Madeleine Morrissey BA Hons. Psychology, BPC reg., FPC, SAP, MBPS Counselling & Psychotherapy in Chiswick, Acton
and West London

About Counselling and Psychotherapy


Psychodynamic counselling, psychotherapy, psychoanalysis is, in essence, a method of getting to know more about yourself. The psychodynamic model of the mind, for which there is increasing evidence, posits that we all have and build up patterns of thinking, feeling and relating based on a combination of our own unique personalities and backgrounds continuously interacting with past and present experience. Many of these underlying patterns are 'unconscious' in the sense of being outside our conscious awareness to a greater or lesser extent, they may be employed automatically and hence tend to get repeated. Through the relationship with the therapist, the 'beliefs' we hold about ourselves, the world and our place in it, become manifest and in this way can be thought about, supported and/or helpfully challenged. This can change some of the ways you feel and think about yourself, your life, your work and your relationships enabling you to bring about change. For a recent publication discussing the long term benefits of psychoanalysis, see the following link. The different terms -counselling, psychotherapy or analysis- together with the ever increasing number of therapies offered can be very confusing. This may be a reflection of the reality that we are all different and that different people respond to different approaches. Nonetheless, the majority of people probably seek similar things in life. The psychodynamic or psychoanalytic therapies are quite complex and some people come to them after another therapy like CBT, or seek them in addition to, or as an alternative to, some form of medication. Some people find that a relatively short period of working once weekly is enough for them, others may wish to explore themselves at greater depth and frequency over a longer period of time. This is something that can be discussed and explored.

How to proceed

Following telephone or email contact, I can offer an initial consultation during which we can explore the possibility of our working together. I often recommend that this initial consultation takes place over two 50-minute sessions, about a week apart, giving time and space to explore difficulties at some depth and to get a sense of whether this way of working is likely to be helpful.

If the decision is made not to continue, I can help you think about alternative sources of help which may be more suitable for you.

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