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More about ISTDP

Intensive Short-Term Dynamic Psychotherapy (ISTDP) is an evidence-based, emotion-focused therapeutic model designed to rapidly alleviate anxiety, depression, somatisation, and personality structures by addressing underlying causes of distress. 

The process aims to explore and raise awareness of unconscious defences and resistance to process complex feelings, often leading to lasting, profound changes in a shorter timeframe. 

 

ISTDP is particularly suitable for individuals who feel "stuck," have deep-seated relationship patterns, or suffer from medically unexplained symptoms (somatisation). 

 

Key Aspects of ISTDP Therapy 

 

  • Core Aim: To help patients overcome internal resistance and fully experience warded-off, unconscious emotions linked to attachment trauma or painful life events.

  • The Process: It is highly experiential and active, focusing on the "here-and-now" to help patients face emotions rather than avoiding them.

  • Techniques: Therapists use "pressure" to identify defences and explore feelings, often analysing the "triangle of conflict" (feelings, anxiety, defences) and the "triangle of person" (past, current life, and therapist).

  • Intensity: Sessions can be intense, aiming to build the patient's capacity to tolerate uncomfortable emotions.

  • Structure: Often starts with a long "trial therapy" session (2-3 hours) to assess suitability and provide an immediate experience of the method.

  • Evidence Base: Over 40 published studies, including randomised controlled trials (RCTs), show its effectiveness for a broad range of mental health issues, with long-lasting, often improving outcomes after therapy ends. 

© 2017 created by Graham Kingma | Update 2026

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