Psychodynamic therapy is a well-established form of talking therapy that focuses on how our past experiences, relationships and unconscious patterns shape the way we feel and behave today. It offers a safe, reflective space to understand yourself more deeply, so you can make meaningful and lasting changes in your life.

How Psychodynamic Therapy Works

In psychodynamic counselling, we explore your thoughts, feelings and memories together. Often, difficulties in the present link back to earlier experiences – sometimes ones you may not have realised still affect you. By bringing these patterns into awareness, therapy can help you make sense of them and respond in new ways.

Sessions usually happen weekly, at the same time and place (or online). This regularity creates a reliable, secure setting where trust can grow. The focus isn’t on giving advice or setting homework; instead, we work collaboratively to explore whatever feels most important to you.

Psychodynamic Therapy for First-Time Clients

Starting therapy can feel daunting, especially if it’s your first experience of counselling. You might wonder what to talk about, whether you’ll “do it right”, or how much to share. These worries are very normal.

In our sessions, you don’t need to have a clear plan – we begin wherever you feel comfortable. Some people start by talking about what has brought them to therapy now; others begin with a recent challenge or a general feeling of unease. Over time, we’ll explore how your thoughts and emotions connect, helping you gain insight and confidence in understanding yourself.

Support for People With Past Trauma

Psychodynamic therapy can be particularly helpful for those who’ve experienced trauma, whether in childhood or adulthood. Events such as abuse, neglect, bullying, or sudden loss often leave lasting emotional traces. Therapy provides a calm, confidential space to process these memories at your own pace.

A trauma-informed approach means we focus not only on the story of what happened but also on how it lives on in your body and relationships. By gently exploring these layers, therapy can reduce feelings of shame or self-blame and help you build resilience and self-worth.

What Psychodynamic Therapy Can Help With

Psychodynamic counselling is effective for a wide range of emotional and psychological challenges, including:

Because it explores the roots of issues, not just surface symptoms, psychodynamic therapy can lead to deep and lasting growth.

What It’s Like to Be in Therapy

Every client’s experience is unique, but sessions often involve gentle exploration of your current concerns, memories, and emotions. Together, we may notice links between your past and present or explore feelings that are hard to put into words.

The therapeutic relationship itself is a key part of the process. How you experience me your counsellor – and how you react in sessions – can mirror patterns in other relationships. Understanding these responses in a safe space can offer valuable insight and new ways of relating to yourself and others.

Some people feel relief after talking, while others notice emotions surfacing between sessions as old wounds start to heal. This is normal, and having support while you process these feelings is one of the benefits of therapy.

Starting Psychodynamic Therapy With Me

Sarah James therapist and counsellor

Whether you’re new to therapy or looking for support to heal from past trauma, psychodynamic counselling provides a caring, confidential space for exploration and growth. I offer sessions in Brighton and secure online therapy for clients across the UK.

You’re welcome to get in touch for a free phone call so we can discuss what you’re looking for and how I can help.


Frequently Asked Questions about Psychodynamic Therapy

How long does psychodynamic therapy take?

It depends on your needs and goals. Some people work for a few months on a specific issue, while others choose longer-term therapy to explore more deeply.

Is psychodynamic therapy suitable for anxiety, depression, or trauma?

Yes. Psychodynamic counselling can be highly effective for anxiety, depression, and trauma because it helps you understand the underlying causes, not just manage symptoms.

I’m nervous about starting therapy — is that normal?

Absolutely. Many first-time clients feel uncertain at the beginning. Part of my role is to create a welcoming space where you can go at your own pace and talk about whatever feels important.

Can I access psychodynamic therapy online?

Yes. Online therapy works well for many clients and offers the same focus and confidentiality as in-person sessions.