José A. Hevia, MSW, LCSW, LP


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Psychoanalysis is an in-depth clinical treatment approach that addresses deep hidden and unsatisfied impulses (wishes and urges) affecting your emotions, thoughts, and behaviors.  The influences of these impulses are not apparent to you, but nevertheless are significant to cause pervasive difficulties, blind spots, and wasteful repetitions.


The main focus of this clinical treatment approach is to facilitate a growing and permanent awareness of how these unrecognized impulses interfere with what is desired and about developing fresh options to create and sustain personality change through talking, the use of dream analysis, fantasy life, slips of the tongue, mishaps, and repetitions within the therapeutic relationship with the analyst.


What happens in treatment?  Basically, while lying on a couch, you are invited to talk freely to the analyst who is out of view.  The analyst listens, explores, identifies, clarifies, spotlights, and interprets these hidden impulses at work and how you get in the way of knowing yourself.  Through this collaborative process of unpacking and saying everything, emotional, intellectual, and behavioral links are made by your mind and new options for being become available.  Time and commitment is necessary for this type of treatment and the benefits are everlasting.




Psychodynamic psychotherapy, like psychoanalysis, is another clinical treatment approach that addresses hidden and unsatisfied impulses (just beneath the surface of awareness) influencing your emotions, intellect and behaviors.


The main focus of this clinical treatment approach is to loosen the compulsive grip these hidden impulses have on your functioning and nurture greater flexibility to confront and manage everyday living.  This process is accomplished through learning how to modify, change or accept your feelings, understanding, and behaviors which interfere with your healthy adaptation to the realities of daily living.


What happens in treatment?  You mainly talk while sitting face-to-face with the therapist.  The therapist listens and draws your attention to reactions, aims, and choices inhibiting you from effectively handling different situations.  The therapist facilitates this process of modification and of eventual adaptation through the main use of verbal exploration, identification, clarification, exposure, and interpretation of internal and external obstacles to change and growth.  Length of treatment depends on the severity of each situation, the murkiness and stickiness of your internal and external obstacles, and your willingness to work on it.




Coaching is a tactical approach that mainly focuses on problem solving (primarily through intellectual means and actions, but not exclusively) a particular personal, family or workplace situation requiring adjustment or change because it causes you significant worries, distress and to feel "stuck."  Coaching is the most simple and practical  approach that initially you can take to start impacting a personal and/or a professional situation.


The main focus of the coaching process is to specifically and reasonably solve a problem, adjust a situation or make a change of direction which could lead to attainable and practical solutions and growth.


What happens during the coaching process?  While sitting face-to-face with the coach, you present a specific situation that you need or want to address and manage; for example, you may know what you want, but need assistance in creating a path and strategies toward your desired goal(s) or you may be uncertain about what you need or want to achieve, but clear about desiring a change and figuring out the next step.  The coach assesses the situation of interest and examines with you fresh options to handle the matter differently.  This process is accomplished through the here-and-now coaching functions of the coach, by a trial-and-learn period, and ultimately through your commitment, effort, and final execution.  It is an active teamwork approach which tasks are time-sensitive and the coaching experience short-term in duration.