Panic-focused psychodynamic psychotherapy is a form of treatment for panic disorder based on certain psychoanalytic concepts. In general, these concepts assume that people are defined by early human experiences and that unconscious motives and psychological conflicts are at the core of current behavior. The unconscious mind, or subconscious, is a hiding place for painful emotions. Defense mechanisms keep these painful emotions hidden, but if these painful emotions can be brought in to the conscious mind, they can be dealt with and the symptoms of panic disorder and associated behaviors can be eliminated or reduced.
What's the difference between PFPP and psychoanalysis?
PFPP and psychoanalysis are based on similar psychoanalytic concepts, yet are distinguished from each other on a couple of key points. Psychoanalysis is generally viewed as a long-term venture, usually lasting many years. Its focus is usually broad and involves personality restructuring. PFPP, on the other hand, is generally shorter and more specifically focused on sorting out the specific symptoms of panic disorder and agoraphobia.
What can I expect during treatment?
PFPP will likely begin with an evaluation that is somewhat like an interview. The goal of this process is for the therapist to learn more about you and to develop a better understanding of why you have come in to treatment. This process leads to a mutual understanding of the goals of therapy.
A major goal of treatment involves the therapist helping you to uncover the true significance of your panic symptoms and how they have come about. This typically involves the following:
- uncovering the unconscious meanings of panic symptoms
- exploring unconscious feelings related to separation, loss, independence, anger and other emotional topics
- identifying defenses that act as barriers to self-knowledge and awareness
Once the therapist helps you discover what’s going on in your unconscious mind, he or she will help you become aware of your true feelings and assist you in developing more effective ways of coping with painful emotions. With this awareness, you become less vulnerable to experiencing panic and your symptoms are reduced.
Does it really work?
Like all therapies, there are no guarantees that PFPP will work for everyone. Psychodynamic concepts are often difficult to scientifically study, but recent research has shown some promising results in reducing the symptoms of panic disorder.
How do I find a PFPP therapist?
- The American Psychotherapy Association has a search tool to find therapists in your area based on their specialties.
- Generally, insurance companies maintain a database of providers by specialty and therapeutic approach. If you have medical benefits, you can ask your insurance company for a referral. This may even be a requirement of some insurance plans.
- Psychiatrists and primary care physicians may also be able to provide you with a referral to a therapist trained in psychodynamic therapy.
Sources:
Corey, Gerald. (2009). Theory and Practice of Counseling and Psychotherapy (8th ed.). Belmont, CA: Thomson Brooks/Cole.
Milrod, B., Busch, F. Cooper, A.; Shapiro, T. (1997) Manual of Panic-Focused
Psychodynamic psychotherapy. Washington DC: American Psychiatric Press.
