When insight isn’t enough—and real change is what you’re seeking

Many people who seek therapy are thoughtful, capable, and self-aware, yet remain stuck in repeating emotional or relational patterns. Even with prior therapy 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.

→ Request a Private Consultation (15–20 minutes)

Hi, I’m Thomas Day

I’m a Clinical Professional Counselor Intern in Nevada, specializing in psychodynamic psychotherapy for adults and adolescents (ages 15+). I approach this work with care and respect for the complexity of each client’s experience.

A Psychodynamic Approach

My work is grounded in psychodynamic and object relations 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 a greater capacity for emotional range and self-understanding.

→ Request a Private Consultation

Trauma & PTSD Therapy

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 affect.

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 your pace while supporting integration and lasting change.

→ Inquire About Trauma-Focused Therapy

Personality Patterns & Repetitive Dynamics

Some concerns are less about isolated symptoms and more about patterns that repeat across relationships, careers, and even with how we experience our sense of self. These patterns often develop early and typically 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 increasing flexibility, emotional integration, and choice.

→ Learn More About Working With Long-Standing Patterns

Is This Approach Right for You?

This work may be a good fit if you:

• Feel stuck in repeating emotional or relational patterns
• Want therapy that goes beyond skills or symptom management
• Are open to reflective, emotionally engaged work
• Are seeking authenticity, depth, and durable change

If you’re unsure, the consultation offers space to explore this thoughtfully.

→ Request a Private Consultation

Getting Started

We begin with a brief 15–20 minute video consultation to discuss what’s bringing you to therapy and whether working together feels appropriate. Some clients know right away; others take a few sessions to decide. We move at a pace that supports you.

→ Request a Private Consultation