#8 When Insight Isn’t Enough: How Psychodynamic Therapy Understands Real Change

You may recognise this experience. You’ve been working on yourself for a long time now. Reading the books. Listening to the podcasts. Meditating, journalling, reflecting. Showing up, again and again, to whatever version of growth you’ve committed yourself to. Some days, you feel genuinely changed. More aware. More thoughtful. More psychologically literate. Other days, you feel exactly the same as you always have — just with better language for your difficulties. And sooner or later, a troubling question begins to surface: Am I actually changing, or am I just going in circles at a higher altitude?

#7 Taking the first step: What if reaching out feels hard?

For many people, the hardest part of therapy isn’t the work itself.
It’s the moment before it begins.

You may have been thinking about counselling for some time. Perhaps something feels stuck, heavy, or unresolved, but putting that into words feels difficult. You might wonder whether your concerns are “serious enough,” whether therapy will help, or whether you’ll be expected to explain everything clearly from the outset.

If reaching out feels anxiety-provoking, uncertain, or even exposing, you’re not alone. In fact, those feelings often make sense.

#6 Is Cost the Only Thing to Think About When Choosing Short-Term Therapy?

When people look into short-term therapy, cost is often one of the first things they think about. A set number of sessions can feel clearer, more manageable, and easier to plan for. That makes sense. But cost on its own rarely tells the whole story.

#5 How Do You Know When Open-Ended Psychodynamic Therapy Has Worked?

People often arrive in therapy wanting clarity. They ask sensible, understandable questions: How long will this take? What will change? How will I know if it’s working?

These questions make even more sense when life already feels uncertain or overwhelming. Yet open-ended psychodynamic therapy rarely offers neat milestones or quick indicators of success. Its changes are often subtle at first, then quietly profound.

So how do you know when it has worked?


© GVB Psychotherapy | Greg Van Beurden | Counselling in Clapham

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