The Treatment


We all have thoughts, feelings and impulses of which we are unaware, or which we do not stop to think about.

 Some of our responses originate in attempts to manage internal conflicts during early stages of development.  These ingrained ways of functioning can be stubborn and persistent, and can hamper our efforts to manage family life, get on with people, derive satisfaction from our work, or achieve emotional or sexual fulfilment.  The psychoanalytic therapies seek to cast light on such processes, helping to bring more flexibility and decisiveness to life and relationships. 

Psychoanalytic and psychodynamic psychotherapy are derived from psychoanalysis, a discipline founded by Sigmund Freud in Vienna in the early twentieth century.  Psychoanalysis proper is usually understood as comprising four or five sessions per week, psychoanalytic psychotherapy has a frequency of three sessions per week, and psychodynamic psychotherapy is conducted in one or two sessions per week.  All these analytic psychotherapies are based on the principle that much of the activity of the mind is unconscious. 

Does it Work?


The term 'psychotherapy' refers to all the talking treatments for mental or emotional distress.

The analytic disciplines are particular forms of psychotherapy, but there are many others. There is evidence which shows that both psychoanalytic and psychodynamic psychotherapy can bring lasting gains.  For example, the Tavistock Adult Depression Study carried out by the Tavistock and Portman NHS Foundation Trust, and published in 2015, demonstrated the long-term effectiveness of psychoanalytic psychotherapy; and Jonathan Shedler of the University of Colorado Denver School of Medicine makes  a strong case for psychodynamic psychotherapy in his 2010 paper, The Efficacy of Psychodynamic Psychotherapy.

However, studies also show that other treatments are just as useful.  Any analytic approach requires time and commitment to produce results, and many people are not seeking the degree of change brought about by what Freud called 'depth psychology'.  It is possible that you might be better served by another, more straightforward therapeutic model.

In a consultation with me you will get an idea of what analytic work feels like, and you will be able to form an opinion as to whether or not it has something of value to offer you.


What Happens in the Therapy?

In analytic work, the word 'patient' is used to denote the person undergoing psychotherapy.


This practice is derived from the origins of the profession with Professor Freud, who was a physician.  But he himself believed that the profession should be open to non-medical practitioners, and today many or perhaps most analytic psychotherapists are not doctors.

In psychoanalytic or psychodynamic therapy, the therapist and patient meet for a regular appointment once a week, twice a week, or three times a week.

The therapist asks the patient to say whatever comes into his or her mind, while the therapist's task is to listen and wait. The therapist will speak from time to time to clarify some element of what the patient is communicating, or to offer a new way of understanding it.

The couch is useful in helping the patient to speak spontaneously. The patient lies on the couch while the therapist is seated out of view. However, this arrangement does not suit everybody. Useful analytic work is often carried out with patient and therapist sitting in armchairs at a slight angle from one another.

It can happen that the difficulties the patient has in living arise in the consulting room.

When such problems come to the attention of patient and therapist, there is an immediate 'live' opportunity for the problems to be considered anew.

 The psychotherapist and the patient share a mutual task of trying to pay attention to hidden or ignored mental activity, so that it can be thought about in a systematic and creative way.  As a result, the tendencies towards curiosity and development can grow in strength, while habits which work against the best interests of the patient can be understood and mastered. 

Peter Rigg: about me

Psychoanalytic Psychotherapist

Member of the Tavistock Society of Psychotherapists

Psychoanalytic Psychotherapist


Registered with the

United Kingdom

Council for Psychotherapy

Registration: 06158760

Psychodynamic Psychotherapist

Member of the Tavistock Society of Psychotherapists

Psychoanalytic Psychotherapist


Registered with the

British Psychoanalytic Council

 Registration: 21334

Member of the Tavistock Society of Psychotherapists

Member of the Tavistock Society of Psychotherapists

Member of the Tavistock Society of Psychotherapists



My practice is continuing throughout the current pandemic.

I am conducting psychotherapy remotely, either by Zoom or telephone, in accordance with the protective measures being applied by the government.

My consulting room in central Manchester is closed, and will remain so until it is safe to resume work face-to-face or using the couch.

Make an Appointment


The first step is that we meet remotely for two or three consultation sessions to think about what you are looking for in an analytic treatment, and whether or not I might be helpful to you. The consultation process can be useful in itself, even if we do not decide upon a course of therapy.

If we arrange for you to come into therapy, we will decide on a session time which you can observe consistently, and a starting date.  Then I will write you a formal letter putting our agreement in writing, and the therapy can begin.


My fee for the consultation...

is   £70.00 per session. Normally this fee will also apply to any continuing work we agree to do.  However, please bear in mind that if this is too much for your budget over an extended period then it is sometimes possible to negotiate a lower price.


To make an appointment...

send an email to  or leave a phone message on 0161 236  9019.   Please allow up to 24 hours for a reply.

I will reply by email or telephone, and we can arrange to have our first consultation.