support

Why couples therapy isn’t just for when things are going wrong

Most people tend to associate couples therapy with intractable problems that they and their partner are struggling with. Couples usually wait until their situation has reached the breaking point before seeking couples therapy, often putting themselves through months or years of unnecessary disappointment, distress and destructive behavior. As an experienced couples psychotherapist, I can say with confidence that much of the distress, heartbreak and breakdown in couples’ relationships could have been avoided with early intervention. Your couple relationship can harbor rich rewards for your mental and physical health, and significantly contribute to achievements and life satisfaction in both your personal and professional life.… Read more...

What’s better than fixing your marriage?

What if a good marriage was not about focusing on fixing problems? What if a good marriage was not learning a new set of skills or tools? The most common requests couples who are starting therapy have is for communication skills and tools for a better relationship. This is an understandable but misguided request. What if couples were taught skills and tools, with penetrating insights on how to improve, but there was no underlying dedication to growth? What if a great marriage is about character? The sum of moral strength, fortitude, self-discipline, integrity, curiosity and caring. Tools are about using your mind.… Read more...

In Sickness and in Health

cool Saintpaulia flower in flowerpot isolated on whiteHow Illness Transforms Relationships Thirteen years ago this month, my husband and I got married in our backyard garden with our five children and a small circle of family and friends. Part of the vows we made to each other was a version of, “in sickness and in health”. Little did we know then, that the “sickness” part would be up front and center during our 12th year of marriage when I was diagnosed with breast cancer. In looking back on the last 4 months of physical and emotional ups and downs, the experience of deep fear, and anxiety-provoking uncertainty, I can honestly say that illness can be an opportunity for couples to create a deeper bond of intimacy, genuine connection to self and other, and interdependence.… Read more...

3 Weddings and 4 Questions

wedding_cakeThere are only three weddings happening this year at The Couples Institute. And we are being facetious – we haven’t had a wedding of an associate or staffer happen in quite a while! First, our bookkeeper, Daniel, married his long time partner Hunt in May. They’d been together for 26 years so their ceremony was a celebratory re-commitment of their enduring partnership. This past weekend, our marketing guru, Shelley, tied the knot with a man she’s known since college; mutual friends brought them back together a few years ago. They’ve been inseparable since, wondering why it didn’t happen sooner. Then later in November, therapist and clinical assistant in our training program, Michelle, whom many of you have been in touch with before, weds the love of her life, Dan.… Read more...

Developmental Change, Focus on the Initiator, Part 3

Therapist Errors: Not Recognizing Protective Passivity This blog post continues to focus on the initiator. Last month we looked at  recognizing a “non-Initiation.”  Remember we are discussing couples who have done very little active differentiation. An important subtle issue that occurs in many initiations is passivity. Passivity happens as a self-protection when partners fear the vulnerability of self-exposure. They may have difficulty articulating what they desire or they may not even know.… Read more...

Developmental Change, Focus on the Initiator, Part 2

Recognizing When Your Client Defines a Clear Issue with Related Feelings Today's blog post is the second in which we focus on the Initiator for more effective Initiation. We are explaining the steps with volatile couples as you begin working with them in the Initiator-Inquirer format. The tasks of being an effective Initiator sound simple. The Initiator… 1.  Brings up one and only one issue/problem 2.  Uses “I messages” to describe thoughts & feelings about the issue 3.  Describes the issue without blame or name calling 4.  Is open to learning more about him/herself than was known before he/she started talk For you as the therapist, this step involves asking yourself, “Did my client actually initiate?”… Read more...

Overcoming Passivity and Passive-Aggressive Behavior

…in the Early Stages of Therapy Couples therapy has numerous challenges in the early sessions depending on the type of presenting problem. Our next few newsletters will focus on some unique challenges and what to do about them, beginning with passive behavior and passive-aggressive behavior. A common pattern of highly distressed relationships is each partner wants the other to change first. The complaining partner wants massive personality changes. The “request” is more or less stated as a demand or accusation, with no awareness of how much is being requested. When this happens, the pressure is on either you or the partner to do something to relieve the distress of the complainer.… Read more...

The Narcissistic Personality

… Why Recognizing Hurt and Vulnerability Leads to Greater Self-Acceptance Our culture in the United States is one that supports narcissism. We tend to revere athletes and celebrities and elevate those who are rich or beautiful. Many of these people give very little to get a lot. Someone once said, “If it weren't for marriage or committed relationships, some people could go through life believing they had no faults at all.” Welcome to the inner world of the narcissist, the person who is quick to feel entitled to get and slow to give. Over the years, it has been a challenge to become more effective with these individuals when seeing them in the couples context.… 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.