You've Been Keeping It Together. But Keeping It Together Has Its Own Cost.

Individual therapy is for the gap between how you appear on the outside and what's actually going on beneath it. I work with expats, digital nomads, and internationally mobile people who have done plenty of thinking about the problem and are ready to actually change it.

If you're looking for a therapist who will be honest with you about what he sees, including the ways you might be getting in your own way, we should talk.

Book a Free 20-Minute Consultation

What Individual Therapy Actually Works On

The problems people bring to individual therapy are rarely as simple as they appear. Anxiety is often avoidance in disguise. Low mood often has something underneath it that hasn't been faced. Self-doubt intensifies when the life you've built no longer feels like it fits. Emotional areas like these are where therapeutic work makes the biggest difference.

Anxiety

Sometimes, people are well aware they have anxiety and desperately want to overcome it. Other times, their anxiety manifests as sleep issues, intrusive thoughts, and lack of self-confidence. In other words, anxiety manifests in many forms. That said, it is usually a signal, not the core problem. I'm interested in what anxiety points to: the avoidance, the unexpressed feelings, and the patterns that keep your nervous system on high alert. Managing anxiety can help, but understanding what's generating it is what changes things.

Depression

Depression shows up as heaviness, withdrawal, flatness, or a sense of going through the motions without feeling much of anything. It can hide behind busyness. It can hide behind numbness. You keep moving, but the dullness inside is persistent. In my experience, there are often feelings underneath the depression that haven't been fully faced. These include: grief, anger and disappointment. In our work, we get to unearth those feelings in an effort to free you of the depression.

Identity and Self-Doubt

This comes up often for people who change careers, live abroad, or otherwise build a life outside the one they were expected to have. The version of you that felt natural in a familiar context doesn't always translate to the new environment. The confidence you once had can become harder to access. You may find that you second-guess yourself when you never used to. Individual therapy gives you a place to understand who you were, who you are, and who you want to be.

Avoidance Patterns

Most people have a version of this: the conversation you put off, the problem you ignore, or the way you arrange your life so certain feelings stay just out of reach. Avoidance is actually intelligent. It worked at some point. The problem is when you make decisions where the avoidance of something is the primary influence. This can include the effort to keep busy to avoid feelings, to hold relationships at arm's length to avoid getting hurt, and to say yes when you mean no. These behavioral patterns usually carry heavy price-tags that are worth investigation.

Relationship Patterns

You don't have to be in couples therapy to work on how you show up (or don't show up) in relationships. A lot of individual therapy is about understanding the patterns you repeat: who you're drawn to, how you handle conflict, what you do when someone gets close, and what you do when they pull away. These patterns tend to have deep roots, and they follow you across romantic relationships, friendships, family, and work. This is the place to look at what you bring to relationships, without the pressure of another person in the room.

Guilt and Shame

These are among the heaviest things people carry, and among the least often addressed directly. There's a difference between guilt — something you did — and shame — something you believe you are. For expats, there can be another layer: guilt about leaving family behind, or shame about struggling in a life that looks enviable from the outside. These feelings lose much of their power when they are finally faced directly and dealt with honestly.

My Approach to Individual Work

One of the things clients often tell me is that therapy with me feels different from therapy they've tried before. I think that's because I'm less interested in helping you feel better in the moment than in understanding what's actually driving the difficulty. That distinction matters more than it sounds.

My training is psychodynamic, relational, and ISTDP-informed, which means I'm paying attention to patterns: what you repeat, what you avoid, and what you do without fully realizing it. I work directly with the anxiety and defenses that keep difficult emotions just out of reach. That tends to move things faster, and deeper, than many people expect.

I'll tell you what I see, including the ways you might be getting in your own way. Naming the pattern clearly is the only way to change it.

I'm also an expat. I live in Istanbul, I'm married to a Turkish woman, and I'm raising a daughter between two cultures. I know what it's like to rebuild a sense of yourself in a place where the old reference points no longer fully apply. That shared context means we don't have to spend half the session explaining your life abroad. We can get into the actual work.

Trevor Brown, online therapist for expats and digital nomads
  • MA in Clinical Mental Health Counseling

    Naropa University • 2018

  • Licensed Professional Counselor (LPC)

    State of Colorado • 2022

  • PACT Level 2 Trained

    Psychobiological Approach to Couples Therapy

  • RLT Certified Couples Therapist

    Relational Life Therapy

  • ISTDP (Ongoing Training)

    Intensive Short-Term Dynamic Psychotherapy

  • Certification in ACT

    Acceptance & Commitment Therapy

What to Expect

Direct

I'll be honest about what I see. That includes the patterns you might not be aware of and the ways you could be contributing to your own difficulty. That's not always comfortable, but it's where real change happens.

Online, Across Time Zones

All sessions are held over secure video. I'm based in Istanbul (GMT+3) and work with clients around the world. We'll find a time that fits your schedule, wherever you are.

Depth Over Coping Skills

The goal isn't just symptom management. I'm interested in what's actually driving the problem. If you've tried therapy before and found it stayed at the surface, this is where that changes.

Moving From the First Session

No months of small talk before the real work starts. From the first session, we work to understand what's actually going on so that we can address it directly.

Getting Started Is Simple

Step 1.

Book a Free 20-Minute Consultation

A short video call to talk about what's going on and whether working together makes sense. No forms, no commitment.

Step 2.

Schedule Your First Session

If we're a good fit, we'll book your first full session at a time that works for your time zone.

Step 3.

Start the Real Work

No weeks of small talk or unnecessary delay. We get into what's actually going on from the first session.

What Clients Say

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Frequently Asked Questions

That's actually one of the most common things I hear. In my experience, therapy that doesn't work usually falls into one of two patterns: it was too supportive (lots of validation, not enough challenge) or it focused on managing symptoms without getting underneath what was driving them. My approach is psychodynamic and relational. I'm looking at the patterns you're running — often without realizing it — that keep creating the same problems. That tends to feel different from what most people have experienced before, and it tends to move faster.
Therapy for what you haven't been able to figure out alone.

The Other Therapy

Honest therapy. Genuine depth. Not just another coping mechanism.

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