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Walking Talk Therapy for Mental Health in English in Stockholm

A Park to Walk in Stockholm

The advantages of counselling and therapy shouldn’t just be psychological. Walking while talking is a new approach to talk therapy that benefits the body as well as the mind.

As a therapist who personally enjoys exercise and the positive effects of movement, I was not surprised when I read in the Sydney Morning Herald about research that demonstrated sitting was bad for our health.

I’ve written before about how exercise is important to both our physical and psychological health. Sitting for prolonged periods can reduce lifespan so decreasing our sitting time is just as critical to health as taking exercise. But modern lifestyles have many of us spending long work hours in front of our computers. It can be difficult to remember to take regular breaks let alone to keep moving our bodies.

So I am now also offering counselling, coaching and therapy in English in Stockholm while walking outdoors. This is a unique service for Stockholm that fits with making it easier and more beneficial for people to meet with a counsellor.

The Benefits of Walking Therapy

Taking a walk each day can lift mood, free thinking and help us manage emotions. For some people, it can be a reasonable alternative to medication. But there are other advantages to therapy while walking outside as well. We know sunlight is important for production of vitamin D and general health. Talking with a counsellor while taking a walk treats your whole person, body, mind and spirit. The practice of walking itself can quieten thoughts and relieve anxiety. It’s refreshing, relaxing and the rhythm of a walk can also help to sort out problems.

Like other forms of counselling, Walking Talk Therapy is an opportunity to discuss strategies, get things in perspective, or simply get a sounding board for the changes you know you want to make. Being out in nature is conducive to healing and improved mental health. Expats can speak English during the appointment and benefit both from the change of scene and a compassionate listening ear. People who have experienced disappointment, loss or even trauma may find that time spent in nature is therapeutic in itself. Those seeking to improve their physical health and motivation can find active consultations even better than sessions that are office based. So counselling appointments while you walk offer a combined form of treatment.

With my Walking Talk Therapy in Stockholm, you are welcome to request help with the same kinds of goals or concerns you bring to office based appointments. Many people who come to see me talk about depression or anxiety, family and relationship issues. But the areas I specialise in include:

How Does Walking Talk Therapy Work?

Usually we start the first appointment in my counselling rooms on Kungsholmen in central Stockholm. If you decide to proceed with a walking appointment, we can go to Rålambshovsparken or along Norr Mälarstrand by Riddarfjärden. These parts of the island are quite beautiful throughout the year and provide plenty of open space for private conversations while walking. We can hold onto important points by jotting them down or taking an audio note as we go. Walking Talk Therapy is suitable for therapeutic approaches such as CBT (cognitive behaviour therapy) and narrative therapy.

If the weather is bad we can still meet in the office. The Swedish have a saying “there is no bad weather, only bad clothing” but it is always your choice whether we go out for a walk or sit inside and chat over a cup of tea or coffee.

So why not combine therapy and some exercise? It’s healthy, refreshing and better for both of us! For daytime appointments until 5pm you are welcome to choose a 50 or 75 minute consultation depending on how much time you have available.

My goal is to make it easier for people to see me so, of course, if you prefer to sit comfortably and talk we can still do that. I still offer a range of options including online counselling over webcam from Stockholm or anywhere in Sweden.

Call now on 08-559 22 636 and leave a message if I don’t answer.

Or contact me through the form on my website for more details.

I look forward to us walking together!

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Couples Counselling and Marriage Therapy in Stockholm

couple walking together

Looking to Find a Relationship Therapist Who Speaks English?

As an English speaking therapist in Stockholm I meet regularly with couples who are struggling with aspects of their relationship.

For expats, the stress of relocation and dealing with cultural and climatic differences does put pressure on relationships. Many who consult me have decided to live in Sweden because they have a Swedish partner. Others have arrived in the country with their girlfriend or boyfriend (or husband or wife) to take up a position in multinational company. And some people have arrived in Sweden on their own and met a special Swede (or someone else) in the meantime.

Each of these circumstances brings its own challenges. Within relationships it is not uncommon for everyday pressures to compound and start affecting the way partners relate to each other. Language barriers are obviously a factor here and non-Swedes can be, by necessity, at least for the first year or two, quite dependant on those close to them to get through the bureaucracy and procedures associated with employment, banking, tax affairs and residency requirements (just to name a few!). There is also the question of how to start establishing social connections. As expats, we are not only getting to grips with Swedish culture and language but developing a new identity and sense of ourselves as individuals and as partners.

What might get lost in all of this is the passion or tenderness of the relationship, sex or intimacy, the meaning of a marriage or the easiness of being with each other. Even living with each other as a ‘sambo’ can seem to get harder. The aspects of the partnership that were working previously might seem to have disappeared and even the memories of a shared past might seem very distant.

How Can Couples Therapy Help a Relationship?

There are a number of ways in which meeting with a relationship therapist can be helpful.

Firstly, counselling and therapy appointments provide a space for couples to step outside of the usual positions they take with each other. At my counselling room I try to make these meetings as relaxed as possible and if you could see us talking it might look like we were just having a conversation. But actually, couples therapy and marriage counselling conversations are like building a new platform from which to consider the relationship. A separate place away from the chaos, crises and mess of what has been going on. These therapeutic conversations can be like coming up out of a canyon or ravine and taking a new position at a scenic look-out. I invite people to discuss where they would like to be with the relationship, what they want to let go of and what they want to hold onto in making these shifts. And we also discuss practical ways you might get to this better ‘place’ for real.

Occasionally I am asked about what method or technique I use with couples. The truth is there isn’t one approach that works for everyone. If there was it would be in a single book that we could all read. But perhaps there are a lot of different formulas or approaches others have used and, once I get to know more about your shared situation, I am happy to talk about some of the ideas that couples have shared with me that have been helpful to them. I draw not only from my training, reading and years of experience working with relationships but also from the experiences and journeys that other couples have shared with me.

Resolving a relationship difficulty or crisis in a marriage or other partnership starts with a simple commitment to sit down together in the presence of a third person, the therapist. This in itself is significant because it is an acknowledgement that both individuals are interested in changing the situation. Therapists are witnesses to many of the forces that keep people together: companionship, respect, admiration, shared hopes and passions, sex, intimacy, trust, a sense of parental duty and love of course. When we start talking about what has happened and each person’s hopes or expectations of the appointments, there are a number of things I have noticed start happening. These include acknowledgement, recognition, remembering, recovering, renegotiation, constructing strategies together, making new efforts and regaining balance. Counselling consultations can contain defining moments for couples and the process of therapy can be a rite of passage in itself.

Therapy Together and Separately for Greater Understanding

Occasionally I am asked to act as a kind of umpire or judge as to what is ‘okay’ or ‘not okay’ in the relationship. This isn’t a role I am prepared to play because it denies the couple their own decision making skills (I often say that if I had wanted to be a judge of others, I would have studied law instead of counselling and psychotherapy!). However I am prepared to help explore individual standpoints in relation to what has been going on and create opportunities where each person can be heard with respect. I generally find this approach leads to greater understanding for everyone.

In the journey of settling into a new country and all the challenges presented by such a move, we often find ourselves facing personal tests that play into or disrupt our relationships, partnerships and marriages. For example, we might be reconnected with a vulnerability we have not experienced for years. Or revisited by a fear we thought we had already overcome. Most people can name at least one or two such ‘issues’ they have had to deal with at some stage in life. At this point I should say that I often find when the individuals in a couple start sorting out their own ‘stuff’ or ‘issues’ (so as to speak), the difficulties or ‘relationship problem’ tend to just disappear. This might be surprising given popular ideas that relationship counselling always needs to involve the couple seeing a therapist together. I’m not suggesting that the disappearance of the problem or difficulty happens in all situations where each partner attends individual sessions but it is definitely common. So if you are reading this blog post and both willing to try it, going separately to counselling or therapy might also be an option for you.

When I work with individuals and couples, one of the ways in which I work is to help people establish their own connections so they have support outside of the relationship. This can take some of the pressure off the relationship as well as assist to develop or reinforce each person’s own skills, abilities and knowledge.

Relationships change and evolve just like individuals. Changes happen when people move in together, when they are expecting a child or become parents, when someone starts a new job or a business, as we age and simply over the course of time. Meeting with a therapist is a chance to let go of what might have been holding the relationship back as well as to hold onto and acknowledge what is still important to you both.

I work with both straight and gay couples. Couples counselling is available face to face at Hornstull on Södermalm in Stockholm or over the net via Skype webcam. If you would like to give either a try and need more information about my fees and availability, please contact me here or call 08-559 22 636 and leave a message.

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Can Depression that Started in Sweden be Treated with Exercise?

man running

Improvement to mood is one of the most obvious effects of exercise. But can exercise actually be used as a treatment for depression?

An article recently featured in the Stockholm daily newspaper Dagens Nyheter says it can.  Jill Taube, a Swedish psychiatrist, has written a book about how exercise can help to cure mental illness. She points to studies that show the effects of exercise not only last longer than those of antidepressant medication, but physical activity appears to prevent the recurrence of depression better than antidepressants.

Exercise: A Prescription for Depression

Taube’s exercise ‘prescription’ echoes what the health and fitness experts have been saying for at least 20 years: a combination of cardio and strength activities for 30-45 minutes, at least 3 times a week. Obviously those who have not been exercising need to take it easy to begin with and build up to this. But the idea that there is something people can do themselves about depressed mood is great news for those who want to recover from depression and need more hope in their lives (although it might depress the drug companies!).

Antidepressent Use in Sweden, an Increasing Trend

What makes this research so remarkable is that Sweden has one of the highest rates of antidepressant prescription. According to OECD statistics, Sweden has the 3rd highest consumption rate of antidepressants in Europe (after Iceland and Denmark). And antidepressant prescription is on the rise in Sweden. The National Board of Health and Welfare (Socialstyrelsen) has issued guidelines to try to cut the rise of prescribed depression medication and encourage the use of talk therapy. But these changes will take time because the culture around prescribing antidepressants needs to change. A survey of GP attitudes from 2004 indicated that most doctors considered drug treatment with antidepressants alone was effective and sufficient in most cases of depression. Less than half the doctors thought that psychotherapy was required as a complement. This is despite reliable evidence of the effectiveness of talk therapy against moderate depression and the combination of counselling with medication being considered best practice. There is also evidence that effectiveness of antidepressant use really depends on the therapeutic relationship between doctor and patient.

Relief for Anxiety and Depression through Exercising

As a doctor, Taube is concerned with biochemical explanations of how exercise actually works and the article in Dagens Nyheter explains some of this. For the layperson it’s enough to know that it does work. Therapists are familiar with the way depression often goes hand in hand with anxiety (I often describe them as hanging around together, like schoolyard bullies) so it’s no surprise that exercise appears to help relieve anxiety as well.

Taube, who has herself experienced depression, is a dancing enthusiast but explains that other exercise like taking a walk or spin class can give the mind a break from Anxious Thoughts. We know that mental health difficulties can generally lead to poor physical health not only because problems like anxiety and depression stop us from getting out and enjoying life, but because the drugs that are prescribed for them have a slowing down effect on those who take such drugs. So people who are taking medication because they are affected by anxiety, depression and other mental health problems often gain weight and suffer cardiovascular difficulties or musculoskeletal problems because they don’t move themselves as much. Of course it is important to still seek the help of health professionals, particularly if you are experiencing a severe depression or having thoughts of wanting to end your life. Talking together regularly with a doctor, counsellor, therapist or psychologist is a better alternative to just taking drugs on your own.

In 2012 I will be continuing Walking-Talk Therapy  for those who want to have therapeutic and coaching conversations ‘on the go’. Going for a walk together through Rålambshovsparken, along Norr Mälarstrand or around Riddarfjärden is a great physical alternative to sitting down. Of course, if you prefer to talk inside, we can still meet over a tea or coffee in my private consulting room at Fridhemsplan. And for those who are outside of Stockholm or prefer more privacy, online counselling is always available over the internet.

Send me an email or call me on 08-559 22 636 and leave a message if you would like to make an appointment.

Jill Taube’s book “Själ och Kropp” is widely available from book retailers and online, but unfortunately only in Swedish at this stage.

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Therapy for Winter Depression or Seasonal Affective Disorder (SAD) in Stockholm

candles

Depression? Seasonal Affective Disorder? The cold and darkness of Sweden at the end of the year is one of the hardest issues for expats. For those of us from relatively warm countries (take note Aussies and South Africans) and others who have never lived this far north, the Swedish climate can be a real shock.

In Stockholm in December it is dark by early in the afternoon. I’ve talked to many expats who really struggle at this time of year. Some have even internalised the problem and have started to think they are depressed or have seasonal affective disorder (SAD). Actually, it is really normal and natural to have trouble with the Swedish winter even if you have been here a long time. I’ve gathered the advice of a range of expats and long term visitors to Sweden who I have met in my counselling work as a therapist. Here are their practical suggestions.

1. Get Active

Jawbone Up BandIt’s natural to not be as active at this time of year but it’s also good to still move your body. Too cold outside? Try training indoors. Friskis och Svettis offer lower cost fitness memberships that include classes for around 3000 crowns a year (even less if you are a student). That’s not even the cost of 1 glass of wine each week! And you don’t have to be particularly athletic to get something therapeutic out of a gym. Try a 30 minute brisk treadmill walk while listening to your favourite music on an iphone or mp3 player. Taking in the scenery of everyone else working out while you go at your own pace can make you feel alive again. Get a Jawbone and set a goal of 10,000 steps a day on your Jawbone. There are plenty of sports you can do in winter as well, like indoor volleyball and swimming. This is the time of year that hot saunas are really appreciated.

2. Rug Up

Feeling colder can make a difference to your mood so it is worth making the effort to be as warm and cosy as you can when you are walking around outside. We lose most of our body heat through our extremities so pull on a wooly hat that covers your ears (called a mössa in Swedish), gloves, warm footwear and a scarf. Have you discovered the advantages of long underwear yet? A decent winter coat is also helpful of course.

3. Go easy on the grog (and the glögg)

The end of the year is a time for celebration but keep in mind that alcohol is a depressant. Bottled spirits tend to lift our own spirits for a short time but the after effects can pull us down the next day or for several days after a few too many. Drinking more than usual will lead to swings in mood and, in the absence of other helpful strategies, some people develop a dependency on alcohol that can create real problems for them, their partners and families (and I am not referring to Systembolaget being closed on a Sunday). Other ways of picking yourself up include exercising regularly, spending time with friends, attending expat group events and…

4. Getting yourself into the light

phillips wake up lightFortunately Stockholm is not completely dark in winter (some places in Sweden are). But the daylight doesn’t last for long. Make sure you make the most of the light and walk around in it during the day if you can. There is some evidence that even a few minutes a day direct daylight on exposed skin (i.e. your face) can make a difference to your physiology and mood. It costs nothing but your time (most of which involves putting on and taking off your warm clothes). Some people use wake up lights and special desk lamps that reproduce the tone of daylight to enlighten their winter days. For example, the Philips Wake-Up Light (available here from Amazon) has a number of settings to replicate sunrise and and even a selection of natural sounds.

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5. Make plans and look forward to them

Fellow expats agree there is nothing like a break for a week or two somewhere warm and sunny to change your perspective. Swedes know the advantages of travelling during the darker months and flock to the Canaries (no pun intended!), Egypt and even farther destinations like India, Thailand and Vietnam during December and January. Book your tickets early to get the cheap deals. If you don’t mind the snow, there are some great ski-fields within Sweden. Or you can jump on a party boat to Helsinki, Tallin or Riga. If you can’t afford the time or cost of getting away, make plans to do some exotic activities at home or treat yourself to some special meals. Apparently the restaurant Koh Phangan on Skånegatan makes you feel you are really in Thailand.

6. It’s okay to hibernate a little

Winter is a time of closing down in contrast to the expansiveness of summer. In many ways we have lost touch with the natural rhythms that we see in the animal world. So what if you want to sleep 10 hours instead of 8? That’s how it goes with the cold and darkness. You aren’t depressed and you don’t need medication just because you don’t feel like going out and want to stay in bed more than usual. Lower your Expectations and stop giving yourself a hard time. You can make up for it in the Spring. That brings me to…

7. Embracing the experience

Canon CameraIf you can’t beat it, make the most of it. Not all the Swedes take off to sun and sand in wintertime yet they still manage to stay sane and get on with their lives. It might take some time to get the knack of it but those who emigrated to Sweden a number of years ago tell me that there is something to be said for embracing the climate at this time of year. They have taken up photography or cross-country skiing (even with the skis that use little wheels when there is no snow), planned Melodifestival parties, visited the Christmas markets, lit up their apartments with small candles, played and recorded music, painted, drawn, read and written books. The Swedes are a nation of creatives. Even if you just document what you are seeing or hearing around you and how you are feeling in a journal or blog you will be in the company of many who have gone before you in the great musical, literary and artistic traditions of Scandinavia.

8. Remember: It will pass!

From 22 December the nights are shorter and the days start to get longer. When the snow arrives, it can make a difference as well, reflecting daylight or streetlights and generally making everything a bit brighter. Many people do find January is the worst month for them simply because they have endured the darkness and low temperatures for so long. So even getting a sense of the length of winter can help and this often happens for expats once they have been in Sweden for a couple of cold seasons.

If being in Sweden has lost its purpose for you at this dark time of the year, maybe it is time for a meaning-recovering conversation over a hot cup of tea or coffee. Narrative therapy and other collaborative counselling practices can provide you with the opportunity to reconnect with your motivation and find a new lease of life to last through winter. If you want some practical help, together we can construct a plan or strategy to get you through to lighter times. Contact me through the website or call and leave a message on 08-559 22 636 if you would like to make an appointment.

Thanks to Elin, Steve, Evelyn, Barbara, Marie, Matthew, Janet, Paul and Rob for their contributions as well as to all my clients who have found or are finding their own ways of dealing with the darkness and cold.

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Mental Health in Sweden: Normal Behaviour Becoming Harder to Achieve

bar graph image

Is psychological disability in Sweden really stopping so many from working?

(Update from June 2013: This post is actually about the pathologising of human experience: how more and more people are being labelled as ‘disordered’ or ‘deficient’ by the psychiatric profession in Sweden and the expectation that individuals fit with certain norms of behaviour. Some bloggers have attempted to use my words as evidence that Sweden is suffering from collective mental breakdown due to a breakdown of gender expectations and norms. I am certainly NOT suggesting that. If anything, taking a more gender neutral approach in education and other social functions has contributed to greater personal freedom for Swedes. However there is an increasing requirement for individuals to be diagnosed with an illness or disability in order to access support. Read on for more…)

The Swedish newspaper Dagens Nyheter has run a story about the sharp increase in numbers of young people leaving work and put onto disability pensions (known as ‘activity support’ for those under 30 and ‘sickness benefits’ for those 30-64).

Fewer young people are returning to employment after being pensioned off work, a phenomenon that has been referred to as a ‘ticking time bomb’ in view of the fact that many may be destitute by the time they are 30.

Sweden is not alone here. There were increases in young people starting on disability support in other Scandinavian OECD countries between 1995 and 2007. In Finland the increase was 5 percent, in Denmark 10 percent but Sweden had a massive 80 percent increase! That’s almost 30,000 people under 30 in Sweden who are on a disability pension.

Psychiatric Disorders Becoming More Common in Sweden

So why the huge increase? Well 73% of those young people have been given medical psychiatric diagnoses such as autism, ADHD and Aspergers. Could it really be that Sweden had such a rise in psychiatric disorders and mental disabilities compared to our Nordic neighbours? Is it something in the water?

As a counsellor, therapist and coach, I am often asked about such diagnoses and the increases. I think people expect me to say something about teenage computer gaming culture or genetics or to applaud the ‘science’ responsible for discovering such a vast previously undiagnosed population.

But what I see happening in Sweden is that so-called ‘normal’ behaviour is becoming more defined. The goal posts for what is considered normal are being brought closer together. The tolerance for non-conformity and extremes of mood and behaviour is reducing. It is becoming harder to be ‘lagom’!

In Sweden, psychiatric health has been constructed as a medical problem. Both anxiety and depression are treated primarily with medication. But drugs are also heavily prescribed for those whose attention, communication techniques or social skills fall outside what is measured to be the norm. And unfortunately, those norms are progressively less accommodating.

There’s no doubt that the pathologising of human experience is increasing in many countries. More people are being diagnosed as depressed, anxious, having a mental disability or disordered in some way. And this corresponds to increasing expectations that we fit prescribed ways of being and relating to each other. In workplaces and schools across Australia, the United Kingdom and America, more standards of performance are being established and procedures for selection are becoming more sophisticated.

Fortunately, not all mental health, psychotherapy or counselling practitioners favour responding to diversity with drugs or exclusion and many take a more norm-critical approach. Narrative therapy, Open Dialogue and other collaborative therapeutic practices are approaches which honour what people have to say about their own experience, rather than categorise us using medical terminology.

My hope is that eventually the doctors, psychiatrists, psychologists, therapists and others responsible for measuring, diagnosing and categorising people will see the limitation of these practices. I look forward to a new era when Swedish society ceases to be obsessed with locating its deficits and deficiencies but instead acknowledges the unique skills, competencies and abilities of all individuals. A time when the expertise we bring to life’s challenges is respected and valued by the health professionals we consult and diversity is appreciated rather than shunned. Perhaps then we will see more young people participating in the workforce in Sweden.

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Adjustment to Life in Sweden and Therapy in English

Image of a man with stress associated with cultural adjustment

For most expats, relocating to Sweden means adjusting to a different culture. Reactions associated with the stress, uncertainty and the upheaval of relocation to another culture are very common for those from English speaking countries. These reactions can include experiences of anxiety, withdrawal, low mood, depression and other mental health difficulties.

In my therapeutic work with people who have moved to Sweden, we often talk about how unexpected these reactions were. After all, Sweden appears to be an orderly place and most people, particularly younger people and those Swedes living in the large cities, speak English. At first it was easy to imagine that life here could be easy and that it would not take long to settle in.

But the expats I talk with tell me they were unprepared for the differences in culture and climate they encountered. They describe low mood, difficulty sleeping, anxious thoughts or constant worries as well as the impact of such feelings on their relationship with partners.

Some people confess a lack of energy or enthusiasm or say they are finding it hard to enjoy life. Some people increase their use of alcohol to help them manage these feelings then find drinking causes further problems or takes them away from what they want from life. Occasionally people tell me they have an unexplained sense of panic they want help to overcome.

So what can you do if you are experiencing difficulty adjusting to life in Sweden?

5 Ways to Take Action and Get Help to Adjust to Living in Sweden

If you are struggling with feelings associated with depression or anxiety after moving to Sweden, here are a few things to keep in mind.

1. Share your feelings

Talk about your feelings instead of bottling them up. Trying to contain or hide emotions can be useful at times but, when they aren’t released, emotions can become explosive or leak out in inappropriate situations.

2. Connect with others

Talking to your girlfriend or boyfriend or sambo might not be enough. The emotions around cultural adjustment can also be a pressure on relationships so it is important to share your experiences with people other than your partner. The language barrier can be difficult but there are also a number expat groups, particularly in Stockholm. Remember that there are plenty of others who have been through similar hard times after moving to Sweden and if you can connect with them it can be helpful to hear other perspectives on how to make it through.

3. Exercise regularly

Particularly as it gets colder, the freezing temperatures and darkness can have us slowing down, staying inside and not being as active. But thoughts and emotions and even sleeping patterns can be positively affected by physical activity. Whether it is bodypump or working out at the gym, football, a regular yoga class, swimming or just a long, brisk walk everyday, keeping up exercise can help.

4. Try to find balance

If you are indoors a lot, make sure you get outside regularly. If you are only spending time with your partner or on your own, make an effort to engage with others. If you are working or studying, give yourself some downtime doing things that are fun or relaxing. If you aren’t working or studying, look into some volunteer work to give yourself a regular meaningful activity.

Trying to adjust to a new culture sometimes has us putting most of our energy into the familiar aspects of our lives but this can result in imbalance. Generally, the Swedes understand balance through the concept of ‘lagom’ and will be more understanding if you tell them you are trying to find balance in your life.

5. Do something today and stop delaying

The most important thing, in my professional experience, is to start to take action right now and not just hope the feelings will go away. They might go away, in time, but they are more likely to disappear when you are expressing how you feel, involved in activities with others and looking after your body and mind.

If you are stuck, meeting with a counsellor, coach or therapist is one way to get on track with the changes you are making. Make a start today on doing something to improve your life in Sweden. Call me now on 08- 559 22 636 or send an email through the contact page. Usually we can meet within a week.

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3 Advantages of Counselling in English in Stockholm

rushing for the trainAnyone trying to find an English speaking therapist in Stockholm has a story why he or she moved to Sweden. When people email or call me about my therapy services they often want help with couples counselling, family difficulties or work issues and career direction.

 

Counsellors working with expats in Stockholm know living in a foreign culture is stressful and are aware of the difference it can make to access counselling in English.

 

1. It’s important your therapist understands you

Often when people start talking and opening up with me about the difficulties they experience, their problems start to ease and even to ‘dissolve’ in the conversation. Sometimes these conversations are about recovering tools and skills used in the past. This is why it is so useful to meet with someone else who is a native English speaker. The experience of therapy is better when your therapist understands the expressions, subtleties and nuances of your language as well.

Professional counselling is more than just listening and a good therapist should be able to ask you questions that will open up new perspectives and encourage you to think in different ways. But just ‘getting it off your chest’ is a start and can lead you to feel better, more motivated and more capable of using skills and tools for dealing with anxiety, depression and changes in mood.

 

2. Nothing beats experience

The problems people experience after moving to Sweden are not always attributable to just one cause, but can be a result of the interaction between several factors including the climate, Swedish cultural differences, family expectations, relationship issues or adjusting to life as an expat. Having myself relocated to Stockholm from an English speaking country I relate personally to the challenges of living in Sweden.

Resolving psychological matters is not always straightforward but my professional experience is that talk therapy and other appropriate treatment usually results in finding new ways forward. This is the power of therapeutic conversations: the possibility to make new meaning out of situations where you have felt stuck or lost or hopeless.

 

3. More options than the Swedish healthcare system

Sweden has one of the best public healthcare systems in the world. However it isn’t perfect and can be slow, bureaucratic and offers little choice of psychological treatment other than a limited course of CBT (cognitive behaviour therapy) or perhaps a psychoanalyst who is selected for you. Deciding to meet a private English-speaking therapist means you can choose the approach that suits you and, most importantly, shop around to find a practitioner you like and can relate to.

If you are making the transition to living in Stockholm, or even if you have been here for some time, the freedom to attend counselling when and how often you want might be important to you. Having flexibility around your appointments and not having to queue for treatment can help you to cope and be a factor in your recovery. I always offer to work in with other health providers where appropriate and this is another benefit of using a private therapist who works primarily in English.

 

Available for all English speakers

Whether you are Australian or from New Zealand, British, Irish, South African, Canadian or an American from the US, commencing therapy, counselling or coaching with a qualified professional who speaks the same language can avoid the limitations of the public health services.

  • If you think you might be suffering from SAD (seasonal affective disorder), anxiety, depression, cultural adjustment, drinking problems or stress…
  • If you want one-to-one therapy, counselling for a relationship as a couple or as an individual…
  • Or if you are just looking for a qualified person to be a sounding board’,

I welcome you to contact me and discuss the possibilities of working together in Stockholm.