Everything You Need to Know About Psychodynamic Treatment

Psychodynamic treatment, also known as psychodynamic therapy, is a form of talk therapy that roots itself in psychoanalysis. Some types of mental health counseling focus on surface-level issues; however, psychodynamic counseling dives deep into your unconscious thoughts and past experiences to get to the root cause of your emotional distress. This form of therapy is constructed on the belief that your early life experiences and unconscious thoughts shape your behaviors and adult relationships. When you explore hidden influences in psychodynamic counseling, you will achieve greater self-awareness and emotional healing.

In this comprehensive blog, we will explore everything you need to know about psychodynamic treatment, from its historical origins to its application in modern times. Whether you are considering attending psychodynamic therapy yourself or you are simply interested in how it works, this blog will shed great insight on the transformative power of psychodynamic treatment. From pinpointing key benefits to addressing common misconceptions, this blog will give you a clear understanding of what psychodynamic treatment entails and how it can be an effective approach for personal growth and mental health healing.

Anchor Therapy is a counseling center in Hoboken, NJ with mental health therapists specialized in helping children, teens, adults, couples, and families with anxiety, depression, relationship issues, trauma, life transitions, and more. Anchor Therapy is accepting new clients and is now providing in-person sessions and teletherapy sessions to residents of New Jersey, New York, and Florida.

How does psychodynamic treatment work?

Psychodynamic mental health counseling helps you explore your unconscious mind so you can discover unresolved conflicts, emotions, and past experiences that are influencing you in the current moment- influencing your thoughts, behaviors, and relationships. This type of therapy strongly believes that early life experiences, particularly those from your childhood, shape how you view the world and interact with other people around you as an adult. When you bring the unconscious to the front of your mind, you gain more self-awareness, insight, and emotional understanding.

During psychodynamic therapy sessions, your psychodynamic therapist at Anchor Therapy will likely encourage you to speak freely about your thoughts, feelings, and memories. This can include any dreams, fantasies, and/or associations that pop up for you. This very process is known as free association. In other words, it will help uncover underlying conflicts and repressed emotions that may not be immediately apparent. 

For example, let us say that your psychodynamic mental health counselor asks you to tell her what is on your mind right now. You may say that lately you have been thinking a lot about your childhood and how your mother always wanted you to be perfect growing up. Now, you get so anxious at work because you feel like everything has to be done perfectly. From there, your counselor may ask you what else comes to mind when you think of your mother. You think about it and explain that your mother would get upset whenever you did not get a 100% on your tests- you were always so afraid of disappointing her. Next, your counselor may encourage you to find the link between this experience and how it relates to your feelings now. In the end, you can see that no matter how hard you try, you never feel like it is good enough. Even though you may not be sure exactly who you are trying to please now, you are still trying to avoid that disappointment.

It is also important to note that your psychodynamic therapist observes and interprets your patterns of behavior. They may observe acts of transference, where you unconsciously project your feelings about significant figures in your life onto your therapist, and resistance, such as reluctance to explore certain topics. Through this kind of exploration, you are encouraged to understand and resolve unconscious dynamics which will lead to more fulfilling relationships and better emotional functioning.


Who is a good candidate for psychodynamic therapy?

Psychodynamic counseling is beneficial for anyone who is trying to gain insight into the deeper, unconscious factors that influence your thoughts, behaviors, and relationships. If you are open to delving into your past experiences and unconscious patterns, you may be an ideal candidate for psychodynamic treatment. This approach requires a high level of introspection where you feel comfortable in confronting unresolved emotional issues. It can be an especially helpful therapeutic modality if you have struggled with long-standing emotional issues, such as anxiety, depression, or relationship concerns that cannot be fully addressed with other forms of counseling. 

The people who benefit the most from psychodynamic therapy are often looking to gain a deeper understanding of themselves. They are motivated to learn how early life experiences and unconscious beliefs impact them in the present moment. From feeling stuck in negative emotional states to working through complex interpersonal dynamics, there are many things to gain through psychodynamic treatment! Compared to short-term therapeutic modalities, psychodynamic counseling tends to be a long-term treatment. So, if you are ready to commit to a therapeutic process that may take time but will lead to long-lasting emotional growth and self-awareness, this may be the form of therapy for you!

Man working with a psychodynamic therapist in Hoboken to get psychodynamic treatment

How would a psychodynamic therapist treat a client?

As with any other form of counseling, a psychodynamic counselor works to create a safe, non-judgmental space where you can explore your unconscious thoughts, feelings, and past experiences. 

Your psychodynamic psychotherapist forms a supportive, empathic relationship with you so you feel comfortable to share your thoughts and emotions. The therapist-client relationship is especially important in psychodynamic treatment since it is a significant relationship in the client’s life. For more information on this topic, check out our blog “How To Find The Best Therapist Near Me.”

A major component of psychodynamic therapy is the exploration of the unconscious mind. Therefore, your counselor will encourage you to engage in free association where you can speak openly about whatever comes to your mind. There is no filtering or censoring your thoughts here. The primary objective of free association is to help uncover unresolved conflicts, repressed memories, and emotional patterns that are impacting your current behaviors and emotional state. Unconscious dynamics may also be revealed through your dreams, fantasies, or past experiences.

Your psychodynamic therapist will also listen carefully to patterns in your client’s language, behavior, and emotional reactions. For example, you may repeatedly show resistance when it comes to discussing certain emotions or topics. Your therapist will use this information to help you become aware of your unconscious defense or coping skills that are preventing you from fully processing your emotions.

As your therapist helps you gain insight into your unconscious influences on your behavior, you can then work together to process unresolved feelings or past traumas. Your counselor will help you make sense of your emotions so you can foster deep self-awareness and emotional growth. This insight is meant to lead to lasting change in terms of how you view yourself and the people around you.

As stated previously, psychodynamic therapy is a long-term therapeutic approach which can last months or even years. You and your counselor will work together to dismantle old patterns to replace them with healthier habits and more adaptive ways of thinking. This is an ongoing process so you can gain a deeper understanding of your inner world.



A psychodynamic therapist will help you:

  • Gain greater self-awareness

  • Challenge old behaviors

  • Understand the root cause of your emotional distress

  • Foster personal growth and emotional healing

What are the five elements of psychodynamic therapy?

Psychodynamic counseling is an introspective type of mental health therapy so you can come to understand the unconscious forces shaping your thoughts, behaviors, and relationships. There are five core elements to psychodynamic treatment.


  1. Free Association

As a client, you are encouraged to express any thought or feeling that comes to your mind in counseling sessions without censorship. This tool can be used to uncover hidden memories and unconscious emotions that may be impacting your behavior.

2. Transference

You may project feelings from past relationships onto your psychotherapist. By examining these projections, both your psychodynamic counselor and you will gain insight into your unresolved emotional issues. 

3. Resistance

When you avoid certain topics, it signals unconscious conflicts to your psychodynamic counselor. Your psychotherapist will explore these resistances so you can gain a deeper understanding of the avoidance so you can confront uncomfortable emotions.

4. Insight

Gaining self-awareness and learning about the unconscious factors that drive your behavior is a main goal of psychodynamic treatment. You can achieve emotional growth by understanding the root cause of your feelings and actions.

5. Interpretation

Your psychodynamic therapist will help you make sense of your experiences by providing insights into the patterns of behavior, thoughts, and emotions that were previously unconscious of yours.

To understand the present, you must confront your past. The five elements of psychodynamic treatment come together to help you engage in a dynamic process of self-exploration. All of this leads to lasting changes in your emotional well-being.


What is a psychodynamic perspective example?

The psychodynamic perspective focuses on understanding how your unconscious processes, early childhood experiences, and past relationships shape your thoughts, feelings, and behaviors. This tactic highlights how much of human behavior is driven by unconscious conflicts and emotional struggles that are not always apparent to your conscious awareness. When you explore unconscious patterns, psychodynamic therapy gets to the root cause of your emotional distress which allows you to gain a deeper understanding of your inner world so you can work through your issues to promote emotional growth and healing.

For instance, a psychodynamic mental health counselor might interpret your fear of public speaking as being rooted in childhood experiences. You may have had a critical parent who made you unconsciously fear judgment or rejection in social situations. Even when your audience is supportive, this fear may still be present. This can lead to anxiety and avoidance behaviors. Psychodynamic therapy allows you to work through your emotional responses.

Woman reflecting after psychodynamic therapy for mental health concerns

What questions would a psychodynamic therapist ask?

In psychodynamic mental health counseling, a psychodynamic counselor at Anchor Therapy will work to help you uncover your unconscious thoughts and unresolved emotions.


Some examples of psychodynamic questions include:

  • Do you notice any recurring patterns in your relationships and behavior?

  • How do you feel when you think about your childhood?

  • What are your first thoughts when you enter our counseling space?

  • Can you tell me about any recent dreams or thoughts that stood out to you?

  • Do you recall a recent situation where you felt unusually anxious or upset?


These questions are rooted in deep self-reflection. The main aim is to bring unconscious material to light and explore your emotional dynamics in depth.


Who specializes in psychodynamic therapy?

Professionals who specialize in psychodynamic mental health counseling are specifically trained in psychoanalysis or other psychodynamic approaches. At Anchor Therapy, we have licensed mental health professionals who offer psychodynamic treatment. Our psychodynamic counselors are here to help you explore the unconscious influences behind your emotions and behavior through long-term mental health support. Our professionals are experienced in examining childhood experiences, transference, and other key components of psychodynamic mental health counseling.


What are the benefits of psychodynamic counseling?

  • Better self-awareness

  • Emotional healing

  • Improved relationships

  • Deeper understanding of the self

  • Long-term change


Psychodynamic treatment provides individuals with the tools to understand and address deep-rooted emotional issues by exploring unconscious influences and past experiences. This type of counseling fosters emotional insight, helping you uncover patterns of thought and behavior that may have previously been out of your conscious awareness. By working through unresolved conflicts, you can achieve long-term emotional stability and healthier relationships. If you are looking for a therapy approach that digs into the heart of emotional challenges, psychodynamic treatment can be a powerful tool for lasting change and self-understanding!

In conclusion, psychodynamic treatment offers a profound journey of self-discovery and emotional healing. By exploring unconscious thoughts, early experiences, and relational patterns, individuals can gain deep insights into the root causes of their emotional struggles. This approach fosters personal growth, enabling clients to develop healthier coping mechanisms, better understand their emotions, and build more fulfilling relationships. While psychodynamic therapy often requires time and commitment, its long-term benefits can lead to lasting changes in how individuals relate to themselves and others. If you’re looking for a therapy approach that digs into the heart of emotional challenges, psychodynamic mental health treatment can be a powerful tool for authentic, lasting change and self-understanding.

Victoria Scala

is the Social Media Manager, Intake Coordinator, and Community Engagement Director at Anchor Therapy in Hoboken, New Jersey. She is a graduate of the Honors College of Rutgers University-Newark and is currently studying Clinical Mental Health Counseling at the graduate level. In her roles, Victoria is committed to managing the office’s social media/community presence and prioritizing clients' needs.


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