Structured group and individual therapy several days a week, while you live at home.
How we work
Psychodynamic therapy is the deep, unhurried work of understanding why you feel and act the way you do. Instead of managing symptoms on the surface, you and your therapist follow them back to their roots: the early experiences, unspoken feelings, and patterns that quietly shape the present. At The Lovett Center, it is the foundation the rest of our care is built on.
Outpatient care in Montrose, Houston. Most major insurance accepted.
The approach
Psychodynamic therapy rests on a simple idea: much of what drives us lives below conscious awareness, in patterns formed long before we could name them.
Where some therapy stays in the present, psychodynamic therapy follows your struggles back to their source. Together with your therapist you explore the unconscious feelings, early relationships, and defense mechanisms, the ways the mind protects itself, that quietly shape how you think, feel, and relate today.
A lot of that understanding surfaces through the relationship itself. As trust builds, old patterns show up in the room, including transference, where feelings from past relationships attach to the therapist. Noticing them together turns a repeating pattern into something you can finally see clearly, and choose differently.
Where it helps
Because it works on the emotional roots rather than the surface, this approach helps with a wide range of long-standing struggles, on its own or alongside other therapies. You do not need a specific diagnosis to benefit.
When low mood has roots in old grief, guilt, or loss, psychodynamic therapy helps surface and work through what has been feeding it.
Depression treatmentChronic worry and fear often trace back to unconscious conflicts. This approach explores what sits underneath the anxiety, not just how to manage it.
Anxiety treatmentTrauma leaves patterns that outlast the event. Psychodynamic therapy gives you a safe, unhurried space to process it and loosen its hold on the present.
Trauma and PTSD careAddiction is often about what the substance helps you avoid. This work uncovers the emotional pain underneath, so recovery has something solid to stand on.
Dual diagnosis careIs it right for you
Psychodynamic therapy is powerful, but it is not the right tool for every moment. Here is an honest read on when it tends to help most, and when we might start somewhere else.
If you keep repeating the same relationships, choices, or feelings and cannot see why, this therapy is built to find the why.
It aims for deep, durable healing rather than short-term symptom relief, and the gains often keep growing after therapy ends.
This work asks you to sit with difficult feelings and revisit painful memories. That takes courage, and it is where the real movement happens.
If you are in acute distress or your symptoms are severe, we focus first on safety and stabilizing care, then bring depth work in when the time is right.
If you would rather build concrete skills for a specific problem right now, a structured approach like CBT may fit better, sometimes working alongside this one rather than instead of it.
The evidence
Psychodynamic therapy is one of the oldest forms of talk therapy, and it has come a long way from its origins. Cleveland Clinic describes it as talk therapy that explores your past thoughts, feelings, and memories to understand how they affect your life now, using techniques like free association, recognizing defense mechanisms, and noticing the patterns that repeat in your relationships.
What sets it apart is how the benefits last. The American Psychological Association points to research finding that people who complete psychodynamic therapy not only hold onto their gains but often keep improving after therapy ends, as the self-understanding they built keeps working on its own. That is the deep, durable change this approach is designed for.
The same depth makes it valuable in recovery. The National Institute on Drug Abuse notes that effective treatment has to address the psychological side of substance use, not just the substance, which is why we weave psychodynamic work into care for addiction and co-occurring conditions. It also pairs naturally with the other approaches we offer, including CBT, EMDR, and trauma-informed care, often working alongside them rather than instead of them.
At The Lovett Center, psychodynamic therapy is grounded in real depth training. Our chief clinical officer, Robert Hilliker, PhD, LCSW-S, LCDC, completed fellowships at the Menninger Clinic and the Center for Psychoanalytic Studies, and that insight-oriented lens runs through how our licensed clinical team works.
Where it happens
Psychodynamic therapy at The Lovett Center is outpatient, so you live at home and keep up with work, school, and family while you do the work. The right level of structure depends on what you need right now.
Structured group and individual therapy several days a week, while you live at home.
Our most intensive outpatient level: full days of structured treatment, with the freedom to go home each night.
Regular individual sessions at a steadier pace, including step-down care after a more intensive program.
Common questions
Psychodynamic therapy is a depth-oriented talk therapy that traces present-day struggles back to their emotional roots. Rather than focusing only on symptoms, you and your therapist explore the unconscious patterns, past relationships, and unspoken feelings that shape how you think and act today. As those connections come into view, you gain insight and more freedom to respond in new ways. It is less about following a script and more about understanding yourself deeply enough that change holds.
The short version: CBT works on the present, and psychodynamic therapy works on the roots. CBT is structured and skills-focused, giving you tools to change specific thoughts and behaviors now. Psychodynamic therapy is more open-ended and reflective, exploring how your past still shapes the present so change lands at a deeper level. Neither is better; they answer different questions, and many people benefit from both.
Compare our therapiesPsychodynamic therapy is deeper work, so it usually unfolds over a longer horizon than short-term therapies. Sessions typically run about an hour, once or twice a week, and the overall course can last anywhere from a few months to a few years depending on what you are working through. Cleveland Clinic notes there is no set timeline that fits everyone, so your therapist sets the pace with you and adjusts as you go.
It is a strong fit if you feel stuck in patterns you do not fully understand or you want lasting change rather than a quick fix. You do not need a specific diagnosis to benefit; it helps with long-standing sadness, anxiety, trauma, and relationship struggles. It is not the best starting point in an acute crisis or when you need fast, structured tools, and in those cases we focus first on safety and stabilizing care, or begin with a more directive approach. We will help you find the right fit.
Yes. Substance use is often an attempt to numb or avoid emotional pain, and psychodynamic therapy works on exactly that layer: the unresolved trauma, shame, or unmet needs underneath the behavior. As you understand what the substance was doing for you, cravings can lose some of their grip and healthier coping becomes possible. When addiction and a mental health condition occur together, we treat both in one integrated plan.
Dual diagnosis careIn many cases it is covered. The Lovett Center is in network with major insurers including Aetna, Blue Cross Blue Shield, Cigna, UnitedHealthcare, Optum, Magellan, and TriWest, and we also work with out-of-network benefits and self-pay. Because longer-term therapy means ongoing sessions, it is worth confirming your coverage up front. The surest way to know your out-of-pocket cost is to verify your benefits with us.
Verify your insuranceStart the conversation
When you are ready, a real person at The Lovett Center will listen and help you find the next step, whether that is psychodynamic therapy, another approach, or simply a conversation about what is going on. No pressure, no commitment.
Prefer to call?
(713) 589-5991Every conversation is confidential. If you are in crisis, call or text 988 any time to reach the Suicide and Crisis Lifeline.