Dr. Thomas Paulus in Encinitas practices Intensive Short-Term Dynamic Psychotherapy under California psychology license PSY30755, bringing ISTDP methodology to his Saxony Road office. The approach targets unconscious resistance and defense mechanisms driving anxiety, depression, and addiction symptoms, a psychodynamic framework that complements the structured outpatient programming at Coastal Therapy Group in Encinitas. Individual psychotherapy for adults and couples alongside psychological assessment services addresses co-dependency, enabling patterns, and medically unexplained physical conditions. Extending the ISTDP model into psychosomatic territory draws on the same mind-body treatment philosophy practiced at Young Medicine elsewhere in Encinitas. Ongoing supervision from expert ISTDP clinicians ensures continued refinement of the accelerated experiential-dynamic technique. Highest-tier clinical engagements involve short-term dynamic protocols addressing treatment-resistant depression with psychotic features and conversion disorder symptom presentations through structured unconscious-anxiety mobilization.