Psychodynamic therapy treats self sabotage as a symptom with a history, not a behavior to be overridden through willpower. The therapist and patient work together to understand when the pattern started, what relational experiences shaped it, and what internal experience precedes each act of sabotage. Over time, the patient develops the ability to recognize the pattern as it is happening rather than only in retrospect. That recognition does not automatically stop the behavior, but it introduces a gap between impulse and action where a different response becomes possible.
Dr. David Steinbok applies this approach in his Boca Raton, Florida practice, working with adults from the Delray Beach area who are caught in cycles of self-destructive relationship behavior. A self sabotage in relationships therapist using a psychodynamic framework does not assign exercises or strategies for behavioral control. The work happens within the therapeutic relationship, where the patient's patterns can be observed and explored as they arise.