Psychodynamic psychotherapy is an open-ended, collaborative exchange that addresses longstanding difficulties around thoughts, feelings and/or actions. “Psychodynamic” reflects the presumption that the mind has an unconscious life of its own. None of us entirely self-aware – nor would we necessarily want to be – but if one’s unconscious is overly conflicted or fragmented, then this can lead to difficulties that are painfully experienced but otherwise hard to explain or seemingly disproportionate. Psychodynamic psychotherapy seeks understanding and coherence in place of confusion and chaos.