Online Couples Therapy in English – Professional Support for Your Relationship

A relationship can be a source of closeness, belonging and stability, while also becoming the place where some of our most difficult patterns emerge.

Couples may find themselves returning to the same arguments, losing emotional contact, struggling with trust or noticing that intimacy and sexuality have changed.

Sometimes there is a clear crisis. At other times, the relationship has gradually become more distant and neither partner is quite sure how to change the direction.

Online couples therapy offers a dedicated therapeutic space in which these patterns can be explored together.

Sessions take place by video, making English-speaking couples therapy accessible across Sweden without the need to travel to Stockholm for every appointment.

The format can also be useful for international couples, partners living in different locations, people who travel frequently for work or couples whose daily lives cross national and cultural boundaries.

My role is to help you see more clearly what happens between you. How do you seek connection? What happens when one person needs more closeness and the other needs more space?

Which intentions are lost in communication? What is being protected when one of you becomes quiet, defensive, critical or insistent?

My work is psychodynamic and relationship-focused. I also draw on further training in clinical sexology and, when relevant, integrate sexual-therapeutic perspectives informed by Desjardins.

IMAGO-informed approaches may be used where they support the process. The therapeutic work is adapted to your relationship, your history and the issues that bring you to therapy.

When Can Online Couples Therapy Be Helpful?

Couples seek therapy for many different reasons, and you do not need to wait until the relationship is in acute crisis.

Some couples still feel deeply connected but have one or two areas they can no longer discuss productively. Others experience a growing emotional distance, repeated misunderstandings or uncertainty about the future of the relationship.

Online couples therapy can also be valuable at an earlier stage, when you notice that a pattern is becoming increasingly familiar.

Exploring the pattern before frustration, withdrawal or resentment become more established can create more room for choice.

Common themes include recurring arguments, communication difficulties, different needs for closeness and independence, jealousy, loss of trust, infidelity, changes in sexuality, parenting, blended families, work pressure, illness, migration, relocation, retirement and other significant life transitions.

Recurring conflict

Many couples notice that the subject of an argument changes while the structure remains remarkably similar. One day it may be about time, another day about money, children or responsibilities.

Underneath these practical issues there may be questions such as: Do I matter to you? Can I rely on you? Do you see what I need? Is there enough room for me in this relationship?

In therapy, we therefore look at how the interaction unfolds, as well as at what you argue about. When does the tone change?

Who moves closer and who moves away? What becomes especially vulnerable at that moment? Once the pattern is more visible, new responses become possible.

When communication has become exhausting

Communication involves much more than words. Tone, timing, body language, previous experiences and expectations all influence how a message is received.

An attempt to create closeness can be heard as criticism. A request for space can be experienced as rejection.

Therapy slows these moments down. Both partners have room to express their experience and to understand more precisely what the other person is trying to communicate.

The aim is not to agree about everything, but to make differences more understandable and discussable.

Closeness, distance and emotional connection

Partners rarely have exactly the same need for closeness, shared time and independence.

When one person seeks more contact and the other needs more space, a painful cycle can develop. The more one reaches out, the more the other may withdraw.

Couples therapy can help uncover the needs and protective responses behind these movements. This makes it easier to discuss what each person requires in order to feel both connected and free within the relationship.

Trust after hurt or betrayal

Infidelity, secrecy, broken agreements or other experiences can profoundly alter trust. Trust can also erode gradually through repeated experiences of unreliability, emotional absence or unresolved conflict.

Therapy creates room both for the hurt and for questions about what comes next.

One partner may need their experience to be fully recognised, while the other needs a way to take responsibility without reducing the entire relationship to one event.

For some couples this becomes a process of rebuilding; for others it brings greater clarity about how they want to move forward.

Communication Problems in Relationships – When Conversations Get Stuck

Many couples communicate well about everyday matters and struggle only when a subject carries emotional weight. The conversation may speed up, nuances disappear, or one person may withdraw completely. Afterwards, both can feel misunderstood.

Practical communication tools can be useful in couples therapy. They often become more effective when you understand why particular situations trigger such strong reactions.

A psychodynamic perspective helps connect present interactions with internal expectations, earlier relational experiences and individual ways of protecting oneself.

We look at both content and process: What are you trying to say? What does your partner hear? What assumptions arise about the other's intention?

What happens emotionally and physically when the conversation becomes difficult? This precision can help reduce automatic reactions and make genuine dialogue possible again.

Understanding Recurring Relationship Patterns

A relationship pattern can become so familiar that both partners already know what will happen next.

One raises an issue, the other reacts, tension increases, someone withdraws or becomes more forceful, and the couple arrives at the same painful endpoint.

Over time, descriptions of the pattern can turn into fixed judgments about personality.

In therapy, we shift the focus from labels to the interaction itself.

The pattern becomes something that happens between you rather than proof that one partner is simply the problem. Responsibility remains important, but it can be understood with greater nuance.

Your personal histories and earlier relationship experiences may also be relevant. We explore the past where it helps make sense of the present.

The central focus remains your current relationship and the possibility of creating different experiences together.

Closeness and Distance – When Partners Need Different Things

People differ in how much closeness, conversation, shared activity and personal space they need. For one partner, security may come through frequent connection; for another, enough autonomy may be essential to feeling comfortable and present.

Difficulty often arises when these differences are interpreted as lack of love, rejection or control.

In therapy, we can explore how you regulate closeness and distance across emotional contact, shared time, touch, sexuality, friendships, work and time alone.

A clearer understanding of both partners' needs makes it easier to negotiate differences without treating every difference as a threat to the relationship.

Rebuilding Trust in a Relationship

Trust is built through repeated experiences of reliability, responsiveness and emotional predictability. It can be disrupted suddenly or change slowly when important matters are no longer shared and difficult topics are repeatedly avoided.

When trust has been damaged, therapeutic work needs to make room for what happened and for what is required now.

Depending on the situation, this may involve accountability, transparency, boundaries, new agreements or a broader clarification of the relationship.

Sexuality and Intimacy in Couples Therapy

Sexuality is an important part of many relationships and also one of the areas that can be hardest to discuss openly. Desire changes over time.

Partners may have different rhythms, wishes, boundaries or ways of initiating closeness. Stress, health, parenting, ageing, body image, previous experiences and the emotional climate of the relationship can all affect intimacy.

My further training in clinical sexology allows sexual concerns to be integrated naturally into couples therapy. When relevant, I also draw on sexual-therapeutic work informed by Desjardins.

The aim is not to prescribe what a couple's sexuality should look like, but to understand how each partner experiences sexuality, intimacy, desire and boundaries.

Sometimes it is useful to distinguish sexual desire from the need for emotional or physical closeness.

In other relationships, the central themes may be differences in desire, shame, communication, boundaries or changes in sexual connection. When sexuality is the primary concern, more specifically focused sexual therapy may be appropriate.

Psychodynamic Couples Therapy – Understanding What Happens Beneath the Surface

My therapeutic foundation is psychodynamic psychotherapy and analytical psychology. Couples therapy therefore considers both visible behaviour and the emotional processes underneath it. Close relationships activate fundamental needs for safety, belonging, autonomy, recognition and meaning.

Earlier experiences can influence how we interpret a partner's behaviour. Silence may feel like rejection; a question may be experienced as control; a request for closeness may feel intrusive.

This does not mean that every present difficulty needs to be explained through childhood. It means we can remain curious about why certain moments acquire particular emotional significance.

The work remains focused on the present. We look at concrete situations, boundaries, choices and opportunities to create new experiences in the relationship.

Insight becomes especially useful when it can be translated into a different way of relating in everyday life.

IMAGO-Informed Couples Therapy – Listening Beyond the Immediate Reaction

IMAGO-informed approaches can help slow conversations that quickly move into defensiveness, withdrawal or mutual accusation. A more structured dialogue can create enough space to receive the other person's experience before responding from one's own position.

These approaches can also help illuminate how individual relational histories and needs meet within the partnership. I use IMAGO-informed elements flexibly where they are useful; the therapy does not follow a rigid method.

Online Couples Therapy for LGBTQ+ Couples and Diverse Relationships

Couples therapy is available to couples regardless of gender, sexual orientation or relationship background. The focus is the relationship itself: its agreements, needs, conflicts, strengths and the meaning it has for the people involved.

For LGBTQ+ couples and other diverse relationship contexts, experiences related to identity, minority stress, family responses or social expectations may also be relevant.

These themes can be included where they matter without reducing the relationship to identity categories.

How Online Couples Therapy Works

The first session

In the first session, both partners have an opportunity to describe what brings them to therapy. It is common for two people to experience the same relationship very differently.

These differences are useful information rather than something that needs to be resolved before therapy can begin.

We begin by identifying the themes that need attention and considering what a useful therapeutic framework might look like.

The video session

Sessions take place by video. A private space where you can speak openly and remain undisturbed is important. A stable internet connection, camera and audio support a focused therapeutic conversation.

It can be helpful to leave a few minutes free before and after the session. In-person therapy naturally includes the transition of travelling to and from an appointment; online, that transition can be created intentionally.

If you are in different locations

Online couples therapy can also work when partners are in different places. This can be particularly useful for long-distance relationships, international couples, frequent travellers or couples with complex schedules.

Each partner should have a private environment where the conversation cannot be overheard or interrupted.

The ongoing process

After the first sessions, it usually becomes clearer which themes need deeper attention. Some couples come with a specific, contained issue; others are dealing with several long-standing patterns that interact with one another.

We review the process as it develops and consider whether the work is helping you understand your relationship and create meaningful changes in daily life.

There is no single number of sessions that is appropriate for every couple.

Online Couples Therapy Across Sweden and Internationally

One of the main advantages of online therapy is that the choice of therapist is less dependent on geographical distance.

For English-speaking people living in Sweden, this can be particularly useful when the most suitable therapist is not located nearby.

The online format can also support continuity in international lives. Travel, relocation or partners living in different places do not necessarily need to interrupt the therapeutic process.

Where therapy crosses national borders, relevant professional and legal requirements need to be considered.

Online sessions also reduce travel time and can make scheduling easier. At the same time, online therapy is not automatically the best format for every couple.

What matters is whether both partners can engage with the process in a sufficiently private, safe and focused setting.

English-Speaking Couples Therapy for International Relationships

I work in English, Swedish and German and have extensive professional experience across Germany, Switzerland and Sweden. For international couples, being able to work in a shared language can make complex emotional conversations more accessible.

International and intercultural relationships may also include different assumptions about family, independence, roles, communication, sexuality or responsibility.

Such differences are not inherently problematic, but they can become important when partners interpret the same situation through different cultural or linguistic frameworks.

Information in Swedish and German is available on the corresponding language pages.

Online Couples Therapy or Couples Therapy in Stockholm?

If you live in Stockholm or the surrounding area, couples therapy is also available in person at the practice near Odenplan.

Some couples value having a neutral physical space and a deliberate transition into and out of the session.

For couples outside Stockholm, those with long travel times or partners in different locations, online therapy may offer greater flexibility. Both formats belong to the same therapeutic practice but serve different practical needs.

The local Stockholm page provides more information about in-person couples therapy, the practice setting and the Odenplan/Vasastan location.

Psychotherapeutic Expertise and International Experience

I am a licensed psychotherapist in Sweden (legitimerad psykoterapeut) and have many years of clinical experience in several European countries.

My training includes analytical psychology and psychotherapy at the C. G. Jung Institute in Küsnacht/Zurich, alongside further professional training relevant to couples and sexuality.

My additional training includes clinical sexology and sexual science. In couples therapy, I also use IMAGO-informed elements and integrate Desjardins-informed sexual-therapeutic perspectives where relevant.

I remain impartial throughout the work.

My task is to help both partners understand the relationship dynamic more clearly, make both perspectives visible and develop new possibilities for contact and change – even when you join the sessions from different places.

A First Orientation for Your Relationship

If you would first like to reflect on which areas of your relationship currently need attention, the self-assessment page offers an initial orientation that you can complete from wherever you are – together or separately.

This is not a diagnostic test and it does not classify your relationship as healthy or unhealthy.

It is designed to help you notice themes such as communication, recurring conflict, closeness, trust, sexuality and shared direction. The results can support personal reflection or provide a starting point for a therapeutic conversation.

Preparing for Your First Couples Session

A dedicated couples intake questionnaire is available as a PDF to help you prepare for your first video session.

It organises important background information, current concerns, the relationship context and your expectations of therapy before we meet online.

The intake questionnaire is a preparatory working document, separate from the public self-assessment and without any diagnostic function. The central questionnaires and preparation page provides the download together with practical information for the first appointment.

Frequently Asked Questions About Online Couples Therapy

What is online couples therapy?

Online couples therapy is therapeutic work with both partners by video. It provides a structured space to explore communication, recurring patterns, conflict, trust, intimacy, sexuality and other relationship concerns.

What relationship issues can we bring to online couples therapy?

Common themes include recurring arguments, communication problems, emotional distance, different needs for closeness, trust injuries, infidelity, intimacy and sexuality, and major life transitions.

Can we join from different locations?

Yes. Partners can join from separate locations. Each person needs a private setting, reliable internet connection and the ability to speak without being overheard or interrupted.

Can sexuality be part of couples therapy?

Yes. I have further training in clinical sexology and, when relevant, integrate sexual-therapeutic work informed by Desjardins. If sexuality is the primary concern, the separate Sexual Therapy page provides more detailed information.

Do you use IMAGO therapy?

I integrate IMAGO-informed approaches when they are useful for the couple and the therapeutic process. The work is also grounded in a broader psychodynamic and relationship-focused framework.

Do you work with LGBTQ+ couples?

Yes. Couples therapy is available regardless of gender, sexual orientation or relationship background, and the work is adapted to the specific relationship and its concerns.

Do you offer couples therapy in English?

Yes. I work in English, Swedish and German. The English online service is intended for English-speaking and international couples in Sweden and, where professional requirements allow, internationally.

Can we combine online and in-person sessions?

Where therapeutically and practically appropriate, the format can be discussed. In-person couples therapy is available in Stockholm near Odenplan.

How many sessions will we need?

There is no fixed number that suits every couple. Some concerns are relatively focused, while others involve long-standing relationship patterns. The process is reviewed together over time.

Is there a questionnaire before the first session?

Yes. A couples intake questionnaire is available as a PDF on the questionnaires and preparation page. It helps you structure relevant information before your first video session.

How do we enquire about fees and appointments?

Current fees and the contact form are at the bottom of every page.

Enquire About Online Couples Therapy

If you want to understand what keeps repeating in your relationship, change the way difficult conversations unfold or create more room for connection, trust and mutual understanding, you can enquire about an initial session.

Current fees and the contact form are at the bottom of every page. If you live in Stockholm and prefer in-person therapy, you can also visit the Couples Therapy Stockholm page.