbursement. If you need medication, you will need a GP or psychiatrist to prescribe it, and that does create a record. I am glad to work alongside a prescriber you choose, or to keep the talk therapy entirely separate while they handle medication. What I will not do is pretend you can get a prescription without a prescriber.

Questions about your GP and your record

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.