Swans on the Limmat river in front of Zurich's old town and Grossmünster towers
Photo: Jakub Hałun · Wikimedia Commons · CC BY 4.0

English-speaking counsellor for women in Zurich

Online, person-centred counselling in English for women who have moved to Zurich, from a trainee counsellor working under supervision in the UK.

By Michelle Fernando · Updated

If you are looking for an English-speaking counsellor in Zurich, I offer person-centred sessions online, by secure video, to women living abroad. I am a trainee counsellor and BACP student member in the UK, working under supervision. Each 50-minute session is £45, charged in pounds. This is counselling from the UK and is separate from Swiss healthcare.

Expat life in Zurich: who lives here

At the end of 2025, Zurich had 452,421 residents, and 33.9% of them were foreign nationals, according to the city's statistics office. Across the canton, Germans (88,900) and Italians (62,200) were by far the largest foreign groups.

The city also churns. About 125,000 people moved to Zurich from abroad between 2018 and 2024, roughly 18,000 a year, and seven in ten of them were aged between 20 and 39. Among people joining family members already living in the city, Germany and India were the two main countries they came from.

So if you are new, young-ish, and the person who followed someone else here, you are in large company. It can still feel very solitary. If that is where you are, the page on expat loneliness may put words to it, and the short loneliness test is a private way to check in with yourself.

Looking for an English-speaking therapist in Zurich

Switzerland changed the rules in July 2022. Since then, psychologists who are qualified psychotherapists can bill basic health insurance directly, on a doctor's order. According to the Federal Office of Public Health (BAG):

  • the psychotherapist needs a cantonal licence to practise, at least three years of psychotherapy experience, and admission by the canton, which is not automatic
  • a doctor's order covers up to 15 sessions, and a further 15 need the doctor and therapist to confer
  • beyond 30 sessions, the insurer has to agree to cover the cost
  • only treatment for an illness is paid for

In June 2026, the BAG reported that access had tended to improve and that many more psychotherapists had been admitted to basic insurance. It also said long waiting times persist, especially for children and young people and in rural areas.

For an English speaker, that means a few practical steps. Start with your GP or a psychiatrist, who can write the order. Then look for a psychotherapist with a free place who works in English, which may take several phone calls. Ask your insurer before the first session what you will pay yourself, since your own policy decides that. My guide on how to find a therapist abroad has a checklist of questions to ask a practice before you commit.

The title to look for is "eidgenössisch anerkannte Psychotherapeutin" or "Psychotherapeut", which is linked to a federal postgraduate qualification. I don't hold that title and I don't claim it. I am a UK-trained counsellor, still in training.

The parts of Zurich life that are harder to explain

Zurich has a reputation for working smoothly. Trains leave on time, appointments start when they say they will, and the paperwork, once you understand it, follows clear rules. That kind of order can leave little room for the slower, messier work of settling in, which doesn't follow a timetable at all.

Some things women from abroad in Zurich find themselves holding:

  • The language gap. You may have learned standard German, and still feel shut out of the dialect around you at the playground, the doctor's or the office party.
  • A career on pause. If you moved for a partner's job, the life you planned can start to look like their life with you in it. The trailing spouse page is about exactly that.
  • Comparison. In a city that looks so polished, it is easy to decide that everyone else has settled in and you are the one who hasn't.
  • Family elsewhere. Parents getting older in another country, and the pull of duty from a long way off. The page on boundaries with family may help you put words to that.

You don't need to be in crisis, or even know exactly what is wrong, to want a place to talk. Sometimes the first thing that helps is saying out loud, to someone with no stake in your decisions, that this move has been harder than you expected.

Online sessions from Zurich, step by step

  1. Book. Choose a time on the booking page. The page shows the time zone, so please check it. Zurich is one hour ahead of the UK.
  2. Pay. The fee is £45 per session, charged in pounds. Your card provider may add a conversion fee. Limited lower-cost places exist for students, trainees and people on a low income; see fees.
  3. Meet. We meet by secure video for 50 minutes. Find somewhere private where you won't be overheard, and use headphones if you share your flat.
  4. Decide together. In the first session we talk about what brings you and whether this way of working feels right. You are under no obligation to continue.

If you would like a broader picture first, the page on online therapy for expats explains how I work with people living outside the UK, and my list of free mental health resources for expats and migrants has checked self-help material you can use between sessions or instead of them.

Who I am: a trainee counsellor under supervision

I am Michelle Fernando, a trainee person-centred counsellor and BACP student member. I work under regular clinical supervision and I am completing an MSc in Counselling and Psychotherapy at Keele University. I hold a BSc in Psychology from Coventry University and a postgraduate diploma in counselling from the University of Colombo.

My way of working is non-directive. I won't diagnose you or tell you what to do. I will try to understand your world as you experience it, including the parts that don't fit neatly together, such as loving your family and needing distance from them.

I am not a Swiss health professional, and our sessions are not Swiss healthcare.

When online counselling isn't the right support

If you are in danger or thinking about ending your life, please don't wait for a session. Call 112 or 144, or Heart2Heart on 0800 143 000 in the evening, or 143 at any hour. My page of verified mental health and women's support services in Zurich lists the psychiatric emergency line, the after-hours medical line and support for women affected by violence.

I also don't work with psychosis, eating disorders, specialist trauma treatment, addiction, couples or children. Your GP, a psychiatrist or a licensed psychotherapist in Zurich is the right first step for those. There is more general information on the Switzerland overview, and the national numbers are collected on my page of mental health helplines in Switzerland.

All checked helplines in Switzerland · Local support services in Zurich

Questions people ask

Does Swiss basic insurance pay for counselling with you?

No. Since July 2022, Swiss basic insurance can pay for psychological psychotherapy, but only with a doctor's order and only with psychotherapists who have a cantonal licence and are admitted by the canton. I am a UK trainee counsellor working online, so my sessions fall outside that system. The fee is £45 per session, charged in pounds.

Is there an English-language crisis line in Zurich?

Yes, for part of the day. Die Dargebotene Hand runs an English line, Heart2Heart, on 0800 143 000, every evening from 6pm to 11pm. The conversation is free, though your provider may charge for the connection. The main 143 line runs around the clock in German, French or Italian. In an emergency, call 112 or 144.

What is the time difference between Zurich and the UK?

Zurich is one hour ahead of the UK for practically the whole year. A session at 7pm in Zurich is 6pm in the UK. When you book, the booking page shows the time zone, so please check it before you confirm, particularly in the weeks around the clock changes.

Can I see you while I wait for a psychotherapy place in Zurich?

Often, yes, as long as you are not in crisis. Some people use counselling as a place to talk while they wait for a local psychotherapist. Please tell me if you are on a waiting list, so we can be clear about what our sessions are for and when local care should take over.

Do you only work with women?

My focus is women living abroad, especially women from collectivist or South Asian families and women who moved for a partner's career. I don't turn men away. If you are unsure whether I am the right fit, you are welcome to email before booking.

Do I need a doctor's order to book counselling with you in Zurich?

No. A doctor's order is needed only when you want Swiss basic insurance to pay for psychological psychotherapy. My sessions are private counselling delivered online from the UK, so you can book a first session directly, without a referral. The fee of £45 per session, charged in pounds, is paid by you rather than your insurer.

Sources

  1. Stadt Zürich: Bevölkerungswachstum, aber weniger Vorschulkinder (Feb 2026)
  2. Stadt Zürich: Zuwanderung in die Stadt Zürich
  3. Kanton Zürich: Bevölkerung im Kanton Zürich wächst weiter, jedoch langsamer (Feb 2026)
  4. BAG: Neuregelung der psychologischen Psychotherapie ab 1. Juli 2022
  5. BAG: Neuregelung der psychologischen Psychotherapie hat sich etabliert (June 2026)
  6. BAG: Häufige Fragen zum Psychologieberufegesetz (PsyG)
  7. 143.ch Heart2Heart: How to contact us
  8. 143.ch Heart2Heart: FAQ
  9. Ärztefon