Anxiety
When anxiety stays switched on, narrows your choices or begins to organise daily life around avoidance, therapy can help you regain freedom and confidence.
Explore this topic ↗Private-pay online therapy
Clear support.
Wherever life has taken you.
Together, we explore what is troubling you and work towards practical change. I can support you with:
Free 15-minute introductory call. A brief, no-obligation conversation to see whether working together may be a good fit. No payment is required for this call.
Please include the country where you will be located during sessions — and your state if you are in the United States. Availability is confirmed according to the rules at your location.
Personal · structured · attentive

A first step can be simple
Symptoms rarely exist in isolation. They often make sense in the context of personal history, relationships, culture and current pressure. We look closely at what is happening, what keeps it going and which practical changes may help.
Areas of support
When anxiety stays switched on, narrows your choices or begins to organise daily life around avoidance, therapy can help you regain freedom and confidence.
Explore this topic ↗A panic attack can feel like an immediate catastrophe. The physical sensations are real, and fear of the next attack can restrict life long after the episode has passed.
Explore this topic ↗Intrusive thoughts and compulsive rituals can consume time, create shame and make certainty feel urgently necessary. They do not define your character or intentions.
Explore this topic ↗Persistent exhaustion is not a personal failure. It often shows that demands, inner pressure and available energy have been out of balance for too long.
Explore this topic ↗Grief has no fixed timetable. It can move in waves and change the way you experience the past, the present and the future.
Explore this topic ↗Relationship distress can reactivate older experiences of closeness, rejection, dependency or loss, making the present situation feel especially powerful.
Explore this topic ↗Problematic substance use is not a character flaw. Alcohol, medication or other substances often take on a function: reducing tension, making emotions bearable or creating temporary escape.
Explore this topic ↗About Michèl Nöthen
I hold a university degree in psychology (German Diplom-Psychologe) and have more than 35 years of professional experience. I lived and worked in the United States for six years, an experience that shaped my understanding of life across cultures.
We agree on goals that matter in your daily life and practical steps at a pace that works for you. My experience with body language and non-verbal communication supports our conversation.
Qualifications and approach ↗Simple and secure
Email your name, preferred times and the country where you will be. The 15-minute call is free and without obligation; detailed health information is not needed by ordinary email.
You receive a confirmation with the date, time, time zone and a personal video link. We briefly discuss your request and whether working together is appropriate. No payment is required.
If you decide to continue, regular 45-minute sessions cost €100. You receive a personal RED connect link or code; no app or account is required.
Get in touch
Request a free 15-minute introductory call. Please send your name, contact details, preferred times and location during the call. Sensitive health information can wait for the protected conversation.
Request a Free Introductory Callnoethenpraxis@gmail.com