Back to articles

What Is Psychodynamic Therapy?

Sally-Anne Soameson · · 4 min read

Psychodynamic therapy is a form of talking therapy that focuses on understanding how past experiences, often from early life, shape the way we think, feel and behave in the present. It is rooted in the idea that much of our emotional life operates outside of our conscious awareness.

How It Works

In psychodynamic therapy, the therapist provides a consistent, confidential space in which you are encouraged to speak freely about whatever comes to mind. This might include current difficulties, memories, feelings about relationships, or thoughts that seem unconnected at first.

Over time, patterns may begin to emerge. These patterns can reveal how early experiences have influenced the way you relate to others, manage difficult feelings, or respond to certain situations. The aim is not to offer advice or quick solutions, but to develop a deeper understanding of yourself.

The Role of the Therapeutic Relationship

A central part of psychodynamic work is the relationship between therapist and client. The way this relationship develops can often reflect patterns from other relationships in your life. Exploring this together, in a safe and non-judgemental environment, can be a valuable part of the therapeutic process.

How It Differs from Other Approaches

Unlike some forms of therapy that focus primarily on changing specific thoughts or behaviours, psychodynamic therapy is interested in the underlying causes of distress. It tends to be less structured than approaches such as CBT, and sessions are guided by what you bring rather than a set agenda.

People find this open-ended approach helpful as it creates space to allow thoughts and feelings to emerge.

What Issues Can It Help With?

Psychodynamic therapy is used to address a wide range of concerns, including:

  • Anxiety and depression
  • Difficulties in relationships
  • Low self-esteem or a persistent sense of dissatisfaction
  • Bereavement and loss
  • Addiction
  • Issues relating to identity or sexuality
  • Patterns of behaviour that feel difficult to change

Short-Term and Open-Ended Work

Psychodynamic therapy can be short-term or open-ended, depending on what feels appropriate. Short-term work typically focuses on a particular issue, while longer-term therapy allows for a broader exploration. The duration is something that is discussed and agreed upon together.

If you are considering therapy and would like to find out more, an initial conversation can help you decide whether this approach might be right for you.

If you would like to find out more about therapy, or to arrange an initial conversation, please get in touch.