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Online therapy

The same room, made portable.

Encrypted video sessions for people whose lives do not sit still — expats between postings, professionals on the road, Thais living overseas, and anyone for whom travelling to a clinic weekly is impractical.

Who this is for

Adults who need real therapy, not a chat app.

  • You live outside Bangkok — elsewhere in Thailand, or across Asia-Pacific.

  • You travel often for work and cannot commit to a fixed physical clinic.

  • You are an expatriate returning home and wish to continue the work with the same psychologist.

  • You are a Thai national living abroad and want a psychologist who understands both cultures.

  • You value the privacy of not walking into a clinic in a city where you may be recognised.

What people bring to online work

The same range as in-person work.

  • Anxiety, low mood, burnout, and stress.

  • Grief, loss, and transitions.

  • Long-standing relational patterns and self-criticism.

  • Cross-cultural adjustment and the invisible weight of expat life.

  • Couples work, when both partners can be in the same room and on camera.

  • Continuation of existing therapy when you have moved cities.

How online work is different

The method is the same. The medium changes a little.

Fifteen years of research suggests that, for most adult presentations, online therapy is as effective as in-person therapy when done well. It is not a compromise; it is a legitimate second modality. Here is what makes it work.

A quiet space, on both sides

You need somewhere private where you will not be interrupted for the full hour. I do the same. Sessions from a car, an office corridor, or a shared apartment do not work — and I will say so.

Encrypted, purpose-built video

Sessions use encrypted video designed for clinical use — not consumer chat apps. No recording, ever, by either of us.

Structured, evidence-based methods

The same CBT, ACT, schema, and psychodynamic tools used in the physical clinic. Adapted slightly — silences are held a little more explicitly; homework between sessions carries more weight — but the substance is unchanged.

In-person when it matters

Many online clients meet me in person once or twice a year when travel through Bangkok allows. It is not necessary, but it deepens the work.

What clients take away

Real change, delivered through a screen.

  • Continuity — the same psychologist through moves, sabbaticals, and postings.

  • The same measurable improvements in anxiety, mood, and functioning as in-person clients.

  • A therapy that fits your life, rather than one you must arrange your life around.

  • The privacy of doing the work from a room you already trust.

Frequently asked

Questions about the online format.

Is online therapy really as effective as in-person?

For the great majority of adult mental-health difficulties, yes. Randomised trials over the past decade show comparable outcomes for anxiety, depression, trauma, and couples work. Some presentations — acute risk, severe personality difficulties, or work needing in-vivo exposure — are better held in person, and I will say so.

What time zones do you work across?

I work primarily with clients between GMT+5 (Islamabad) and GMT+11 (Sydney). Sessions outside those hours are possible occasionally but not routinely.

What technology is required?

A private room, a stable internet connection, and a device with a good camera and microphone. I send a secure session link for each meeting; no account setup is required on your side.

What if the connection fails mid-session?

We agree at the start of the first session what happens: I call your phone, we resume, and the missed minutes are added to the session where possible. Technology fails occasionally; the relationship does not depend on the wifi.

Is the video actually confidential?

Yes. Sessions use an end-to-end encrypted, clinically approved video platform. Nothing is recorded, stored on servers, or accessible to third parties. My notes remain on an encrypted local device, exactly as for in-person work.

Can I book a mix of in-person and online sessions?

Yes — many clients do. When you are in Bangkok, we meet in the room; when you travel or move, we continue online. The work does not restart.

When you are ready

A short call — wherever you are.

Fifteen minutes on the phone or on video, at no cost. You describe what is happening; we decide whether online work together is the right next step.

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