BACP registered psychodynamic counsellor in Surrey offering confidential in-person therapy

By Sam Cracknell

5 March, 2026

Have you ever wondered what psychodynamic counselling really involves? It can feel a little mysterious and abstract, maybe even a bit daunting. Do you have to dive into the depths of your childhood and early years in a way that might feel overwhelming or unnecessary? My hope is to make it feel a little more approachable and easier to understand, because at its heart it’s about understanding yourself more deeply and finding gentler, healthier ways to move forward.

Have You Ever Wondered Why?

 

Perhaps you’ve asked yourself why you keep repeating certain patterns in your relationships, why particular emotions feel like they take over at times? Or why interactions and experiences you are having now feel strangely familiar and perhaps unsettling. It’s natural to be both curious and cautious, especially if these questions challenge long held beliefs and patterns of relating. Psychodynamic counselling can be a supportive and helpful space to explore these questions.

Psychodynamic counselling offers a space where you can explore these experiences in depth, helping you understand how your unconscious thoughts, feelings and past experiences might be shaping the way you experience life today. This approach is grounded in the sense that our early relationships, especially those from childhood, can influence how we relate to ourselves and others in our adult life.

 

How Repeating Emotional and Relational Patterns Can Manifest

 

• Often feeling criticised or rejected by others, even the smallest comments or feedback from others can uncover painful feelings like guilt and shame.
• Struggling to ask for help or show your vulnerability, it can feel lonely and overwhelming to be fiercely independent.
• Always taking care of others yet feeling uncared for yourself, feeling unseen and unsupported even in your most significant relationships.
• Isolating yourself from others when you feel you need connection the most, finding yourself emotionally withdrawing when it feels like someone is getting close to you.
• Continually entering relationships and friendships that feel like they never work out, feeling like the peacekeeper in relationships or finding yourself in tense conflict even though you’d rather avoid confrontation.
• Feeling drawn to familiar roles, often feeling like the responsible one, or left out, across many aspects of your life.

Woman with brown curly hair organising pictures and sticky notes on a pin board, representing reflection and self-discovery.

What Might It Feel Like to Offer Yourself Kindness and Grace?

 

It can be easy to feel confused, frustrated, even angry and ashamed, when we notice these repetitions. Patterns that are often formed from our earliest relational experiences and family dynamics, responses and reactions that started as ways to cope, stay safe or feel accepted and valued, can now leave you feeling disconnected or stuck. I wonder if any of these links between experiences and responses resonate with you:

If love or attention felt conditional, you might feel you work extra hard in relationships to make others happy, feeling unacceptable or too much just as you are.
If care felt inconsistent or unpredictable, you may notice feelings of insecurity and uncertainty in significant relationships.
If emotional needs were unmet, you might find yourself drawn to others who are emotionally unavailable or distant, even though you want closeness.
If emotional intimacy and vulnerability once felt unsafe, you may notice that you distance yourself emotionally in relationships that offer you closeness and connection.

But just as your younger self needed patience and understanding, so your adult self deserves the same kindness and grace.

How Psychodynamic Counselling Can Be Helpful

 

Unlike more structured therapies that might focus on a specific issue or behaviour within a fixed number of sessions, psychodynamic counselling is open-ended and exploratory, meaning that your weekly sessions continue for as long as feels useful and supportive for you. You’ll be thinking, together with your counsellor, about what feels most important for you in the session, looking at both what’s happening for you now and how past experiences may still influence you. Working Psychodynamically means we often notice and acknowledge patterns of familiar emotional or relational experiences that feel like repetitions, sometimes without us even realising it. Working with the unconscious also plays an important role. This might sound a bit mysterious, but it’s those thoughts, feelings and memories that often sit just outside of our everyday awareness. Thinking about not just what you say, but how you say it and the possible meanings beneath this for you.

 

Psychodynamic counselling can help you to:

 

• Gain a deeper understanding of the roots of anxiety, depression, or relationship difficulties.
• Think about safe emotional boundaries that support you in reducing recurring emotional or relational patterns.
• Process unresolved feelings from the past.
• Build a stronger sense of self and inner confidence.
• Develop more authentic, fulfilling relationships.

Open book with pink flowers scattered across pages on a white background, symbolising reflection, growth, and self-discovery.

Psychodynamic counselling invites you to slow down, reflect, and understand links between your past and present. Through this deeper understanding many people find that as they become more aware of their inner world, they begin to make different choices, ones that feel more aligned with who they really are.

 

More about Sam

If any part of this felt familiar, the loneliness in always being the strong one, the ache of feeling unseen, the frustration of repeating the same relational patterns, you don’t have to keep carrying that on your own.

Psychodynamic counselling offers a space where your story can be heard with care, curiosity and compassion.

If you’re wondering whether this way of working might be right for you, we invite you to visit our therapists page to learn more about our practitioners and find someone you feel comfortable reaching out to. Taking that first step can feel daunting, but it can also be the beginning of something different.