Dr Meredith Jones
- London
Psychodynamic therapy works on the premise that the patterns causing us trouble today often have roots we can't fully see — in early relationships, in old ways of protecting ourselves that have outlived their usefulness. Descended from psychoanalysis but shorter and more conversational, it aims at insight: once you can see the pattern, it loses much of its grip.
Sessions are exploratory rather than exercise-based. You talk about what's present — current relationships, memories, dreams, even how the therapy itself feels — and the therapist helps you notice recurring themes beneath the surface. It particularly suits people who keep ending up in the same place: the same kind of relationship, the same conflict at work, the same self-defeating choice, despite knowing better.
This is depth work, usually weekly, and often runs longer than structured therapies — though time-limited psychodynamic work (around 16 sessions) is well established. Psychodynamic therapists listed with ABCAP have verified training and insurance, with profiles describing how each of them works.
ABCAP is not a regulatory body. Listing in the ABCAP directory is not an endorsement of a therapist's competence, fitness to practise, or conduct. We recommend verifying a therapist's qualifications and professional body membership directly before booking a session.
They share a family tree, but psychoanalysis is more intensive — classically several sessions a week over years. Psychodynamic therapy applies the same core ideas in weekly sessions and a more conversational style, making it far more practical for most people.
Both formats exist: time-limited work of roughly 12–20 sessions focused on one theme, and open-ended therapy that continues while it's useful. Longer isn't automatically better — discuss what fits your situation in the first session.
Yes — controlled trials support psychodynamic therapy for depression, anxiety and relationship difficulties, and some studies find its benefits keep growing after therapy ends, as the insights continue to work. It's less standardised than CBT, so the individual therapist matters greatly.
People drawn to understanding why — who want to change lifelong patterns rather than manage a single symptom, and who are willing to be curious about uncomfortable territory. If you want quick practical tools instead, CBT may fit better.
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