The current ·situation in the NHS places demands on therapies to be evidence-based, . so that clients can choose from therapies of proven effectiveness. There is a lack of consensus about how to measure outcome in psychodynamic therapies. Few methodologically rigorous studies demonstrate the dynamic changes that psychodynamic approaches aim to achieve. In addition, little is known about the client's experience of being in psychodynamic therapy. In order to continue to be funded in the NHS, psychodynamic therapies need to better demonstrate their strengths in terms of process and outcome.