How online therapy works
The practical side: what happens, what you need, and what is kept private.
Why I work this way
I began working online during the COVID pandemic. Online work allows real flexibility in time and place, and it let me keep working with people who were confined to home for medical reasons, people living in another city or country, and people who simply could not travel to a clinic.
I work online with Hebrew and English speakers around the world, except the Americas.
I found the work still holds over video: people talk, we get somewhere, and a working relationship forms. The flexibility means sessions can happen even when life makes that difficult.
What you need
- A private space
- Like in-person therapy, online sessions need preparation: a quiet, private space where you will not be overheard or interrupted.
- A working device and connection
- A computer or phone that works reliably, and an internet connection good enough for video. The video platform is agreed before the first session; sessions are never recorded.
- Session length
- Individual sessions are 45-50 minutes. Groups are 90 minutes.
- If the connection drops
- We reconnect. If it cannot be restored, we continue by phone or reschedule - you are not charged for time lost to a technical failure.
Preparing for a session
- Headphones, if there are other people at home.
- A door you can close.
- Your phone on silent.
- A glass of water nearby.
Privacy and confidentiality
What you say in a session is confidential. Nothing about your treatment is shared with your employer, your colleagues, your family, your doctor, your health fund or your insurer without your written consent.
There are narrow legal exceptions. In Israel they include a real and immediate danger to your life or to someone else's, a concern about harm to a minor or a helpless person, or a court order. Dutch professional rules have a similar duty to act when there is a serious risk of harm. If such a situation ever arises, I will discuss it with you wherever it is possible to do so.
Online work across borders has extra limits: emergency services, duty-to-warn rules and record-keeping duties follow the country whose professional rules apply to the work, and local crisis services are the right first contact in a crisis. We check this before starting.
Sessions are not recorded. Notes are kept securely and only for as long as professional standards require.
How this website handles enquiry data is on the Privacy page. That page is about personal data, not about what happens inside a session.
Is online therapy right for you?
It often works well when
- You are managing a medical condition, appointments or fatigue that make travel hard.
- You want sessions in Hebrew or English, and you are not in the Americas.
- You want the therapy to fit around work or caring responsibilities.
- Privacy matters to you and you would rather not sit in a waiting room.
It may not be suitable when
- You have no private space where you can speak freely.
- You are in acute crisis or at risk, and need immediate, in-person care.
- The difficulty needs a multidisciplinary team working in the same place.
- You would find the screen itself a barrier to speaking openly.
- You are physically in the Americas.
If you are not sure, this is a good thing to raise on the first call. We assess it together, and I will say honestly if I think in-person work would serve you better.
Common questions
How long is a session and what does it cost?
An individual session is 45-50 minutes and costs €130. A group session is 90 minutes and costs €70-100. The 15-minute call we start with is free.
Are sessions recorded?
No. Sessions are never recorded.
Can I have therapy from another country?
Yes, if you are not in the Americas. I work online with English speakers around the world, except the Americas. Mention where you are when you write.
What if I need to speak between sessions?
You can send a message, and I will reply when I can. This is not an emergency service - if you are at risk, contact emergency services or an emotional first-aid line.
Can I stay off camera?
Sessions are on video. If turning the camera on feels difficult, we can talk about it first by phone.
Unsure whether to write?
Write one sentence about what is going on. I will say if I work with that, and if not, where else to look.
A free 15-minute call first. I usually reply within 2 working days.