Psychodynamic therapy
Transform Your Life Through Understanding Your Unconscious Mind
Deep Healing for LGBTQ+ Individuals
Psychodynamic therapy offers a path to understanding the deeper patterns that shape your life, the repeating relationship dynamics you can't seem to break, the perfectionism and people-pleasing that leave you exhausted, or the persistent feeling that you're never quite enough. If you're navigating the complexities of queer or trans identity while managing anxiety, eating concerns, or deep-seated fears about acceptance and belonging, this approach goes beyond surface-level symptom management. At Ruberti Counseling Services, I use psychodynamic therapy to help you understand and heal the root causes of your emotional struggles, creating space for meaningful and lasting change.
Psychodynamic therapy is a form of talk therapy that explores how your unconscious mind—shaped by early childhood experiences and past relationships, continues to influence your present behavior and emotions. Rather than focusing only on changing current thoughts, this approach helps you understand why certain patterns exist in the first place, allowing for profound transformation that honors your full history and identity.
What Makes My Psychodynamic Approach Unique
As a queer-identified therapist specializing in eating disorders and gender-affirming care, I bring both professional expertise and personal understanding to our work together. Being married to a trans woman gives me intimate knowledge of the unique challenges facing the LGBTQ+ community. I understand how traditional therapeutic approaches can feel alienating when they don't account for the intersection of identity, body image, and societal pressures that queer and trans individuals navigate daily.
My psychodynamic approach integrates seamlessly with other therapeutic techniques I offer, including Internal Family Systems (IFS), Art Therapy, and when needed, Exposure and Response Prevention (ERP) for OCD. This integration means we're not just exploring your unconscious thoughts and patterns—we're creating a comprehensive healing experience tailored to your unique needs and identity.
Core Psychodynamic Therapy Techniques I Use
Free Association and Emotional Expression
In our therapy sessions, I create space for you to speak freely without censorship or judgment. This psychoanalytic technique, called free association, helps reveal unconscious patterns and connections between your past and present. You might start discussing work stress and suddenly remember a childhood memory that illuminates why certain situations trigger such intense responses. These spontaneous insights become doorways to understanding and healing.
Understanding the Therapeutic Relationship
The patient-therapist relationship becomes a powerful tool for healing in psychodynamic psychotherapy. You might notice yourself relating to me in patterns that mirror other relationships—perhaps apologizing excessively, fearing disappointment, or holding back parts of yourself. These aren't problems but valuable information. By exploring these dynamics together, we can understand how past relationships and defense mechanisms influence your current connections, creating opportunities for healthier ways of relating.
Dream Analysis and Symbolic Exploration
Dreams offer windows into your unconscious mind, revealing repressed emotions and internal conflicts through symbolic imagery. If you're comfortable sharing dreams, we'll explore their personal meaning together—not through generic interpretation, but through understanding what these symbols mean in the context of your unique life experiences. For many of my clients exploring gender identity or processing marginalization, dream analysis reveals rich material about transformation and authentic self-expression.
How Psychodynamic Therapy Addresses Your Specific Challenges
For Eating Disorders and Body Image
Traditional eating disorder treatment often feels disconnected from the lived experiences of queer and trans individuals. My psychodynamic approach explores the emotional functions your relationship with food and body serves. Rather than focusing solely on behaviors and meal plans, we examine what unconscious conflicts your eating patterns might be expressing or protecting you from. For trans and non-binary clients, this includes navigating the complex intersection of body image, gender dysphoria, and safety concerns within both mainstream and LGBTQ+ communities.
For Anxiety
When anxiety or obsessive-compulsive disorder disrupts your life, psychodynamic therapy helps uncover the unconscious processes fueling these experiences. We explore not just your worries but what deeper emotional needs they represent. Combined with targeted interventions like ERP when appropriate, this approach addresses both the symptoms and their roots, creating comprehensive healing that lasts.
For Identity and Relationship Patterns
Psychodynamic psychotherapy excels at helping you understand recurring relationship patterns, persistent feelings of emptiness, and struggles with self-worth. For LGBTQ+ individuals, this includes exploring how early experiences of difference, family dynamics around identity, and societal messages have shaped your sense of self. We'll examine how these early childhood experiences created templates for understanding yourself and connecting with others.
The Benefits of Choosing Psychodynamic Therapy
Deep, Lasting Change
Unlike approaches that focus on symptom management, psychodynamic therapy creates fundamental shifts in how you understand and relate to yourself. Research shows that benefits actually increase over time as you internalize new ways of understanding yourself. The insights gained become part of you, continuing to support growth long after therapy ends.
Enhanced Self-Awareness
Through exploring unconscious thoughts and examining unresolved conflicts, you develop profound self-awareness. You'll learn to recognize when you're responding to current situations through the lens of past wounds, differentiating between feelings that truly belong to you and those internalized from others' expectations or judgments.
Improved Relationships
By understanding your unconscious patterns and defense mechanisms, you can break free from repetitive relationship dynamics. The therapeutic relationship itself becomes a laboratory for developing healthier ways of connecting, which you then carry into all your relationships.
What to Expect When Starting Psychodynamic Psychotherapy With Me
Your journey begins with a free 20-minute phone consultation where we discuss what brings you to therapy and whether my psychodynamic approach aligns with your needs. If we decide to work together, I'll help you set up your client portal and complete intake paperwork.
In our first session, we'll explore your current struggles and hopes for therapy. I'll ask about your history at a comfortable pace and explain how psychodynamic therapy techniques can help address your specific concerns. The initial sessions allow us both to ensure we're a good therapeutic fit.
Once established, we typically meet weekly for one-hour therapy sessions, though some clients prefer 90-minute sessions or meeting more frequently during intensive work. I may offer journal prompts between sessions to deepen your exploration. For those working on OCD with ERP, there will be specific homework to practice between sessions.
Why Choose Ruberti Counseling Services for Psychodynamic Therapy
My practice offers something unique in Philadelphia: psychodynamic psychotherapy specifically attuned to the needs of queer, trans, and non-binary individuals. I understand the exhaustion of having to educate your therapist about your identity or defend your existence. With me, you can focus entirely on your healing journey.
I work with individuals who are ready to go deeper—creative professionals, tech workers, and others who value understanding the "why" behind their struggles. Whether you're navigating a gender transition, supporting a transitioning partner, recovering from a failed IVF cycle, or processing the intersection of queerness with eating disorders, I provide specialized expertise within a psychodynamic framework.
My integration of psychodynamic therapy with IFS and Art Therapy creates multiple pathways for healing. This isn't one-size-fits-all treatment—it's personalized therapy that honors your unique experiences, identities, and needs.
Location:
Philadelphia, PA
Is Psychodynamic Therapy Right for You?
Psychodynamic therapy might be your path if you:
Find yourself repeating relationship patterns despite wanting change
Struggle with perfectionism, people-pleasing, or chronic self-doubt
Feel disconnected from your emotions or overwhelmed by feelings you don't understand
Want to understand how your past influences your present
Seek deeper healing beyond symptom management
Value self-reflection and are curious about your inner world
Navigate complex identities and want a therapist who truly understands
This approach requires courage to explore vulnerable territories and patience with the process of deep change. But for those ready to understand themselves at the deepest level, psychodynamic psychotherapy offers transformation that touches every aspect of life.
Begin Your Journey of Deep Healing Today
You don't have to remain trapped in patterns you don't understand or struggle alone with the weight of unexamined pain. Through psychodynamic therapy at Ruberti Counseling Services, you can develop a richer, more compassionate relationship with yourself while healing from the roots up.
I invite you to reach out for your free consultation to explore whether psychodynamic therapy is right for your healing journey. Together, we can uncover the unconscious patterns shaping your life and create space for the authentic, fulfilling existence you deserve. Contact me today to begin transforming your relationship with yourself and others through the power of psychodynamic psychotherapy.
FAQs
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Psychodynamic therapy is a form of talk therapy that explores how your unconscious mind, shaped by early experiences and past relationships, influences your current thoughts, emotions, and behaviors. In our sessions together, I help you uncover patterns that may be operating outside your awareness, allowing you to understand why you react, feel, and relate to others in certain ways. This deeper understanding creates the foundation for meaningful and lasting change.
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Psychodynamic therapy focuses on understanding the root causes of your struggles rather than only addressing surface symptoms. While some approaches concentrate primarily on changing current thoughts and behaviors, psychodynamic work explores the origins of these patterns. I find this approach especially valuable because it honors your full history and helps you develop insight that supports long term transformation.
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Psychodynamic therapy can be effective for a wide range of concerns, including anxiety, trauma, eating disorders, relationship difficulties, and struggles with identity and self worth. It is particularly helpful if you notice repeating patterns in your life, such as choosing similar types of relationships, struggling with perfectionism or people pleasing, or feeling stuck in ways you cannot fully explain.
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Psychodynamic therapy helps you explore the emotional roots of disordered eating, going beyond behaviors to understand what drives them. Together, we examine how early experiences, family dynamics, and internalized beliefs about your body and worth contribute to your relationship with food. This approach allows for deeper healing that addresses the underlying emotional needs your eating disorder may be trying to meet.
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Absolutely. Psychodynamic therapy provides a space to explore how your identity has been shaped by your experiences, including messages you received about gender, sexuality, and belonging. As a queer identified therapist with advanced training in gender affirming care, I use this approach to help you understand how past experiences may impact your current sense of self, relationships, and overall wellbeing.
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In our sessions, you can expect a warm, collaborative space where we explore your thoughts, feelings, and experiences together. I may ask questions about your past, notice patterns in how you relate to yourself and others, and gently bring attention to themes that emerge over time. The pace is guided by what feels right for you, and our work together unfolds naturally as trust builds between us.
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The length of psychodynamic therapy varies depending on your unique goals and the depth of work you want to do. Because this approach focuses on understanding and transforming long standing patterns, it often unfolds over a longer period than brief, symptom focused treatments. I meet with clients weekly for one hour sessions, and together we regularly check in about your progress and what feels most helpful.
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Yes. I often integrate psychodynamic therapy with other modalities I offer, including Internal Family Systems, art therapy, and Exposure and Response Prevention when appropriate. This allows me to tailor our work to your specific needs and goals, drawing on different approaches as they serve your healing journey.
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Psychodynamic therapy may be a good fit if you are curious about the deeper roots of your struggles, notice patterns in your life you want to understand, or feel that previous approaches have not fully addressed your concerns. If you value self reflection and want a therapeutic relationship built on trust and exploration, this approach may resonate with you.
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Getting started is simple. You can book a free 20 minute phone consultation through my website to share what is bringing you to therapy and ask any questions you have. This conversation helps us both determine if we are a good fit. If you decide to move forward, we will schedule your first session and I will send you information to complete your intake paperwork through your client portal.