Psychodynamic Therapists in Pasquotank County, NC

Photo of Alex Furches, LMFT, Marriage & Family Therapist
Alex Furches
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Specializing in complex trauma and chronic childhood traumatization, I am a Emdria Certified EMDR Therapist and Consultant, and teach EMDR nationally with the EMDR Institute as a Facilitator. EMDR is the top choice of the World Health Organization for trauma, given both research validation, and EMDR's ability to heal without clients re-living or speaking excessively about terrible events. Integration of other methods such as Ego State Therapy enables me to treat the complex trauma spectrum, from CPTSD to dissociative disorders. Many treatment-resistant or confusing symptoms are the result of complex trauma. I treat all ages.
Specializing in complex trauma and chronic childhood traumatization, I am a Emdria Certified EMDR Therapist and Consultant, and teach EMDR nationally with the EMDR Institute as a Facilitator. EMDR is the top choice of the World Health Organization for trauma, given both research validation, and EMDR's ability to heal without clients re-living or speaking excessively about terrible events. Integration of other methods such as Ego State Therapy enables me to treat the complex trauma spectrum, from CPTSD to dissociative disorders. Many treatment-resistant or confusing symptoms are the result of complex trauma. I treat all ages.
(252) 304-3036 View (252) 304-3036
Photo of Angela Settle, MA, LPC, Counselor
Angela Settle
Counselor, MA, LPC
Verified Verified
It takes a lot of courage to acknowledge that you are wanting or needing help and then acting on that decision. It's a decision people usually make when they feel like they are in crisis or stuck in a relationship, job, or some other situation. Making this decision is a step towards change, because you are acknowledging that you want or need something in your life to go in a different direction. I provide individual and couple therapy with a focus on building healthy connections with ourselves and others. I also emphasize healthy relationships between our mind, body and spirit to develop and strengthen our authentic selves.
It takes a lot of courage to acknowledge that you are wanting or needing help and then acting on that decision. It's a decision people usually make when they feel like they are in crisis or stuck in a relationship, job, or some other situation. Making this decision is a step towards change, because you are acknowledging that you want or need something in your life to go in a different direction. I provide individual and couple therapy with a focus on building healthy connections with ourselves and others. I also emphasize healthy relationships between our mind, body and spirit to develop and strengthen our authentic selves.
(757) 644-3839 View (757) 644-3839
Photo of Kaylee Bynum, LCMHC, NCC, CCMHC, Licensed Professional Counselor
Kaylee Bynum
Licensed Professional Counselor, LCMHC, NCC, CCMHC
Verified Verified
1 Endorsed
I provide a full range of psychotherapy services that guide individuals in reaching their potential & discovering a life that thrives, not just survives. Using personally tailored techniques and therapeutic approaches, I help clients get "unstuck" and experience joy. I work with those experiencing depression, anxiety, grief, addiction, marital issues, parenting issues, career indecision, behavioral problems, and more. I offer concrete tools that allow individuals to meet their unique goals and dreams. If I am unable to meet your. needs, I will make sure I find the perfect fit from our 14 other providers.
I provide a full range of psychotherapy services that guide individuals in reaching their potential & discovering a life that thrives, not just survives. Using personally tailored techniques and therapeutic approaches, I help clients get "unstuck" and experience joy. I work with those experiencing depression, anxiety, grief, addiction, marital issues, parenting issues, career indecision, behavioral problems, and more. I offer concrete tools that allow individuals to meet their unique goals and dreams. If I am unable to meet your. needs, I will make sure I find the perfect fit from our 14 other providers.
(252) 302-2324 View (252) 302-2324

Online Therapists

Photo of Ashley Cox Hurdle, MSW, LCSW, Clinical Social Work/Therapist
Ashley Cox Hurdle
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
Greenville, NC 27834
With a series of therapeutic approaches and techniques including EMDR, CBT, psychodynamic, gestalt, and humanistic, change is possible.
Now Accepting Clients - Welcome! You have made the first big step in taking control of your mental health by simply searching. This is big, and you should be so proud of yourself for starting this journey! As a licensed clinical social worker with nearly 10 years of experience, I would be honored to join you, and walk along side you as you lean into exploration and restoration. Life can be hard, but even when it doesn't seem possible, you can do difficult and amazing things.
With a series of therapeutic approaches and techniques including EMDR, CBT, psychodynamic, gestalt, and humanistic, change is possible.
Now Accepting Clients - Welcome! You have made the first big step in taking control of your mental health by simply searching. This is big, and you should be so proud of yourself for starting this journey! As a licensed clinical social worker with nearly 10 years of experience, I would be honored to join you, and walk along side you as you lean into exploration and restoration. Life can be hard, but even when it doesn't seem possible, you can do difficult and amazing things.
(252) 599-5322 View (252) 599-5322
Photo of Megan Pierson, LPC, LCMHC, Licensed Professional Counselor
Megan Pierson
Licensed Professional Counselor, LPC, LCMHC
Verified Verified
1 Endorsed
Greenville, NC 27858  (Online Only)
My style is heavily influenced by attachment theory, psychodynamic theory, Acceptance and Commitment Therapy, Internal Family Systems, and Compassion Focused Therapy.
My hope is that we can work together to establish goals and clarify the values that are important to you. As we look at what's going on in your life, we will consider what you have tried before and what barriers are hindering you from living the life you want. Together we will develop creative and flexible strategies that you can try in the future. I do not "fix" people, nor do I have all the answers in life. Instead, I deeply care for hurting people. I will help you consider other perspectives and build skills that will empower you to live a more authentic life. My hope is that you will feel seen, understood, and accepted.
My style is heavily influenced by attachment theory, psychodynamic theory, Acceptance and Commitment Therapy, Internal Family Systems, and Compassion Focused Therapy.
My hope is that we can work together to establish goals and clarify the values that are important to you. As we look at what's going on in your life, we will consider what you have tried before and what barriers are hindering you from living the life you want. Together we will develop creative and flexible strategies that you can try in the future. I do not "fix" people, nor do I have all the answers in life. Instead, I deeply care for hurting people. I will help you consider other perspectives and build skills that will empower you to live a more authentic life. My hope is that you will feel seen, understood, and accepted.
(608) 200-2364 View (608) 200-2364
Photo of Tandy Hale, LCMHC, ATR-BC, NCC
Tandy Hale
Licensed Clinical Mental Health Counselor, LCMHC, ATR-BC, NCC
Verified Verified
1 Endorsed
New Bern, NC 28562
With a deep specialization in PTSD, cPTSD and a wide range of mental health issues, I bring a wealth of expertise to the table. As a certified EMDR practitioner, a Board-Certified Registered Art Therapist (ATR-BC) and a member of The American Art Therapy Association, I have honed my skills in working with individuals of all ages, including children, adolescents, and adults. One of my strongest convictions lies in the transformative potential of art and psychodynamic theory. I have witnessed firsthand how artistic expression can be a powerful tool for healing, enabling individuals to navigate their emotions and gain profound insight.
With a deep specialization in PTSD, cPTSD and a wide range of mental health issues, I bring a wealth of expertise to the table. As a certified EMDR practitioner, a Board-Certified Registered Art Therapist (ATR-BC) and a member of The American Art Therapy Association, I have honed my skills in working with individuals of all ages, including children, adolescents, and adults. One of my strongest convictions lies in the transformative potential of art and psychodynamic theory. I have witnessed firsthand how artistic expression can be a powerful tool for healing, enabling individuals to navigate their emotions and gain profound insight.
(252) 888-3326 View (252) 888-3326
Photo of Katrina Porter - Your Best Life Awaits Counseling & Coaching, PLLC, MSW , C-SWHC, CAMS-II, LCSW, CEO, Clinical Social Work/Therapist
Your Best Life Awaits Counseling & Coaching, PLLC
Clinical Social Work/Therapist, MSW , C-SWHC, CAMS-II, LCSW, CEO
Verified Verified
Rocky Mount, NC 27804
I integrate psychodynamic, cognitive behavioral and solution-focused therapies according to your needs and goals for therapy.
Are you struggling with depression, anxiety, self doubt, anger, resentment, or hurt? Are you the “strong" one? Do you feel overwhelmed trying to juggle the demands of family, work or school, and relationships? Is there a sense that something needs to change but you can’t figure out what? Are you interested in learning more? You deserve to be understood, valued, and given the opportunity to gain the tools for a more fulfilling life. I offer services that empower my clients with tools to live their best life! My goal is to create a counseling & coaching environment that is relaxed and safe so you can feel comfortable talking openly.
I integrate psychodynamic, cognitive behavioral and solution-focused therapies according to your needs and goals for therapy.
Are you struggling with depression, anxiety, self doubt, anger, resentment, or hurt? Are you the “strong" one? Do you feel overwhelmed trying to juggle the demands of family, work or school, and relationships? Is there a sense that something needs to change but you can’t figure out what? Are you interested in learning more? You deserve to be understood, valued, and given the opportunity to gain the tools for a more fulfilling life. I offer services that empower my clients with tools to live their best life! My goal is to create a counseling & coaching environment that is relaxed and safe so you can feel comfortable talking openly.
(252) 297-6656 View (252) 297-6656
Photo of Catherine A McGrogan, PhD, Psychologist
Catherine A McGrogan
Psychologist, PhD
Verified Verified
Kitty Hawk, NC 27949
I have been in full-time private practice as a clinical and counseling psychologist for 31 years. I completed a hospital internship and have spent my career seeing not only patients with emotional disorders, but also patients with medical diagnoses such as chronic pain, cancer, multiple sclerosis, heart disease, and morbid obesity. I have considerable experience with psychological testing and use tests to help patients' physicians and psychiatrists find the optimal psychotropic medications for their symptoms. I have been trained in traditional psychodynamic therapy but also employ a variety of treatment modalities including cognitive and behavioral therapies and family therapy.
I have been in full-time private practice as a clinical and counseling psychologist for 31 years. I completed a hospital internship and have spent my career seeing not only patients with emotional disorders, but also patients with medical diagnoses such as chronic pain, cancer, multiple sclerosis, heart disease, and morbid obesity. I have considerable experience with psychological testing and use tests to help patients' physicians and psychiatrists find the optimal psychotropic medications for their symptoms. I have been trained in traditional psychodynamic therapy but also employ a variety of treatment modalities including cognitive and behavioral therapies and family therapy.
(252) 368-2143 View (252) 368-2143
Photo of Rose Marie Lawrence - My Guiding Light Counseling Services, MS, LCMHC, NCC, Counselor
My Guiding Light Counseling Services
Counselor, MS, LCMHC, NCC
Verified Verified
Greenville, NC 27834
Rose Marie Lawrence is a Trauma-focused, Christian based counselor; and is the founder and owner of My Guiding Light Professional Counseling Services. Rose is a Licensed Clinical Mental Health Counselor (LCMHC) with over fifteen years of experienced in the mental health arena. Rose has a Masters degree in Counselor Education and also holds a Master’s degree in Human Services. In addition, Rose is a Licensed Ordained Minister. Rose clinical work experiences includes working with individuals, groups, couples, and families both online and in person. Rose firmly believes that “ with God, all things are possible".
Rose Marie Lawrence is a Trauma-focused, Christian based counselor; and is the founder and owner of My Guiding Light Professional Counseling Services. Rose is a Licensed Clinical Mental Health Counselor (LCMHC) with over fifteen years of experienced in the mental health arena. Rose has a Masters degree in Counselor Education and also holds a Master’s degree in Human Services. In addition, Rose is a Licensed Ordained Minister. Rose clinical work experiences includes working with individuals, groups, couples, and families both online and in person. Rose firmly believes that “ with God, all things are possible".
(252) 418-8457 View (252) 418-8457
Photo of Charles Kaplan - Dr. Charles Kaplan, Ph.D., Therapist & Counselor, PhD, LCMHC, LPC, Licensed Professional Counselor
Dr. Charles Kaplan, Ph.D., Therapist & Counselor
Licensed Professional Counselor, PhD, LCMHC, LPC
Verified Verified
Edenton, NC 27932
Everyone has burdens as a result of living. No one is without troubles! Happy, successful people learn to view their problems as challenges, turning problem solving into a positive experience and a growth opportunity. I provide a confidential, "team" approach to therapy, and welcome your phone call or email. My clients: are adults, couples, adolescent & teenage boys. We work together on issues of anxiety, depression, PTSD, and current life challenges. I have 22-years of experience following my Ph.D. in psychology from the University of Connecticut. Licensed CT & NC. (Virtual sessions offered via Zoom). Emails only please!
Everyone has burdens as a result of living. No one is without troubles! Happy, successful people learn to view their problems as challenges, turning problem solving into a positive experience and a growth opportunity. I provide a confidential, "team" approach to therapy, and welcome your phone call or email. My clients: are adults, couples, adolescent & teenage boys. We work together on issues of anxiety, depression, PTSD, and current life challenges. I have 22-years of experience following my Ph.D. in psychology from the University of Connecticut. Licensed CT & NC. (Virtual sessions offered via Zoom). Emails only please!
(252) 482-2721 View (252) 482-2721
Photo of Deborah B. Burnette, MAEd, LCMHC, LCAS, NCAC II, MAC, Licensed Professional Counselor
Deborah B. Burnette
Licensed Professional Counselor, MAEd, LCMHC, LCAS, NCAC II, MAC
Verified Verified
Rocky Mount, NC 27804
Frequently we hear how many people in today’s society find themselves feeling anxious, depressed, stressed and overwhelmed by life circumstances and/or addiction disorders. My counseling practice provides you a confidential, supportive, and non-judgmental environment to talk about your concerns, problems, and emotional pain. I listen with compassion and together we develop a plan to help you gain insight into your issues and to learn effective coping skills. I believe in and am focused on the hope for change and improved quality of life.
Frequently we hear how many people in today’s society find themselves feeling anxious, depressed, stressed and overwhelmed by life circumstances and/or addiction disorders. My counseling practice provides you a confidential, supportive, and non-judgmental environment to talk about your concerns, problems, and emotional pain. I listen with compassion and together we develop a plan to help you gain insight into your issues and to learn effective coping skills. I believe in and am focused on the hope for change and improved quality of life.
(252) 368-4577 View (252) 368-4577
Photo of Vicki Howe, MS, LCMHC, LCAS, CCTP, NCC, Counselor
Vicki Howe
Counselor, MS, LCMHC, LCAS, CCTP, NCC
Verified Verified
2 Endorsed
New Bern, NC 28562
We all arrive at turning points in life, a place in which we realize that our current path no longer suits our needs or reflects our values. Often, we develop ways of coping with life’s stressors and continue to use these outdated coping methods long after they have lost their purpose. Therapy is most effective when it addresses bio-psycho-social wellness in all areas. I will listen to your needs and desired outcomes to help you create your ideal plan for recovery and wellness.
We all arrive at turning points in life, a place in which we realize that our current path no longer suits our needs or reflects our values. Often, we develop ways of coping with life’s stressors and continue to use these outdated coping methods long after they have lost their purpose. Therapy is most effective when it addresses bio-psycho-social wellness in all areas. I will listen to your needs and desired outcomes to help you create your ideal plan for recovery and wellness.
(252) 300-0862 View (252) 300-0862
Photo of Rebekah Cahoon, LCMHC, LCAS
Rebekah Cahoon
Licensed Clinical Mental Health Counselor, LCMHC, LCAS
Verified Verified
Life is complicated. I want to help clients navigate life’s challenges to find their path to peace. My ideal client could be someone who is dealing with unresolved conflict from the past or present. My ideal client could also be someone someone with relationship issues such as codependency or being raised in a toxic home. This could also include someone with mood stability issues or someone who struggles with negative and irrational thought patterns. I often work well with those who work in public service. We can work as a team to find the tools you need to navigate the messy parts of life.
Life is complicated. I want to help clients navigate life’s challenges to find their path to peace. My ideal client could be someone who is dealing with unresolved conflict from the past or present. My ideal client could also be someone someone with relationship issues such as codependency or being raised in a toxic home. This could also include someone with mood stability issues or someone who struggles with negative and irrational thought patterns. I often work well with those who work in public service. We can work as a team to find the tools you need to navigate the messy parts of life.
(252) 542-2860 View (252) 542-2860
Photo of Tameika Gay, LCSW, LCAS, Clinical Social Work/Therapist
Tameika Gay
Clinical Social Work/Therapist, LCSW, LCAS
Verified Verified
Winterville, NC 28590
I believe in deeply exploring early childhood experiences to determine a connection between those experiences and one's internal working model. I engage in much reflectiveness with my client's. I am not here to tell people what to do but, to assist with processing, reflecting and creating healthier mental mindfulness. I am compassionate about helping people. I offer a respective an empathetic stance. I enjoy working with children, teenagers and young adults.
I believe in deeply exploring early childhood experiences to determine a connection between those experiences and one's internal working model. I engage in much reflectiveness with my client's. I am not here to tell people what to do but, to assist with processing, reflecting and creating healthier mental mindfulness. I am compassionate about helping people. I offer a respective an empathetic stance. I enjoy working with children, teenagers and young adults.
(252) 588-3134 View (252) 588-3134
Photo of Marcy Arnold, MSW, LCSW, LISW-CP, LCAS, Clinical Social Work/Therapist
Marcy Arnold
Clinical Social Work/Therapist, MSW, LCSW, LISW-CP, LCAS
Verified Verified
3 Endorsed
New Bern, NC 28562  (Online Only)
Do you struggle with feeling that you're "too much" and "not enough" all at the same time. To the outside world, you look "fine," but inside, you feel downright exhausted, and pretending everything is okay is getting old. Your stress level is through the roof. You bury your feelings and prioritize putting others first, meaning you hardly ever find time for yourself. What's self-care?! Eventually, the stress and exhaustion catch up! You're tired of pretending and ready for change. The good news is, there is help. Whatever curveball life has thrown you, relief is possible.
Do you struggle with feeling that you're "too much" and "not enough" all at the same time. To the outside world, you look "fine," but inside, you feel downright exhausted, and pretending everything is okay is getting old. Your stress level is through the roof. You bury your feelings and prioritize putting others first, meaning you hardly ever find time for yourself. What's self-care?! Eventually, the stress and exhaustion catch up! You're tired of pretending and ready for change. The good news is, there is help. Whatever curveball life has thrown you, relief is possible.
(252) 772-9378 View (252) 772-9378
Photo of Sara P. Culpepper - Peri Counseling, PLLC, MS, LCMHC, LCAS, Licensed Professional Counselor
Peri Counseling, PLLC
Licensed Professional Counselor, MS, LCMHC, LCAS
Verified Verified
Greenville, NC 27858
If you're unable to reach your goals because of negative behaviors and your emotions are out of control, or if you simply want a safe environment to express your feelings, then professional counseling is the answer. With my support, clients learn to replace negativity with positivity and lead more serene and emotionally stable lives. I also help clients gain freedom by teaching actionable skills to change their detrimental core beliefs, strengthen relationships, and maintain healthy boundaries. An emphasis is placed on helping people learn to build resiliency by releasing shame and increasing self-esteem.
If you're unable to reach your goals because of negative behaviors and your emotions are out of control, or if you simply want a safe environment to express your feelings, then professional counseling is the answer. With my support, clients learn to replace negativity with positivity and lead more serene and emotionally stable lives. I also help clients gain freedom by teaching actionable skills to change their detrimental core beliefs, strengthen relationships, and maintain healthy boundaries. An emphasis is placed on helping people learn to build resiliency by releasing shame and increasing self-esteem.
(252) 368-8247 View (252) 368-8247
Photo of Starr Odom, MSW, LCSWA, Clinical Social Work/Therapist
Starr Odom
Clinical Social Work/Therapist, MSW, LCSWA
Verified Verified
7 Endorsed
Greenville, NC 27858
Are you are stuck in an endless cycle of worry or depression? You are not alone. Life can be hard; it is common to feel overwhelmed or out of control. Whether you are struggling with anxiety, lack of motivation, or difficulty with new life transitions, I believe that therapy can be greatly beneficial in your life. I am passionate about helping individuals create realistic and sustainable ways to prioritize their mental health. No matter what season of life you are in, you deserve to be a priority.
Are you are stuck in an endless cycle of worry or depression? You are not alone. Life can be hard; it is common to feel overwhelmed or out of control. Whether you are struggling with anxiety, lack of motivation, or difficulty with new life transitions, I believe that therapy can be greatly beneficial in your life. I am passionate about helping individuals create realistic and sustainable ways to prioritize their mental health. No matter what season of life you are in, you deserve to be a priority.
(252) 888-3221 View (252) 888-3221
Photo of Macie Bateman, LCSW, LCAS, Clinical Social Work/Therapist
Macie Bateman
Clinical Social Work/Therapist, LCSW, LCAS
Verified Verified
1 Endorsed
Greenville, NC 27834  (Online Only)
I enjoy working with individuals who are wanting to reconnect to themselves and live more authentically. Stress and trauma can lead to a disconnect from our authentic self and lead to unwanted automatic behaviors such as people-pleasing, tendency for perfectionism, and denying one’s own needs. It is my passion to help clients feel like someone can understand and to help them reconnect with their own selves again to live more authentically. My experience includes the following: depression, anxiety, trauma, neurodivergence, substance and behavioral addictions, life transitions, and identity development and change.
I enjoy working with individuals who are wanting to reconnect to themselves and live more authentically. Stress and trauma can lead to a disconnect from our authentic self and lead to unwanted automatic behaviors such as people-pleasing, tendency for perfectionism, and denying one’s own needs. It is my passion to help clients feel like someone can understand and to help them reconnect with their own selves again to live more authentically. My experience includes the following: depression, anxiety, trauma, neurodivergence, substance and behavioral addictions, life transitions, and identity development and change.
(919) 769-3094 View (919) 769-3094
Photo of Dr. Myshalae Jamerson Euring, PhD, LCMHC, CRC, NCC, QS
Dr. Myshalae Jamerson Euring
Licensed Clinical Mental Health Counselor, PhD, LCMHC, CRC, NCC, QS
Verified Verified
1 Endorsed
Winterville, NC 28590  (Online Only)
Thank you for reaching out! I'm now offering LCMHC-A clinical supervision! I know it can be difficult to make the decision to start therapy, and I'm honored that you've taken the first step by contacting me. Let's begin your healing journey so you can start living your best life! I offer individual and group therapy, clinical supervision, and corporate diversity, equity, and inclusion training.
Thank you for reaching out! I'm now offering LCMHC-A clinical supervision! I know it can be difficult to make the decision to start therapy, and I'm honored that you've taken the first step by contacting me. Let's begin your healing journey so you can start living your best life! I offer individual and group therapy, clinical supervision, and corporate diversity, equity, and inclusion training.
(984) 777-8116 View (984) 777-8116
Photo of Laysha Williams - LTWilliams Counseling & Consulting, PLLC, MSW, LCSW, Clinical Social Work/Therapist
LTWilliams Counseling & Consulting, PLLC
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Rocky Mount, NC 27804
Has life been feeling a little too difficult to tackle on your own? Does it feel like you're drowning in sorrows or cares of the world? Let me help you to sort out the self-defeating thoughts and feelings that keep you in the never-ending cycle of anxiety or depression.
Has life been feeling a little too difficult to tackle on your own? Does it feel like you're drowning in sorrows or cares of the world? Let me help you to sort out the self-defeating thoughts and feelings that keep you in the never-ending cycle of anxiety or depression.
(252) 200-3538 View (252) 200-3538

See more therapy options for Pasquotank County

Psychodynamic Therapists

Is psychodynamic therapy evidence-based?

Studies have found psychodynamic therapy to be effective in treating conditions like social anxiety, eating disorders, chronic pain, some personality disorders, and depression; indeed, some studies have found it to be just as effective as CBT or medication. What’s more, several studies have found that the benefits of psychodynamic therapy tend to endure—even grow—long after treatment has ended.

How long does psychodynamic therapy last?

Unlike CBT and other more structured forms of therapy, psychodynamic therapy tends to be open-ended and may not be limited to a set number of sessions. It is common for clients to be in therapy for a year or longer and to see their therapist one to three times a week, though the exact schedule and timeline may vary depending on a client’s challenges and progress. However, brief psychodynamic therapy is available, which tends to be more goal-oriented and typically unfolds over 16 to 30 sessions.

Does psychodynamic therapy work?

Research finds that psychodynamic therapy can help someone manage or reduce symptoms of diagnosable mental health conditions like depression or anxiety. The modality may also offer a range of benefits that are harder to measure but just as valuable—such as increased self-worth or healthier relationships. While no therapy type will work for everyone, research and anecdotal evidence suggest that psychodynamic therapy can be highly effective.

What are the limitations of psychodynamic therapy?

Some meta-analyses have concluded that there is little evidence to suggest that psychodynamic therapy can effectively treat certain mental health conditions such as PTSD, OCD, or psychosis, though it is sometimes used to do so. More broadly, the open-ended, free-association structure of psychodynamic therapy may be frustrating for clients who prefer a more structured, time-limited, or goal-oriented approach.