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    The Efficacy of Experiential Dynamic Therapies: A 10-Year Systematic Review and Meta-Analysis Update Verified listing Verified listing

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      Meta-Analysis
    • Research
    • Reviews / Comments 1
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    Author(s)
    Peter Lilliengren, Jakob Mechler, Karin Lindqvist, Daniel Maroti, Robert Johansson
    ABSTRACT

    There’s growing interest in therapies that help people manage difficult emotions, especially since emotion regulation problems are common across many mental health issues. Experiential Dynamic Therapies (EDTs) are a group of short-term, emotion-focused psychodynamic treatments designed to promote deep emotional processing during therapy sessions. These therapies are used across different diagnoses and age groups.

    This review looked at 57 high-quality studies (RCTs) involving over 4,330 participants from both Western and non-Western countries, published between 1978 and 2024. The findings showed that EDTs are highly effective compared to no treatment, with strong improvements seen right after therapy and continuing over time. When compared to other active treatments (like CBT), EDTs performed similarly in the short term, but showed better long-term outcomes.

    Although the results varied between studies, the overall findings were solid. EDTs appear to be a consistent and effective treatment for a range of emotional difficulties, including mood disorders, anxiety, personality disorders, and somatic symptoms.

    However, the researchers suggest more large-scale, rigorous studies are needed to better understand how EDTs work, what makes them most effective, and which clients benefit the most over time

    RESEARCH DETAILS
    • (N)umber of Participants
      4330
    • Age Group
      Adolescents, Adults, Older Adults, Mixed
    • Control Group
      Other
    RESEARCH INFO
    • Research Design
      Meta-Analysis
    • Interventions
      ISTDP, APT, EDT, STDP, PDT, Short-term PDT, Mixed
    • Publication Year
      2025
    • Journal / Affiliation / Conference
      Clinical Psychology & Psychotherapy: Volume 32, Issue 3
    • DOI / Link To Paper
      https://doi.org/10.1002/cpp.70086
    CATEGORIES
    • Anxiety
    • Depression
    • Generalized Anxiety
    • Panic Disorder
    • Personality Disorders
    • Phobia
    • PTSD (Post-Traumatic Stress Disorder)
    • Social Anxiety
    • Somatic Disorders
    • Trauma
    CLINICAL APPLICATION AND LEARNING POINTS

    ISTDP and its experiential “cousins” produce strong, lasting symptom relief, especially when compared to minimal or no treatment.

    Short- vs Long-Term Gains

    While many therapies “level out” post-treatment, EDTs often continue to outperform competitors at follow-up, likely due to their focus on processing defended-against emotions rather than merely managing symptoms.

    Transdiagnostic Utility

    Effective across anxiety, mood, personality and somatic symptom disorders—and adaptable to individual, group and online formats—EDTs offer a flexible, transdiagnostic approach well suited to complex, co-morbid cases.
    Mind the Gaps

    Personality disorders, non-Western populations, and many child/adolescent groups remain under-studied. Future ISTDP research should prioritize these areas.
    More trials comparing EDT techniques head-to-head with process-based CBT or other modern approaches could clarify how best to integrate experiential work into broader treatment plans.

    Quality & Consistency

    Even well-executed trials vary in design and reporting. As practitioners, maintaining treatment fidelity and clear outcome tracking will strengthen both clinical impact and the research base.

    By keeping these points in mind—alongside the robust evidence for strong, durable change—ISTDP students and clinicians can confidently integrate experiential-dynamic methods into their work, while helping shape the next wave of high-quality, targeted research.

    RESEARCH KEYWORDS
    • istdp
    • edt
    • affect focused
    • emotional regulation
    • meta-analysis
    • psychodynamic
    • transdiagnostic
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    • ISTDP-Hub
      June 10, 2025 at 4:13 PM

      This paper is an absolute milestone for our field. A decade of rigorous work has gone into gathering, analyzing, and making sense of the global research on Experiential Dynamic Therapies—including ISTDP—and the results are humbling and inspiring.

      It’s not just that EDTs were shown to be highly effective across diagnoses—what stands out is the sheer scope and quality of this systematic review. To see over 50 RCTs pulled together, with long-term outcomes, treatment comparisons, and cross-setting evaluations, is something notable and important.

      The researchers didn’t just report numbers—they told a story about what we do, why it matters, and how it’s changing lives.

      As professionals and students of ISTDP and related approaches, we owe a big thank you to the authors for their dedication. This research strengthens our foundation and lights the way forward for more targeted, ethical, and impactful therapeutic work.

      A proud moment for all of us committed to deep, emotion-focused healing.

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