Developmental Model

Working with Couples Where One Partner Has A Severe Anxiety Disorder

When you apply the Developmental Model in your work with couples, sometimes you will encounter issues that add an extra layer of complexity. Examples of this include addiction or severe depression. An even more common example is when one partner struggles with a severe anxiety disorder. This month let’s look at some ways to begin a session when you encounter a couple with a very anxious partner. When one partner is extremely anxious, the process of defining what belongs to each partner can be frustrating and quite confusing. You will notice that if you are trying to encapsulate each person’s issues, the anxious partner will continue to circle back to anxious thoughts he or she has. … Read more...

Losing Direction: Where Are You Going and What Is Your Roadmap?

Direction-imageWe’ve been discussing losing control and losing momentum. Today’s post is about losing direction. It might feel like the same kind of discomfort, but the reason is different. Perhaps you are in the middle of a session and unexpectedly you feel surprised, overwhelmed, or incompetent.… Read more...

Ask Ellyn: 8 questions, 8 answers, 8 days!

Ellyn_Spring_2015_225You have probably had a couple who has stalled out. There is progress, then regression. This happens for many reasons: change requires time and developmental evolution; trauma gets triggered and re-triggered; partners don’t take home with them what they learned in therapy; and many more… So I've created a new series to help you when therapy stalls. In it I cover 8 common problems with 8 specific solutions to keep your work moving forward. It also includes principles and interventions you can apply immediately with your clients. Here are just a few of the questions from therapists like you that I will be answering: “I have a couple that often regresses into bickering, arguing and blaming.… Read more...

Clinical Example: Transcript of a Hostile Angry Couple

Young Couple Having Argument At Home   In my last blog post, I gave a list of practical suggestions to support your work with hostile angry couples.  To end my series on working with hostile angry couples, I offer you a transcript that demonstrates the last two principles that were on that list. These were my last two suggestions on that list: … Read more...

Practical Perspective for Fighting Couples

Oprah 225Recently we were fortunate to be published in The Oprah Magazine. It’s a publication that always puts things in a practical perspective. We were asked to offer a few insights into the frustrating and perplexing arena of fighting couples. You’ll find us in the November issue of The Oprah Magazine, on page 121.… Read more...

A Glossary of Terms that are sometimes Confusing

Couples Therapy is a counseling procedure that seeks to improve the adjustment of two people who have created an interdependent relationship. There are no standard procedures to help two people improve their adjustments to each other. Generally, a more experienced therapist will offer more perspectives and tools to a couple. Length of treatment will depend on severity of problems, motivation and skills of the therapist. A couple can be dating, living together, married or separating and may be gay, lesbian or heterosexual.

Marriage Therapy is a term often used interchangeably with marriage counseling. The term marriage implies two people have created a union sanctioned by a government or religious institution. The methods used in marriage counseling, marriage therapy and couples therapy are interchangeable and depend more on the specific challenges of each unique couple.

Psychotherapy is one or more processes to help improve psychological and emotional functioning. Examples are psychoanalysis, cognitive therapy, behavior therapy, Gestalt therapy, Transactional Analysis, Rational-Emotive therapy, or group therapy. Many forms of psychotherapy are blends of different approaches. For example, newer forms of psychotherapy called energy psychology draw upon recent advances in brain and neuroscience. These approaches often build on cognitive behavioral methods.

Clinical Psychologist. After graduating from college, it usually takes about five years of graduate school to get a Ph.D. in Psycholgy. It then requires an additional two years of supervision and passing a written (and often) an oral exam. There are a few states that allow psychologists to prescribe medications (with additional training) but that is uncommon.

Psychiatrist. After graduation from medical school, there is a generally a 4-year psychiatric residency. After the completion of this training, psychiatrists must pass an exam issued by the American Board of Psychiatry and Neurology to obtain certification and legally practice in the field. Psychiatrists can prescribe medications.

Clinical Social Worker. This profession usually requires two years of study after obtaining an undergraduate degree. While specific licensure requirements vary by state, most require clinical social workers to obtain 3,000 hours or 2 years of supervised clinical experience, after obtaining a Masters degree. Social workers can also specialize in diverse fields such as human services management, social welfare analysis, community organizing, social and community development, and social and political research.

Marriage and Family Therapist. Obtaining this license requires a Masters degree which takes approximately two years of post graduate study. The license also requires 3000 hours of supervised work and passing written exams.

The Couples Institute. We have assembled a group of top notch therapists at The Couples Institute. Whatever marriage help or marriage advice you are looking for, we are here to serve you. While most other therapists see only a few couples a week, we specialize in marriage and couples relationships, working to develop and bring you the most current and effective approaches to couples therapy. For more information about couples therapy or marriage counseling, see our couples therapy section.