Sometimes we can recognize a difficulty without understanding why it keeps happening. We may find ourselves withdrawing when we want closeness, doubting ourselves despite accomplishments, or repeating relationships that leave us dissatisfied. Knowing what we would like to change does not always make change possible.
Psychoanalysis offers time and space to explore these experiences in depth. It is an intensive form of psychotherapy that attends to the feelings, expectations, and conflicts that shape our lives, including those we do not fully recognize.
What are sessions like?
You are invited to speak about whatever comes to mind. There is no required agenda or correct way to begin. A conversation might move between something that happened yesterday, a memory, a dream, or a feeling that is difficult to put into words.
I listen carefully, ask questions, and offer observations for us to consider together. Over time, connections may emerge between experiences that initially seemed unrelated.
Why meet frequently, and why use the analytic couch?
In my practice, psychoanalysis ordinarily involves meeting three to five times each week. This continuity allows us to stay close to emotional experiences and follow them beyond the point where an occasional conversation might leave off.
My patients in psychoanalysis use the analytic couch. Reclining, with me seated out of view, can make it easier to turn attention inward and speak without monitoring another person’s expression. This arrangement may initially seem strange or unfamiliar. We will discuss what it might be like for you, including any questions or concerns, as we consider treatment together.
Why does the relationship matter?
Our expectations of other people can also appear in the relationship with an analyst. You might worry about being judged, feel misunderstood, or find it difficult to disagree. These experiences become opportunities to understand something as it happens, with someone who can help you think about it.
Is psychoanalysis right for me?
Psychoanalysis may be worth considering when emotional difficulties or relationship patterns persist, or when life feels constrained in ways that are hard to explain.
The aim is greater freedom: more room to understand your feelings, respond differently, and make choices that feel your own. What this means will be different for each person.
Psychoanalysis is not the right treatment for every patient. We begin with a consultation to understand your difficulties, your goals, and your circumstances. After that consultation, I will offer my assessment and advise you about treatment options. Together, we will decide whether psychoanalysis is appropriate for you or whether another approach would better meet your needs.
Insurance generally does not support the full frequency of sessions involved in psychoanalysis. We will discuss fees, any available coverage, and the commitment of time and money as part of deciding whether it is the right treatment for you.