Online Therapy in English — For the Life You’re Actually Living
You’re not looking for a therapist who needs you to explain what an expat is.
You need someone who already gets it. The relocation that felt exciting until it didn’t. The career that looks successful from the outside. The relationship under pressure from distance, culture, and exhaustion. The identity questions that come with living between countries, languages, and versions of yourself.
That’s what we work with. Every day.
PsyShrink offers online therapy in English for expats, international professionals, military and diplomatic families, and Americans living abroad — worldwide.
Book a Free 15-Min Consultation →
What Is Online Therapy — And Does It Actually Work?
Online therapy is structured, professional psychological therapy delivered via secure video call. Same credentials. Same ethical standards. Same clinical depth as in-person work — minus the commute, the language barrier, and the six-month waitlist at your local Krankenkasse.
Research consistently shows online therapy is as effective as in-person therapy for anxiety, depression, relationship issues, burnout, trauma, and adjustment difficulties. For people living internationally, it often works better — because you’re not forced to choose between your language and your location.
You can be in Munich today, Amsterdam next month, and Singapore after that. Your therapist stays the same.
Who We Work With
We specifically serve people whose lives don’t fit neatly into one country:
Expats and internationally mobile professionals You moved for work, for a partner, for opportunity — and now you’re dealing with the parts nobody warns you about. Social isolation. Identity drift. The loneliness that doesn’t make sense on paper when your life looks fine.
Americans and other English-speakers living abroad Finding a therapist who speaks your language — culturally, not just linguistically — is harder than it sounds. We work extensively with Americans in Europe, many of whom have US health insurance that reimburses out-of-network therapy (50–80% reimbursement is common). We provide superbills.
Military, NATO, and diplomatic families Frequent relocations. The emotional labor of always being “the new family.” Spouses whose careers get sidelined. Kids who’ve changed schools four times. We understand this particular kind of upheaval — and we’re experienced working with this community.
International couples and cross-cultural families When two people come from different countries, cultures, or languages, the relationship carries a layer of complexity most couples therapists aren’t equipped to work with. We are. (See also: Online Couples Therapy →)
Professionals in high-pressure environments Executives, founders, consultants, and professionals in demanding roles who need a confidential, rigorous space — not wellness coaching dressed up as therapy.
How It Works at PsyShrink
1. Book a free 15-minute consultation Tell us what’s going on. We’ll ask a few questions and help you find the right therapist for your situation, language needs, and schedule.
2. Meet your therapist online All sessions take place via secure video. You need a private space and a reliable connection — that’s it. Sessions are 50 minutes.
3. Work at a pace that fits your life We don’t do one-size-fits-all treatment plans. Some clients come weekly. Some come for a focused 4-session block. Some need a maintenance rhythm. We adapt.
4. Get documentation if you need it If you have US insurance or international private insurance, we provide superbills and documentation for reimbursement claims.
Our Online Therapists
Our network includes licensed psychologists, psychotherapists (HeilprG), counsellors, and coaches — all vetted for clinical quality and cultural competence. Languages include English, German, French, Portuguese, Danish, Hindi, and Turkish.
Fees range from €80 to €200 depending on therapist seniority and specialisation.
US Health Insurance? Here’s What You Need to Know
Most Americans abroad don’t realise their insurance still works. If you have a US health insurance plan with out-of-network benefits, here’s how it works:
- You pay for your session upfront
- We provide a superbill — a detailed receipt with diagnosis codes
- You submit it to your insurance provider
- Most PPO and some HMO plans reimburse 50–80% of the cost
Your €160 session could effectively cost you €32–80. We make the paperwork simple.
Why PsyShrink — Not Another Therapy Practice
There are dozens of therapist directories that will show you a list of English-speaking therapists in Germany. PsyShrink is not a directory.
We are a curated network built specifically for people living internationally. Every therapist has been assessed for clinical quality, cultural competence, and communication standards. We work with clients on every continent. We’ve been doing this for over 15 years.
We also don’t pretend therapy is for everyone or that it fixes everything. It’s work. But if you’re willing to do it, we’re equipped to do it with you.
Frequently Asked Questions
Is online therapy as effective as in-person therapy? For the majority of presentations — anxiety, depression, burnout, relationship difficulties, adjustment disorders, grief — yes. Multiple meta-analyses confirm comparable outcomes.
What platform do you use for sessions? We use secure, GDPR-compliant video platforms. You’ll receive a link before your session.
Do you work with clients outside Germany? Yes. Our online therapists work with clients across Europe, the US, Asia, the Middle East, and beyond. Legal and ethical practice guidelines vary by country and therapist credentials — we’ll clarify this during your consultation.
Can I claim my sessions on German private insurance (PKV)? Possibly. It depends on your insurer and your policy. We recommend checking directly with your Krankenkasse or private insurer before booking. We can provide appropriate documentation.
What if I need to reschedule? Our cancellation policy requires 24 hours’ notice. Late cancellations and no-shows are charged in full.
How quickly can I get an appointment? Typically within a week, sometimes sooner. Contact us and we’ll let you know current availability.
Ready to Start?
You don’t need to have it all figured out before you reach out.
Book a Free 15-Min Consultation →
PsyShrink — Online therapy in English for international professionals and their families. Based in Munich. Available worldwide.