Psychodynamic therapy reddit.
I have been in psychodynamic therapy for over three years.
Psychodynamic therapy reddit Clinical Psychology Review, 42 Reddit’s largest Both for personal therapy and couples therapy. From what I know psychodynamic therapy is usually less directive than other types like CBT. Im a psychodynamic therapist (not my only modality), but I think it is important for any practicing therapist to have had, or have ongoing therapy or their own. 17 votes, 39 comments. I have an amazing therapist. The three modalities I'm learning this year are CBT, psychodynamic psychotherapy, and family studies. Therapists have different opinions on this but I view ADHD as a neurological thing treated with medication, and therapy can help more with self-esteem (related to ADHD struggles), practicing new habits, etc. As far as specific concepts in Jungian theory, those concepts you cannot test because their not an empirical object you can hold and study, for it’s in the psyche. Psychodynamic therapy did and it’s a shame that CBT seems to be all the rage these days when there are so many deep issues like mine out there. The transference in our relationship is my seeing him as a father figure. Psychodynamic also has its brief form called brief psychodynamic psychotherapy. And psychodynamic therapy tends to be talked about more positively. Discussed about my childhood, family, relationship dynamics with other people. Psychodynamic therapy is more modern and warm, looks at how childhood experiences and behavior/emotional patterns affect you today. But I know that I automatically avoid small talk because I don't want to make her feel uncomfortable by asking questions. Psychodynamic therapy also spends a lot of work in helping one work through childhood trauma and how that impacts current relationships. CPTSD often means that early attachments were challenged or inconsistent, so relationship building may also be hard for your system. Any Psychodynamic therapists attend a program post graduate school to focus on psychodynamic therapy? If so, can you share why and your experience with it (was it useful…?). Psychodynamic therapy and psychoanalytic theories in general are harder to grasp and more philosophical and kinda require a bit of obsession and research on the therapists part. Being on the couch is an important thing to experience in being able to further empathize with our clients, and understand the dynamics at play. We had our forst session awhile ago and i felt so comfortable kase nga we got to speak our first language BUT she told me na her approach is psychodynamic therapy. In most subs, including psychiatry-critical ones, it's pretty common for people to talk like psychodynamic therapy is the greatest thing, and the solution to all problems in therapy is to find a psychodynamic therapist who is warm and shows empathy. The efficacy of short-term psychodynamic psychotherapy for depression: A meta-analysis update. I still pray I die in my sleep every night. You can’t have a 3 day course to treat people like you can with behavioral therapies. He (as well as my understanding of psychodynamic therapy) had told me that a lot of the "meat" in therapy has to do with the relationship between the client and the therapist and I understand that a lot of the transference I have with him reflects what goes on in my day to day life. E. The main reason for people believing that psychodynamic psychotherapy is not effective or not researched despite evidence to the contrary is political. Freud wrote critically about this in the 1920s (cf. It’s VERY intense and I kept getting triggered & incapacitated by the depths we went. Began at once a week, eventually began doing 2x a week, and some periods where I sought 3-4-5x a week as possible. I think the relationship really is healing and I find him much more approachable and easy to talk to than some of my past therapists who weren’t person-centered My T also practices psychodynamic therapy. There is, in fact, a wealth of evidence that psychodynamic psychotherapy is an evidence-based practice, as many reviews since 2010 have shown. I had professors talk about how psychodynamic therapy is antiquated or not evidenced based. But even most psychodynamic researchers do not actually claim that there is evidence demonstrating the SUPERIORITY of PDT, either at follow-up (a la Shedler's review) or in the sense of healing on some deeper, personality-based level. Unlike CBT, which is what I thought the psychiatrist would recommend pursuing, both CAT and Psychodynamic focus on 'past events', but aside from that, I'm struggling to understand how either actually works or how they differ. If not, please share why and what have been the most effective ways for you to grow as a Psychodynamic therapist on your own. I've gained more insight into my issues, but it hasn't led to any tangible change despite me trying so hard. I feel like CBT is a bit of a band-aid and sometimes it even feels like gaslighting (skipping right over a problem like it’s not really that important, and finding a solution lickety split. I'm wondering if anyone can share any recommendations for training in psychodynamic therapy. I usually connect with people with humour and being a complete goof, but T seldom reacted to any of that. Apr 9, 2024 · Psychodynamic therapy relies less on exercises and activities than most other types of therapy, but there are some very important tools in the psychodynamic toolbox that allow the therapist to delve deep into the unconscious mind with their clients. This could include your interpretations, identifying unconscious processes, or anything else you'd like to include from a psychodynamic lens. I‘m in psychodynamic therapy and if my therapist asked me things that way, I would judge them so hard 😬 While it‘s normal to want to „dig deeper“ into things and explore why we feel the way we feel, I think your therapist makes the mistake of not first exploring with you but instead coming up with plausible conclusions herself and then just throwing them at you. This sub aims to provide advice and support to anyone who needs it but shouldn't be used to replace professional advice and support. r/Psychodynamic: A place to discuss psychodynamic psychotherapy. I have seen this psychodynamic psychotherapist for roughly 5 years. Reply Learning psychodynamic or psychoanalytic therapy takes a lot more time to learn. Whereas a psychodynamic therapist would be honest and say that the source of depression and anxiety in an autistic patient is the autism itself, and how it estranges them from others, a CBT therapist gaslights the autistic patient into thinking their thoughts related to depression and anxiety are somehow distorted and peddles a pseudo-Buddhist philosophy to them. Statistically speaking - it is as effective as other theoretical approaches for ED. Relationships are a huge aspect of dynamic therapy - especially the relationship between patient and therapist. It uses the relationship with the therapist (transference) as a m My experience working with a relational psychodynamic person for almost a year is that there's strong connection, my therapist is quite active and engaged (which is perhaps unique to relational psychodynamic versus other types of dynamic therapies) but the therapy is definitely not "directive" in the sense of telling me "what I should do". If you Google it you can get a pdf for free very easily. Is psychodynamic psychotherapy sort of the "head line" which I can put psychoanalysis and other forms of therapy that are guided by the thoughts of psychoanalytic theory under? For example: cognitive therapists use different therapeutic approaches, but they are still informed by the "cognitive theory". My psychologist urged me to do DBT for a year so I’d have some skills to get me through when I go back to psychodynamic. When I first go in my T has me lay down and breathe for a bit to “land” in the therapy space and then asks how my week went, which turns into a much deeper conversation. So not really any specific rigid structure. So yeah, psychodynamic therapy is still fine and is evolving over time as well. For me tbh it works better for me since my history with psychotherapy, naiinis ako when they tell me to do a certain abc steps if im feeling a certain way. I an in therapy with a psychodynamic therapist/psychiatrist. Questions relevant to the practice of psychodynamic psychotherapy were the focus and included a review of psychodynamic diagnosis of ADHD, theoretical orientations of psychodynamic psychotherapy, identification of core treatment issues, clinical examples, and theoretical perspectives on therapeutic change as well as practice techniques. This talking therapy aims to bring to light thoughts and memories in the unconscious mind. One of the ways psychodynamic therapy can go wrong is dismissing accurate perceptions of problems, particularly problems with your therapist, as just "transference", and Psychodynamic theory cannot be evidence-based because it makes mechanistic assumptions which are unfalsifiable. To your point, I think it’s quite wise that you are choosing a therapy that doesn’t reinforce your defences. The question of Lay Analysis by Freud). From the CBT side of things, I read Tolin's Doing CBT, watched a video introduction to CBT (Cognitive Behavioral Therapy: Techniques for Retraining Your Brain). I have been in psychodynamic therapy for over three years. Yet, ironically, I had too much drama with my psychodynamic therapist and finally quit her. This is not an ask reddit or advice reddit. If you're interested in a more modern dynamic approach, Wallin has a good book on Attachment in Psychotherapy, and there are several other great books about the topic of attachment in group therapy too, look up Marmarosh. I’m in intensive psychodynamic psychotherapy 2-3 times a week, and have been for about a year now, but I feel like I’m getting worse. Triggered by perceived or actual scrutiny from others. Years ago (almost 15 years now), I participated in an intensive psychodynamic therapy program. S. It can help you guide the intervention or the therapy, if you are a registered therapist. I think this route is a long option BUT very rewarding. I love it. Everyone else in the program had significant trauma. It was definitely difficult for me at the beginning. So in essence while I agree CBT has more empirical support than Jungian analysis, Jungian analysis is a psychodynamic therapy and if you look online you will find tons of support for it. So, these 3 questions in 1 are really about my current situation. I have BPD and I was in psychodynamic therapy for 2 years. I had zero trauma, significant or otherwise. Psychodynamic Therapy do you make small talk or just launch straight in? I've been going to my counsellor for a year and the therapeutic relationship is fab and I've made real progress. A psychodynamic therapist will explore unconscious conflicts and help one understand the need for alters. 2 years of psychodynamic therapy helped me so much more than 20 years of cognitive did. It’s also harder to learn for practitioners. He expanded that he felt psychodynamic psychotherapy might be beneficial. My therapist does person-centered and psychodynamic therapy. If you wish to post about other mental health issues please consult this list of some of our sister subs. , "On the Question of Lay Analysis"). Based on the previous difference, psychoanalytic therapy usually last longer that psychodynamic one. A psychotherapist may practice psychodynamic psychotherapy, which is a kind of psychotherapy that follows broadly psychoanalytic principles. Brief psychodynamic therapy can occur in a few months. Check and see if there is an institute in your city. Yeah most psychodynamic therapists weren't taught to do so and apparently didn't find it necessary to learn. Physical symptoms may include: blushing, excess sweating, trembling, palpitations, and nausea, stammering, along, rapid speech, panic attacks. I’m a psychoanalytic candidate. If you are interested in relational psychoanalysis, Core Competencies of Relational Psychoanalysis edited by Roy Barsness is also a great read. I also read a textbook for CBT for somatic symptom disorder, since the patient I'm Most therapists though have a background that "grounds" them in one school of therapy or another, but most also use a more eclectical style with clients based on the symptoms presented and what interventions seem like they will work best for the client. There's a strong evidence base for psychodynamic therapy, and it's definitely not hokum when practiced competently! You should raise these questions and concerns about duration and efficacy of treatment with any therapist you see. Nevertheless, in my opinion each therapist has his own preferances on how to work, wich is determined by his/her personality as well. Psychodynamic is about the relationship which can take time to build. We cannot say that any improvements in symptoms as a result of psychodynamic therapy aren’t due to common factors like exposure or meaning-making because we cannot test any claims about supposed unconscious variables. This sub is for people to discuss issues arising in their personal psychotherapy. I don't mean to make you feel bad. This sub does not replace seeing a therapist and the information provided is for resource and entertainment purposes only. Everyone is different, but I wayyyy prefer that to DBT or CBT or anything. Brief psychodynamic is not very common in the U. Psychodynamic therapy is looking at your past relationships and experiences growing up and seeing how that shapes your experience now. I don't think that it is an unrealistic goal to think that after 3 years that might have lessened. What’s your experience with psychodynamic therapy? I had a consultation session a few weeks ago and felt it was good. Psychodynamic therapy - insight without change is making me more hopeless I've been having weekly therapy sessions for a year and I'm unsure whether it's helping or making me worse. CBT significantly outperformed psychodynamic therapy in the reduction of worry. He offered to begin talk sessions with me, which I was open to, and I've since had my first session which I felt went really well, I had the space to talk but could request a prompt if necessary, he listened earnestly. I’m interested in reading about the similarities and differences between psychoanalysis, psychodynamic therapy and schema therapy. For that reason, if you feel confortable being a little bit more directive than other psychodynamic therapist thats fine. They BOTH worked. Or they may work in a different modality, like cognitive-behavioral therapy. The therapist-client relationship is of particular focus - rapport is important for any kind of therapy, but particularly emphasized and focused on psychodynamic therapy. Also, a lot of clients have zero interest in psychodynamic modalities. ) Psychodynamic psychotherapy is NOT the same thing as psychoanalysis. Yes, Psychodynamic therapy can be helpful for someone with DID. I literally just reviewed a meta-analysis where brief psychodynamic therapy and CBT performed the SAME for depression and anxiety. Hi to all, I had been undergoing psychodynamic therapy since last 7-8 months. Generally CBT is going to be better for that. Of course the decision is ultimately yours and what you think will work best for you and I really wish you the best in your therapy, either way you decide. Glen Gabbard has a couple texts that are required reading for some psychodynamic training programs, like Long-term Psychodynamic Psychotherapy. What these criteria are, and what their significance is (or isn't), are matters of dispute. When I get the impression that part of the problem with CBT is that the relative inexpensiveness made it a trend, and consequently it's both practiced by therapists who may have a shallow understanding of it and lack flexibility when the client doesn't A great practical intro is Essential Psychodynamic Psychotherapy by Terri Quatman. As a therapist, I would say it depends on what you are wanting out of therapy. Two that I am familiar with are Intensive Short Term Dynamic Psychotherapy or ISTDP and Brief Dynamic Therapywhich is a little better in my opinion Think of the psychodynamic therapist as your primary physician and EMDR as a specialist like an allergist or dermatologist. Somebody already recommended Nancy McWilliams I 100% agree, also can recommend: Karen Maroda's "Psychodynamic Techniques" - very refreshing, written in approachable language which is unfortunately not always the case with Psychodynamic oriented books. I DO NOT recommend psychoanalysis for clients. Therapists of Reddit - I have some questions about finding efficacy in both psychodynamic therapy and DBT. Gabbard's "Long-term Psychodynamic Psychotheraphy" is also a classic introductory book. I have found psychodynamic therapy is be the most helpful. You can do psychodynamic therapy on those with psychosis if you use the broader definition psychodynamic therapy as therapy informed by psychoanalytic theory. And good at drawing connections between the past and present and what's happening within the therapeutic relationship. Hi all. I mean modalities that work well for some people don't work well for others. While I haven’t engaged in suicidal or self harming behavio They will also practice psychodynamic therapy but it will be if a different quality (generally speaking). In general, psychodynamic therapy is focussed on helping the person seeing and understanding more clearly what's going on in their mind, their unconscious, and in their relationship with themselves and others. I had a lot of psychodynamic training from folks affiliated with the Chicago Psychoanalytic Institute--they permit non-physicians such as psychologists as members, so I had a lot of psychologist instructors in grad school who were quite psychodynamic and Institute-affiliated. ) Psychodynamic therapy is as effective as other forms of psychotherapy. I don't question your ethics and willingness to help clients, but you're right that I don't take kindly to CBT. I see my therapist three times a week and I don't feel like I have made any progress in that time. I was with someone who claimed to use both but seemed to heavily rely on the person centered method, that made me realize that psychodynamic therapy would be more beneficial, so I switched to a therapist who specifically identifies as a psychodynamic therapist. The therapy for schizophrenia would look very different from the neurotic patient and will from I understand would be very supportive and directive and will often also have to involve medications. That's where they got it from. There are lots of psychodynamic therapists on this sub. If anyone has any resources or can point me in the right direction, I’d appreciate it. I'm thinking therapy in terms of anxiety, social difficulties, sensory processing issues, things related to autism/asperges in… Your psychotherapy notes are for you. Psychodynamic psychotherapy is more focused on specific objectives and problems the patient presents and psychoanalysis is not that focused. I was seeing a psychodynamic therapist for a few months, largely for help understanding my heightened emotional responses and sensitivity to feelings of rejection. Thera are a lot of different psychodynamic therapies. To find answers to many therapy-related questions please consult our FAQ and Resource List. Long-term psychodynamic is very past-focused and unstructured; brief psychodynamic more directly aims to explore pieces of the past as they relate to a present problem. They're also are not popular forms of therapy in most areas. Oct 14, 2016 · Psychodynamic can be practiced many different ways, and with many different influences guiding the therapist. I took a wonderful class in my master's program called "Approaches to Psychotherapy," and I'd love to pass along some of the ideas and findings we discussed in that class. The majority of contemporary 'talk' therapy is psychodynamic. I feel like those psychodynamic therapist don't take any feedback and what I perceive a fail (arms crossed on first session is a fail for me, offering me therapy when she was told 2 times and sees it in a form that I don't live in that country is a fail) is always turned around instead of taken as fail and being at least acknowledged. My sense is that for a therapist to be really good at doing relational psychodynamic therapy, they need to have done their own therapy - so much of the work happens in the relationship and I think if my therapist hadn’t done her own work on herself, I wouldn’t be able to tolerate being in therapy with her (considering my own early childhood stuff). I work with what is called experiential dynamic therapy, which is psychodynamic therapy that integrates anxiety regulation and somatic awareness among other things. I (28m) have been doing psychodynamic integrative therapy for about 3 months and I find I am not getting what I want from it and deciding if should terminate it and seek out CBT instead. Please do not post intentions to act on suicidal thoughts here and instead call 111, or 999 for an ambulance if you feel you won't be able to wait. I don’t know your specific circumstance so these may or may not apply to you, but some of the reasons I’ve seen psychodynamic therapy not help are when clinicians and clients don’t talk about the responsibility of the client to take ownership of their actions (Yalom’s fear of freedom), or talk about why insight/depth oriented therapy enables change (decreasing secondary distress and Adult Children in recovery strive to go from relying on reactions learned in childhood to forming new habits suited to adult life. Recovery is an ongoing process with many paths and detours and side trips. Consider Cognitive therapy, CBT, mindfulness based CBT, DBT, or Interpersonal therapy. However, there are now some "psychodynamic" therapies that provide a "how to" look at therapy using psychoanalytic principles. Until the 1980s, in the USA only MDs could practice psychodynamic psychotherapy. The concepts are easy to grasp and it’s trendy. Articles, questions, books and discussion. As I understand it, 'Psychodynamic therapy' emerged as a term to separate psychoanalytic therapy from some of its historical baggage – when you say psychoanalysis, a lot of people still think of the orthodox Freudian style, 5-times-a-week-on-the-couch, passive analyst, lots of emphasis on psychosexual Oedipal drama –– when in reality psychoanalytic therapy today is a much broader Hence you'll often encounter people speaking of a psychoanalysis which meets these criteria, as opposed to a psychodynamic psychotherapy which does not meet these criteria but does still follow a broadly Freudian or post-Freudian model. I had psychodynamic-leaning integrative therapy with a therapist with a warm personality who was very big on empathy, interested in finding my childhood trauma, and was, I'm pretty sure, trying to offer me her idea of a healing relationship, and I had a terrible time and it had an extremely negative impact on my Pretty much the title. , managed care) who use it as a coded phrase for convenient, short, cost-effective modalities and they also use it to crap on longer term modalities like psychodynamic A supportive community to ask questions and engage in discussion about mental health-related matters with therapists on Reddit. Arnoud Arntz did great trials of a psychodynamic approach (tfp, with clinician training by Frank Yeomans) and an integrative cbt approach (schema therapy, with training by Jeff Young) for BPD and found strong evidence backing schema therapy. My actual father is the main cause of my issues due to his being emotionally, verbally and sexually abusive. I also enjoy the psychoanalytic podcast Why in the World. WhistlingOwls comments ring true for me. I love that the authors of the actual study directly compared CBT and psychodynamic therapy, but I'm less enthused by the conclusions they drew and, even more so, by the conclusions drawn by the Psych Central author. They also aren't exactly the most evidence based therapies for depression (but there is some support for them). I'm looking for something that's not too terribly expensive and preferably virtual/remote. Depending on your area, there may be less. Now there have been many studies showing psychodynamic therapy effectiveness. Nov 21, 2022 · Psychodynamic Psychotherapy: Psychodynamic Psychotherapy is a talking therapy that is closely related to Psychoanalytical psychotherapy, though combines more areas into the therapy process. In any case, based on what you tell us, it sounds like CBT may be a better fit for you, since CBT addresses things like behavior patterns that don’t help, and self-defeating behavior and thoughts. Psychodynamic theory can be of use if you work with children or adolescents that seem to have attachement issues; attachment theory stems from psychodynamic theory as coping mechanisms do. I think evidence-based practice is important (look at the damage homophobic “conversion therapy”has done as well as any other snakeoil modality) but my problem with it is that the term has been co-opted by entities (e. (See also: "the dodo bird effect"; writings by Wampold; Common Factors theory. Play therapy is useful as well with children that are processing Psychoanalysis and psychodynamic therapy aren't really different from one another. . I don’t know that o would agree that dynamic therapy focuses on internal and not external. In individual therapy I've found it good for exploring stuff related to childhood, attachment, relationships, that sort of thing. Ive been with him for 2 years. I totally hear you and felt the same way. , managed care) who use it as a coded phrase for convenient, short, cost-effective modalities and they also use it to crap on longer term modalities like psychodynamic So, these 3 questions in 1 are really about my current situation. g. The focus was on identifying issues in our relationships within our family of origin, and seeing how those patterns still affect us today. The other aspect is universities in the US. Most of them do not teach it. Most psychodynamic therapists don't need to incorporate CBT, because the useful parts of CBT were already part of psychodynamic therapy. This link is pretty good, as an overview: Core Principles of Psychodynamic Therapy Approach Mar 23, 2019 · What empirical evidence is there for "defense mechanisms" as defined/interpreted through a psychodynamic lens? I'd argue that the existence of the psychodynamic unconscious is not only implausible, but outright contradicted by known facts about cognitive neuroscience. It is a quite vast field. For me personally, I had tried psychodynamic therapy and I got nothing out of it in the past, switched to erp therapy and it has been nothing but incredibly helpful. It’s not your fault. Psychodynamic: Long-term psychodynamic therapy takes 2+ years. Recovering from childhood issues can be a lifetime endeavor, but healing IS possible. Distress in social situations, causing impaired functioning in daily life. They may practice psychoanalysis and think of this as part of their psychotherapy practice. There was a while where behavioral folks were trying to say it was not evidence based. You can include all the detail you like as well as include more of the specific psychodynamic based information. I've read quite a bit on psychodynamic approaches, but I'd love to find a program that allows me to deepen my knowledge and experience. I do a blend of somatic experiencing, IFS, and psychodynamic therapy. I do want to give a quick heads up: I am not a clinician, and critically examining Psychodynamic approaches to psychotherapy largely falls outside of my research program. Early treatment actually primarily utilized this approach; only in more recent years has focus shifted. First, to get a really simple breakdown of what goes on in psychodynamic therapy read Jonathan Shedler's article "The Efficacy of Psychodynamic Therapy". Able to understand one of my parents attachment styles Yeah, I think that if you read this community it's easy to come away with the impression that psychodynamic dynamic therapy is just better. Welcome to r/TalkTherapy!. Second is Nancy McWilliams's book "Psychoanalytic Psychotherapy". I am quite happy with the sessions and I feel I am making a good progress. It’s not gone - in fact psychodynamic therapy has had a resurgence lately. Lately something in me has changed — it’s like I’m noticing how fragmented I am, in that I’m constantly arguing with myself, and I’m finding it very distressing. jfwnvuilltfqykdflgipxocmnmfypxzfugpclbifunhqwlstzrycexmpkj