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This study aimed to assess changes in anaclitic and introjective personality features for individuals with depression and anxiety in a naturalistic study of psychoanalysis. Participants included 48 patients in psychoanalysis who were being treated by analysts from the American Psychoanalytic Association. Analysts completed the Shedler-Westen Assessment Procedure-200 (SWAP-200) for each patient at the beginning and end of analysis. The SWAP-200 Anaclitic-Introjective Depression Assessment (AIDA) was used to determine anaclitic and introjective subtypes. Change in anaclitic and introjective features after 12 months or more of psychoanalysis was assessed using multivariate analysis of variance (MANOVA). Levels of introjective Self-Critical ratings significantly decreased at termination of psychoanalysis, while Global Assessment of Functioning (GAF) ratings significantly increased. Introjective Dismissive and Anaclitic Submissive displayed a trend toward significance, with Dismissive scores increasing. Anaclitic Needy did not show a statistically significant change from beginning to end of psychoanalysis. Findings are placed within the context of the extant literature, and implications for psychoanalysis are discussed.