American Board of Psychiatry and Neurology (ABPN) Practice Exam 2025 - Free ABPN Practice Questions and Study Guide

The most appropriate approach for a psychiatrist dealing with a missed session in psychodynamic psychotherapy is to ask why the appointment was missed. This method fosters open communication between the patient and the psychiatrist, allowing the patient to reflect on their feelings and behaviors that may have contributed to missing the session. In psychodynamic therapy, understanding underlying emotions and potential conflicts is essential, and exploring the reasons for the absence can provide insight into the therapeutic process. It can also help reinforce the therapeutic alliance and demonstrate the psychiatrist's concern for the patient's well-being.

Engaging the patient in a conversation about the missed appointment allows for exploration of any obstacles they may face, whether they are external challenges or internal conflicts. This discussion may lead to important therapeutic conversations about commitment, avoidance, or anxiety related to therapy itself, enhancing the overall therapeutic experience.