These are some of the specific areas of my focus:

  • Depression (especially long-term depression)
  • Anxiety
  • Trauma
  • Personality Disorders and Issues (Borderline, Narcissistic, etc.)
  • Relational Difficulties
  • Sexual Identity
  • Psychosis
  • Spiritual Issues
  • Personal Growth

In addition to working with the above struggles, I work with people in the helping professions (psychologists, counselors, physicians, psychology and counseling students, pastors) to help them navigate the unique challenges of being in their respective profession.

Treatment Approach

Treatment can be a short- or long-term process. I approach treatment from a psychoanalytic perspective, meaning I to help a person experience relief from immediate debilitating symptoms and the underlying reasons for his or her struggles.

Within this framework, I practice two types of treatment:

  • Psychoanalysis is an intensive form of therapy that addresses the deepest and most difficult to address struggles, especially as these impact all areas of a person's life. Most people can benefit from psychoanalysis, but it does require a commitment to treatment that is different from other forms of therapy. While the goal is to impact a person's overall functioning and personality, it also helps a person experience relief from more acute symptoms. Generally, psychoanalysis occurs 3-5 times per week, usually with the patient lying on the couch facing away from the analyst (who sits behind the patient). This allows the patient to relax more easily and focus more inwardly rather than having to focus on the analyst. The only expectation for the patient is to say "whatever comes to mind" (free association), which can include a stream of thoughts and feelings about one's life, history, current circumstances, and/or relationship with the analyst. Through this explorative process, the patient can experience relief from longstanding ways of living life, allowing the patient to begin a new journey of living free from the shackles of often debilitating struggles, whether relational, internal, or symptomatic.
  • Psychoanalytic Psychotherapy ("psychotherapy") is very similar to psychoanalysis, but is less intensive in nature, and can be short or long term in length. The focus of psychotherapy tends to be more on the immediate and acute symptoms with a goal of remedying a problem of specific focus. Psychotherapy occurs 1-3 times per week, with the patient sitting up, facing the analyst/. Psychotherapy, if desired by the patient, can develop into psychoanalysis.

Supervision and Consultation

I provide consultation and supervision for those who want to develop of deeper approach in their work with others. I work with pre-licensed psychologists who are preparing for licensure, as well as psychologists, counselors, psychiatrists, and pastors who hope to enhance their overall skills with their patients, clients, and parishioners. I am able to especially help those who find themselves "stuck" in their work and help them find their way out of impasses.

© 2019 Scott O. Hickman, PsyD