Watercolor illustration of a therapy scene showing a woman reflecting on repeated relationship conflicts, a therapist listening, and a child playing with a spool symbolizing recurring emotional patterns.

Why Do I Keep Repeating the Same Patterns? A Psychodynamic Explanation

April 17, 2026 - by Brian Sedgeley - in Couples, psychology

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The problem is usually not that you do not know “Why do I keep repeating the same patterns?” By the time people start asking this question, they are rarely confused about what keeps happening. They can describe the pattern with painful precision. Different partner, same emotional confusion. Different breakup, same hollow aftermath. Different stage of

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Professional sitting at a desk reviewing paperwork while a shadow version of themselves points critically from behind, illustrating perfectionism and self-criticism.

Perfectionism and Self-Criticism: Why High-Achieving People Often Struggle With an Inner Critic

March 18, 2026 - by Brian Sedgeley - in psychology

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Many people who seek psychotherapy struggle with perfectionism and self-criticism, even when they appear successful from the outside. From the outside they appear competent and responsible. They manage demanding careers, maintain relationships, and navigate complicated professional environments. Others may see them as disciplined, capable, and reliable. Internally, however, many of these same individuals live with

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Emotionally unavailable parents concept illustration: watercolor painting of a reflective adult woman in the foreground while a lonely child sits on the floor in the background with emotionally distant parents, symbolizing childhood emotional neglect and its impact on adult relationships and mental health—psychodynamic psychotherapy concept.

Emotionally Unavailable Parents: Why High-Functioning Adults Still Feel Empty

March 11, 2026 - by Brian Sedgeley - in Health, psychology

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Many adults who seek psychotherapy arrive with a confusing complaint. Their lives appear successful. They have careers, relationships, and responsibilities that others admire. Yet internally something feels off. They describe a vague sense of emptiness, emotional distance, or a persistent feeling that something essential is missing. Often the roots of this experience lie in a

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Watercolor illustration representing psychodynamic couples therapy, showing a couple moving from conflict and emotional distance to connection and understanding, with symbolic imagery of unconscious links, relational patterns, and therapeutic dialogue.

Psychodynamic Couples Therapy: Breaking Free from Repeated Arguments and Feeling Unseen

February 11, 2026 - by Ryan LaPlant, AMFT and Brian Sedgeley - in Couples, psychology

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If you and your partner keep having the same fight, feel fundamentally misunderstood, or wonder why you can’t seem to break destructive patterns, you’re not alone—and you’re not failing. What looks like a communication problem often runs much deeper. Here’s how psychodynamic couples therapy can help. This past fall, I had the opportunity to attend

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A watercolor painting of a solitary figure in an orange-red shirt, seated on a wooden bench and facing a tranquil landscape of soft blue and green hills beneath a luminous sky. The scene captures a sense of quiet reflection and relational safety, mirroring the philosophical and existential tone of psychodynamic therapy.

Reclaiming Safety in Uncertain Times: A Deeper Approach to Contemporary Anxiety

June 04, 2025 - by Brian Sedgeley - in Health, psychology

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The past few years have left many of us feeling fundamentally unsettled. Between the global pandemic, political upheaval, and economic volatility, a sense of unease has become our backdrop. Whether it’s lingering COVID concerns, troubling news cycles, or financial pressures, our basic sense of safety feels constantly under threat. This pervasive anxiety isn’t simply “stress”

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A watercolor painting of a therapist and patient seated in armchairs, engaged in conversation; the scene conveys emotional connection and warmth through soft tones and body language.

Relational Psychodynamic Therapy in Oakland: What Modern Therapy Feels Like

May 15, 2025 - by Brian Sedgeley - in Health, psychology

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Relational Psychodynamic Therapy in Oakland: Beyond the Couch, Into Connection Maybe you’ve heard the stereotype. In therapy, you lie on a couch. The therapist stays silent. You talk, they nod, and that’s… therapy? That image—cold, distant, outdated—is still floating around. And it turns a lot of people off, especially those looking for a real connection

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A watercolor-style illustration of a diverse group of therapists sitting together in a cozy, inviting therapy room. The setting includes cultural elements like a globe, multicultural books on shelves, and artwork representing various cultures. The therapists are engaged in thoughtful discussion, symbolizing cultural sensitivity and inclusivity in psychotherapy. The room features soft lighting and comfortable furniture, creating a warm, welcoming atmosphere.

Culturally Sensitive Therapy: Identity, Diagnosis, and Well-being

January 13, 2025 - by Brian Sedgeley - in psychology, Health

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Isaac Ray, a prominent 19th-century American psychiatrist and one of the founders of forensic psychology, observed, “Insanity was the price we pay for civilization.” This insight reminds us that societal progress, while necessary, often comes with emotional and psychological costs. Every civilization defines “normal” and “abnormal” according to its own cultural values, frequently pathologizing behaviors

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A serene watercolor illustration depicting a thoughtful individual sitting near a window, symbolizing introspection, emotional healing, and self-compassion.

Blaming Ourselves: Guilt, Emotional Absence, and the Psychological Defense of Omnipotence

December 16, 2024 - by Brian Sedgeley - in psychology

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Why Do We Blame Ourselves? The Impact of the “Dead Mother” and Early Caregiver Dynamics In the realm of psychodynamic therapy, few concepts capture the complexity of human guilt and self-blame as powerfully as André Green’s Dead Mother hypothesis. This idea explores how early emotional unavailability in caregivers can shape our unconscious minds, creating enduring

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Watercolor illustration of a serene self-care scene with a person in a calming natural environment, symbolizing inner peace, mindfulness, and emotional healing.

SELF-CARE: IT’S NOT WHAT YOU THINK

September 30, 2024 - by Nicholas Hack, PsyD - in Health

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  In 2024, “self-care” is a massive industry. Walk down any magazine aisle and you’ll see front pages advertising self-care tips. Dip your toe into the wellness world and influencers will tell you about their latest self-care routine. Whether you hear about it from morning show hosts or podcasters, in our modern moment self-care has

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