What is the psychodynamic approach to psychotherapy?

Psychodynamic psychotherapy begins with a period of evaluation, during which the patient and the therapist discuss why the patient is seeking treatment. During this initial phase, which may take place in one session or over a series of sessions, the patient and therapist together agree on a plan that addresses the patient’s specific concerns and goals for treatment.

Psychodynamic psychotherapy places great importance on the relationship between the therapist and the patient. For many patients, this relationship is unique, in that the therapist maintains a reliable, calm and accepting stance, unlike other well-intentioned people in their lives. It is within this context that positive changes can develop in the patient’s outlook and behavior.

In general, a psychodynamic psychotherapist helps patients identify patterns of thinking, feeling and interacting that may be contributing to their problems. As treatment progresses, the patient becomes more aware of his or her own thoughts and feelings and learns how and why certain coping styles, while adaptive in childhood, may no longer work. Patients can then develop more effective ways of dealing with problems. In this way, deeper awareness and new insights stimulate psychological growth.