Generally speaking, the reasons people consult a professional evolve with the society in which we live. Society changes, and modern psychoanalysts do not work like their predecessors. The differences among the various schools of thought have tended to blur with time. Often psychoanalysts have taken the same psychology courses and may also work in a field other than psychoanalysis, generally as clinical psychologists. Whatever their training, they often also integrate modern techniques such as active imagination, hypnosis, art therapy and EMDR into their practices.
While in the past, psychoanalysts were mainly physicians, today they are more likely to have come from the professions of psychology or social work.
Less theory-oriented and using a more clinical approach, the modern analyst is more open to other forms of therapy. Even if the framework remains analytical, modern psychoanalytic practice is more flexible, more humanistic, more sensitive and sometimes more pragmatic. (*)
(*) Free adaptation and translation from Pourquoi la psychanalyse ? by Elisabeth Roudinesco, Ed. Flamarion (Why Psychoanalysis?)