Purpose: This study aimed to assess how accessible, acceptable, and effective psychodynamic psychotherapy (PP) is perceived to be by service users. Method: Interviews were conducted with 10 participants, who had finished, or were attending, PP. Transcripts were analyzed using thematic analysis. Results: Most participants understood how they had accessed PP. However, a minority were unsure. Some found traveling to sessions anxiety-provoking and appreciated a friendly greeting upon arrival. Participants highlighted feeling listened to. However, many participants were unhappy about therapy ending and struggled to share what they had learned. Some were surprised by the content of sessions. Finally, most participants highlighted problems that had improved because of therapy. Implications: Clinicians should ensure that service users understand the nature of PP before starting sessions and identify clear goals. Support traveling to sessions may improve attendance, Finally, the importance of planning the ending of therapy was highlighted.