Psychodynamic therapy is an evolution of psychoanalytic therapy, rooted in the ideas of Sigmund Freud. This therapeutic approach delves into a person’s internal experiences, helping them explore how their unconscious mind influences thoughts, feelings, and behaviors. While psychoanalysis is the foundation, psychodynamic therapy is generally more focused on the present-day issues that the patient faces, rather than solely analyzing past experiences.
In practice, psychodynamic therapy involves open discussions in a supportive environment, allowing the individual to uncover deep-seated emotions and unresolved conflicts. Unlike traditional psychoanalysis, which places significant emphasis on the dynamics between the therapist and the patient, psychodynamic therapy emphasizes the patient’s interactions with their external world, including relationships, social influences, and life circumstances. The goal is to understand how past experiences impact present behavior, ultimately leading to emotional growth and improved mental well-being.
What is psychodynamic therapy
Psychodynamic therapy is a type of talk therapy that focuses on exploring the connections between a person’s unconscious mind and their thoughts, feelings, and behaviors. Rooted in the ideas of Sigmund Freud, this therapy aims to uncover deep-rooted emotional conflicts, often from childhood, that continue to affect a person’s present-day life.
Unlike other forms of therapy that may emphasize current behaviors or coping mechanisms, psychodynamic therapy is more about understanding the underlying psychological forces that shape the way a person reacts to situations. It encourages individuals to explore their inner world—such as repressed memories, desires, and unresolved issues—so they can gain insight into how these factors influence their emotions and relationships.
Through a therapeutic relationship with a trained therapist, individuals engage in open conversations to explore their past experiences, recurring patterns, and emotional responses. By bringing these unconscious influences into conscious awareness, psychodynamic therapy helps individuals understand themselves better, improve their emotional health, and develop healthier ways of interacting with others.

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When psychodynamic therapy is used
Psychodynamic therapy is commonly used to address a variety of emotional and psychological challenges. It is particularly effective for individuals dealing with depression or those who are struggling to find meaning in their lives, especially when this leads to difficulties in forming or maintaining relationships. Beyond depression, psychodynamic therapy has proven helpful in treating social anxiety, eating disorders, chronic pain, and interpersonal issues.
This approach is also beneficial for children and adolescents, and it can be particularly effective in treating borderline personality disorder. While psychodynamic therapy is versatile, it is typically not the first choice for conditions like psychosis, post-traumatic stress disorder (PTSD), or obsessive-compulsive disorder (OCD).
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How psychodynamic therapy works
Psychodynamic therapy works by helping clients gain insight into their unconscious thoughts, emotions, and behaviors. The goal is to bring repressed feelings and unresolved conflicts to the surface so that individuals can process them in a safe and supportive environment. This approach encourages clients to explore their emotional world, focusing on patterns and themes from the past that influence their current relationships and behaviors.
In psychodynamic therapy, therapists take on a more collaborative role compared to traditional psychoanalysis. Instead of adopting an authoritative position, therapists act as guides, helping clients navigate their internal experiences. They engage with clients face-to-face, promoting a dynamic, interactive environment. Unlike psychoanalysis, which may involve multiple sessions a week and encourage reclining on a couch while practicing free association, psychodynamic therapy is typically less intensive but still rooted in deep exploration.
Clients may come to psychodynamic therapy to understand the root causes of issues like anxiety, depression, or relationship difficulties. This therapy also helps individuals articulate complex feelings they might otherwise find difficult to express. In some cases, psychodynamic techniques may incorporate art or music to allow clients to express emotions in alternative ways, giving them new channels to process and understand their feelings.
What to expect in psychodynamic therapy
In psychodynamic therapy, the patient is encouraged to openly express thoughts, feelings, and memories—whether related to present concerns, past experiences, or even unspoken desires and dreams. This free association process helps uncover hidden emotions and unresolved conflicts.
The primary goal is symptom relief, but psychodynamic therapy also aims to bring about deeper personal growth. Patients often experience improved self-esteem, a better understanding of their own strengths, and an enhanced ability to build healthier relationships.
The length of treatment can vary; some people benefit from a short-term process, while others may engage in therapy for longer periods. The pace of progress can also differ from one person to another, with some seeing improvements early on and others experiencing more gradual change throughout the course of therapy.
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Who is a good candidate for psychodynamic therapy?
Psychodynamic therapy is particularly suited for individuals who are open to self-reflection and have a desire to gain deeper insight into their behaviors, emotions, and past experiences. It works well for those who are willing to explore the underlying psychological factors that influence their present-day challenges.
It may not be the best fit for individuals who are not interested in examining their past or looking to engage in long-term, introspective work. For those seeking more structured, short-term solutions, therapies like cognitive behavioral therapy (CBT) might be a better fit, as they tend to focus more on immediate problem-solving and are often time-limited.
Brief psychodynamic therapy, which is typically restricted to around 25 sessions, offers a more focused approach, but for those seeking long-term change, a more extended course of therapy may be required.
What is the difference between psychodynamic therapy and psychoanalytic therapy?
While both psychodynamic therapy and psychoanalytic therapy share common roots in the work of Sigmund Freud and emphasize the exploration of unconscious processes and intrapsychic dynamics, they differ significantly in their approach and structure.
Psychodynamic therapy is typically more focused on solving present-day issues and addressing the practical outcomes of the therapy process. It emphasizes resolving current emotional challenges and developing self-awareness, rather than delving deeply into early childhood experiences. In contrast, psychoanalytic therapy places a greater emphasis on uncovering unconscious material from the client’s early life and exploring how past experiences shape present behavior.
Psychodynamic therapy is usually shorter in duration compared to psychoanalytic therapy. Psychodynamic therapy often involves fewer sessions, and clients may meet weekly or even bi-weekly. Psychoanalysis, on the other hand, is a more intensive process and typically requires multiple sessions per week over a longer period, sometimes lasting for several years.
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Is psychodynamic therapy covered by insurance?
Psychodynamic therapy is often covered by insurance, especially when it is part of an accredited treatment program. Under the Affordable Care Act, health insurance providers are required to cover mental health and substance use treatments on par with medical and surgical procedures. However, coverage details can vary based on your insurance provider, the specifics of your policy, and the type of treatment you are receiving. Generally, insurance plans cover therapy if it’s considered medically necessary and included in a structured treatment plan prescribed by licensed professionals.
While some plans may fully or partially cover psychodynamic therapy sessions, others may impose limitations such as the number of sessions or require co-pays. The level of coverage depends on factors such as whether the therapy is part of inpatient or outpatient treatment, the duration of therapy, and whether it’s being used for conditions like substance use disorder, depression, anxiety, or other mental health concerns.
To confirm whether your insurance will help with the cost of therapy, give us a call at (888) 123-4567 for a free and quick insurance benefits check.
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Sources
- Center for Substance Abuse Treatment. (1999). Brief Interventions and Brief Therapies for Substance Abuse (Treatment Improvement Protocol [TIP] Series, No. 34). Substance Abuse and Mental Health Services Administration (US). Chapter 7—Brief Psychodynamic Therapy.
- Opland, C., & Torrico, T. J. (2024). Psychodynamic Therapy. StatPearls Publishing.
About the content

Written by: Carli Simmonds. Carli Simmonds holds a Master of Arts in Community Health Psychology from Northeastern University. From a young age, she witnessed the challenges her community faced with substance abuse, addiction, and mental health challenges, inspiring her dedication to the field.

Medical reviewed by: Jodi Tarantino, LICSW. Jodi is an experienced, licensed Independent Clinical Social Worker (LICSW) and Program Director with over 20 years of experience in Behavioral Healthcare, demonstrating expertise in substance use disorders, mental health disorders, crisis intervention, training development, and program development. She is a skilled leader in business development with a Master of Social Work (MSW) in Community and Administrative Practice from the University of New Hampshire.
Red Ribbon Recovery is committed to delivering transparent, up-to-date, and medically accurate information. All content is carefully written and reviewed by experienced professionals to ensure clarity and reliability. During the editorial and medical review process, our team fact-checks information using reputable sources. Our goal is to create content that is informative, easy to understand and helpful to our visitors.