Dr. Ehsan Goli Garmianaki

Psychodynamic approaches and online therapy

Psychodynamic therapy looks at how past relationships and experiences shape present feelings and reactions. It helps people understand recurring patterns, such as repeated conflicts or familiar ways of withdrawing, and how these patterns affect mood, intimacy and self-esteem.

In sessions the focus is on reflection and making links between current difficulties and earlier experiences. This can be useful for concerns like anxiety, depression, trauma, attachment struggles and problems with intimacy or identity. The therapist listens, mirrors feelings and helps name hidden dynamics so people can make different choices.

Choosing the right approach is part of the process and is done together. The therapist will discuss goals, preferences and what feels most helpful, and will adjust the way they work as therapy progresses. That collaboration helps ensure the method matches the client's needs and pace.

Online formats include video calls, phone sessions, live chat and text-based messaging. Video is useful for fuller dialogue and visual connection. Phone sessions can be easier when bandwidth is limited or for a shorter check-in. Live chat and text messaging suit brief reflections, ongoing support between sessions or people who prefer typing over speaking. These options make therapy more flexible for different schedules, locations and communication styles.