Skip to content
In person in Natick and telehealth across Massachusetts
Aurora Counseling Associates

In plain terms

Psychodynamic therapy

Psychodynamic therapy is a depth approach that looks at how early relationships and out-of-awareness patterns shape the way you feel and relate now. Rather than only managing symptoms, it follows the themes that repeat across your life, so the roots of a pattern become clear and can change. The relationship with your therapist is part of the work.

Following the pattern

Psychodynamic work starts from the idea that a lot of what drives us runs below awareness, in patterns learned early and repeated without noticing: the same kind of relationship, the same sticking point, the same feeling that shows up on cue. Instead of only treating the surface symptom, it traces the theme back to where it was learned, on the understanding that a pattern seen clearly is easier to change than one that runs in the dark.

What to expect

Sessions are more open and exploratory than a skills-based approach, with room to follow what comes up. What happens between you and your therapist is treated as useful information, because the patterns that play out everywhere else tend to show up there too. It is often a good fit for long-standing depression, anxiety, and trauma that have roots going back a long way.

This page is part of our therapy glossary.

Questions

Common questions

Does psychodynamic therapy take years?
It can be open-ended, but it does not have to be. There are shorter, focused psychodynamic approaches. The length depends on your goals and what you and your therapist decide together.
Is it the same as psychoanalysis?
It comes from the same tradition but is more flexible and less intensive. You sit face to face and meet weekly, rather than several times a week on a couch.
How is it different from CBT?
CBT focuses on changing current thoughts and behaviors, often briefly. Psychodynamic therapy focuses on understanding where patterns came from. Many people benefit from elements of both.

Ready when you are

A free 15-minute call is the easiest way to find out whether Aurora is the right fit.

References and further reading

Psychodynamic therapy can help with depression and long-standing relational patterns. For more, see the Society for Psychoanalysis and Psychoanalytic Psychology and the American Psychoanalytic Association.