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This questionnaire is intended to serve as a personal orientation for you. Your answers remain confidential and will not be stored – they are meant to help you better assess your current situation.
Psychological Psychotherapist (CBT) Sally Schulze
It's wonderful that you've found our page for English-speaking psychological support in Bilbao. I truly understand what it feels like to be far from home. Expat life offers so many amazing experiences, but it can also be an emotional rollercoaster. The longing for family and friends, the challenge of navigating a new culture, and the feeling of having one foot in two worlds – it can all be incredibly draining. Especially when you're strolling through the alleys of the old town in the evening and hear the sounds of Basque music, homesickness can become overwhelming and create a feeling of being uprooted. You're not alone in this.
As an online psychologist, I understand the unique challenges that await you as an expat. It's often not just the obvious things like cultural differences or language barriers. It's the subtle nuances, the small misunderstandings that keep cropping up in everyday life and that feeling of identity loss that is so hard to grasp and put into words. I know how exhausting that can be.
My goal is to show you both local resources in Bilbao that can help you, as well as introduce you to my online counselling. This is specifically designed to support you as an expat – no matter where you are right now and what challenges you are facing. Because sometimes you just need someone who really understands your situation and can support you with advice and assistance.
I often hear the question: Sally, do you also take time for yourself? The answer is: Yes! As a speaker, expert and entrepreneur, I am passionate about women's health. But I don't burn out.
I manage to do this by taking care of myself. Here the motto for me is: Practise what you preach. So you will not only find me at MentalStark, in TED-Talks or podcasting. No. You can also find me in Frankfurt cafés, by the lake or on the snowboard. In the picture here on the right, I am enjoying the sun and the fresh sea breeze. That's how I recharge my batteries and then start all over again.
As a licensed psychological psychotherapist (CBT) and certified fertility counselor (BKiD), I bring more than 3,000 hours of experience in online counseling. My approach is based on appreciation and radical acceptance – I create a safe space where you feel understood and accepted.
In our collaboration, a trusting relationship is particularly important to me. Your experiences as an expat deserve special attention and understanding, because life between two cultures brings unique challenges.
For on-site appointments in Bilbao, the following English-speaking contacts are available to assist you with professional support. Please note that availability may vary and it is advisable to inquire in advance:
Dr. Cosima Franke
Psychologische Psychotherapeutin
Alameda Urquijo 52, 4º izq.
48011 Bilbao, Spanien
As an experienced psychological psychotherapist, I offer you empathetic psychological online counseling. I understand how overwhelming it can be to adapt to a new culture – when the language sounds foreign, the social codes are different, and sometimes you can't even explain why you feel so strange.
In my online counselling, we create a protected space where you can talk about all these feelings in your native language. Whether you feel torn between cultures, identity issues are bothering you, or homesickness is weighing you down – together we will find ways to not only survive in Bilbao, but to lead a fulfilling life.
Even if you are in a relationship crisis – perhaps even with a partner from a different cultural background – my couples counselling is a valuable support to build cultural bridges and find your way back to each other.
The 20-minute introductory meeting with me is free of charge. Check completely without obligation whether the chemistry is right and ask your open questions. You are also welcome to make appointments by e-mail. I look forward to getting to know you and finding a way together how you can not only survive in Bilbao, but really arrive.
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You can easily book your free introductory session through my online calendar.
Many expats in Bilbao experience similar difficulties: adapting to the Basque culture, learning Spanish or even the Basque language, finding suitable accommodation in the often narrow streets of the old town, and making contacts in a society that is strongly based on family ties. These factors can lead to stress, loneliness, and a feeling of being overwhelmed.
There are several ways to overcome these challenges. The key often lies in taking action. Try to learn Spanish, even if it's difficult. Take language courses or use language tandem programs. Get involved in local clubs or groups that deal with German or international culture. Explore Bilbao and the surrounding area – the coast, the mountains, the small villages – to familiarize yourself with the new environment. And don't hesitate to seek professional help if you feel overwhelmed.
One possibility is to contact Dr. Cosima Franke, an English-speaking psychotherapist in Bilbao (contact details above). Alternatively, I offer my online counselling, where you can comfortably talk about your worries from home in your native language. There are also online directories of English-speaking therapists worldwide that you can use.
Waiting times can vary, depending on the workload of the therapist. It is advisable to make appointments early or look for alternative options such as online counselling, where shorter-term appointments are often available.
The costs for psychological counselling vary depending on the therapist and the type of treatment. Private health insurance often covers part of the costs. It is important to inform yourself about the conditions with your insurance company in advance. The costs for online counselling are often transparent and can be a more cost-effective alternative.
Culture shock is a normal reaction to a new environment. It can manifest as frustration, homesickness, irritability, or social withdrawal. It is important to be aware that these feelings are normal and temporary. Try to be open to new experiences, but also allow yourself to maintain your old habits and traditions. Seek contact with other expats, but also with locals. And don't forget to take time for yourself and do things that you enjoy.
Homesickness and isolation are common companions of expat life. To counteract this, it is important to take action. Maintain contact with your family and friends at home, but also build a social network in Bilbao. Participate in local events, attend language courses, get involved in clubs or groups. Find a hobby that you can pursue in Bilbao. And don't forget to take time for yourself and do things that you enjoy.
Language barriers can lead to frustration, isolation, and a feeling of helplessness. It is important to learn Spanish, even if it's difficult. Use language courses, language tandem programs, or online resources. Don't be afraid to make mistakes and speak Spanish as often as possible. If you feel overwhelmed, seek professional help from an English-speaking therapist.
Germans often value punctuality, directness, and efficiency, while Spaniards tend to be more relaxed, flexible, and relationship-oriented. These differences can lead to misunderstandings and conflicts. It is important to be aware of cultural differences and try to understand the other person's perspective. Communicate openly and honestly, but avoid criticizing or lecturing the other person. Be patient and tolerant and try to learn from the Spanish way of life.
Updated on: March 30, 2025
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Sally Schulze 2025
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