Services

Consultations

Mental health professionals who are interested in psychotherapy can obtain consultations on treatment issues from a psychodynamic/psychoanalytic perspective.

Diagnostic Evaluation

A new therapy client will undergo a one hour evaluation or longer, depending on the complexity of the case, to understand certain symptoms on a biological, social and psychological basis. The patient will receive information regarding his diagnosis, treatment plan and goals, including possible medication combined with psychotherapy. Neuroendocrine issues will also be addressed and the client may receive referrals to medical and other sub-specialties.

This is a first impression of the patient's overall situation, and as I learn more about each client's individual circumstances, the treatment plan will be adjusted accordingly.

Psychopharmacology

Psychiatric medications may be necessary to help a client with psychological symptoms in a crisis situation or with a chronic psychiatric condition. These medications target certain receptors in our nervous system and change mood, behavior, thinking, feelings, cognition and the ability to concentrate. Over time, psychological and behavioral problems will be improved and alleviated. They are usually very effective in the beginning of the treatment, but often can be reduced or discontinued after successful psychotherapy, which can also change brain chemistry and neuroreceptors.

Medications combined with psychotherapy may be used for the following conditions:

  • Depression
  • Mood Disorders
  • Anxiety
  • Panic Disorder
  • Obsessive Compulsive Disorder
  • Bipolar Disorders
  • Attention Deficit Disorder
  • Adjustment Disorder
  • Insomnia

Psychotherapy

Different methods of psychotherapy like Cognitive Behavioral or Interpersonal Therapy assist in discovering solutions for current life problems. They are used to help people identify and change assumptions, misperceptions and incorrect thinking, which influences or causes problematic behavior. They help work through painful issues and underlying conflicts, which are often unconscious. Successful psychotherapy will result in a positive change in an individual’s self-perception, behavior, and life choices. This treatment delivers the most effective long-term results as self-knowledge deepens and personal strength grows. Emphasis may initially be centered on implementing a healthy lifestyle because health-related problems exacerbate stress and can lead to serious emotional/psychiatric difficulties.

Problems which can be addressed:

  • Depression
  • Anger, Irritability, Impulsiveness
  • Trauma
  • Guilt, Shame
  • Anxiety
  • Divorce, Marital Conflict
  • Mourning of a Loved One
  • Sexual Problems
  • Recovering from Addiction
  • Starting College
  • Retirement
  • Catastrophic Illness or Disability
  • Children Leaving Home
  • Moving into a different City or Country
  • Birth of a Child
  • Adoption
  • Bankruptcy

Psychoanalysis/Psychoanalytic Oriented Psychotherapy

Psychoanalysis is a very intense treatment requiring several sessions per week over a longer period of time, which results in personality change with more profound effects than the aforementioned types of psychotherapy. It requires very close interactions between the individual and the analyst with the focus on personal and interpersonal experiences, which are mostly influenced by unconscious processes. Psychoanalysis is essentially a developmental psychology going back into earliest childhood, where interpersonal behavior patterns were established. Often times these patterns of interactions were adaptive and necessary for the emotional survival of the child in a dysfunctional family. The same behavior patterns will later become detrimental in adult relationships, which encompass the personal and professional environments.

© MARLIES KORSTEN 2017