Zurich concentrates two things: the financial industry, and private wealth at a level found in very few places.
That combination produces a particular kind of patient, and it is not the one people expect. Not somebody whose life has fallen apart, but somebody whose life is by any external measure enviable, and whose quality of life is poor. The career is intact. The money is not a problem. And something has gone quiet, or hard, or numb, and there is nobody to say it to.
Because that is the difficulty with a life that looks like this from outside. Complaining is unimaginable. To whom would you say it, and in what terms? The wealth that solves every practical problem removes the vocabulary for the ones it does not solve, and people end up managing something serious for years with no language for it and no one to use it on.
What arrives in my consulting room from Zurich is usually that: drinking that has become structural, a relationship with food that runs the day, sleep that has stopped, a marriage conducted at a distance. Underneath, almost always, the same thing. A life that works and does not feel like anything.
Addiction counselling for Zurich, private and confidential
Dr Philippe Jacquet is a private addiction counsellor for Zurich, offering specialist, English-speaking addiction counselling online by secure video. He trained as an addiction specialist at the Hazelden Foundation in the United States, and supervises clinical teams in private residential addiction treatment and in a private psychiatric hospital. This is consultant-level work, delivered with the same depth as at his Harley Street practice.
The drinking behind the performance
Zurich’s financial culture runs on composure, and a good deal of its professional life runs on alcohol: client entertaining, the after-work apéro, the drinks that mark the close of a deal. High-functioning alcohol dependency, and the cocaine use that often accompanies high-pressure finance, thrive where everyone is performing and no one can be seen to struggle. Add the isolation of expatriate life and the distance from family, and drinking or using that has quietly stopped being social is easy to normalise while a career keeps flourishing. The work here covers alcohol dependency including high-functioning presentations, cocaine and stimulants, prescription dependency, gambling, and sex and pornography addiction. Read more about addiction counselling.
What working with an English-speaking addiction counsellor online involves
Online does not mean lighter. The work is intensive, consistent and one-to-one, and it begins with a confidential assessment of what is really going on beneath the drinking or using. From there Dr Jacquet builds a structured plan around your life, rather than asking you to step away into a residential clinic a demanding role cannot spare. Because everything happens online there is no waiting room, no travel and no local record, so treatment stays entirely private, in your own language.
A private alternative to residential rehab in Switzerland
Switzerland is known for its residential clinics, and for a certain patient they are the right answer. But for the senior professional, the price of a luxury rehab in Switzerland is not only financial: it is weeks away from a role that cannot spare them, and a loss of privacy that a discreet life cannot afford. There is another way. Dr Jacquet provides intensive, one-to-one addiction treatment across Switzerland, online and in English, that carries the same clinical depth as residential work while leaving your life, your position and your name entirely intact. It is addiction treatment in Switzerland without the clinic: no admission, no local record, no absence anyone has to explain. For those who also travel, sessions in person at Harley Street in London can be combined with ongoing online work. See also addiction help for Geneva.
Insurance and confidentiality
Dr Jacquet works with major private health insurers, including the international plans common among Zurich’s professionals. Nothing is disclosed to any employer, firm or third party without your explicit consent, and online sessions leave no local footprint.
See also: confidential executive addiction support, a discreet alternative to residential rehab.
Just finished a clinic stay? After detox, the real treatment begins.
Dr Jacquet worked inside residential treatment for close to a decade and supervises clinicians in residential centres today, so he knows what that setting does well and where it falls short. Where residential care is the right answer, he will say so at assessment. Where it is not, or where a person cannot step away from their life without cost, this is the same clinical depth delivered privately.
On the choice between residential treatment and intensive one-to-one work, and when each is the right step: addiction counselling and therapy in London.
Hazelden-trained addiction specialist, UKCP-registered psychotherapist and Jungian analyst, HCPC-registered art psychotherapist. Nine years working inside private residential treatment, five years supervising clinical teams in it, twenty-five years of practice. Both registers are public and can be checked independently.
Treatment built rather than allocated
Standard treatment assumes a standard life: a fixed hour each week, a local service, a group whose circumstances resemble your own. For someone in three countries a month, whose name is known, and for whom a six-week absence would be noticed, none of those assumptions holds.
There is also a subtler problem. When most people around you are employed by you, advised by you or dependent on the relationship, there may be very few whose opinion is genuinely disinterested. The ordinary correctives that slow a problem down are not reliably available, so it accelerates unobserved.
That is why the work has to be built around the life rather than the other way round, and why the clinician needs to be independent enough to say the unwelcome thing. More on how that is arranged.
Containment, and challenge
If you have spent decades being the most capable person in most rooms, the people around you have adjusted. Staff do not push back, boards do it within a managed frame, and family have usually concluded it is not worth the cost. The result is not arrogance but isolation of a particular kind: your own judgement becomes the only judgement operating on you, and judgement never met by another judgement drifts.
What helps is not sympathy or admiration. It is a clinician who can contain what you are carrying without buckling, and who has nothing whatsoever to lose by disagreeing with you. More on what that means in practice.
Common questions
Is there a discreet private alternative to a luxury rehab in Switzerland?
Yes. Dr Philippe Jacquet, Hazelden-trained addiction specialist, offers one-to-one private addiction therapy by secure video for clients in Zurich, Geneva, Basel, Zug and Lausanne: the clinical depth of residential treatment without the residency, the cost, or the record of admission. Sessions are arranged around executive schedules, in English or French.
How does private addiction therapy compare with residential rehab?
Residential treatment removes a person from their life for weeks and is essential where medical detoxification or constant supervision is required. Private therapy works with the life as it is lived, which suits professionals who cannot disappear and who value discretion above all. At assessment Dr Jacquet will say honestly which is appropriate.
Is English-speaking addiction help available in Zurich?
Yes. Dr Philippe Jacquet is a private addiction counsellor working with clients in Zurich online by secure video, in English, with complete discretion and no local footprint.
Do you work with international health insurance?
Yes. Dr Jacquet works with major insurers including Bupa, Cigna, AXA and Aviva. The international private health plans common among Zurich professionals often cover this kind of specialist care, so ask about your cover.
What types of addiction do you treat?
Alcohol dependency, including high-functioning drinking, cocaine and stimulants, prescription dependency, gambling, and sex and pornography addiction. If you are unsure whether what you are dealing with counts as addiction, a first confidential conversation will help.
Is there a private alternative to residential rehab in Switzerland?
Yes. For many professionals, stepping away into a residential or luxury rehab clinic in Switzerland is neither possible nor wanted, and the loss of privacy can be its own harm. Dr Jacquet offers intensive, consultant-level addiction treatment online across Switzerland, including Zurich, Geneva, Basel, Zug and Lausanne: the clinical depth of residential care, without the institution, the cost or the exposure.