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Definition
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Uses
Benefits
Effectiveness
How to Get Started
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What Is Accelerated Experiential Dynamic Psychotherapy?
AEDP is meant to help people find ways to function and flourish, and it’s often helpful for people with pasttrauma,depression,anxiety, or general distress.
Verywell / JR Bee
As with many other approaches, AEDP integrates a variety of therapeutic disciplines, such as:
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4 Pillars of AEDP
There are four key pillars that offer foundational support to the model of AEDP:
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Clinicians trained in AEDP actively engage with clients throughout their healing journey. This is not a passive or removed therapeutic style, but one in which you and your therapist work together throughout the process.
There are certain things that a trained AEDP therapist will do during the course of healing.
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Establishing a Secure Base
A secure base is a necessary part of most forms of therapy, in that it allows for an effective and healthyrapport between you and your therapist. This is particularly so within the model of AEDP.
Your therapist will be open and curious about you, while also being removed from any perceived judgment or bias that might create feelings of uncertainty.
For many people, having someone who is genuinely curious about them and their experiences can feel new and different. It is in this new and different space that you may begin to feel safe and open to the process of sharing your emotions and experiences with another person.
Letting Clients Know They Are Not Alone
One of the key aspects of AEDP is to “undo aloneness.” Most of us know the impact offeeling aloneand what it can do to us when we are already in pain. Our sense of being alone leaves us feeling isolated and misunderstood and can lead to feelings ofhopelessness. AEDP therapists create safety through their active presence with clients, helping them find the courage to explore.
Walking Alongside Clients as They Explore
For clients, having a compassionate, emotionally safe person to join them in their exploration allows them to uncover and walk through painful experiences that they may not have felt able to access before. Therapists stay compassionately present as clients processuncomfortable emotions.
Staying in the Here and Now
AEDP therapists are attuned to the client’s experience in each session, staying aware of body movement,facial expressions, eye movements, tone of voice, and more. Actively tracking clients this way can allow therapists an opportunity to help clients explore what is happening for them, even during their exploration.
Offering Corrective Emotional Experiences
Addressing the Mind and Heart
Some therapeutic approaches tend to keep the mind and heart separate, or not address the heart much at all. In AEDP, your therapist will maintain a balance of attuning to your cognitiveandemotional experiences. Doing so will allow you to feel integrated during your treatment, moving away from old patterns such asrationalizingor compartmentalizing, which keep you from fully feeling your emotions.
What AEDP Can Help With
AEDP can be used with a wide variety of populations. Since the healing is based on the platform of emotional attunement and client safety, many different issues can be addressed, like:
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Benefits of AEDP
Many therapeutic models focus on relieving suffering and emotional pain. Helping people feel less pain is, of course, very important in the therapy process. People seek out help when they are in emotional pain and look for hope and guidance out of those uncomfortable spaces. However, the model of AEDP doesn’t stop there.
Beyond simply changing behaviors or attitudes, AEDP focuses on healing and changing on a core level. The goal of treatment is not only to minimize negative symptoms or alleviate suffering; it’s to encourage you to find true transformation through this experience, so you can grow and flourish.
AEDP treatment may help people feel less like they’re languishing with their symptoms and more like they’re functioning and flourishing. This may hold true for people with symptoms ranging from severe to more moderate—meaning AEDP may be an effective preventive measure for people who are at risk of developing serious mental conditions.
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AEDP for Couples
Just as AEDP for individuals is focused on things like attunement, safe exploration, and corrective emotional experiences, AEDP for couples offers this same energy to partners. AEDP provides a positive and affirming setting, which may help clients improve their relationship skills.
AEDP for couples may help each partner:
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AEDP encourages people to develop asecure attachmentso they can physically experience and process difficult emotions. In this approach, the therapist establishes a safe, supportive relationship with the client, and that relationship provides the environment needed for change to occur.
Case studies show that AEDP can open the door for people to work through difficult emotions and traumatic past experiences. The therapist is present, positive, and affirming throughout this process, helping the client to:
AEDP may be particularly helpful for people with serious depression, anxiety, emotional dysregulation, distress, and avoidance. It appears to work as well as other forms of therapy, likecognitive behavioral therapy (CBT),psychodynamic therapy, andexperiential therapy.
Things to Consider
One component of AEDP, called “metaprocessing,” could be a challenging experience for some people. Metaprocessing means noticing and experiencing the process of change as it occurs. During AEDP, your therapist will ask you to tune in to your bodily sensations while you’re dealing with emotions, and they will direct your attention to your relationship with them. This exercise is meant to develop a safe and secure attachment between you and your therapist.
Metaprocessing may feel uncomfortable at first, and it could take some time to acclimate to. Some critics suggest that metaprocessing may be more difficult for people who have very established defense mechanisms or are feelinghostility.
Metaprocessing could also be counterproductive for people experiencingdepersonalization or derealization- kinds ofdissociationwhere you don’t feel as though you or the world around you are real - as it may encourage them to feel even more separated from themselves.
If you’re interested in beginning AEDP, look for a state-licensed professional who is certified to offer this approach. TheAEDP Instituteoffers a database of therapists, psychologists, and other mental health practitioners who have advanced training or certification in this model of therapy.
Because there are growing populations of trained AEDP therapists, particularly in the United States, there are establishedregional communitiesthat you can contact for help in locating an AEDP therapist in your area.
During your first therapy session, your therapist may explain more about what to expect from treatment. Your therapist will encourage you to tune into your bodily experiences throughout treatment and may ask you to step out of a purely cognitive or intellectual mindset. They may ask about your gestures,body language, or facial expressions to find out more about what you’re experiencing.
AEDP sessions can be emotional, as this form of therapy encourages you to experience feelings associated with negative experiences while drawing your attention to the therapeutic process. Your therapist will help you through this, acting as a positive and affirming supporter.
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7 SourcesVerywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.Iwakabe S, Edlin J, Fosha D, et al.The effectiveness of accelerated experiential dynamic psychotherapy (AEDP) in private practice settings: A transdiagnostic study conducted within the context of a practice-research network.Psychotherapy. 2020;57(4):548-561. doi:10.1037/pst0000344AEDP Institute.About accelerated experiential dynamic psychotherapy (AEDP).AEDP Institute.How AEDP works.Fosha D.Introduction: AEDP after 20 years. In: Fosha D, ed.Undoing Aloneness and the Transformation of Suffering Into Flourishing: AEDP 2.0. Washington, D.C.; 2021. doi:10.1037/0000232-001Lipton B, Fosha D.Attachment as a transformative process in AEDP: Operationalizing the intersection of attachment theory and affective neuroscience.J Psychother Integr. 2011;21(3):253-279. doi:10.1037/a002542Blimling GP.Facing the music: Further thoughts on integrating music into psychotherapy.PCSP. 2019;15(2):206. doi:10.14713/pcsp.v15i2.2055Sass L.In the shadows: On meta-awareness and spiraling effects in psychotherapy—comment on Nicole Vigoda Gonzalez and Diana Fosha.PCSP. 2019;15(1):99. doi:10.14713/pcsp.v15i1.2047
7 Sources
Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.Iwakabe S, Edlin J, Fosha D, et al.The effectiveness of accelerated experiential dynamic psychotherapy (AEDP) in private practice settings: A transdiagnostic study conducted within the context of a practice-research network.Psychotherapy. 2020;57(4):548-561. doi:10.1037/pst0000344AEDP Institute.About accelerated experiential dynamic psychotherapy (AEDP).AEDP Institute.How AEDP works.Fosha D.Introduction: AEDP after 20 years. In: Fosha D, ed.Undoing Aloneness and the Transformation of Suffering Into Flourishing: AEDP 2.0. Washington, D.C.; 2021. doi:10.1037/0000232-001Lipton B, Fosha D.Attachment as a transformative process in AEDP: Operationalizing the intersection of attachment theory and affective neuroscience.J Psychother Integr. 2011;21(3):253-279. doi:10.1037/a002542Blimling GP.Facing the music: Further thoughts on integrating music into psychotherapy.PCSP. 2019;15(2):206. doi:10.14713/pcsp.v15i2.2055Sass L.In the shadows: On meta-awareness and spiraling effects in psychotherapy—comment on Nicole Vigoda Gonzalez and Diana Fosha.PCSP. 2019;15(1):99. doi:10.14713/pcsp.v15i1.2047
Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
Iwakabe S, Edlin J, Fosha D, et al.The effectiveness of accelerated experiential dynamic psychotherapy (AEDP) in private practice settings: A transdiagnostic study conducted within the context of a practice-research network.Psychotherapy. 2020;57(4):548-561. doi:10.1037/pst0000344AEDP Institute.About accelerated experiential dynamic psychotherapy (AEDP).AEDP Institute.How AEDP works.Fosha D.Introduction: AEDP after 20 years. In: Fosha D, ed.Undoing Aloneness and the Transformation of Suffering Into Flourishing: AEDP 2.0. Washington, D.C.; 2021. doi:10.1037/0000232-001Lipton B, Fosha D.Attachment as a transformative process in AEDP: Operationalizing the intersection of attachment theory and affective neuroscience.J Psychother Integr. 2011;21(3):253-279. doi:10.1037/a002542Blimling GP.Facing the music: Further thoughts on integrating music into psychotherapy.PCSP. 2019;15(2):206. doi:10.14713/pcsp.v15i2.2055Sass L.In the shadows: On meta-awareness and spiraling effects in psychotherapy—comment on Nicole Vigoda Gonzalez and Diana Fosha.PCSP. 2019;15(1):99. doi:10.14713/pcsp.v15i1.2047
Iwakabe S, Edlin J, Fosha D, et al.The effectiveness of accelerated experiential dynamic psychotherapy (AEDP) in private practice settings: A transdiagnostic study conducted within the context of a practice-research network.Psychotherapy. 2020;57(4):548-561. doi:10.1037/pst0000344
AEDP Institute.About accelerated experiential dynamic psychotherapy (AEDP).
AEDP Institute.How AEDP works.
Fosha D.Introduction: AEDP after 20 years. In: Fosha D, ed.Undoing Aloneness and the Transformation of Suffering Into Flourishing: AEDP 2.0. Washington, D.C.; 2021. doi:10.1037/0000232-001
Lipton B, Fosha D.Attachment as a transformative process in AEDP: Operationalizing the intersection of attachment theory and affective neuroscience.J Psychother Integr. 2011;21(3):253-279. doi:10.1037/a002542
Blimling GP.Facing the music: Further thoughts on integrating music into psychotherapy.PCSP. 2019;15(2):206. doi:10.14713/pcsp.v15i2.2055
Sass L.In the shadows: On meta-awareness and spiraling effects in psychotherapy—comment on Nicole Vigoda Gonzalez and Diana Fosha.PCSP. 2019;15(1):99. doi:10.14713/pcsp.v15i1.2047
Hannah Owens, LMSW
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