I recently was back east to attend a family event and I managed to get in a face to face session with my long term psychodynamic T. He lent me the book "The Noonday Demon: An Atlas of Depression" by Andrew Solomon.

I am struck by how little has changed in 20 plus years in treating depression and anxiety…both in terms of medication AND therapy. The only difference I see is the rise of DBT and EMDR. I'm alarmed that greater strides haven't been made.

Meds have done nothing for me. Psychodynamic therapy seems most effective for me but it is as much art as science. CBT has limited helpfulness to me so far.

I always worry that my elderly psychodynamic T will drop dead any minute. Not sure what I am going to do then.

Do your T's discuss the breakthroughs in treatments available? Anyone willing to share?