Online Psychotherapy for British Expats & Global English Speakers
As a dual-national with a personal foot in both the UK, the US and France, I deeply understand the unique cultural pressures, systemic differences, and identity shifts that come with building a life across borders.
Finding a sense of ground when your outer world has completely shifted.
Moving abroad is a profound transition. Whether you have relocated to a vibrant European city, settled into a quiet rural French hamlet, or are navigating life as a digital nomad, living in a different culture brings unexpected psychological challenges.
You might have anticipated the logistical hurdles of an international move. But it is often the internal, unseen shifts that feel the most disorienting.
If you are outwardly managing your new life but inwardly struggling with isolation, anxiety, or a shifting sense of who you are, you do not have to hold it all alone.
The Unique Realities of the Expat Experience
​Living across borders can quietly pull at the seams of your identity. Many international clients experience a specific set of emotional pressures:
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The Hidden Grief of Relocation: Leaving behind familiar UK or North American support networks, friendships, and cultural reference points often triggers a subtle, unacknowledged sense of mourning.
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Language Anxiety and the "Shrinking" Self: Navigating a foreign language daily can be exhausting. It can feel as though your personality is constrained when you cannot express your humor, nuances, or deep feelings fluently.
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The Reality of Rural Isolation: Settling in rural areas offers peace, but the quiet can amplify internal distress, leaving you feeling cut off from the community around you.
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Expat Relationship Strain: When a partner is your primary or only support system in a new country, it can place immense pressure on the relationship dynamic.
A Safe Space to Land: Core Process Psychotherapy Online
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My approach is rooted in Core Process Psychotherapy—a deep, mindfulness-based modality that brings awareness to how old patterns show up in your present life.
Working with a therapist who shares your native language and understands both your home culture and the realities of living abroad means you don’t have to translate your inner world. You can simply speak it.
A Cross-Border Practice Fitted to Your Needs
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I operate an internationally insured online practice designed to meet the strict legal frameworks of both Europe and North America:
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In France & Europe: I practice under the framework of a psychopraticien (an independent practitioner of deep, private psychotherapy). This aligns my Karuna Institute training and mindfulness-based modality with local practice standards.
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For US & Canadian Clients: Backed by specialized international professional indemnity extensions with Balens, I provide dedicated mental health support and depth-therapy tailored to North American expats and global citizens.
Frequently Asked Questions
How does online therapy work across borders?
Online sessions offer a high level of consistency and privacy. We meet via a secure video platform, allowing you to access deep psychological support from the comfort of your own home, no matter where you are located in the world.
What are your professional qualifications?
I trained at the Karuna Institute, am a UKCP-accredited psychotherapist, and am registered with the ACPP (Association of Core Process Psychotherapists). I specialize in trauma, identity, and relational depth.
Working Together in the New Year
January 2027
I am currently on a supportive maternity sabbatical and am not taking active clients at this moment.
However, because establishing a therapeutic relationship takes time, I am building a Priority Waitlist for English-speaking expats, remote workers, and global citizens.
I will resume international online sessions in January (2027). By joining the waitlist today, you will secure early access to an initial consultation slot when my practice reopens.
- Narissi