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Psychodynamic Therapy
Psychodynamic therapy can be considered a more bried, more concrete, and integrative version of psychoanalysis.
Psychodynamic therapy emphasises the importance of the unconscious, transference, and defence mechanisms for our wellbeing. It harnesses fundamental aspects of psychoanalysis and integrates them into a wider, modern psychotherapy framework without placing heavy demands on clients (e.g., therapy does not have to last for years or take place daily).
This approach explores the depths of human existence and effectively addresses issues such as depression, anxiety, and stress using classical techniques such as dream or transference analysis, while also being receptive to knowledge and practice stemming from other approaches such as CBT

What is Psychodynamic Therapy?
Psychodynamic therapy cultivates self-awareness by exploring how past experiences influence your present and future. It helps uncover suppressed emotions and their contribution to current distress (https://www.ncbi.nlm.nih.gov/books/NBK64952/).
For example, you might struggle with recurring relationship patterns. A psychodynamic therapist would help investigate the underlying motives behind your emotional behaviors. Perhaps your emotional unavailability stems from past attachment patterns or specific relationship dynamics. By uncovering these unconscious motivations, you can improve emotional responsiveness and break unhelpful relationship cycles.
The therapy embraces potentially challenging personality aspects, approaching them non-judgmentally and curiously. This approach allows understanding of complex emotions like aggression, envy, and egoism, ultimately creating space for more empowering personal growth.
Psychodynamic Therapy vs Psychoanalysis
Key differences from traditional psychoanalysis:
Much more brief (20-25 sessions typically) (https://www.ncbi.nlm.nih.gov/books/NBK64952/)
More problem-focused
More integrative and evidence-based
More emphatic and person-centered
Psychodynamic Therapy (PT) vs CBT
More fluid and less structured
Focuses more on past experiences
Explores deeper unconscious conflicts
Less specific, more insight-oriented goals
Therapists are less prescriptive
Psychodynamic Therapy Techniques
Uncovering Defence Mechanisms
Defence mechanisms protect us from painful emotions, but can become problematic when used rigidly. Two common mechanisms include:
Denial
Denial involves avoiding acknowledgment of difficult realities. Example: After a breakup, saying "I don't care" shields you from complex emotions. While seemingly helpful short-term, it prevents addressing underlying issues and can delay seeking necessary help.
Displacement
Redirecting feelings from one person to another. Examples include road rage or lashing out at unrelated individuals due to unexpressed emotions. This short-term protection ultimately prevents healthy emotional processing.
Transference Analysis
Transference occurs when past relationship patterns are unconsciously transferred to current interactions. In therapy, analyzing these patterns can help break unhelpful relational cycles.
Dream Analysis
Dreams provide insights into the unconscious. As Freud noted, they're a "royal road to the unconscious", offering rich opportunities for psychological exploration.
Analysis of the Past
Exploring significant past events helps understand current psychological challenges. For instance, childhood experiences of emotional unavailability might explain current relationship difficulties.
How Effective is Psychodynamic Therapy?
Psychodynamic therapy is an effective approach recommended by NICE
(https://www.nice.org.uk/guidance/cg90/ifp/chapter/treatments-for-mild-to-moderate-depression), helping treat various issues like depression, anxiety, and personality disorders (https://pubmed.ncbi.nlm.nih.gov/26281018/).
What Issues can Psychodynamic Therapy Help With?
Depression
Anxiety
Panic
Stress-related issues
Substance use
Personality disorders
Traumas
Relationship issues
Online Psychodynamic Therapy
Online therapy is an effective treatment method, functioning as both a standalone and supplementary approach to traditional therapy.
When to Start Psychodynamic Therapy
Start when psychological struggles prevent you from living a fulfilling life, affecting professional, intimate, and social spheres.
Advantages of Psychodynamic Therapy
Improving self-insight
Breaking unhelpful defence mechanisms
Deepening interpersonal understanding
Enhancing emotional openness and confidence
Duration
Typically lasting 20-25 sessions, with potential for longer work for more complex issues.
Is Psychodynamic Therapy Right for You?
Ideal for:
Open-minded individuals
Those finding other therapies unhelpful
Artistically inclined people
Particularly suitable if you:
Experience recurring relationship patterns
Struggle with emotional expression
Make self-defeating decisions
Feel unfulfilled
Have unresolved past issues
Common Myths
It's Not Obscure
Concepts like unconscious and defence mechanisms are used across therapeutic approaches, just under different names.
It's More Than Psychoanalysis
While stemming from psychoanalysis, it's more focused, briefer, and integrative.
It's Not Just About Dreams
While unconscious analysis is important, therapists use multiple techniques tailored to individual needs.
At Expert Therapy our highly experienced therapists can talk to you about what you're experiencing and whether psychodynamic therapy would be a good fit for you. Book your in-depth assessment today.
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