Photo of Anne Brown, Psychiatric Nurse Practitioner in 97205, OR
Anne Brown
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
Portland, OR 97205
We all must contend with suffering in one form or another, and it can be helpful to develop a relationship with a psychotherapist to explore the meaning to be found in it. I believe this can lead to deep transformation. We typically come to therapy due to getting caught in a whirlwind of some kind: sudden loss via death or romantic breakup, prolonged grief, or an awakening to our outdated patterns and fixed negative beliefs about ourselves. We can also use the therapy space to enrich our capacity for curiosity, enhance our imagination, and better find our footing.
We all must contend with suffering in one form or another, and it can be helpful to develop a relationship with a psychotherapist to explore the meaning to be found in it. I believe this can lead to deep transformation. We typically come to therapy due to getting caught in a whirlwind of some kind: sudden loss via death or romantic breakup, prolonged grief, or an awakening to our outdated patterns and fixed negative beliefs about ourselves. We can also use the therapy space to enrich our capacity for curiosity, enhance our imagination, and better find our footing.
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Psychodynamic Psychiatrists

Is psychodynamic therapy evidence-based?

Studies have found psychodynamic therapy to be effective in treating conditions like social anxiety, eating disorders, chronic pain, some personality disorders, and depression; indeed, some studies have found it to be just as effective as CBT or medication. What’s more, several studies have found that the benefits of psychodynamic therapy tend to endure—even grow—long after treatment has ended.

How long does psychodynamic therapy last?

Unlike CBT and other more structured forms of therapy, psychodynamic therapy tends to be open-ended and may not be limited to a set number of sessions. It is common for clients to be in therapy for a year or longer and to see their therapist one to three times a week, though the exact schedule and timeline may vary depending on a client’s challenges and progress. However, brief psychodynamic therapy is available, which tends to be more goal-oriented and typically unfolds over 16 to 30 sessions.

Does psychodynamic therapy work?

Research finds that psychodynamic therapy can help someone manage or reduce symptoms of diagnosable mental health conditions like depression or anxiety. The modality may also offer a range of benefits that are harder to measure but just as valuable—such as increased self-worth or healthier relationships. While no therapy type will work for everyone, research and anecdotal evidence suggest that psychodynamic therapy can be highly effective.

What are the limitations of psychodynamic therapy?

Some meta-analyses have concluded that there is little evidence to suggest that psychodynamic therapy can effectively treat certain mental health conditions such as PTSD, OCD, or psychosis, though it is sometimes used to do so. More broadly, the open-ended, free-association structure of psychodynamic therapy may be frustrating for clients who prefer a more structured, time-limited, or goal-oriented approach.