Psychodynamic Therapy

Two people sitting and holding hands, one wearing a denim jacket and the other wearing a black sweater, in what appears to be a dark outdoor setting.

Core Principles

  • Unconscious Influence: Much of human behavior is driven by hidden desires, memories, and fears outside of conscious awareness.

  • Early Life Experiences: Childhood interactions with primary caregivers are believed to form the foundation of an individual's personality and adult relational style.

  • Defense Mechanisms: These are unconscious psychological strategies, such as denial or repression, used to protect the self from uncomfortable thoughts or anxiety.

  • Transference: Patients may unconsciously redirect feelings about significant people in their past (e.g., a parent) onto the therapist, providing a "mirror" to examine relationship patterns. 

Common Techniques

  1. Free Association: Encouraging the patient to speak freely about whatever comes to mind without censorship to reveal unconscious links.

  2. Dream Analysis: Using dreams as a window into the unconscious to uncover hidden fears or motivations.

  3. Identifying Patterns: Working with a therapist to recognize recurring, often self-defeating, themes in life and relationships.

  4. Interpretation: The therapist offers perspectives on the patient's thoughts and actions to help them connect their past to their current symptoms. 

Applications and Effectiveness

Psychodynamic therapy is effective for treating a variety of mental health conditions: 

  • Depression and Anxiety: Evidence suggests it can be as effective as Cognitive Behavioral Therapy (CBT) for these conditions.

  • Personality Disorders: It is particularly noted for its efficacy in treating complex disorders like Borderline Personality Disorder.

  • Lasting Benefits: Research indicates that the benefits often continue to grow after treatment has ended, as patients continue to apply their newfound insight. 

Comparison with Other Therapies

  • CBT vs. Psychodynamic: While CBT is highly structured and focuses on changing immediate thoughts and behaviors in the present, psychodynamic therapy is more open-ended and emphasizes the historical "why" behind those patterns.

  • Psychoanalysis vs. Psychodynamic: Psychodynamic therapy is generally less intensive, meeting once or twice a week rather than multiple times, and focuses more on current interpersonal functioning.

Psychodynamic Therapists

  • Close-up of a woman with light brown hair, smiling, wearing gold earrings, outdoors with green foliage and purple flowers in the background.

    Miri Arie, PhD

    CHILD, ADULT, FAMILY AND GROUP THERAPIST

    Provides telehealth video and In-person services

    Dr. Miri Arie is a licensed clinical psychologist specializes in working with adults presenting with anxiety, relational difficulties, and life transitions, offering both individual and adult group psychotherapy. She also works with children, adolescents, and parents, with a focus on anxiety, emotional regulation, attachment, and early childhood trauma. Her work is relational, evidence-based, and trauma-informed.

    Dr. Arie is fluent in English and Hebrew. She can also support families who prefer to speak Russian or Hungarian but are proficient enough to understand responses in English. 

    Website: https://www.socialendeavors.net/

    Email: Miri@SocialEndeavors.ne

    Phone: (585)857-9394

  • A man with gray hair, glasses, and a mustache wearing a red jacket outdoors with green and red foliage in the background.

    Jeffrey B. Gilllman, PhD

    Provides telehealth video and in-person services

    Dr. Jeffrey Gillman is a licensed psychologist providing psychotherapy, consultation, and mental health services to teens, parents, and adults. His work focuses on adolescent growth, chronic health issues, anxiety, depression, grief and loss, and trauma.

    Email: drffej45@msn.com

    Phone: (425) 591-8889

  • A woman with black hair sitting on a beige couch near a window, smiling and resting her head on her hand.

    Maki Park, LMHCA

    INDIVIDUAL THERAPIST

    Provides telehealth video and in-person services

    Maki Park is a Licensed Mental Health Counselor Associate who provides psychotherapy with clients struggling with, but not limited to teens and adults who are navigating identity issues, cultural pressures, life transitions, and relational challenges.

    Email: Maki@makipark.com

    Phone: (914) 500-8158

  • A woman with dark brown hair and glasses smiling while sitting in a white chair in an indoor setting with a window and plants in the background.

    Michal (Michelle) Alpert, LICSW

    INDIVIDUAL THERAPIST

    Provides telehealth video and in-person services

    Michal Alpert is a Licensed Independent Clinical Social Worker who provides client-centered psychotherapy for clients diagnosed with, but not limited to Anxiety, Depression, Grief, Trauma, Prenatal and Postnatal Support, and Cultural iIsues.

    She offers therapy in both English and Hebrew

    Email: michal@michellealpertcounseling.com

    Phone: (425) 224-6320

  • A woman with curly brown hair wearing sunglasses on her head, a black top, gold earrings, and layered necklaces, smiling at the camera.

    Michal Goldring Keidar, LICSW

    TEEN, ADULT, PARENTS AND COUPLES THERAPIST

    Provides telehealth video service only

    Michal Goldring Keidar is a licensed clinical social worker who provides psychotherapy for teens and adults coping with trauma, transitions including parenthood, ‘empty nesting’, and aging. She also works with parents of neurodivergent children, and parents of children with disabilities.

    Michal is also offering services in Hebrew.

    Email: Michalgkeidar@gmail.com

    Phone: (206)-486-4131

  • Portrait of a man with short brown hair and a slight beard, smiling in front of a window with green foliage outside.

    David Neal, PsyD

    TEEN, ADULT, AND GROUP THERAPIST

    Porivdes Telehealth video and In-person service

    Dr. Neal is a licensed clinical psychologist and psychoanalyst who provides psychological assessments for a variety of presenting problems and works with clients diagnosed with, but not limited to anxiety, depression, dissociation, posttraumatic stress, relationship problems, personality dysfunction, and psychosis.

    Email: nealpsych@gmail.com

    Phone: (413) 298-2441