Psychoanalytic Therapy Services

What is psychoanalytic therapy?

Psychoanalytic therapy is, in part, a treatment rooted in Freudian thought. To quote neuroscientist Robert Sapolsky, “I know it is obligatory to dump on Freud, and some of it is deserved, but there is much he still has to offer.”2

Beneath the Surface

One of Freud’s most basic assumptions was that there is more to us than meets the eye. Certainly, we have conscious wishes and ideas and plans. But there are many experiences outside our immediate awareness, including thoughts, desires, relational patterns and ways of protecting our vulnerability.

The unconscious is still a radical concept, in part because it questions the belief that insight, intention and effort are sufficient to produce long-lasting change. This fuller version of being human means we are not reducible to symptom checklists or diagnostic labels. Nor are we algorithms to be optimized. We are people, multifaceted and idiosyncratic, with all sorts of hidden motivations and contradictory beliefs. That is the beauty but also the difficulty of being truly alive.

Psychoanalytic or depth therapy is a way to be in contact with those underlying forces and blind spots and to understand their impact on your emotions and relationships, here, in the present.

Here and Now

The emphasis on the here and now may seem surprising, as psychoanalytic thinking emphasizes the enormous impact of our earliest attachments, and it sees these primary relationships as a kind of rough blueprint for who we become.

But psychoanalytic therapy is not an organized excavation of early memories or an uncovering of “truth” simply waiting to be found. It is a nuanced attention to how the past is alive in the therapy session, moment to moment. It is a way of sitting with the emotions that come up in the room. It is shared curiosity about the bits and pieces of who you are that don’t yet have meaning, the thoughts or feelings or bodily experiences that seem disjointed, confusing or even silly.

In the Room

It is you and I noticing the subtle shifts in your attention, the pauses around difficult topics, the moves away from painful feelings, the ways you protect yourself from being hurt. It is you and I perceiving when you feel misunderstood, when I might feel like a figure from your past, when something familiar is repeating, when you might feel like an unfamiliar version of yourself.

Pause and Reflect

When the present moment is met in this way, with curiosity and patience, understanding and meaning can gradually emerge. Over time, that understanding opens up some breathing room. You have space to see things more clearly, and to respond a bit differently when confronted with life’s inevitable frustrations.

Is this for me?

People come here for a number of reasons. Sometimes life events can throw off our emotional equilibrium. There are the obvious culprits: death, divorce, illness, job loss. But even a positive life change can, at times, have unexpected emotional consequences. Birth, marriage, a promotion. All of these are a departure from the ordinary, with new feelings and new expectations, and they can evoke something unexpected inside us. In these situations, depth therapy can be useful to understand the internal repercussions of an external change.

And then there are longer-standing or more established difficulties. Anxiety that feels woven into the texture of life. Depression that may wax and wane but never quite abate. A general feeling of sensitivity or sensory overwhelm, as though the world itself is too loud or too sharp. An internal critic that refuses to be quiet. Repetitive relationship patterns that prove maddeningly hard to change. Psychoanalytic therapy helps shed light on old symptoms and entrenched ways of being, not through intellectual explanations but by listening more closely to what might be happening beneath the surface.

Space for Change

Therapeutic change depends upon many factors, including the fit between us, your own expectations, and our commitment to a regular schedule. Growth can’t be forced. What matters is not willpower but curiosity, and the courage to honestly share what is happening inside you, even if that seems off topic or unsayable.

You don’t need to arrive prepared. I don’t tell you how or who to be. In fact, one of the healing aspects of therapy is the space provided for you to simply be you. You can follow your thoughts wherever they may lead, and see what unfolds over time. This slower pace gives buried parts of the self the room to surface. Often, these facets of experience that have felt blocked or off-limits are at the very heart of what needs to be examined more carefully.

Insurance

I am in-network for all Blue Cross Blue Shield PPO plans. For all other insurance plans, I am out-of-network. Benefits can vary by specific plan, so I encourage you to find out more by calling the number on the back of your insurance card. If your plan is out-of-network, I can provide an itemized receipt so you may seek reimbursement from your insurance company. I am happy to answer specific questions about insurance or fees.

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2 Robert Sapolsky, Why Zebras Don’t Get Ulcers

Privacy Policy

This website is the personal practice website of Betsy Nettleton, PsyD, Licensed Clinical Psychologist.

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Last updated: June 2026