Psychodynamic therapy
Beyond Surface-Level Symptom Management
Psychodynamic therapy offers a sophisticated clinical pathway for high-achieving professionals who have reached a ceiling in their personal development despite significant external triumphs.
For the executive, physician, or entrepreneur, the ability to analyze and execute is often the primary driver of their identity, yet this same aptitude for logical problem-solving often fails when applied to internal emotional architecture. Traditional, short-term therapeutic models frequently emphasize immediate symptom management, which often feels like an incomplete or superficial solution for those who seek to understand the structural origins of their psychological distress.
As featured in…
Psychodynamic therapy is the essential methodology we utilize to move beyond the management of symptoms and toward the resolution of deep-seated patterns.
In our practice, we recognize that for the high-achieving individual, the default "fixer" mentality requires a more sophisticated therapeutic counterpart that can match their cognitive complexity. While skills-based interventions might offer a temporary reprieve from anxiety or burnout, they rarely address the underlying psychological framework that generates these experiences.
By shifting the focus from "fixing" a problem to understanding the person who possesses the problem, we facilitate a durable transformation that addresses the roots rather than merely pruning the branches.
The High-Achiever's Default: Why Problem-Solving Skills Aren't Enough
Psychodynamic therapy recognizes that for the physician or executive, the default setting of "doing and fixing" serves as a highly effective professional tool that often fails within the emotional realm.
In high-stakes environments, qualities like perfectionism an chronic high-performance are rewarded, yet these same ego-syntonic traits frequently become the primary drivers of psychological exhaustion and relational friction.
The irony of professional success is that the very skills that facilitate a rise to the leadership level are often the same mechanisms that prevent deep emotional healing and authentic self-connection.
Psychodynamic therapy is particularly effective for those who have discovered that their existing toolkit (the one that has served them in every other area of life) is insufficient for resolving internal conflict or chronic stress.
Many of our clients come to us after realizing that if a quick, tactical solution existed for their burnout or anxiety, they would have already identified and implemented it. The reality is that meaningful emotional change necessitates a departure from transactional self-improvement and a move toward a more relational, insight-oriented process.
Together, we work to explore how these long-standing patterns were formed and why they persist despite the heavy cumulative psychological taxation they impose on the individual.
A Contrast in Care: Depth-Oriented vs. Skills-Based Therapy
In the landscape of modern mental health, there is a distinct spectrum between short-term, structured interventions and depth-oriented work.
On one end, approaches like Cognitive Behavioral Therapy (CBT) focus on session-by-session agendas, worksheets, and homework assignments designed to target discrete symptoms. For the high-achiever, these skills-based treatments can often feel like just another set of tasks to complete, which can inadvertently reinforce the "doing" defense and prevent the client from ever truly "being" or feeling. This often leads to a ceiling where the individual manages the symptom but the internal pressure remains unchanged.
Our approach resides on the opposite end of this spectrum, prioritizing a depth-oriented and long-term framework. Rather than following a rigid manual, we facilitate an organic exploration of your internal world to address longstanding patterns and experiences over time.
By diving underneath the surface of immediate stressors, we identify the interconnected nature of your current struggles and your historical relational templates. This process is not about providing a simplistic set of tools, but about fundamentally altering the way you relate to yourself and others. This foundational shift ensures a more sustainable resolution for issues that have likely existed for years.
Targeted Specializations: Addressing the Roots of Burnout and Perfectionism
We utilize a psychodynamic lens to transform the treatment of several specific conditions that frequently affect high-functioning adults. This insight-oriented work provides a more sustainable resolution than "quick fix" interventions by addressing the core conflict.
Burnout and Compassion Fatigue: For high-stakes professionals, burnout is rarely just the result of a heavy workload. It is often a signal that the high-performance engine is running on empty because the individual's motivations have become disconnected from their authentic self. We analyze the internal pressures that make resting feel like a failure.
Anxiety and Depression: Rather than attempting to suppress anxious thoughts, we explore what those thoughts are attempting to communicate about unmet emotional needs. These conditions are often signals of unresolved internal conflicts that require deep exploration to fully resolve.
Perfectionism and People-Pleasing: We view these behaviors as survival strategies or shields developed early in life to protect against unbearable vulnerability or shame. Our work helps you develop the internal security necessary to lower these shields and lead from a place of authenticity.
Past Childhood Wounds and Family of Origin Dynamics: Current professional struggles are frequently echoes of the intergenerational transmission of trauma or early relational patterns. We explore how these early "internal working models" continue to dictate your current leadership style and relationship dynamics.
Loss of Self and Existential Themes: Success can lead to an existential emptiness when one's identity is solely tied to professional output. We provide the containment necessary to explore these themes and help you reconnect with a sense of purpose that is independent of achievement.
The Digital Practice Experience: Modern Support for Busy Professionals
Our practice is structured to provide deep, meaningful support within a modern logistical framework that respects the schedules of busy professionals. We offer online sessions only, ensuring that you can engage in this profound work from a private and convenient location. This online-only model removes the friction of travel while maintaining the psychological containment necessary for effective psychodynamic work.
Meaningful change requires a dedicated and consistent container, which is why we follow a structured three-step intake process:
Free 15-minute phone consultation: A brief initial call to discuss your needs and ensure our depth-oriented approach aligns with your goals.
Initial session: A detailed meeting where we talk about how we work and determine the clinical fit for a long-term therapeutic relationship.
Ongoing sessions: We require a minimum weekly frequency for all clients. This cadence is vital for maintaining the emotional momentum and safety required to explore the deeper layers of the psyche.
Insurance and Investment
Engaging in psychodynamic therapy is a significant investment in your long-term psychological health and professional sustainability. Our practice operates as an out-of-network provider, which allows us to prioritize the clinical needs of the patient over the restrictive protocols of insurance companies. To support our patients, we offer electronic out-of-network claim filing on a monthly basis or provide detailed superbills for manual reimbursement. We frame this investment as a commitment to building a resilient internal foundation that supports your external success. Please reach out to our office to receive more information regarding pricing and scheduling. availability.
Frequently Asked Questions about Psychodynamic therapy
-
Many structured therapy models focus on symptom reduction through tools such as homework, worksheets, or skills practice. Psychodynamic therapy takes a different approach by exploring the underlying emotional patterns and early experiences that continue to shape how you think, feel, and relate today.
Rather than targeting symptoms in isolation, the work focuses on understanding the deeper roots of distress so that change is more integrated and lasting.
This approach can be especially helpful for high performers, who often understand their symptoms logically, yet still feel stuck despite having tried structured or skills-based therapies.
-
Psychodynamic therapy focuses on creating meaningful, internal change in how a person understands themselves and relates to others. Because this work addresses long-standing emotional patterns—rather than applying short-term solutions to surface-level problems—it naturally unfolds over time. This slower pace allows for deeper insight, integration, and change that tends to be more durable and lasting.
-
In psychodynamic therapy, progress is often felt before it is easily named. Rather than showing up as a single measurable outcome, it often appears as a growing sense of internal freedom and flexibility. You may notice that situations which once felt emotionally charged (or emotionally numb) begin to feel more manageable and accessible, or that you respond with greater choice and agency rather than reacting habitually on autopilot.
Progress can also look like old patterns losing their grip over time. Many people notice shifts in how they relate to themselves and others, increased emotional clarity, and a reduction in the constant sense of pressure or “drivenness” that often contributes to burnout. These changes tend to feel integrated and sustainable, rather than forced or effortful.
-
Psychodynamic therapy relies on consistency and continuity to be effective. Meeting weekly (or more frequently) allows enough emotional continuity to stay connected to the work from session to session, rather than repeatedly starting over and staying on the surface “playing catch up” because so much time passes between sessions.
This regular cadence helps create a stable, contained space where deeper material can be explored thoughtfully and safely over time.
-
Many leadership patterns—such as how you handle authority, conflict, responsibility, or pressure—are shaped by early relational experiences. Psychodynamic therapy explores these early patterns not to dwell on the past, but to understand how they continue to influence your reactions, decision-making, and leadership style today. By bringing these dynamics into awareness, you gain greater choice and intention in how you lead, rather than operating on automatic or reactive habits.
-
Yes, absolutely. In fact, many highly logical professionals find psychodynamic therapy especially useful. This approach doesn’t ask you to abandon logic or analytical thinking. Rather, it helps you understand the emotional forces that influence how you think, decide, and relate, often outside of conscious awareness. When emotional responses are better understood and integrated, decision-making tends to become clearer, reactions less automatic, and internal tension reduced. Rather than working against logic, psychodynamic therapy complements it by expanding the range of information you can use to understand yourself and your choices.
-
Yes, of course. In psychodynamic therapy, your current work stress is not a distraction from deeper work; in fact, it is often the doorway into it. Rather than separating “practical concerns” from deeper exploration, this approach looks at how current stressors interact with long-standing emotional patterns.
The pressures, conflicts, and challenges you’re facing right now often relate to deeper themes around responsibility, performance, authority, self-worth, and more. By starting with what feels most immediate and real, therapy can address present-day stress while also helping you understand the deeper dynamics shaping how you experience it.
-
The therapeutic relationship is central to psychodynamic therapy. Over time, the way you experience and relate to your therapist often reflects patterns that also show up in other important relationships in your life. Many people find that experiencing the unique relationship co-created in therapy, one characterized by thoughtfulness, consistency, reflectiveness, warmth, and care, can itself be deeply healing.
By paying attention to what unfolds between us, including thoughts, feelings, expectations, and reactions, we gain valuable insight into long-standing relational dynamics. Working with these patterns within a safe, attuned relationship allows for deeper understanding and meaningful change that can extend beyond the therapy room.
-
Psychodynamic therapy helps create space to reconnect with parts of yourself that may have been set aside in the service of achievement, responsibility, or constant problem-solving.
Over time, many entrepreneurs begin to notice how their sense of identity has narrowed around their role, performance, or success. By exploring the emotional and relational patterns that shaped this shift, therapy supports a more integrated sense of self that extends beyond productivity or external validation. This work can help restore a feeling of meaning, agency, and aliveness that often feels lost in the midst of sustained professional pressure.
-
You do not need to be in crisis to benefit from psychodynamic therapy. Many people seek therapy because something feels off, stagnant, or no longer aligned, even if things appear “fine” on the surface. Feeling stuck often reflects underlying emotional patterns, internal conflicts, or unresolved themes that have become limiting over time. Psychodynamic therapy offers a space to explore these experiences with curiosity and depth, helping create movement, clarity, and a renewed sense of direction.
This work is often a good fit for high-achievers who recognize a “ceiling” in their growth and sense that moving beyond it requires deeper exploration of their internal world.
Location and Outreach
We are proud to provide these specialized services to high-achieving residents across California through our secure digital platform. If you are ready to move beyond symptom management and engage in a deeper therapeutic process, we invite you to connect with us from the following locations:
Through online therapy, we are able to see clients based anywhere in California, Texas, or any of the following PSYPACT participating states ⟶
Alabama
Arizona
Arkansas
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Idaho
Illinois
Indiana
Kansas
Kentucky
Maine
Maryland
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
North Carolina
North Dakota
Ohio
Oklahoma
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming