Navigating the Borderline Between Spiritual Experience and Psychosis in Psychodynamic Therapy

In the therapeutic space, we sometimes encounter individuals who describe intense physical or spiritual experiences that can be challenging to interpret. These experiences may reside at the boundary between a meaningful spiritual journey and potential psychosis, presenting complex questions about safeguarding and clinical responsibility. In one recent case, […]

Working with Narcissistic and Grandiose Clients in Psychoanalytic Therapy

In my practice at the Online Therapy Clinic, I’ve often worked with individuals who display narcissistic or grandiose traits. These clients can present unique challenges, but the therapeutic process can also be deeply rewarding. Over time, I’ve come to understand that beneath their often intimidating exterior lies a […]

Rethinking Psychoanalytic Boundaries in Online Therapy

As a psychodynamic psychotherapist, I was trained to maintain strict therapeutic boundaries, ensuring that no communication with clients occurred outside of scheduled sessions. In the traditional in-person setting, the consulting room creates a contained and secure environment where clients can explore their thoughts and feelings. At that time, […]

Exploring the Divergent Paths of Psychoanalysis: British vs. French Traditions

British and French psychoanalysis offer distinct perspectives: British psychoanalysis, shaped by Klein and Winnicott, emphasises object relations and early development, while French psychoanalysis, influenced by Lacan, focuses on the symbolic order and language’s impact on identity. As a trilingual psychodynamic psychotherapist, I’ve found that switching languages in therapy reveals unique insights, blending these traditions to...

Understanding Breaks in Psychodynamic Psychotherapy: Unconscious Dynamics and Their Impacts

Breaks in psychodynamic psychotherapy, whether due to the therapist's absence or the client's, can stir profound unconscious dynamics within the therapeutic relationship. The consistent structure of weekly sessions creates a safe environment for clients to explore their inner world, but any disruption can evoke complex emotional responses rooted in early attachment experiences. When a therapist...

The Importance of Boundaries in Therapy: A Case Study

In the realm of psychotherapy, establishing and maintaining appropriate boundaries is crucial for both the therapist and the patient. Boundaries help create a safe and structured environment where therapeutic work can flourish. However, when these boundaries are blurred or crossed, it can lead to significant risks and complications. This blog post explores the importance of...

Navigating Payment Issues in Online Psychodynamic Psychotherapy: Uncovering Unconscious Dynamics

In online psychodynamic psychotherapy, issues with clients consistently delaying payment or requiring reminders can reveal deep unconscious dynamics within the therapeutic relationship. Such behaviours may reflect underlying conflicts, including unconscious resentment, transference issues, or fears of dependency and abandonment. By exploring these dynamics through a psychoanalytic lens, therapists can better understand the client's resistance and...