This is a special kind of intensive talking therapy that is sometimes needed to make deep and lasting changes, especially when shorter treatments haven't worked well enough. Often symptoms are not the result of "chemical imbalances," rather they are the result of our assumptions, beliefs, unconscious conflicts, personality, or patterns of interacting that are deep seated and intransigent to logic and wishes to change.
Perhaps you're having trouble in work situations, or trouble with "repetitive patterns of disappointment in personal relationships, or not getting along with your boss or co-workers," perhaps you feel "lethargic and not connected with friends or colleagues," or perhaps you have "physical complaints that don't really belong to medical problems," or "personal losses and transitions that seem overwhelming when they "shouldn't," or frustrating patterns of behavior that interfere with life yet don't respond to your efforts to change." These are examples of times when therapy with a psychoanalyst may be helpful. Other examples include anxieties that don't respond very well to anti-anxiety medications or depression that doesn't respond well to anti-depressant medications.
Some people think psychoanalysis is dead, but it is not. Psychoanalysis today is not the psychoanalysis of Freud's day. Like most fields, psychoanalysis has grown and developed, changed and progressed well beyond Freud's discoveries and practices. An important aspect of this work is to discover and understand yourself on a very deep level, including exploring deeply held and hidden assumptions and beliefs, a better understanding of your unconscious and your "conflicts," as well as a clearer understanding of your personality and patterns of interacting. Most psychoanalysts say much less than typical therapists, however most analysts are not silent by any means. And we still use the couch often, but not always. Part of the point of psychoanalysis is to bring your issues to life within the room, and this requires intensity. Intensity comes, in part, through meeting more often, usually 3 or 4 times a week, and sometimes is helped by removing the visual cues inherent in face to face communications, hence the couch.
For more information about psychoanalysis, I recommend exploring the American Psychoanalytic Association site.
I currently offer psychoanalysis for adults and adolescents.