
Online Therapy for Australian Expats in the USA
Expert individual & relationship counselling from therapists who understand Australian culture.

Relocating to the United States as an Australian expat can be exciting, but it also brings unexpected emotional and relationship challenges. Whether you’re adjusting to American work culture, navigating visa stress, feeling isolated from family, or struggling with relationship dynamics, adapting to life in the U.S. can feel overwhelming.
At The Hart Centre, we offer online therapy for Australian expats in the USA, providing professional individual and couples counselling tailored to the unique struggles of expat life. With over 83,000 happy clients and a 100% satisfaction guarantee, we ensure you’re matched with a therapist who understands Aussie values, relationship dynamics, and the challenges of living in America.
Hart Centre has helped thousands get back to a better place
We understand Australian culture and the challenges of American expat life.
Although the U.S. and Australia share many similarities, relocating as an expat can reveal unexpected differences in work, relationships, and daily life.
- American Work Culture vs. Aussie Lifestyle – The U.S. often has longer work hours, fewer holidays, and high job competition, making it hard to maintain a balanced lifestyle. Many Australians struggle with burnout and stress.
- Healthcare System Differences – Unlike Australia’s Medicare system, U.S. healthcare is private, expensive, and complex, which can add stress when seeking medical or mental health support.
- Navigating U.S. Social Norms & Making Friends – While Americans are friendly, social circles can feel hard to break into, leaving many expats feeling disconnected and isolated.
- Visa & Immigration Stress – Many Australians in the U.S. experience uncertainty around work visas, green cards, and long-term residency, which can create ongoing anxiety.
- Long-Distance Family & Homesickness – With major time zone differences, staying in touch with family in Australia can feel exhausting, leading to emotional strain and expat guilt.
Our therapists understand these challenges and provide culturally relevant, personalised strategies to help you adjust, connect, and thrive in your new American home.
Why choose The Hart Centre for online therapy in the US?
Our rigorous matching and vetting process means we only connect you with reliable therapists who understand Australian culture.
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Specialized therapy for expats, individuals and couples
Individuals: Managing stress, loneliness, career burnout, and expat identity struggles.
Couples: Strengthening communication, rebuilding intimacy, and adapting to expat life together.
Cross-Cultural Relationships: Navigating differences in values, traditions and expectations when in a relationship with a US partner. -
Convenient, secure online therapy, anywhere in the USA
Our fully telehealth-based therapy services mean you can access support from anywhere, including major Aussie expat hubs like Los Angeles, New York, San Francisco, Austin, and Chicago.
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100% satisfaction guaranteed & over 83,000 clients helped
We ensure you’re matched with the right therapist, and if you’re not satisfied after your first session, we’ll rematch you at no extra cost.
Common issues we can help you with:
- Expat Relationship & Marriage Challenges
Relocating overseas can strain even the strongest relationships. Many couples struggle with miscommunication, lifestyle differences, and external pressures. Therapy helps couples strengthen their bond and navigate change together. - Work Stress & Career Pressure in the U.S.
The U.S. job market is competitive, and many Australians find higher expectations, fewer work protections, and a culture of overwork difficult to manage. Therapy provides support for burnout, stress, and work-life balance. - ✔ Visa & Immigration Anxiety
Many Australians in the U.S. deal with work visa limitations, green card delays, and residency uncertainty, causing stress, anxiety, and fear of instability. Therapy helps you manage these emotions and find coping strategies. - Difficulty Making Friends & Feeling Disconnected
While Americans are outgoing, it can be hard to build deep, lasting friendships as an expat. Therapy helps with confidence, social anxiety, and finding ways to integrate into new social circles. - Cross-Cultural Relationships
If you’re in a relationship with an American or someone from another cultural background, differences in communication styles, traditions, and expectations can create challenges. Therapy helps couples navigate these differences with understanding and compromise. - Missing Family & Struggles with Long-Distance Connections
Being far from family means missing major life events, which can lead to feelings of guilt, detachment, and stress. Therapy helps you develop healthy ways to stay connected and emotionally balanced. - Mental Health, Anxiety & Expat Burnout
Adjusting to life in a new country, different societal norms, and uncertainty about the future can lead to anxiety, burnout, and depression. Therapy provides strategies to manage stress, build resilience, and improve well-being.

Appointments available straight away: Get support now
No need to wait. Wherever you are in the U.S., The Hart Centre is here to support you. Whether you need individual guidance, relationship counselling, or help adjusting to expat life, we’re here to help.