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“Be patient toward all that is unsolved in your heart and try to love the questions themselves, like locked rooms and like books that are now written in a very foreign tongue.”
– Rainer Maria Rilke
What is psychoanalysis?
Psychoanalysis shares a lot in common with psychodynamic psychotherapy, however the greater frequency of sessions helps the work go deeper.
In psychoanalysis, as in psychodynamic psychotherapy, we look at how unconscious forces (related to unprocessed traumatic experiences, relational patterns that were established during one’s psychological development, conflicts within one’s mind, and unconscious defenses) create emotional pain, impaired resilience, problematic relationships, and get in the way of conscious goals, sense of purpose and functioning.
Both psychoanalysis and psychodynamic psychotherapy seek access to unconscious material through exploration of dreams and fantasies, feelings and thoughts related to what is going on in your life today as well as those arising within the therapeutic relationship, patterns of behavior, exploration of life circumstances, physical symptoms, and the exploration of unconscious defenses.
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What is the difference between psychodynamic psychotherapy and psychoanalysis?
The frequency of sessions is one major difference between psychodynamic psychotherapy and psychoanalysis. Whereas in psychodynamic psychotherapy you come to therapy 1-2 times per week, psychoanalysis requires greater frequency of sessions, anywhere from 3-5 times per week. This frequency allows for a deeper experience, where less time is spent catching up on recent life events and more time is available for exploration of internal experience, particularly the emotional impact and personal significance of experiences big and small. Frequent sessions also provide less opportunity for defenses to kick in between sessions, allowing for an ongoing process of working through of material that comes up from one session to the next.
With increased session frequency, there is also an intensification of feelings that arise within the therapeutic relationship. This facilitates what we call transference, where feelings and desires directed toward important figures in your life (past and present) are directed toward the analyst, allowing these (often unconscious) feelings, reactions, and defenses to be unpacked, understood, and worked through in real-time.
In psychoanalysis, there is greater use of free association, where you are encouraged to speak freely about whatever comes to mind, following your thoughts and feelings wherever they may go. In society, we are so used to censoring ourselves when speaking to others in order to make ourselves look better, shield the other from our hostile thoughts or impulses, or hide things that we are ashamed of or find difficult to share. Similar reactions will show up when trying to open yourself up to speaking freely in an analytic session, and these barriers to free association can also be talked about and understood. This is also where the use of the analytic couch can be helpful, as it can afford you a greater sense of privacy, in some cases making it easier to access and share the parts of your mind that holds deeper thoughts and wishes.
about me
Marina Rozenberg, MD.
Clinical psychiatrist and therapist
I’ve been a practicing internal medicine physician since 2004. In the process of going through my own healing journey, I realized that I wanted to learn to use the tools that were most valuable to me in order to help others in their pursuit of more meaningful and genuine lives. To that end, I completed a 4-year postgraduate training program in Bioenergetic Analysis, and additional postgraduate programs in psychoanalytic psychotherapy. I am currently enrolled as a psychoanalytic candidate at the Object Relations Institute in NYC.
Benefits of psychoanalytic psychotherapy
Psychoanalysis is an intensive psychotherapy that requires the investment of time and money, as well as a desire to delve deeply within yourself to understand the underlying issues contributing to emotional distress, repetitive difficulties in relationships, or self-sabotaging behaviors.
Psychoanalysis can be helpful where other approaches, particularly those that work by targeting the rational mind and behavior modification, were not able to sufficiently help. When you have psychological difficulties that are recurring, longstanding, or are structured within the personality, the understanding and working through of core dynamics in the context of a therapeutic relationship can be transformative and provide enduring relief.
To get started with psychoanalytic psychotherapy , please submit this form or call me to schedule a free 20-minute phone consultation.
conditions
I work with adults of all ages who are seeking help for the following conditions
Trauma
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Personality Disorders
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Loss or Grief
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Chronic Pain or Illness
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Questions to ask the doctor
- been trying to manage on your own, reading self-help books and learning all you can about why you feel this way, or maybe you’ve
- tried other forms of therapies that work with your rational mind or recommend behavioral techniques…
- feeling distressed
- finding yourself engaging in behaviors that are self-sabotaging or harmful
- repeating relationship patterns that leave you feeling hurt or dissatisfied, or are
- unable to feel a meaningful connection with yourself or others
Bioenergetic Analysis may be right for you if:
- you have had verbal-only therapy and felt there was something deeper that remained locked away and inaccessible
- if your emotional stress is expressed mainly through somatic symptoms
- if you feel quite disconnected from your body and would like to enhance the mind-body connection
- if the idea of working with the body resonates with you
The answer will vary based on your goals for therapy and the degree of distress you are experiencing related to your symptoms. This is something we will discuss as you start treatment, and session frequency may change over the course of treatment.
In general, greater session frequency allows for deeper process because:
– less time is spent catching up on what happened between sessions, leaving more time available to engage with internal experience
– there is less time between sessions for defenses to kick in, so that material that came up in a previous session is more available for continued working through
– there is an intensification of the psychotherapeutic relationship, allowing for greater opportunity to explore issues with intimacy, relationship dynamics, and relational patterns of defense
I typically recommend a minimum of once-weekly sessions so that the process can take hold and allow for sufficient depth to allow for meaningful change.
For those that would like to work more intensively, or during periods of crisis or emotional instability, a greater session frequency is recommended.
Each session is 45 minutes. Some people benefit from longer sessions, in which case the fee would be pro-rated.
The length of therapy varies from individual to individual, depending on your goals for therapy and your needs for healing related to past traumas or early childhood/adolescent experiences characterized by abuse, neglect, or traumatic experiences in the family such as illness, death, or divorce. Sometimes deeper issues are uncovered during therapy for what was initially a more straight-forward concern (for example, difficulty managing a stressful work environment), which may prolong the course of therapy. For this reason, it can be difficult to estimate how long treatment will last at the outset of therapy.
Instead, we are guided by improvements in wellbeing that suggest that therapy can be brought to a close. These can include:
- improvement in the symptoms that brought you to therapy, such as anxiety, depression, or uncontrolled anger
- enhanced awareness of personal needs and desires
- enhanced ability to communicate your needs to loved ones and navigate conflict
- enhanced ability to process stressful life events yourself or with the help of your support system
- improved capacity for emotional regulation
- development of healthy coping strategies that replace the need for substances or compulsive behaviors
- enhanced sense of meaning, purpose, and satisfaction with life choices and relationships
As therapy progresses and the issues for which you started therapy improve, we will discuss bringing therapy to a close (also known as termination).
Please contact me to set up a free 20-minute phone consultation! If the fit feels right, we will set up the initial visit and go from there.
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Tuesday: 1PM-8PM
Wednesday: 10AM-8PM
Thursday: 9AM-8PM
Friday: 10AM-4PM
Weekend: Closed
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Marina Rozenberg, MD
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