Psychoanalytic therapy for Italians and expats, wherever you are.

Online sessions in Italian and English, for individuals, couples and families navigating life abroad.

Where are you based?

Professional rules depend on where you are during the session, so we point you to the right place:

  • In the Netherlands: in-person and online sessions in Amsterdam, reimbursed by Dutch insurers → psicote.org
  • In Italy: sessions in Carovigno (Puglia) or online → psicote.it (in Italian)
  • Anywhere else, including the United States: you are in the right place. Please read the note below before booking.

Support across borders and languages

Every path begins with an initial conversation to understand what kind of support fits your situation.

Individual

Anxiety, identity, transitions, and the strain of life far from home.

Couples

For binational or expat couples navigating distance and difference.

Families

Support for households adjusting to a new country and culture.

Adolescents

A dedicated space for young people growing up between cultures.

Supervision for early-career colleagues

A space to think through clinical work for psychologists, psychotherapists and psychoanalysts in the early years of practice: understanding cases, holding the frame, and working with your own reactions in the room.

Supervision is held online, in Italian or English, on Whereby (a GDPR and HIPAA compliant platform).

Dr Samuele Filomena

Psychoanalyst, certified by the Vermont Office of Professional Regulation (USA) and accredited member of APSA. Psychologist and psychotherapist registered in Italy (Ordine degli Psicologi della Regione Puglia, no. 1365). He has worked across public and private mental health services in the UK and Italy.

Since 2011 he has worked with an international clientele, combining psychoanalytic depth with a practical understanding of what it means to build a life between countries and languages.

Professional titles refer to the jurisdiction in which they were granted: psychologist and psychotherapist in Italy, psychoanalyst in Vermont (USA). In the Netherlands, Dr Filomena practises as a GZ psychologist (BIG 19928372625), see psicote.org.

Note for prospective clients in the United States: telehealth regulations vary by state, and in many US states a provider must hold authorization specific to the state where the client is physically located at the time of the session. Vermont certification permits practice with clients located in Vermont; for clients located in other states, please get in touch to confirm whether services can be provided in your state before booking. This note is provided for general information only and is not legal advice.

"Distance from home does not remove the need for a place to be understood — it simply changes its shape." Dr Samuele Filomena

Frequently asked questions

Common questions about starting online psychoanalytic therapy from abroad.

How does online psychoanalytic therapy work?

Sessions take place over video call, in Italian or English, at a regular weekly time. The work follows the same principles as in-person psychoanalytic therapy: a consistent space to explore what's difficult, understand recurring patterns, and think through the experience of building a life between countries and languages.

How long and how frequent are sessions?

Sessions typically last 50 minutes and are held weekly. Frequency can be adjusted together depending on your goals and circumstances.

Is online therapy as effective as in-person therapy?

Yes. Clinical evidence and direct experience show that video-call therapy can be as effective as in-person work, provided the sessions are consistent and the therapeutic relationship is solid. For clients living abroad, it's often the only practical way to access psychoanalytically informed therapy in their own language.

Which platform do you use for video sessions?

Sessions take place on Whereby (whereby.com), a video-conferencing platform that is GDPR and HIPAA compliant. You join through a link, directly from your browser.

Can you work with clients based in the United States?

Dr Filomena is certified as a Psychoanalyst by the Vermont Office of Professional Regulation, which permits practice with clients physically located in Vermont. Telehealth rules vary by US state, so for clients located in other states, please get in touch first to confirm whether sessions can be offered in your state.

I live in the Netherlands or in Italy. Can I book here?

Please use the site for your country: psicote.org for the Netherlands and psicote.it for Italy. The titles and rules that apply are different in each country.

What languages are sessions offered in?

Sessions are offered in Italian and English, which makes the practice a good fit for Italians living abroad as well as English-speaking expats and binational couples and families.

Start with a first conversation

Sessions are held online, in Italian or English, wherever you are based.