Online psychotherapy in Italian and English, for individuals, couples and families navigating life abroad.
Every path begins with an initial conversation to understand what kind of support fits your situation.
Anxiety, identity, transitions, and the strain of life far from home.
For binational or expat couples navigating distance and difference.
Support for households adjusting to a new country and culture.
A dedicated space for young people growing up between cultures.
Clinical psychologist and psychoanalyst, accredited member of APSA and certified Psychoanalyst with the Vermont Office of Professional Regulation (USA). He has worked across public and private mental health services in the UK and Italy, including the Tavistock & Portman NHS Trust and East London NHS Trust.
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. He is certified to practise as a psychoanalyst in Vermont, USA, and welcomes clients based in the United States.
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
Common questions about starting online psychoanalytic therapy from abroad.
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.
Sessions typically last 50 minutes and are held weekly. Frequency can be adjusted together depending on your goals and circumstances.
Yes. Clinical evidence and direct experience show that video-call psychotherapy 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.
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.
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.
Sessions are held online, in Italian or English, wherever you are based.