In shortPrivate online therapy with no diagnosis code, no insurance claim, no health-registry entry, no GP notification, and no employer visibility.

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.

Why the record matters

For most people the standard advice, just use your insurance, is fine. For a sizeable minority it is exactly wrong, because the claim is the problem. A mental-health record carries concrete, asymmetric downside across a lot of lives at once: security clearances and government roles, aviation and other licensed professions, immigration and visa medicals, custody disputes, executive and board scrutiny, and the underwriting of life, disability, and supplementary insurance. Add everyone who simply lives in a country whose health registry they do not fully trust. None of these people are avoiding accountability. They have looked at how a diagnosis code travels and decided, rationally, that they would rather it not exist.

How the privacy actually works

It is structural, not a promise. I do not bill insurance, so no claim and no diagnosis code is ever generated. I am not inside any national health system, so nothing enters a registry. I do not notify GPs or employers. You pay me directly, in any currency. The only record of your therapy is between us, and I keep my own notes minimal. If you want a receipt for your own records, I can provide a simple one with no diagnosis on it, though most people who come here for privacy do not want even that.

Who this is for, honestly

This is not a way to dodge care you actually need. The systems that create records exist for good reasons, and if you are in crisis, or need medication or a formal assessment, those are the right address and I will point you to them plainly. This is for the large group of functioning people for whom a routine mental-health record is not neutral paperwork but a live professional or personal risk. For them, wanting no record is not a red flag. It is just accurate.

Questions about privacy

How can therapy have no record?
Because I work privately and outside every insurance and national health system. No claim means no diagnosis code, and no system membership means no registry entry. I keep my own minimal private notes, which no insurer, employer, or government can request as a matter of routine.
Can I still get a receipt?
Yes, a simple receipt for your own records, with no diagnosis on it. Most people who come here for privacy do not want one, but it is available.
Is wanting privacy a red flag?
No. For pilots, cleared professionals, executives, and people in visa or custody situations, and for anyone who distrusts a health registry, the record has concrete consequences. Wanting to avoid it is rational, not evasive.

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