What is psychoanalysis and psychodynamic therapies?

The psychoanalytic psychotherapies service is provided by two teams:

Address

Wessex HouseFalcon CourtStockton-on-Tees

TS18 1TS

Telephone: 01642 368582

Service opening hours

Monday to Friday, 9am to 5pm.

Lead contact name

Dr Nicky Ablett-Tate

Address

Lanchester Road HospitalLanchester RoadDurham

DH1 5RD

Telephone: 0191 4415750

Service opening hours

Monday to Friday, 9am to 5pm.

Lead contact name

Dr Nicky Ablett-Tate

What is psychoanalytic / psychodynamic psychotherapy?

Psychoanalytic or psychodynamic psychotherapy draws on theories and practices of analytical psychology and psychoanalysis. It is a therapeutic process which helps patients understand and resolve their problems by increasing awareness of their inner world and its influence over relationships both past and present. It differs from most other therapies in aiming for deep seated change in personality and emotional development.

Psychoanalytic and psychodynamic psychotherapy aim to help people with serious psychological disorders understand and change complex, deep-seated and often unconsciously based emotional and relationship problems, reducing symptoms and alleviating distress (http: bpc.org.uk, June 2018).

About the service

The psychoanalytic psychotherapies service (PPS) provides a high quality, evidence-based psychodynamic and psychoanalytic therapy service for adults referred by health professionals.

It may be offered when other therapies have been tried in the past but something additional is needed or if it is the preferred option of the patient. It is often a longer-term psychotherapy than other psychological therapies.

This service offers

  • Brief and long-term individual psychoanalytic/psychodynamic psychotherapy for adults, including dynamic interpersonal therapy
  • Group analytic psychotherapy – general long-term psychotherapy for a range of problems and diagnoses, and focussed groups for specific problems e.g. sexual abuse
  • Psychoanalytic/psychodynamic consultations and assessments regarding treatment choice
  • Psychotherapy offers an opportunity to reflect and learn about the thoughts and feelings that affect who you are, your relationships and how you respond to life.

The psychotherapeutic relationship helps individuals to become aware of memories and feelings, analyse these and work towards resolving any problems these may have caused.

This therapy tends to work at a deeper level than counselling and has a different focus from cognitive therapies, as it is concerned with an understanding the unconscious mind.

The team

The team of qualified mental health professionals includes clinical and counselling psychologists, adult psychotherapists and a psychiatrist. All staff are also qualified in psychodynamic, psychoanalytic or group analytic psychotherapy.

Patients are also seen by medical, psychology, and other mental health professionals on placement with the service, as part of the service’s training schemes. The service has a responsibility for psychotherapy training and ensuring it remains up to date with latest developments.

  • Dr Nicky Ablett-Tate, consultant clinical psychologist and psychoanalytic psychotherapist. Service Lead for PPS
  • Dr Zara Fantarrow, clinical psychologist (Stockton)
  • Dr Margherita Margiotti, adult psychotherapist (Stockton)
  • Mr Tony Ashton, group analyst (Stockton and Durham)
  • Dr Phil Osborne, medical psychotherapist and consultant psychiatrist (Stockton)
  • Dr Thea Vasayianni, adult psychotherapist/counselling psychologist (Durham) 
  • Dr Caroline Harvey, clinical psychologist in psychotherapy (Durham)
  • Kirk Young, Adult Psychotherapist (Stockton)

How to access the service

Referral to the service may be suggested by a member of a patient’s health care team or requested by the patient. Following discussion with the patient, the health care professional discusses a referral with a member of the specialist psychotherapy service to make sure an assessment will be appropriate and helpful.

If the referral is initiated at a primary care level, such as by a GP and associated professionals or IAPT, referral will usually be via the access team to ensure a full mental health assessment is in place.

What can patients expect?

Patients are asked to complete questionnaires before their first consultation. This helps the patient prepare for psychotherapy and the psychotherapist understand the problems, so that together, they can decide whether this type of psychotherapy will help. It also helps gather information to assist in any continuing psychotherapy and in assessing its effectiveness when it has ended.

Initial sessions (one to six) allow the patient and psychotherapist to think about the problems that the patient is experiencing and explore how psychotherapy can or cannot be of use. This leads to a basis for psychodynamic/psychoanalytic psychotherapeutic treatment over 16 to 40 sessions (short-term) or 80 to 120 sessions (long-term).

Sessions are usually one hour each week or ninety minutes for groups.

Psychotherapy can be used as part of an overall treatment plan (in which the patient has a care coordinator) or as a stand-alone therapy where the psychotherapist is the lead professional responsible for the patient’s mental health care.

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Psychoanalytic or Psychodynamic Psychotherapy is a form of clinical practice which is based on psychoanalytic theory and principles. It’s a treatment modality that in many ways is quite similar to psychoanalysis, although often considered less intense. Psychoanalytic psychotherapy utilizes psychoanalytic theories as the frame for formulation and understanding of the therapy process. These multiple theories apply to the psychotherapy situation, with a focus on increasing self understanding and deepening insight into emotional issues and conflicts which underlie the presenting difficulties. Typically therapists make use of exploration of unconscious thoughts and feelings, understanding aspects of the relationship between therapist and patient, which may relate to underlying emotional conflicts, interpretation of defensive processes which obstruct emotional awareness, and consideration of issues related to sense of self and self esteem.

Most often therapy sessions occur between one and four times weekly. The focus is on exploration of the patient’s inner experience, emphasizing this as it occurs in current daily life, as it carries over from significant and influential events and relationships of the past, and as it is manifest in the context of the therapeutic relationship.

The efficacy of psychoanalytic psychotherapy, often referred to as psychodynamic psychotherapy, has been well documented. Current research indicates this as a powerfully curative treatment. Please click here for a list of some recent literature addressing the evidence base for the effectiveness of psychodynamic psychotherapy.

Who is a Psychoanalytic Psychotherapist?

Clinicians who practice psychoanalytic or psychodynamic psychotherapy all share a common orientation about how to assess and treat emotional problems. Most psychodynamic therapists have extensive training. The formats and contexts of this training are wide ranging – from graduate or medical school instruction and case supervision to rigorous and formal advanced psychotherapy training programs or psychoanalytic training. The vast majority of psychoanalytic psychotherapists elect to pursue ongoing additional training beyond their graduate or medical school instruction in order to deepen and extend their skills. Psychoanalytic psychotherapists can be found in a variety of professional disciplines, including social work, psychology, psychiatry, and psychiatric nursing.

Who can benefit from Psychoanalytic Psychotherapy?

While there is no simple answer to this question, it is important to emphasize that psychodynamic psychotherapy can be an effective treatment or component of a combined treatment for a very wide range of emotional and psychological difficulties. This includes, in one form or another all ages, and many diagnostic categories. The range of indications is significantly wider than that for psychoanalysis. In order to address this question for any individual, a careful evaluation with a well qualified therapist is an important first step.

How to Find a Psychoanalytic Psychotherapist?

Recent Literature and Articles Addressing the Evidence Base for the Effectiveness of Psychodynamic Psychotherapy

  1. Lazar, S. (2010). Psychotherapy is Worth It; A Comprehensive Review of Cost Effectiveness, American Psychiatric Publishing.
  2. Shedler, J. (2010). The Efficacy of Psychodynamic Psychotherapy, American Psychologist, 65, 98-109.
  3. Summers, R., Barber, J. (2009). Psychodynamic Psychotherapy: A Guide to Evidence Based Practice. The Guilford Press.

Let the Evidence Show: Psychodynamic Therapy Provides Effective and Lasting Benefits

Psychodynamic Psychotherapy Brings Lasting Benefits through Self-Knowledge

For Mental Health Professionals

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  • For Psychoanalysts
  • For Graduate Students or Residents

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