top of page

FOLLOW US

  • Facebook
  • Instagram
  • Threads
  • LinkedIn
  • Writer: Julie Barris | Crisis Counselor | Therapist-in-Training
    Julie Barris | Crisis Counselor | Therapist-in-Training
  • Aug 1

Therapy integration allows clinicians to draw from multiple evidence-based approaches to meet the unique and layered needs of clients. By combining tools from DBT, REBT, and psychodynamic therapy, integrated therapy offers a flexible and holistic path to healing unresolved trauma.

More Than Coping: How Therapy Integration Helps Clients Truly Heal

In the ever-evolving landscape of mental health care, the “one-size-fits-all” approach is rapidly losing ground. Clients are complex, nuanced, and shaped by layers of experience—and nowhere is that more evident than in the treatment of trauma.


For therapists working with clients who carry unprocessed trauma, the challenge is not just about soothing symptoms—it’s about helping them reclaim their sense of self. And sometimes, one therapeutic lens isn't enough.


That’s where integration comes in.



Meet the Client: A Story of Layers


Let’s say you’re working with a 27-year-old client named Maya. She presents with intense emotional reactivity, self-critical thinking, and recurring nightmares tied to a childhood history of emotional neglect and intermittent abuse. She's intelligent, insightful—and stuck in patterns that feel impossible to escape.


Maya’s trauma isn’t just a memory—it’s woven into her worldview, her body, and her relationships. Traditional talk therapy helped her understand some of her history, but she says it “doesn’t touch the part that always feels unsafe.”


So where do you go from here?


Why Just One Approach Might Fall Short


  • DBT (Dialectical Behavior Therapy) offers Maya immediate tools. She learns to name her emotions, sit with distress without self-harming, and practice radical acceptance. DBT brings structure and safety to her emotional chaos. But she still says, “I don’t know why I react this way. I just always have.”


  • REBT (Rational Emotive Behavior Therapy) helps Maya confront her inner critic. She begins to challenge beliefs like, “If I feel anxious, it means I’m weak” or “I can’t handle rejection.” She’s learning that emotions, while powerful, don’t dictate truth. But even as her beliefs shift, a deeper wound remains untouched.


  • Psychodynamic Therapy allows her to dive beneath the surface. Here, she uncovers unconscious patterns and links present-day triggers to childhood dynamics. She realizes that her fear of abandonment isn't irrational—it was once a survival response. But the insight alone doesn’t regulate her panic when she feels ignored.


Each modality offers something. But together? They create a therapeutic force greater than the sum of its parts.


Why Integration Works for Trauma


Trauma lives in the body, mind, and relational world. DBT teaches clients how to stay regulated in the present. REBT disrupts self-defeating beliefs rooted in trauma-based shame. Psychodynamic work explores the origin story—the “why” behind reactions that seem irrational.


With all three, the client can move through a full arc: from stabilization, to reframing, to deep healing. Integration allows the therapist to tailor the work session by session, drawing on the strengths of each method as needed.


And most importantly, it honors the complexity of the human experience.



Beyond the Toolbox: Therapist as Translator


Integrative therapy isn’t about piling on techniques—it’s about knowing when to use which tool, and why. It requires the therapist to be fluent in different languages: the validation of DBT, the cognitive precision of REBT, and the emotional depth of psychodynamic thinking.

As therapists, we must be translators, bridging approaches so the client doesn’t have to navigate their healing alone.


Final Thought:

If you could blend the best parts of your favorite therapies to help a client truly heal—not just cope—what would you bring into the room? And are you willing to stretch your comfort zone to do it?


Now, ask yourself: Are you practicing therapy… or translating healing?


💬 Ready to start your own healing journey?


Book a session with one of our compassionate therapists at Moody Melon Counseling. We’re here when you’re ready. 🍉



More Related Articles:

  • Writer: Julie Barris | Crisis Counselor | Therapist-in-Training
    Julie Barris | Crisis Counselor | Therapist-in-Training
  • Nov 18, 2024

The roots of workaholism often lie in unresolved emotional issues, such as a need for validation or fear of failure, which drive individuals to compulsively focus on their work. Understanding the deeper psychological triggers behind workaholism can help individuals break free from the cycle and find a healthier balance in their lives.

Unlocking the Roots of Workaholism: How Psychodynamic Therapy Helps You Break Free from the Cycle

In today's fast-paced, achievement-driven world, the pressure to work tirelessly can be overwhelming. For some, what starts as dedication and ambition morphs into an unhealthy obsession with work—leading to workaholism. Workaholism isn’t just about putting in long hours; it’s about feeling compelled to work beyond what is healthy, often at the expense of physical health, relationships, and personal well-being. While many people attempt to break free from workaholism through practical strategies like time management or setting boundaries, these solutions don’t always address the root causes of the problem. That’s where Psychodynamic Therapy comes in.


Understanding Workaholism: More Than Just a Bad Habit


At its core, workaholism is a behavioral addiction that goes beyond simply enjoying one's job. It often masks deeper emotional and psychological issues that drive the compulsive need to work nonstop. Workaholics may push themselves excessively due to feelings of inadequacy, fear of failure, or a desperate need to prove their worth. Others might be escaping emotional pain or trauma, using work as a way to avoid uncomfortable feelings or unresolved issues.


While external factors like career pressure or societal expectations play a role, the true driving forces of workaholism often reside in the unconscious mind—the very place that Psychodynamic Therapy aims to explore and heal.


What is Psychodynamic Therapy?


Psychodynamic Therapy is a type of psychotherapy that delves into how past experiences, unconscious thoughts, and repressed emotions shape current behaviors. Unlike other therapies that may focus on solving problems through conscious, action-oriented strategies, psychodynamic therapy focuses on uncovering the underlying emotional conflicts and internal struggles that contribute to dysfunctional behavior patterns.


The goal is to gain a deeper understanding of the mind—particularly the unconscious aspects of the self—and make sense of how these elements influence present-day actions. By addressing these root causes, individuals can break free from maladaptive patterns and create healthier ways of coping with stress, work, and life’s challenges.


How Psychodynamic Therapy Helps with Workaholism


1. Uncovering Unconscious Drivers


Workaholism often stems from unconscious beliefs, feelings, or unresolved issues. Through Psychodynamic Therapy, a therapist helps the individual explore these deeper emotional drivers, which could include:


- Fear of failure: Workaholics often feel that they must prove themselves or maintain high standards to avoid failure or judgment from others.

- Low self-worth: Many workaholics tie their self-esteem to their productivity. If they’re not achieving or working constantly, they may feel unworthy or inadequate.

- Avoidance of emotions: Work can serve as an escape mechanism for dealing with difficult emotions like sadness, guilt, or anxiety.


By bringing these unconscious beliefs and emotions to light, individuals can begin to understand why they feel compelled to overwork and start to challenge those beliefs.


2. Understanding the Impact of Childhood and Past Experiences


Psychodynamic Therapy often explores how early childhood experiences and family dynamics may contribute to workaholic behavior in adulthood.


For example:

- Parental expectations: Children who grow up with parents who place high expectations on success or work performance may internalize those pressures, believing they need to work excessively to gain love, approval, or validation.


- Unresolved childhood trauma: For some individuals, work becomes a distraction from painful memories or emotional scars. By exploring past trauma in therapy, the individual can work through unresolved pain rather than using work as a coping mechanism.


By understanding how past experiences contribute to their current struggles, individuals can begin to release old patterns and shift towards healthier ways of dealing with stress and pressure.


3. Breaking the Cycle of Perfectionism


A common feature of workaholism is perfectionism—the belief that anything less than flawless work is unacceptable. Perfectionists often have a deep fear of making mistakes or failing, which drives them to work endlessly in pursuit of unattainable goals. In Psychodynamic Therapy, individuals can:


- Examine their inner critic and perfectionistic tendencies.

- Explore the underlying fears and beliefs that fuel the need for perfection.

- Learn to accept imperfection and set more realistic, balanced goals.


By dismantling the unrealistic standards that perfectionism creates, Psychodynamic Therapy can help workaholics build healthier self-esteem and develop a more compassionate relationship with their work.


4. Exploring the Role of Self-Worth and Identity


For many workaholics, their identity and sense of self-worth are deeply tied to their professional achievements. If they’re not constantly working, they may feel lost or uncertain of their value. Through Psychodynamic Therapy, clients are encouraged to explore:


- What defines their sense of self: Is it their work, their relationships, or their personal growth?


- The emotional connections between work and self-worth: Do they feel valued only when they’re productive? Are they afraid of being seen as "lazy" or "unimportant" if they take time for self-care or relaxation?


Therapy helps individuals reframe how they see themselves, allowing them to separate their worth from their work and prioritize personal well-being.


5. Improving Emotional Regulation


One of the reasons workaholism persists is because it provides a temporary escape from difficult emotions. However, this avoidance only leads to greater emotional distress in the long term. Psychodynamic Therapy teaches individuals to process emotions instead of suppressing them with work. By learning to manage anxiety, guilt, and other emotions in healthier ways, individuals can break free from the cycle of compulsive working.


The Path Forward: Finding Balance


While it’s easy to get caught in the cycle of workaholism, Psychodynamic Therapy offers a path toward healing by addressing the emotional and unconscious roots of the behavior. By understanding and healing these deeper emotional wounds, individuals can develop healthier patterns of working and living—one that allows them to achieve personal success without sacrificing their mental health, relationships, or well-being.


In the end, Psychodynamic Therapy doesn’t just help individuals work smarter; it helps them work with greater self-awareness, emotional health, and ultimately, balance. If you or someone you know is struggling with workaholism, therapy could be the key to unlocking a healthier, more fulfilling relationship with both work and life.


Conclusion


Psychodynamic Therapy offers a powerful tool for those who feel trapped in workaholism. By understanding the deeper emotional roots of the problem, individuals can break free from unhealthy cycles, improve their emotional regulation, and ultimately find a healthier balance between their work and personal lives. It’s not just about working less—it’s about working smarter, with self-awareness and emotional clarity.


More Related Articles:

bottom of page