ISTDP Hub · Reading

Essential Reading

A short, curated list — for clients curious about the theory, people in therapy who want to go deeper, and anyone drawn to understanding what lies beneath the surface of human suffering.

For Clients and General Readers

Lies We Tell Ourselves

Jon Frederickson · 2021

Lies We Tell Ourselves

Jon Frederickson, MSW

The most accessible entry point into ISTDP thinking. Frederickson dismantles the stories we construct to avoid our feelings — the self-criticism, the self-deception, the habit of mistaking our defenses for our identity. Written for a general audience but clinically precise. If you are in ISTDP or considering it, read this first.

The Examined Life

Stephen Grosz · 2013

The Examined Life

Stephen Grosz, Psychoanalyst

Not ISTDP-specific, but one of the most readable accounts of what happens in therapy — told through short, precise clinical vignettes. Grosz writes about the small moments in which people reveal what they cannot say directly. Particularly useful for people who are uncertain whether therapy is for them.

Why Love Matters

Sue Gerhardt · 2004

Why Love Matters

Sue Gerhardt, Psychoanalyst

A neuroscience-informed account of how early attachment shapes the developing brain — and why emotional experience in infancy has lifelong consequences. Accessible, well-evidenced, and useful for understanding why the work we do in therapy has to go beyond insight.

The Body Keeps the Score

Bessel van der Kolk · 2014

The Body Keeps the Score

Bessel van der Kolk, MD

The most widely read account of how trauma is stored in the body rather than in the verbal narrative — and why purely talking approaches frequently fail to reach it. Directly relevant to understanding the somatic focus of ISTDP. Readable for anyone with no clinical background, and often described by clients as the book that finally made their experience make sense.

Lost Connections

Johann Hari · 2018

Lost Connections

Johann Hari, Journalist

A readable investigation into the social and relational roots of depression and anxiety — arguing that disconnection from meaningful relationships, work, and community is the primary driver, not brain chemistry alone. Useful for expats and anyone who has wondered why their symptoms persist despite medication or surface-level changes. Pairs well with the attachment and emotions pages in this hub.

For Therapists and Serious Students

Reaching Through Resistance

Allan Abbass · 2015

Reaching Through Resistance

Allan Abbass, MD

The clearest account of ISTDP technique available. Abbass — one of the world's leading ISTDP researchers and trainers — covers the model's clinical application, the research evidence, and specific techniques for working with anxiety and resistance. Includes case illustrations. Essential reading for anyone training in the approach.

Co-Creating Change

Jon Frederickson · 2013

Co-Creating Change

Jon Frederickson, MSW

The technical companion to Frederickson's later popular writing. Covers ISTDP interventions in depth — how to work with defense, how to follow and regulate anxiety, how to move toward core feelings without overwhelming the patient. Written for practitioners but understandable to informed readers.

Roadmap to the Unconscious

Ten Have-de Labije & Neborsky · 2012

Mastering ISTDP: A Roadmap to the Unconscious

Josette ten Have-de Labije & Robert Neborsky

Advanced reading for practitioners. Ten Have-de Labije — with whom Piotr Szmyt trained — offers a detailed clinical account of working with complex and fragile patients in ISTDP. Particularly valuable for understanding the gradient from higher-resistance to lower-functioning presentations.

If you're deep in the reading, you're already doing preparatory work. When you're ready to take it into lived experience, ISTDP sessions are available online — from anywhere.

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Explore the ISTDP Hub

Each part of the ISTDP framework connects to the others. These pages take the next step.

Anxiety

Understand Your Anxiety Pathway

Anxiety in ISTDP is a signal, not a disorder. It always points toward something — a feeling that hasn't reached awareness yet. This page maps the three distinct ways anxiety discharges through the body, and includes an interactive tool to help you identify which pathway is most active for you.

Explore anxiety →

Defenses

Recognise Your Defense Mechanisms

Defenses are intelligent strategies — built in childhood, still running in adulthood. They keep the anxiety manageable and the feelings at bay. But they come at a cost. This page explains the ten most common patterns and includes a self-reflection quiz to help you spot which ones dominate for you.

Explore defenses →

Emotions

Why Feelings Matter — Core Emotions Wheel

Anxiety is always a response to a feeling that hasn't surfaced. But what exactly is a core feeling, and how do you distinguish it from a thought, a mood, or a narrative? This page introduces the primary emotional landscape, with an interactive wheel of core emotions and a plain explanation of why access to them — not just understanding — is what produces change.

Explore emotions →

Attachment

Your Attachment Style and the Patterns It Created

The anxiety-defense pattern you carry today was built inside your earliest relationships. Depending on how caregivers responded to your feelings, you developed a characteristic way of managing closeness and emotional expression. This page explains the four attachment styles and includes a self-reflection tool to help identify which patterns feel familiar.

Explore attachment →

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