15 reasons to undergo psychoanalysis.

Numerous international studies have provided evidence supporting the use of psychoanalysis:

  1. IT WORKS FOR PEOPLE OF ALL AGES. Although not all difficulties can be treated, studies have shown that psychoanalysis and psychoanalytic psychotherapy are very effective treatments for a broad spectrum of mental health issues and that they are equally efficient in children, adults and the elderly. [1-3]. Approximately 8 out of 10 people report improvement after psychoanalytic treatment [4-6].
  2. IT HAS A POSITIVE IMPACT ON BRAIN FUNCTIONING. The brain is plastic and can be changed by environmental factors throughout life, not just in childhood [7, 8]. Several studies carried out with modern imaging techniques (fMRI, PET, SPECT) have shown that psychoanalysis and psychoanalytical psychotherapy not only change how we feel and behave, but also our brains [9, 10]. Psychoanalysis and psychoanalytic psychotherapy have a positive influence on blood flow in the brain, the activity of the amygdala and hippocampus, neuronal pathways, brain metabolism, implicit memory and gene activity [10-12].
  3. IT REDUCES SUFFERING AND ENHANCES QUALITY OF LIFE. Studies have shown that psychoanalysis and psychoanalytic psychotherapy diminish suffering, increase self-awareness, improve relationships, liberate sexuality and desires, improve ability to cope with life crises, enhance creativity and productivity and help people to find more meaning and satisfaction in life [13-16].
  4. IT TREATS UNDERLYING CAUSES AS WELL AS SYMPTOMS. Unlike other psychotherapeutic methods, psychoanalysis and psychoanalytic psychotherapy identify and deal with the underlying causes of symptoms, not just the symptoms themselves [3, 17-19].
  5. IMPROVEMENTS PERSIST AND CLIENTS MAY SEE FURTHER IMPROVEMENT AFTER THE END OF THERAPY. People who undergo psychoanalysis or psychoanalytic psychotherapy not only report that the positive outcomes of psychotherapy are lasting; they also report that they continue to improve after treatment has finished [20-22].
  6. IT IS MORE EFFECTIVE THAN COUNSELING. Studies have shown that in the long term psychotherapy is more effective in treating mental health issues than counseling or acupuncture [23-25]. It is more effective than marital or family counseling and its healing impact is much greater, as when you try to resolve your mental difficulties with a friend, an astrologist, a personal trustee or an oracle [26].
  7. IT INCREASES ABILITY AND MOTIVATION TO WORK. Psychoanalysis and psychoanalytic psychotherapy not only improve clients’ work performance, they also improve clients’ relationships in the workplace and speed up return to work in clients facing mental health problems [27-29].
  1. THE EFFICACY OF PSYCHOTHERAPY IS COMPARABLE TO THAT OF MEDICATION. Although medication can be appropriate and in some situations is essential, there is a risk that symptoms will return once the patient stops taking the medication. Psychotherapy goes to the heart of problems, which is the main reason the efficacy of psychotherapy and pharmacotherapy are often comparable and why combined pharmacotherapy and psychotherapy produces better outcomes than pharmacotherapy alone [30, 31].
  2. ITS EFFECTS LAST LONGER THAN THOSE OF MEDICATION. Although medication can be helpful for mental health problems, studies have shown that the effects of psychotherapy are often more enduring than those of pharmacotherapy [32, 33].
  3. UNLIKE MEDICATION, PSYCHOTHERAPY DOESN’T HAVE SIDE EFFECTS. Many people prefer psychotherapy to pharmacotherapy due to the negative side-effects of many drugs [34, 35].
  4. IT REDUCES OVERALL MEDICAL COSTS: Although using medicaments is often inevitable, psychotherapy significantly reduces the necessity to take medicaments as well as the overall medical costs [36, 37]. On average people diagnosed with mental disorders who undergo psychotherapy, reduce their medical costs by nearly 20 percent whereas the medical costs of people with similar mental problems who do not undergo psychotherapy increase by an average of 12 percent [36, 38].
  5. IN THE LONG TERM PSYCHOTHERAPY IS CHEAPER THAN PHARMACOTHERAPY. Although in many disorders medication is undoubtedly helpful and sometimes necessary, studies have shown that psychotherapeutic treatment will ‑ in the long term ‑ cost a client less than treatment based solely on medication [32, 39, 40].
  6. INVESTMENT IN PSYCHOTHERAPY PRODUCES A 400% RETURN. According to the World Health Organization and World Bank, every Euro invested in psychotherapeutic treatment will ultimately lead — in various forms – to a gain of four Euros [41].
  7. ENTERING PSYCHOTHERAPY IS A SIGN OF STRENGTH, NOT WEAKNESS. Although Pope Francis has said that psychoanalysis “helped me a lot” there are still many people who claim that “It is for crazy people” “Strong people do not cry” and people that they should “deal with their own problems” [26, 42, 43]. However, studies show that visiting a psychotherapist is a sign of strength and care for one’s health and indicates a capacity for self-reflection and a more satisfactory and meaningful life [4, 14, 26].
  8. INTEGRATES AND DEVELOPS KEY AREAS OF LIFE. Psychoanalysis helps integrate key areas of life – it fosters the ability to love, nurture relationships, find fulfillment in work and hobbies, while maintaining regular physical activity and healthy habits. Research confirms that people who integrate these areas experience higher levels of mental and physical health [14, 33, 44-52]. Therefore, in psychoanalysis, I focus not only on processing internal blocks and unconscious barriers, but also on supporting and integrating resources that play a crucial role in overall life quality.

Sources and literature:

  1. Beutler, L.E., Making science matter in clinical practice: Redefining psychotherapy. Clinical Psychology: Science and Practice, 2009. 16(3): p. 301-317.
  2. Chorpita, B.F., et al., Evidence‐based treatments for children and adolescents: An updated review of indicators of efficacy and effectiveness. Clinical Psychology: Science and Practice, 2011. 18(2): p. 154-172.
  3. Leichsenring, F. and S. Rabung, Effectiveness of long-term psychodynamic psychotherapy: A meta-analysis. Jama, 2008. 300(13): p. 1551-1565.
  4. Wampold, B.E. and Z.E. Imel, The great psychotherapy debate: The evidence for what makes psychotherapy work. 2015, New York, NY: Routledge.
  5. Norcross, J.C. and M.J. Lambert, Psychotherapy relationships that work II. Psychotherapy, 2011. 48(1): p. 4.
  6. Lambert, M.J., Bergin and Garfield’s handbook of psychotherapy and behavior change. 2013: John Wiley & Sons.
  7. Garland, E.L. and M.O. Howard, Neuroplasticity, psychosocial genomics, and the biopsychosocial paradigm in the 21st century. Health & Social Work, 2009. 34(3): p. 191-199.
  8. Sasmita, A.O., J. Kuruvilla, and A.P.K. Ling, Harnessing neuroplasticity: modern approaches and clinical future. International Journal of Neuroscience, 2018: p. 1-17.
  9. Gabbard, G.O., A neurobiologically informed perspective on psychotherapy. Br J Psychiatry, 2000. 177: p. 117-22.
  10. Wiswede, D., et al., Tracking functional brain changes in patients with depression under psychodynamic psychotherapy using individualized stimuli. PLOS one, 2014. 9(10): p. e109037.
  11. Simpkins, C.A. and A.M. Simpkins, How Psychotherapy Changes the Brain, in Neuroscience for Clinicians. 2013, Springer. p. 253-271.
  12. Minárik, P., Pohľad do mozgu Ako psychoterapia mení mozog.
  13. Van Deurzen, E., Psychotherapy and the Quest for Happiness. 2008: Sage.
  14. Seligman, M.E., T. Rashid, and A.C. Parks, Positive psychotherapy. American psychologist, 2006. 61(8): p. 774.
  15. Blake-Mortimer, J., et al., Improving the quality and quantity of life among patients with cancer: a review of the effectiveness of group psychotherapy. European Journal of Cancer, 1999. 35(11): p. 1581-1586.
  16. Ryff, C.D. and B. Singer, Psychological well-being: Meaning, measurement, and implications for psychotherapy research. Psychotherapy and psychosomatics, 1996. 65(1): p. 14-23.
  17. Sandell, R., et al., Varieties of long-term outcome among patients in psychoanalysis and long-term psychotherapy: A review of findings in the Stockholm Outcome of Psychoanalysis and Psychotherapy Project (STOPPP). The International journal of psycho-analysis, 2000. 81(5): p. 921.
  18. Fonagy, P., et al., Pragmatic randomized controlled trial of long‐term psychoanalytic psychotherapy for treatment‐resistant depression: the Tavistock Adult Depression Study (TADS). World Psychiatry, 2015. 14(3): p. 312-321.
  19. Shepherd, C. and N. Beail, A systematic review of the effectiveness of psychoanalysis, psychoanalytic and psychodynamic psychotherapy with adults with intellectual and developmental disabilities: progress and challenges. Psychoanalytic Psychotherapy, 2017. 31(1): p. 94-117.
  20. Abbass, A., S. Kisely, and K. Kroenke, Short-term psychodynamic psychotherapy for somatic disorders. Psychotherapy and psychosomatics, 2009. 78(5): p. 265-274.
  21. de Maat, S., et al., The effectiveness of long-term psychoanalytic therapy: A systematic review of empirical studies. Harvard review of psychiatry, 2009. 17(1): p. 1-23.
  22. Lindfors, O., et al., Effectiveness of psychoanalysis and long-term psychodynamic psychotherapy on personality and social functioning 10 years after start of treatment. Psychiatry Res, 2019. 272: p. 774-783.
  23. MacPherson, H., et al., Acupuncture and counselling for depression in primary care: a randomised controlled trial. PLoS Med, 2013. 10(9): p. e1001518.
  24. Bower, P., et al., Counselling for mental health and psychosocial problems in primary care. Cochrane Database Syst Rev, 2011(9): p. Cd001025.
  25. Pybis, J., et al., The comparative effectiveness and efficiency of cognitive behaviour therapy and generic counselling in the treatment of depression: evidence from the 2 nd UK National Audit of psychological therapies. BMC psychiatry, 2017. 17(1): p. 215.
  26. Seligman, M.E., The effectiveness of psychotherapy: The Consumer Reports study. American psychologist, 1995. 50(12): p. 965.
  27. Weissman, M.M., et al., Treatment effects on the social adjustment of depressed patients. Archives of General Psychiatry, 1974. 30(6): p. 771-778.
  28. Lindfors, O., et al., Effectiveness of psychoanalysis and long-term psychodynamic psychotherapy 10 years after start of treatment. European Psychiatry, 2017. 41: p. S263.
  29. Lagerveld, S.E., et al., Work-focused treatment of common mental disorders and return to work: a comparative outcome study. Journal of occupational health psychology, 2012. 17(2): p. 220.
  30. Kamenov, K., et al., The efficacy of psychotherapy, pharmacotherapy and their combination on functioning and quality of life in depression: a meta-analysis. Psychological medicine, 2017. 47(3): p. 414-425.
  31. Michelle B. Riba, M.D., M.S., Richard Balon, M.D., Kompetentná kombinácia farmakoterapie a psychoterapie, ed. G.O. Gabbard. 2007, Trenčín: Vydavateľstvo F Pro Mente Sana, s.r.o.
  32. Hollon, S.D., M.O. Stewart, and D. Strunk, Enduring effects for cognitive behavior therapy in the treatment of depression and anxiety. Annu. Rev. Psychol., 2006. 57: p. 285-315.
  33. Shedler, J., The efficacy of psychodynamic psychotherapy. Am Psychol, 2010. 65(2): p. 98-109.
  34. Solomon, D.A., et al., Preventing recurrence of bipolar I mood episodes and hospitalizations: family psychotherapy plus pharmacotherapy versus pharmacotherapy alone. Bipolar disorders, 2008. 10(7): p. 798-805.
  35. Vocks, S., et al., Meta‐analysis of the effectiveness of psychological and pharmacological treatments for binge eating disorder. International Journal of Eating Disorders, 2010. 43(3): p. 205-217.
  36. Chiles, J.A., M.J. Lambert, and A.L. Hatch. Medical cost offset: A review of the impact of psychological interventions on medical utilization over the past three decades. in Reno Conference on Medical Cost Offset, First, Jan, 2001, University of Nevada, Reno, NV, US; An earlier version of this paper was presented at the aforementioned conference. 2002. Context Press.
  37. Linehan, M.M., et al., Two-year randomized controlled trial and follow-up of dialectical behavior therapy vs therapy by experts for suicidal behaviors and borderline personality disorder. Archives of general psychiatry, 2006. 63(7): p. 757-766.
  38. Pallak, M., et al., Effect of mental health treatment on medical costs. Mind/Body Medicine, 1995. 1(1): p. 7-16.
  39. Cuijpers, P., et al., Psychotherapy for depression in adults: a meta-analysis of comparative outcome studies. Journal of consulting and clinical psychology, 2008. 76(6): p. 909.
  40. Pyne, J.M., et al., One size fits some: the impact of patient treatment attitudes on the cost-effectiveness of a depression primary-care intervention. Psychological Medicine, 2005. 35(6): p. 839-854.
  41. WHO, W.B. Investing in treatment for depression and anxiety leads to fourfold return. 2018; Available from: http://www.worldbank.org/en/news/press-release/2016/04/13/investing-in-treatment-for-depression-anxiety-leads-to-fourfold-return.
  42. Francis, P., The Path to Change: Thoughts on Politics and Society. 2018: Pan Macmillan UK.
  43. Schlegel, L., Transakčná analýza ako kreatívne spojenie hlbinnej a kognitívnej psychoterapie. 2007: Vydavateľsvo F, Pro Mente Sana, s.r.o.
  44. Wu, C., et al., Association of retirement age with mortality: a population-based longitudinal study among older adults in the USA. J Epidemiol Community Health, 2016. 70(9): p. 917-923.
  45. Martin, R.A., Humor, laughter, and physical health: methodological issues and research findings. Psychological bulletin, 2001. 127(4): p. 504.
  46. Vogel, T., et al., Health benefits of physical activity in older patients: a review. International journal of clinical practice, 2009. 63(2): p. 303-320.
  47. Seppälä, E., The Happiness Track: How to apply the science of happiness to accelerate your success. 2016: Hachette UK.
  48. Umberson, D. and J. Karas Montez, Social relationships and health: A flashpoint for health policy. Journal of health and social behavior, 2010. 51(1_suppl): p. S54-S66.
  49. Fine, R., Love and work: The value system of psychoanalysis. 1990: Continuum.
  50. Penedo, F.J. and J.R. Dahn, Exercise and well-being: a review of mental and physical health benefits associated with physical activity. Current opinion in psychiatry, 2005. 18(2): p. 189-193.
  51. Nyström, M.B., et al., Treating major depression with physical activity: a systematic overview with recommendations. Cognitive behaviour therapy, 2015. 44(4): p. 341-352.
  52. Vaillant, G.E., Triumphs of experience: The men of the Harvard Grant Study. 2012: Harvard University Press.