Psychodynamic Therapy

What it is

Psychodynamic therapy is a talking therapy rooted in the idea that our present difficulties are shaped by earlier experiences, important relationships, and patterns of feeling and relating that we are not always fully aware of. Rather than focusing mainly on changing specific present-day thoughts and behaviours, as CBT does, it works to understand the deeper roots of difficulties, on the basis that insight and understanding can free a person from patterns that keep repeating.

It is usually less structured than CBT and often longer-term, giving space to explore freely. A distinctive feature is that the relationship between therapist and person is itself used as a place where habitual patterns of relating show up and can be gently noticed and understood.

Why it helps, and the evidence

Psychodynamic therapy has a growing evidence base, with research supporting its effectiveness for depression, anxiety and some longstanding relational and personality difficulties, and evidence that its benefits can continue to grow after therapy ends. It helps by bringing into awareness the patterns, often formed early in life, that drive recurring difficulties, so they can be understood and loosened rather than endlessly repeated.

What to expect

Sessions are typically more open and exploratory than in structured therapies. You might talk about current feelings, past experiences, dreams, relationships, and what comes up in the therapy itself, with the therapist helping you notice connections and patterns. It often unfolds over a longer period, allowing understanding to deepen. There is usually less homework than in CBT and more emphasis on the process of reflection within sessions.

Is it right for me

Psychodynamic therapy tends to suit people drawn to understanding themselves more deeply, those with longstanding or recurring difficulties, and those whose struggles are closely tied to relationships and earlier experiences. People who prefer a brief, structured, problem-focused approach may find CBT fits better. A qualified professional can help you choose. Availability of trained psychodynamic therapists varies in Kenya; our Get Support page can help you explore options.

When to seek help

If you find yourself repeating the same painful patterns in relationships or life, or want to understand the deeper roots of longstanding difficulties, a psychodynamic approach may help. A mental health professional can advise on whether it fits your needs.