Individual Counseling


“Each and every person I’ve met along the way has given me more appreciation for the struggles we all go through and the resilience of the human spirit.”

The counseling I provide is really a collaboration between you as an individual and me as a therapist. Together we build a supportive environment where you can talk openly with a professionally trained counselor who is both neutral and nonjudgmental. From there we’ll be able to identify the thought and behavior patterns that are keeping you from feeling your best and begin turning them around. I also try to make humor a part of therapy whenever I can, while always providing my patients with unconditional positive support.

In terms of theory, I usually use a two-pronged approach. For the here and now of symptom management, I work with Cognitive Behavioral Therapy (CBT). This is a great way to become more aware of the connection between thoughts, feelings and behavior and empower you to see what’s in and out of your control. In combination with that I also work with Psychodynamic Therapy for a more comprehensive view of where the problem may stem from and how it affects other aspects of your life. Below is an excellent summary of what you might expect from our sessions and the ways in which we can achieve your goals together.

Seven Distinctive Features of Psychodynamic Therapy*

1. Focus on affect and expression of emotion
Psychodynamic therapy encourages exploration and discussion of the full range of a patient’s emotions. The therapist helps the patient describe and put words to feelings, including contradictory feelings, feelings that are troubling or threatening, and feelings that the patient may not initially be able to recognize or acknowledge. There is also a recognition that intellectual insight is not the same as emotional insight, which resonates at a deep level and leads to change (this is one reason why many intelligent and psychologically minded people can explain the reasons for their difficulties, yet their understanding does not help them overcome those difficulties).

2. Exploration of attempts to avoid distressing thoughts and feelings
People do a great many things, knowingly and unknowingly, to avoid aspects of experience that are troubling. This avoidance may take coarse forms, such as missing sessions, arriving late, or being evasive. It may take subtle forms that are difficult to recognize in ordinary social discourse, such as subtle shifts of topic when certain ideas arise, focusing on incidental aspects of an experience rather than on what is psychologically meaningful, attending to facts and events to the exclusion of affect, focusing on external circumstances rather than one’s own role in shaping events, and so on. Psychodynamic therapists actively focus on and explore avoidances.

3. Identification of recurring themes and patterns
Psychodynamic therapists work to identify and explore recurring themes and patterns in patients’ thoughts, feelings, self-concept, relationships, and life experiences. In some cases, a patient may be acutely aware of recurring patterns that are painful or self-defeating but feel unable to escape them (e.g., a man who repeatedly finds himself drawn to romantic partners who are emotionally unavailable; a woman who regularly sabotages herself when success is at hand). In other cases, the patient may be unaware of the patterns until the therapist helps him or her recognize and understand them.

4. Discussion of past experience (developmental focus)
Related to the identification of recurring themes and patterns is the recognition that past experience, especially early experiences of attachment figures, affects our relation to, and experience of, the present. Psychodynamic therapists explore early experiences, the relation between past and present, and the ways in which the past tends to “live on” in the present. The focus is not on the past for its own sake, but rather on how the past sheds light on current psychological difficulties. The goal is to help patients free themselves from the bonds of past experience in order to live more fully in the present.

5. Focus on interpersonal relations
Psychodynamic therapy places heavy emphasis on patients’ relationships and interpersonal experience. Both adaptive and nonadaptive aspects of personality and self-concept are forged in the context of attachment relationships, and psychological difficulties often arise when problematic interpersonal patterns interfere with a person’s ability to meet emotional needs.

6. Focus on the therapy relationship
The relationship between therapist and patient is itself an important interpersonal relationship, one that can become deeply meaningful and emotionally charged. To the extent that there are repetitive themes in a person’s relationships and manner of interacting, these themes tend to emerge in some form in the therapy relationship. For example, a person prone to distrust others may view the therapist with suspicion; a person who fears disapproval, rejection, or abandonment may fear rejection by the therapist, whether knowingly or unknowingly; a person who struggles with anger and hostility may struggle with anger toward the therapist; and so on (these are relatively crude examples; the repetition of interpersonal themes in the therapy relationship is often more complex and subtle than these examples suggest). The recurrence of interpersonal themes in the therapy relationship provides a unique opportunity to explore and rework them in vivo. The goal is greater flexibility in interpersonal relationships and an enhanced capacity to meet interpersonal needs.

7. Exploration of fantasy life
In contrast to other therapies in which the therapist may actively structure sessions or follow a predetermined agenda, psychodynamic therapy encourages patients to speak freely about whatever is on their minds. When patients do this (and most patients require considerable help from the therapist before they can truly speak freely), their thoughts naturally range over many areas of mental life, including desires, fears, fantasies, dreams, and daydreams (which in many cases the patient has not previously attempted to put into words). All of this material is a rich source of information about how the person views self and others, interprets and makes sense of experience, avoids aspects of experience, or interferes with a potential capacity to find greater enjoyment and meaning in life.

*Selected from The Efficacy of Psychodynamic Psychotherapy and used with permission from Dr. Jonathan Shedler.
https://jonathanshedler.com/PDFs/Shedler%20(2010)%20Efficacy%20of%20Psychodynamic%20Psychotherapy.pdf

1302 Lincoln Ave. Suite 205 Willow Glen
San Jose, CA 95125

markmouro.lmft@gmail.com
(424) 291-2898

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