The Nomads Psychologist - M.Sc. Karolina Oling

The Nomads Psychologist - M.Sc. Karolina Oling Psychologist | Currently training in Cognitive Behavioural Therapy (CBT).

Helping people living abroad navigate the challenges of expat life and regain peace of mind. 🌱
Sessions €65/ 50 minutes. 📩 DM to book a session.

I haven't been sleeping much lately — World Cup. And I could frame this as a confession, as me admitting I've broken my ...
12/07/2026

I haven't been sleeping much lately — World Cup. And I could frame this as a confession, as me admitting I've broken my own rules about sleep hygiene. But that's not quite it.

One of the most important things I've learned as a therapist — and one of the things I try to teach — is that rigidly following rules was never really the goal. The real skill is recognizing when something actually matters. And then choosing, consciously, to prioritize it.

Sleep, I can catch up on. But the live emotion of watching a match that genuinely means something to me, right now — that doesn't come back tomorrow.

This isn't an exception to self-care. This is self-care, in a version we talk about less. Sometimes it doesn't look like a perfect routine. It looks like a conscious choice about what actually matters to you in this moment.

Flexibility, chosen deliberately, isn't a lack of discipline. It's a more mature form of it.

What about you — is there something you knowingly set your own rules aside for?

I've received many messages from you asking about ADHD diagnosis in other countries: where you can apply, what the proce...
05/07/2026

I've received many messages from you asking about ADHD diagnosis in other countries: where you can apply, what the process is like, how long it takes, and what happens next.

In this infographic, I present the most important information about diagnosis in each country. The processes vary slightly, but the goal is the same: better understanding your child and providing them with support.

🔍A long-promised post! How does an ADHD diagnosis actually work in Germany? Here's a step-by-step breakdown:First, a few...
03/07/2026

🔍A long-promised post! How does an ADHD diagnosis actually work in Germany? Here's a step-by-step breakdown:

First, a few things to know upfront:
• ADHD can only be diagnosed after a child's 3rd birthday
• Symptoms must have been present for at least 6 months
• They must appear in at least 2 areas of life (e.g. home AND school)

📋 The process usually looks like this:

1️⃣ Initial consultation
A first appointment with the child and parents together. You'll be asked to bring school reports and any existing medical records. Questionnaires are sent in advance for parents AND teachers to fill in.

2️⃣ Medical examination
Physical causes are ruled out first — things like thyroid disorders or neurological issues can mimic ADHD symptoms. Blood tests and physical exams are standard*.

3️⃣ Detailed interview (Anamnese)
A deep dive into the child's history — from pregnancy and birth through to current symptoms. A separate parent interview (without the child) also takes place.

4️⃣ Questionnaires & behavioural observation
Standardised forms are completed by parents, teachers, and sometimes the child. Younger children may also be directly observed.

5️⃣ Attention & intelligence testing
The child is tested individually (without parents) using tools like the TAP attention battery and the WISC-V intelligence test. This takes 2–3 hours across separate appointments.

6️⃣ Ruling out other conditions
Anxiety, depression, learning difficulties, and other conditions can look like ADHD — these need to be carefully excluded.

7️⃣ Final feedback & written report
A closing appointment to discuss results and next steps. You'll receive a written report with findings and treatment recommendations.

⏳ The whole process takes multiple appointments — and that's a good thing. A careful diagnosis protects your child from both over- and under-diagnosis.

Have questions about the process? Drop them in the comments! 💙

*If your child is afraid of having blood drawn, I recommend purchasing numbing patches. They will help reduce the pain and stress associated with the visit :)

🧠 Does your child need an ADHD diagnosis in Germany? Here's what you need to know:✅ Who CAN officially diagnose:• Child ...
01/07/2026

🧠 Does your child need an ADHD diagnosis in Germany? Here's what you need to know:

✅ Who CAN officially diagnose:
• Child & Adolescent Psychiatrist (Kinder- und Jugendpsychiater)
• Accredited Child Psychotherapist with Approbation (Kinder- und Jugendlichenpsychotherapeut)
• Socio-Pediatric Centers (Sozialpädiatrische Zentren / SPZ)

❌ Who CANNOT diagnose:
• A plain psychologist (without Approbation)
• Coaches, teachers, or educators
• A regular pediatrician (Kinderarzt) — they can refer you, but not diagnose

💊 Important: Only doctors can prescribe ADHD medication — not psychotherapists.

The process takes several appointments and is thorough by design. Patience is key, but getting the right diagnosis from the right person makes all the difference. 💙

Feel free to reach out if you have questions!

I've been working with multilingual clients — migrants, expats, refugees — for years now. And I still catch myself wonde...
28/06/2026

I've been working with multilingual clients — migrants, expats, refugees — for years now. And I still catch myself wondering why something so obvious isn't talked about more widely:

Having a psychologist/therapist who actually lives in the same multilingual, in-between world as you do is not just a nice bonus.

𝐈𝐭 𝐜𝐡𝐚𝐧𝐠𝐞𝐬 𝐭𝐡𝐞 𝐰𝐡𝐨𝐥𝐞 𝐭𝐡𝐢𝐧𝐠 𝐟𝐫𝐨𝐦 𝐝𝐚𝐲 𝐨𝐧𝐞.

I know this from both sides. I've been in therapy myself, living abroad, and I needed someone who didn't need me to explain what it feels like to belong nowhere and everywhere at the same time. No amount of cultural competency training fully replaces that.

Something just lands differently. You spend less energy translating yourself, and more energy actually doing the work.

That's what this book is about. And honestly, it's what keeps me going back to study, even after all these years — because my clients deserve someone who keeps asking better questions. 🤝

This is my reading for this weekend. 📖☀️

“I’m just tired” is one of the most common phrases used by people who have been running on empty for far too long.Not ev...
26/06/2026

“I’m just tired” is one of the most common phrases used by people who have been running on empty for far too long.
Not everyone who says it is simply tired.

Sometimes it hides months of tension, constant pressure, emotional overload, or anxiety that has become so familiar it no longer feels unusual.

If rest never seems to feel quite enough, it may be worth asking yourself: 𝐖𝐡𝐚𝐭 𝐢𝐬 𝐢𝐭 𝐭𝐡𝐚𝐭’𝐬 𝐫𝐞𝐚𝐥𝐥𝐲 𝐞𝐱𝐡𝐚𝐮𝐬𝐭𝐢𝐧𝐠 𝐦𝐞?

Look carefully at your answer. Sometimes awareness is the first step towards genuine recovery.

If this statement resonates with you, it may be a sign that this is one of your default ways of thinking.Automatic thoug...
24/06/2026

If this statement resonates with you, it may be a sign that this is one of your default ways of thinking.

Automatic thoughts centred around control can be some of the hardest to notice—and at the same time, some of the biggest barriers to genuine rest, whether you're on holiday or simply trying to unwind after a busy day. 🏝️

The good news is that automatic thoughts can be challenged and changed.

If you're about to go on holiday and can feel this thought lingering somewhere in the background, ask yourself:

“𝐈𝐬 𝐦𝐲 𝐧𝐞𝐞𝐝 𝐟𝐨𝐫 𝐜𝐨𝐧𝐭𝐫𝐨𝐥 𝐠𝐞𝐧𝐮𝐢𝐧𝐞𝐥𝐲 𝐩𝐫𝐨𝐭𝐞𝐜𝐭𝐢𝐧𝐠 𝐦𝐞, 𝐨𝐫 𝐢𝐬 𝐢𝐭 𝐡𝐨𝐥𝐝𝐢𝐧𝐠 𝐦𝐞 𝐛𝐚𝐜𝐤?”

If, during your time off, you catch yourself thinking:
“I'll relax once everything is in order.” pause for a moment and come back to that question.

Sometimes, questioning a single thought at the right moment can bring more peace of mind than a whole week away.

🚨 Your child recently moved to a new country. A lot has recently changed for you all, you may be a bit confused if your ...
16/06/2026

🚨 Your child recently moved to a new country. A lot has recently changed for you all, you may be a bit confused if your child was like this before and you missed the cues or maybe in the new country is another standard for ,,normal" behaviour.

Now they won't talk much at school or day care. They avoid other kids or having conflicts. They repeat the same routines obsessively or need more structure than others. Their behavior became odd like imitating animals, movie heroes or other kids. The school is concerned and your journey for a diagnosis has begun.

Although all above symptoms may suggest "autism" — please read this.

What you might be seeing is anxiety.

And these two things may look similar. From my own experience I see that the anxiety is often overlooked and under diagnosed. It looks also different than in adults so for many parents simply harder to acknowledge.

Here's what happens inside a child who changes countries:

Their entire world disappears overnight. The language, the friends, the smells, the routines — gone. Their nervous system goes into survival mode. And that survival mode? It can look exactly like autism to the untrained eye.

👉 They stop speaking at school even when they know the language → looks like a communication disorder
👉 They avoid other children or having conflicts → looks like social impairment
👉 They need the same routine every single day → looks like rigidity
👉 They seem emotionally flat, distant, "in their own world" → looks like detachment

But here's the key difference:

✅ At home, with you — they're fine. They talk. They laugh. They're your child.

That contrast? That's not autism. That's anxiety doing what anxiety does: shutting a child down in places that feel unsafe.

Science backs this up. Research shows that immigrant children face something called acculturation stress — a deep, chronic pressure from having to rebuild their identity, language, and friendships from scratch. It produces real, measurable changes in behavior.

Changes that are routinely misread.

A wrong diagnosis doesn't just waste time.
It means your child's real pain — the grief, the fear, the loneliness — goes untreated.

This is one of the things I genuinely respect about how Germany approaches autism diagnosis.🇩🇪👏

There's no rush. No label handed out after one or two appointments. The process takes months — sometimes longer — and that's intentional. Specialists here take the time to rule things out, observe the child across different contexts, and truly understand what's going on before committing to a diagnosis.

In my experience, that's not always the case elsewhere. In countries like Poland or the UK, there can be enormous pressure to give a quick answer — and sometimes a child ends up being treated for autism when something else entirely is happening. That child then carries a label that shapes how every teacher, every therapist, every adult sees them.

Getting it right matters more than getting it fast.

💬 Does this resonate with you? Have you noticed changes in your child after moving? Are you navigating an autism evaluation here in Germany and not sure what to expect?

Drop AUTISM in comment if you would like to connect with me regarding this topic.

14/06/2026

Let me be direct with you.
If you're living abroad and you feel like your mind never fully switches off — that's not a personality trait.

Expat life places an extraordinary cognitive load on the brain. You're navigating a new country, rebuilding your identity, your social world, your sense of belonging — simultaneously. Every single day.

And most people try to manage that with willpower alone.
That's not a strategy. That's survival mode.

Here's what three decades of research actually tell us:
🔬 A nature experience produces a 21% drop in cortisol per hour, with the greatest efficiency coming from sessions of 20 to 30 minutes.

🔬 A meta-analysis reviewing 30 years of research found that as little as 10 minutes in a natural environment produces measurable mental health benefits — reduced stress, improved mood, sharper thinking.

🔬 People who spend just 120 minutes a week in nature are 59% more likely to report good health and higher life satisfaction — comparable to the impact of regular physical exercise.

🔬 Nature can begin regulating your sympathetic nervous system — your stress response — in as little as 5 minutes.

The key is to understand how your mind actually works — and making deliberate choices that keep you performing at the level you expect of yourself.

The expats I work with are executives, entrepreneurs, and professionals who have built remarkable lives across borders.

They don't come to me because they're falling apart. They come because they refuse to operate below their potential.

𝗬𝗼𝘂𝗿 𝗺𝗶𝗻𝗱 𝗶𝘀 𝘆𝗼𝘂𝗿 𝗺𝗼𝘀𝘁 𝘃𝗮𝗹𝘂𝗮𝗯𝗹𝗲 𝗮𝘀𝘀𝗲𝘁 — 𝘁𝗿𝗲𝗮𝘁 𝗶𝘁 𝗮𝗰𝗰𝗼𝗿𝗱𝗶𝗻𝗴𝗹𝘆.

My calendar is open to those ready to invest in that. If you are interested, drop me a message. I will reply within 24 hours.

12/06/2026

Moving abroad was a conscious decision. A good one.

And yet — somewhere between professional success and building a new life — a question appears that nobody can't quite answer.
Identity. Belonging. Who you are when every familiar reference point is gone.

I work with people who are doing well — and who know, precisely because of that, that it's time to tend to something deeper.

You belong here. Probably. Let's figure it out. ✨

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