Psychotherapy FAQs
What is psychodynamic counselling / psychoanalytic psychotherapy?
Many people will be new to the terms ‘psychodynamic counselling’ and ‘psychoanalytic psychotherapy’.. but both are talking therapies based on the theories and principles of psychoanalysis. Psychodynamic counselling is less focused on the client-therapist relationship, because it is equally focused on the client’s relationship with his or her external world. Psychodynamic counselling is usually shorter than psychoanalytic psychotherapy with respect to the frequency and number of sessions.
Psychoanalytic psychotherapy takes the counselling process further. The therapist will be actively listening to the client with a view to making connections between past and present, particularly with reference to experiences of loss and trauma in very early in life. There will be a focus on the relationship between the client and therapist, as feelings about past relationships will most likely be re-enacted within the therapeutic relationship, at a very unconscious level. It is the therapist's job to help the client become aware of what is going on, both within the therapeutic relationship and externally.
Psychoanalytic therapy seeks to facilitate deep and lasting change within, and to contribute to overall psychological well-being. Its focus is on the conflicts that prevent people from succeeding rather than on advising on how to succeed, and to help understand and resolve the underlying dynamics which cause anxiety rather than giving techniques to control anxiety. The discovery of new and positive ways of dealing with long-standing emotional difficulties is the key to desired breakthroughs in behavioural change.
What are the differences between counselling & psychotherapy?
Counsellors are usually referred to as ‘counsellor’, and psychotherapists as ‘psychotherapist’ or ‘therapist’. The titles reflect the depth of, and length of, training. Some counsellors also refer to themselves as a psychotherapist, although they may not undertaken the additional training. At this point in time this misuse of title is not illegal, so when searching for professional help it is advisable to check out qualifications, with the necessary professional body.
Counsellors are qualified to work with clients once a week; however, an accredited psychoanalytic psychotherapist can usually work with clients more frequently.
What is the psychodynamic / psychoanalytic therapy contract ?
To begin, we will agree on a regular day or days each week to meet. I understand that life can sometimes get in the way, and there may be occasions when we need to find an alternative time—either for a single session or for a short period. While I may not always be able to accommodate changes due to existing commitments, I will do my best to be flexible whenever possible.
Invoices are issued at the end of each month, and I will always provide advance notice of any planned holidays.
It is standard professional practice to charge for missed sessions, including those you are unable to attend due to holidays or other commitments. The only exceptions are in rare and exceptional circumstances, such as sudden hospitalisation or similar emergencies.
A minimum of one month’s notice of ending therapy is usually expected from both sides. This allows us time to review our work together and bring the therapy to a thoughtful close.
How long does the process take?
There is no fixed timeline or predetermined process in therapy. Each person comes to therapy with their own unique reasons and goals, and my role is to support clients in making the most of our time together. Therapy concludes when clients feel ready — it’s entirely guided by their needs and sense of progress.
Goals can evolve throughout the process, sometimes extending the duration of therapy or increasing the frequency of sessions as deeper work begins. Quite simply, the more profound and lasting the desired change, the more time and commitment it will require.
Many people begin therapy with an understandable hope for quick results. However, meaningful change takes dedication and an openness to the process. There are no shortcuts — real transformation unfolds through time, trust, and patience. While the journey can be challenging, the outcomes are deeply rewarding and truly life-changing.
How much does it cost?
Across the profession worldwide, therapy costs are based on a therapist’s experience and qualifications. In line with this mine are a reflection of my training and experience.
The fee for ongoing therapy will be discussed when answering an enquiry, or during the first meeting, which I will refer to as the consultation.
Will I benefit from psychodynamic therapy?
It’s actually quite common for therapy—whatever type it is—to uncover a whole mix of issues, some of which we might not have been aware of at all when we first started. As the process unfolds, people often find themselves discovering new layers of their feelings, thoughts, and behaviours that shed light on why they do what they do or feel how they feel.
If you’re someone who wants to understand yourself better and make real, lasting changes, talking things through with a psychodynamic therapist can be a powerful way to do that. Together, you can explore how past experiences and unconscious patterns might be shaping your present life, and gradually build a deeper sense of self-awareness and emotional freedom.
That said, it’s important to remember that this isn’t a quick fix. Therapy takes time, effort, and a genuine desire to grow. There may be moments when it feels tough or uncomfortable—but those moments are often where real change begins. With patience and commitment, the process can lead to a more authentic and fulfilling way of living.
Have you been in my position before?
Yes I have, and was in frequent analysis for many years. For me it is the bedrock of the profession. Anyone who qualifies as a counsellor or psychotherapist should have sufficient therapy themselves. When you are thinking of working with a therapist it is very important to ask about their own experience with therapy.. not the exact details but rather the length & intensity.
Comprehensive training requires a lengthy period of being the client. Sometimes people who have completed a counselling course will have spent a limited amount of time in therapy themselves. So check this out. Whereas someone who has undertaken a psychotherapy training will have been required to undertake personal analysis, lasting many years. A counsellor / psychotherapist should have been in their own therapy at the same frequency of sessions at which they are working with their clients. So someone who only had once a week therapy themselves is not qualified to see clients more than once a week.
It could be very damaging to work with a therapist who themselves has had very little personal therapy. So it is advisable to check this out, and research their training/qualifications. You have the right to ask, and if they are reluctant to be open with you about this, then it might be best to look for another therapist rather than end up feeling disappointed or worse further down the road.
What can I expect from the client/therapist relationship?
The therapeutic relationship is a professional one, focused entirely on your wellbeing. To maintain clear boundaries and ensure a safe space for therapy, I will not have any personal or social relationship with you, your relatives, or your close friends outside of the therapy sessions.
What are the qualifications and professional requirements of psychoanalytic psychotherapists?
Choosing a Psychoanalytic Psychotherapist or Psychodynamic Counsellor
Psychoanalytic psychotherapists should have completed their training with an organisation that is a member of the United Kingdom Council for Psychotherapy (UKCP) or the British Psychoanalytic Council (BPC), and they should be registered with one of these professional bodies. You can find more information about the standards of the UKCP and BPC by following the links above.
As part of good professional practice, psychotherapists are expected to engage in ongoing supervision of their clinical work and to maintain their professional development through regular participation in seminars, workshops, and other training opportunities.
A reputable therapist will be open about their training, registration status, and professional experience, and will clearly state which professional body they are affiliated with.
Psychodynamic counsellors, by contrast, undertake a shorter period of training than psychoanalytic psychotherapists and are usually accredited by the British Association for Counselling and Psychotherapy (BACP).
What does supervision involve?
All qualified therapists should be in regular and ongoing supervision of their practice.
The purpose of supervision is to increase knowledge to support the therapist and protect the client. It involves a series of ongoing meetings where the therapist regularly consults a senior colleague or a group of peer colleagues to discuss professional experiences. The frequency of supervision will depend on the experience of the therapist.
Clients are not identified by name or personal details in the supervision process which protects their anonymity and confidentiality.
Do you prescribe drugs?
A counsellor or psychotherapist will never prescribe drugs or pharmaceutically advise the client in any manner, formally or informally. Unless they are also a Psychiatrist who also practices as a Psychotherapist.
What about confidentiality?
Confidentiality
Our conversations are treated with the utmost confidentiality and will not be discussed with anyone except my supervisor. However, there are exceptional circumstances where confidentiality may need to be broken. These include situations where you express uncontrollable suicidal intentions or actions, or disclose information about activities that are causing, or could cause, harm to another person — for example, the abuse of a child or active plans to harm another adult.
If such a situation were to arise, I would make every effort to support you in sharing this information with the appropriate professional or authority. If this is not possible, I would inform you before contacting another professional myself, and I would explain the reasons for doing so.
It is important to recognise the distinction between thoughts or feelings and actions. Only where there is a reasonable likelihood of harmful action would any breach of confidentiality be considered.
NOTE: There are various different therapy approaches available, but the Q&As above only relate to psychodynamic counselling and psychoanalytic psychotherapy.
