FAQ

Psychoanalytic therapy is a form of talk therapy based on Sigmund Freud's theories of psychoanalysis. The approach explores how the unconscious mind influences your thoughts, feelings, and behaviors. Specifically, it examines how your experiences (often from childhood) may be contributing to your current experience and actions. Psychoanalytic approaches to emotional disorders have advanced a great deal since Freud's time.
Freud described the unconscious as the reservoir of desires, thoughts, and memories that are below the surface of conscious awareness. He believed that these unconscious influences could often lead to psychological distress and disturbances.

What makes psychoanalytic therapy different from other forms of treatment? A review of the research comparing psychoanalytic approaches to cognitive behavioral therapy (CBT) identified seven features that set the psychoanalytic approach apart.2
  • Focuses on emotions. Where CBT is centered on cognition and behaviors, psychoanalytic therapy explores the full range of emotions that a patient is experiencing.
  • Explores avoidance. People often avoid certain feelings, thoughts, and situations they find distressing. Understanding what a client is avoiding can help both the psychoanalyst and the client understand why such avoidance comes into play.
  • Identifies recurring themes. Some people may be aware of their self-destructive behaviors but unable to stop them. Others may not be aware of these patterns and how they influence their behaviors.
  • Exploration of past experienced. Other therapies often focus more on the here-and-now, or how current thoughts and behaviors influence how a person functions. The psychoanalytic approach helps people explore their pasts and understand how it affects their present psychological difficulties. It can help patients shed the bonds of past experience to live more fully in the present.
  • Explores interpersonal relationships. Through the therapy process, people are able to explore their relationships with others, both current and past.
  • Emphasizes the therapeutic relationship. Because psychoanalytic therapy is so personal, the relationship between the psychoanalyst and the patient provides a unique opportunity to explore and reword relational patterns that emerge in the treatment relationship.
  • Free-flowing. Where other therapies are often highly structured and goal-oriented, psychoanalytic therapy allows the patient to explore freely. Patients are free to talk about fears, fantasies, desires, and dreams.
As with any approach to mental health treatment, psychoanalytic therapy can have its pluses and minuses. Before deciding on this approach, it's important to take these factors into account.
  • Psychoanalytische Therapie kann zur Behandlung verschiedener psychischer Erkrankungen eingesetzt werden, darunter:
  • Angst
  • Depression
  • Emotionale Kämpfe oder Traumata
  • Identitätsprobleme
  • Probleme mit dem Selbstwertgefühl
  • Selbstbehauptung
  • Psychosomatische Störungen
  • Beziehungsprobleme
  • Selbstzerstörerisches Verhalten
  • Sexuelle Probleme
People undergoing psychoanalytic therapy often meet with their psychoanalyst at least once a week. They can remain in therapy for months or even years.
Psychoanalysts use a variety of techniques to gain insight into your behavior. Some of the more popular techniques include:
  • Dream interpretation: According to Freud, dream analysis is by far the most important psychoanalytic technique. He often referred to dreams as "the royal road to the unconscious." 1 Psychoanalysts may interpret dreams to get insight into the workings of your unconscious mind.
  • Free association: Free association is an exercise during which the psychoanalyst encourages you to freely share your thoughts. This can lead to the emergence of unexpected connections and memories.
  • Transference: Transference occurs when you project your feelings about another person onto the psychoanalyst. You'll then interact with them as if they were that other person. This technique can help your psychoanalyst understand how you interact with others.
Psychoanalysts spend a lot of time listening to people talk about their lives, which is why this method is often referred to as "the talking cure."

Eine Überprüfung der Wirksamkeit langfristiger psychoanalytischer Therapien ergab mäßige bis hohe Erfolgsraten bei der Linderung der Symptome verschiedener Psychopathologien.
Eine Studienübersicht aus dem Jahr 2021 ergab, dass eine kurzfristige psychoanalytische Therapie zu einer dauerhaften Verbesserung somatischer Symptome, depressiver Symptome und Angstsymptome führte.

Menschen, die eine psychoanalytische Behandlung erhalten, neigen dazu, diese Erfolge beizubehalten. Bei den meisten geht die Besserung auch nach Ende der Therapie weiter. Andererseits nimmt der Nutzen anderer evidenzbasierter Therapien mit der Zeit tendenziell ab.
Eine 2010 im American Psychologist veröffentlichte Rezension ergab, dass die psychoanalytische Therapie genauso wirksam sei wie andere evidenzbasierte Therapien.


Erfolg hängt oft von der Fähigkeit ab, potenziell belastende oder auslösende Erfahrungen zu bewältigen. Während einige Kritiker die Erfolgsraten der psychoanalytischen Therapie verspottet haben, deuten Forschungsergebnisse darauf hin, dass sowohl eine lang- als auch kurzfristige psychoanalytische Therapie eine Reihe von Erkrankungen wirksam behandeln kann.3
Unter einer psychoanalytischen Langzeittherapie versteht man in der Regel eine Dauer von einem Jahr oder 50 Sitzungen. Eine psychoanalytische Kurzzeittherapie hingegen ist definiert als weniger als 40 Sitzungen oder weniger als ein Jahr Behandlung.


Wenn Sie glauben, dass Sie oder jemand, den Sie lieben, von einer psychoanalytischen Therapie profitieren würden, besteht der erste Schritt darin, eine Sitzung mit mir per E-Mail über diese Website zu buchen.

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