Therapy for Expats & International Clients
Heathwell is a multilingual, multicultural therapy practice offering online therapy to adults and couples living abroad, including expats, third culture kids, and international professionals based across Europe and beyond. We offer therapy in nine languages across our team, and many of our therapists have themselves lived and worked across different countries, bringing personal experience of migration, relocation, and adapting to new cultural environments alongside their clinical training.
We understand what it can feel like to live between places, languages, and ways of being. There is a particular kind of distance that can emerge even when life looks settled from the outside, and this can place real pressure on relationships, identity, and your sense of connection to others and to yourself.
We also recognise that in many expat and international communities, social and professional circles can be small and closely interconnected. Finding a space for therapy that feels private, separate, and unconnected to your immediate environment matters, and it's something we've built our practice around.
What brings people to therapy when living abroad
People come to us with a wide range of experiences connected to living, working, or building relationships away from home. For some, particularly those who grew up moving between countries as third culture kids or have lived in several places as adults, the difficulty is less about one specific event and more a sense of being between identities, or not fully at home anywhere.
Common experiences include:
Trying to settle into a new environment while finding it difficult to connect or feel a sense of belonging, even after the practical parts of relocation are behind them
Relationship difficulties, including changes that have followed a move, or the aftermath of infidelity, often without close support nearby
Cultural differences between partners, and shifts in relationship dynamics following a move
Distance from family, including more complex or painful dynamics that living abroad has made harder to address
High-pressure work environments without a stable support system
Understanding yourself and your relationships within neurodiverse or mixed-neurotype dynamics
Relationship patterns that feel difficult to shift, and a wish for space to understand them more clearly
Couples Therapy Intensives for Expat Couples
Living abroad can place particular pressures on a relationship, especially when partners experience relocation differently. One may feel settled while the other feels isolated, has put a career on hold or carries more of the responsibility for family life. Differences around belonging, cultural expectations and where to build your future can become recurring sources of tension.
Our couples therapy intensives offer dedicated time to explore these pressures alongside concerns such as communication, intimacy, conflict or broken trust. Half-day and full-day appointments allow you to consider each partner’s experience, understand the dynamics that have developed and work towards decisions that reflect both your needs.
We offer couples therapy intensives at our London clinic in Blackheath Village, online, and internationally by arrangement.
Why Heathwell
Heathwell is a multilingual, culturally attuned therapy practice based in London, offering online therapy to adults and couples across Europe and internationally. Many of our therapists have lived across different countries and cultures themselves, which informs how we understand relocation, relationships, identity, and the complexity of building a life away from home.
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Therapy in nine languages.
We offer therapy in nine languages across our team, so you can speak in the language that feels most natural to you.
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A focus on relationships.
We specialise in relationship therapy, including infidelity, complex dynamics, and patterns that can be difficult to understand or shift.
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Experience with neurodiverse clients and couples.
We work with individuals and couples within neurodiverse and mixed-neurotype dynamics, with an understanding of how these experiences shape communication, connection, and identity.
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A confidential space, separate from your environment.
For many people living abroad, privacy matters. Therapy offers a space that isn't connected to your work, social, or local community.
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Experienced, specialist therapists.
Our therapists are qualified, experienced, registered with professional bodies, and fully insured. We offer both short and long-term therapy, across a range of specialisms and approaches.
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Human matching and flexibility.
We take time to understand what you're looking for and connect you with a therapist whose experience fits your needs, with flexible appointment times and, where possible, sessions at short notice.
Heathwell offers online therapy to adults and couples living across Europe and internationally, including clients based in Switzerland, Luxembourg, the Netherlands, Belgium, and Monaco.
Many of the people we work with are living between countries, cultures, and languages, often without a consistent support system around them.
We have a strong focus on:
relational trauma & narcissistic abuse , with much of our work centred on relationships and the complexities that shape them.
Sessions are held online, with the option of meeting in person when in London.
Supporting clients internationally
Meet our Practitioners
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Julio Cervantes
PSYCHOTHERAPIST & COUPLES THERAPIST
Approach: Person Centred, Integrative, Solution Focused
Specialisms: Expat & International Clients, Family Therapy, LGBTQ+ Relationships, Ethical Non-Monogamy, Polyamory, Anxiety, Low Mood and Life Transitions
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Elena Miari
RELATIONSHIP THERAPIST & PSYCHOTHERAPIST
Approach: Existential & Integrative
Specialisms: Infidelity, Narcissistic Abuse, Relational Trauma, Betrayal, ADHD, Couples Counselling
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Edu Hardy
COUPLES THERAPIST & PSYCHOTHERAPIST
Approach: Humanistic & Integrative
Specialisms: Neurodiversity, Neurodiverse and Mix Neurotype Couples, Expat Support
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Marina O'Connor
COUPLES & RELATIONSHIP THERAPIST
Approach: Transactional Analysis and Relational Life Therapy
Specialisms: Neurodivergent & Mixed Neurotype Relationships, High Conflict Couples, Leadership & High-Performing Couples, Intercultural Relationships, Infidelity Recovery
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Anita Jacob
PSYCHOTHERAPIST & COUPLES THERAPIST, EMDR THERAPIST
Approach: Psychodynamic, Humanistic, Attachment Based, EMDR
Specialisms: Infidelity & Affair Recovery, Relational Trauma, Family Estrangement and Reconciliation, Cross-Cultural Relationships, Christian Couples
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Sarah Bastianello
PSYCHOTHERAPIST
Approach: Psychodynami
Specialisms: Early Attachment, Adolescent Therapy, Relational Difficulties, Infidelity & Betrayal Trauma, Low mood, Childhood trauma, Supporting parents with children who have additional needs.
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Genevieve Walters
COUPLES & RELATIONSHIP THERAPIST & PSYCHOTHERAPIST
Approach: Narative Therapy, Person Centered Therapy, Integrative
Specialisms: Infidelity and betrayal trauma, Narcissistic Abuse, Relational Trauma
Take the first step, at your own pace
Looking for therapy can feel difficult, especially when you’re not sure where to start or what kind of support you need.
You don’t need to have everything worked out before getting in touch. We’ll take the time to understand what you’re looking for and help you find the right therapist.
Enquire about therapy