When insight isn’t enough—and real change is what you’re seeking…
Many people considering therapy are thoughtful, capable, and self-aware, yet remain stuck in repeating emotional or relational patterns. Even with prior counseling or strong insight, meaningful change can feel out of reach.

Psychodynamic psychotherapy is designed for this stage of work. Treatment focuses on understanding and transforming unconscious emotional and relational patterns that continue to shape thoughts, behaviors, and relationships. As these patterns are worked through within the therapeutic relationship, change becomes more stable, flexible, and enduring.

Hi, I’m Thomas Day
I’m a Clinical Professional Counselor Intern in Nevada, specializing in psychodynamic psychotherapy for adults, couples, and adolescents (15+). I am honored to do this important work and encourage you to read on to see if my approach may help you achieve desired change.
A Psychodynamic Approach
My work is grounded in psychodynamic theory, with close attention to attachment patterns, unconscious dynamics, and the therapeutic relationship as a central mechanism for change.
I work with individuals navigating:
- Trauma and PTSD, including complex and developmental trauma
- Personality disorders and long-standing relational patterns
- Relationship and attachment difficulties
- Anxiety, depression, emotional regulation, and identity concerns
Over time, clients often experience reduced symptom intensity, improved relationships, and greater emotional range and self-understanding.
Areas of Specialization:
Trauma/PTSD
Trauma can shape emotional responses, relationships, and self-perception long after the original threat has passed. Symptoms may include hypervigilance, emotional numbing, relational avoidance, or difficulty regulating emotions.
Psychodynamic trauma therapy focuses on restoring emotional safety while addressing the internal and relational patterns that maintain distress—particularly in cases of complex or developmental trauma. Treatment proceeds at a pace that respects safety and tolerance while supporting integration and change.
Personality & Repetitive Patterns
Some concerns are less about isolated symptoms and more about patterns that repeat across relationships, career, and even how we experience our sense of self. These patterns often develop early and operate outside of conscious awareness.
Psychodynamic psychotherapy helps clarify how these patterns formed, how they function in the present, and how they can shift. The focus is not on labels, but on understanding, flexibility, and emotional integration.
Relationship Issues
Difficulties in relationships may stem from unconscious emotional and relational patterns that shape how individuals experience closeness, conflict, trust, and vulnerability.
Recurring patterns—such as cycles of conflict, emotional withdrawal, insecurity, or unmet needs—can be explored as they emerge in real time. Treatment focuses on increasing insight into attachment styles, unconscious expectations, and defensive strategies that may have once been adaptive but now interfere with connection.



