Psychodynamic psychotherapy with couples (D59C)

Course overview

This course enables you to be registered with The British Psychoanalytic Council (BPC) and will allow you to practice as a psychodynamic psychotherapist with couples. It provides you with the skills for working therapeutically with couples in the NHS or as an independent practitioner. 

You will explore how partners choose each other, affect and relate to each other, as well as how couple relationships affect parenting and vice versa.

If you would like to meet the course team and hear more about this course, join us on at our open evening on Wednesday 2 March at 5.30pm.  Book your place here.

This course will provide you with both a greater understanding of working with couples and a deeper insight into the functioning of the individual.

You will learn through theory seminars, clinical seminars, clinical practice and individual supervision and be required to be in twice weekly personal therapy with a BPC registered psychoanalytic psychotherapist.

If you are already qualified working with individuals, this course will enable you to develop a further area of expertise and expand your practice to working with couples.

Theoretical seminars

You will attend a series of weekly seminars on psychodynamic theory, with a focus on how it applies to the couple relationship.

Clinical seminars

Throughout the course you will attend a weekly clinical seminar where you will present your supervised clinical work. This forum will also allow you to consider for example, issues of technique, formulation, links between theory and practice. In year two, there is a particular emphasis on the assessment of couples for psychotherapy and some trainees will be able to have the experience of assessing a couple.

Clinical practice

You will see two couples once weekly in couple psychotherapy, for one year each. You will begin your treatment of the first couple in your first year. Once the treatment of the first couple is established you will undertake the treatment of a second case with the permission of your supervisor. You will receive individual supervision fortnightly, for each couple. This clinical experience with couples is undertaken in our Adult clinical service and supervision is given on an individual basis.

Supervision and clinical practice is flexible and can take place on different days of the week. These are arranged in discussion with the trainee. On occasions, the individual supervisions are held a short journey away, in the consulting room of the supervisor (when working face to face). The course also caters for trainees who come from outside of London and wish to undertake the course on one day a week only (Thursdays). 

The Couples Unit at the Tavistock is an established centre of excellence in couple work. The referrals it receives as an NHS clinic provide a wide range of clinical issues to learn from. You will be taught by clinician-tutors who have decades of experience with this diverse population.

This course is for those who want to work with couples and deepen your understanding of psychodynamic theory and practice. If you have already completed a clinical foundation course in psychodynamic psychotherapy equivalent to D58, then this course is the second part of the training for BPC accreditation.

In order to undertake this course, we ask that you:

  • have successfully completed our foundation course, Psychodynamic psychotherapy,  or its equivalent elsewhere OR
  • are a qualified (and experienced) psychoanalytic psychotherapist who is interested in extending their practise to working with couples.


Thursday afternoons.


Twice yearly reports are written on each trainee by the seminar leaders and the supervisors. Trainees are also required to write 6 monthly summaries on each couple. These reports are considered at a termly Progression Board, which is made up of the Course Staff, the External Verifier and the Head of Academic Governance and Quality Assurance. Decisions made by the Progression Board are usually relayed to the trainee by the Course Lead.

Supervision and clinical practise is flexible and can take place on different days of the week. These are arranged in discussion with the trainee. On occasions, the individual supervisions are held a short journey away, in the consulting room of the supervisor. The course caters for trainees who come from outside of London and wish to undertake the course on one day a week only (Thursdays).

Leezah HertzmannLeezah Hertzmann

Leezah Hertzmann is an individual and couple psychoanalytic psychotherapist and Course Lead for D58. She works in the Couples Unit in the Adult Department of the Tavistock and Portman NHS Foundation Trust. Leezah has developed several applied psychoanalytic interventions including for couples whose relationships are violent, and for parents in post separation conflict. Recent publications have focused on the use of psychoanalytic concepts with lesbian and gay patients, treatments for relationship violence and several papers from a randomized controlled trial of which she was co-principal investigator.  Leezah’s particular interests include psychoanalytic theory as applied to issues of sexual diversity, and the use of applied psychoanalytic models of intervention for vulnerable populations.  She is a member of the British Psychoanalytic Council special advisory group on sexual diversity. 


£ 5,625 per year


£ 11,250 per year

For more information about how Brexit may affect your fee status, please see Brexit information for EU & EEA and Swiss Nationals

Please note that course fees are subject to a 3% or CPI uplift each year, whichever is greater.

We are happy offer a range of ways to pay your fees, as well as some funding for specific courses. 

Professional qualification and clinical training
Course length:
2 years
Thursday afternoons
The Tavistock Centre, London
Theoretical approach:
Admission status:
Course lead:
Leezah Hertzmann

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