Hertfordshire Psychotherapy Practice
Dr Muriel Walshe, PhD, Psychoanalytical Psychotherapist

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Long-term therapy

Psychoanalytical psychotherapy aims to help people understand themselves and their difficulties at a deeper level by thinking about the connections between their present and past experiences. Presenting difficulties might include; relationship problems at home or work, underlying feelings of depression, anxiety, losses that are hard to overcome or traumatic life events. Occasionally, the therapy might be of short duration but this therapy is best considered as a treatment involving thoughtful commitment.

Brief Psychotherapy

I offer a 16 week structured therapy for people struggling with anxiety and depression called Dynamic Interpersonal Therapy (DIT). The focus and emphasis of this therapy is on relationships and helping people to understand the link between their low moods and the way they interact with others. The idea is that if you can understand how the patterns of relating you developed while growing up are affecting the way you behave around others in the present, and then learn how to deal with relationships more confidently and adeptly, anxiety will lessen and emotional health improves. The aim of DIT is not to remove your problems, everyone has problems they need to deal with. The hope is that you will learn how to manage things better and in as you go forward, feel more confident about dealing with difficulties as they arise.

DIT is a relatively new therapy and growing in popularity. It is offered within the NHS and is one of the five therapies recommended for the treatment of depression in the Department of Health’s guide Which talking therapies for depression? .

How will you know what therapy is right for you?

Deciding the best therapy for you will require some thought and the initial session will help us with that.

The brief therapy (DIT) is designed specifically with depression and anxiety in mind. If these symptoms are what brings you to the initial meeting then we can talk about it in more detail. You will be asked to fill in a questionnaire so we gauge the severity of your symptoms. DIT works best with the mild to moderate range of severity.

If a problem is deep seated and has been in a place for a long time then a longer therapy might be appropriate for you. We use the consultation to help you reach a decision.

Psychoanalytical Psychotherapy - What is the Evidence?

Psychoanalytic psychotherapy has a strong and expanding evidence base. There now exists a large number of outcome studies which have alternately examined the efficacy of short-term and longterm psychoanalytic psychotherapy and the efficacy of psychoanalytic psychotherapy for specific conditions. This is a document prepared by the British Council for Psychotherapy presenting this evidence.

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