Expats and English speakers abroad
You live outside the United States and want care in English from a US-trained clinician who understands life between countries.
About clinical careA small practice for English speakers living abroad
Individual therapy and clinical assessments, with time to do them carefully.
I am Miles Tate, MSW. I meet English speakers living outside the United States by secure video. I bring a trauma-informed care approach to ongoing individual therapy and clinical assessments. I keep the caseload small on purpose.
Request an appointment (opens in a new tab)
For clients located in South Dakota or Colorado. Clients outside the United States: please use the contact/intake option below.
Currently accepting a limited number of new clients.
- Clinical experience
- 10 years
- Ongoing clients
- About 30
Abstract illustration of two places connected by a curved line, with a simple video window.
Who I work with
People building a life outside the United States.
Sessions are in English. Therapy and assessments are clinical care. Coaching is a different service for communication, and it is not treatment.
International students
School, distance from home, and a new culture can pile up. Therapy is one steady hour in English.
About clinical careGlobally mobile professionals and families
Moves, time zones, and work in English can strain sleep, relationships, and mood. The practice is built for a life that does not sit still.
About clinical careNon-native English speakers
You want to understand English more clearly and communicate with more confidence with English-speaking colleagues, partners, and friends. That support is coaching, and it is not therapy.
About coachingHow therapy begins
Consult, assess, plan, then meet.
This is the usual path for clinical care. Coaching follows a different, non-clinical path.
Submit a short screening
You answer a brief screen: contact details, the service you want, a few sentences about what you hope will change, and two safety questions. This is not a full history, and it does not start care.
The provider reviews it
I read the screening and decide whether a free consultation is a fit. A safety concern is reviewed first. Review can also end in a referral or a decline.
A free 15-minute consultation
If we move ahead, we talk about your country, time zone, and whether we can work together. This is not a therapy session. The website cannot promise that care is allowed where you live.
A comprehensive assessment
If we go ahead with therapy, the next step is usually a biopsychosocial-spiritual assessment. It is a clinical interview, not a test battery. You receive a written assessment with recommendations.
Your individualized treatment plan
Every therapy client gets a plan of their own. We set personal goals, measurable objectives, and intervention strategies tailored to you.
Ongoing therapy, with progress reviews
We meet by secure video. From time to time we look at the plan together and change it when your needs change.
Services
Two clinical offerings lead. Coaching stays separate.
Individual therapy and clinical assessments are the main work. Fees are in US dollars. The 15-minute consultation is free.
Primary
Ongoing individual therapy
One-to-one therapy by secure video for adults, adolescents, and older adults. Every client has an individualized treatment plan that we review over time.
$100 per hour
Therapy detailsPrimary
Clinical assessments
Clinical interviews and a written summary with recommendations. These are not psychological tests.
Biopsychosocial-spiritual assessment
$200 flat fee
Comprehensive mental health assessment
$200 flat fee
Therapeutic approaches
A trauma-informed care approach, then the tools that fit.
I bring a trauma-informed care approach to all therapy and assessments. I integrate these approaches according to each client’s individualized treatment plan. I use what fits the goals we set together. I do not claim a formal certification in any of them unless it is listed under certifications.
- Trauma-informed care approaches
- Trauma-Focused Cognitive Behavioral Therapy (TF-CBT)
- Dialectical Behavior Therapy (DBT)
- Solution-Focused Brief Therapy
- Acceptance and Commitment Therapy (ACT)
- Motivational Interviewing
- Mindfulness-based approaches
Areas of focus
- Grief and loss
- Hospice and medical social work
- Complex trauma
- Anxiety
- Social anxiety
- Self-esteem and confidence
- Overcoming guilt and shame
- Building resilience and perseverance
- Working through ambivalence about change
- Bipolar disorder
- Serious, long-term mental health conditions
- Substance use and recovery support
A small practice, built for distance.
US-trained social worker
Master of Social Work, with a decade of clinical experience. State licenses are listed on the About page.
Secure, private video
We meet online. You will get a private link. Use a space where you will not be overheard.
English-language care
Sessions are in English only. If English is not your first language, therapy can still go slowly. Coaching is the service for communication practice.
Your local time zone
The published window is wide. The time we book is the time on your clock.
A wide scheduling window
Monday to Friday, 7:00 a.m. to 8:00 p.m. US Mountain Time. Sessions can be scheduled inside a wide window. Exact openings depend on the calendar. I am not available every hour of that window. We agree the time in your local time zone. You do not have to convert the clock yourself. I confirm the hour where you live before we meet.
The window is wide so people in Europe, Africa, and the Middle East can usually find a daytime or evening hour, and people in the Americas can meet during their day. People in parts of Asia and Australia can often meet in their morning.
Where I see clients
Outside the United States, when the rules allow it.
I am based in the United States. The names below are places people ask about. They are not a list of approved locations.
- Australia
- Brazil
- Canada
- France
- Germany
- Ireland
- Italy
- Japan
- Mexico
- Netherlands
- New Zealand
- Portugal
- Singapore
- South Africa
- Spain
- Switzerland
- United Arab Emirates
- United Kingdom
This list is a placeholder of countries people often ask about. It is not a statement that therapy, assessment, or coaching is legal or available there. I am licensed in the United States. Rules where you live may be different. We talk about your country in the free consultation before any work begins. Nothing on this website is a promise of eligibility.
Your clinician
Miles Tate, MSW
I am a US-trained social worker offering individual therapy and clinical assessments for English speakers living outside the United States. I keep the practice small so the work can stay personal.
10 years of clinical experience. Education and state licenses are on the About page, not in this headline.
About Miles TateTwo ways to reach the practice.
Clients in South Dakota or Colorado can request a time in the client portal. If you live outside the United States, use the contact page. Email is not a clinical record.
Currently accepting a limited number of new clients.