If you have tried to work out significant problems and frustrations in your marriage or other important relationships without real progress, it is probably a good idea to consider marriage or couples counseling. the therapists who provide marriage and couples counseling can often help couples resolve the problems they have been unable to work out themselves. Since every couples’ problems and circumstances are different, we provide several different forms of marriage and couples counseling.
When a couple makes their first appointment, we generally ask that they come together for the first office visit. Typically, on subsequent visits, we then see each partner separately, followed by another meeting with the couple. During these first four visits, we evaluate the couples problems and circumstances and on the fourth visit, suggest what we believe is the best approach to solving the couples problems. Work on the couples’ issues also takes place during these first four visits. Depending on our assessment, we might suggest that the couple routinely come together; or that couple alternates joint visits with individual visits, or in some cases that each partner come separately for their visits, although the goal would still be solving the marital problems of the couple. Lastly, we may suggest that one therapist see the couple both together and individually, or that different therapists do the individual and joint visits. The reason for these different strategies is that although the goal is still to solve the couple’s issues, we find that, being two separate people, in many instances the partners’ individual issues are a major contributor to the couples’ problems. If this is the case, we have found from much experience, that working on the partners’ individual issues separately greatly enhances the prospects for solving the couples’ problems. After we make our suggestions for treatment and explain the reasons for our suggestions, the couple decides if they want to or do not want to accept them. If not, we will explore the reasons and, if possible, follow the couple’s preferences.
What if you are having marital problems and your partner refuses to go for counseling with you? We would strongly urge you to come by yourself for help. In many instances, helping only one partner is still very beneficial for the couple. Also, often, the originally reluctant partner does eventually participate in the treatment when they see their partner’s progress.
Family Counseling and Therapy
Family counseling is complex and requires special training to do effectively. As well as being in treatment together, some clients in family counseling may also benefit from individual sessions in addition to the family sessions. Each family’s issues and circumstances are unique and thus the treatment needs to be adapted to each family.
Our major focus on individual psychotherapy is to help our clients understand and resolve the problems that brought them into psychotherapy and that may emerge in the course of their psychotherapy. We listen carefully to what our clients have to say, but we don't just listen. We are interactive with our clients.
We ask questions, seek clarifications, offer some insights into the clients' problems and help the clients find solutions to their problems. Our strategy is to adapt our psychotherapy to each clients' feedback as to what they find helpful or not clarifications of any misunderstandings we might have about them and, in general, any adjustments we may need to make so the psychotherapy is helpful as possible.
Our psychotherapy tries to make use of what we believe are the best approaches to understanding and treating our clients that have emerged in the fields of psychology and psychiatry over the past one hundred years. We are not locked into a single theoretical model. Each client has their own unique issues and circumstances so we adapt the therapy to the needs of each client, not a theoretical model.
Child and Adolescent Psychotherapy
Special training is necessary for treating children and adolescents with emotional, psychological or behavioral problems. Several of our clinicians have had such training, and in addition, a great deal of experience doing therapy with children and adolescents. With children and younger adolescents, it is essential that the parents participate in the treatment process. Consultations with schools, pediatricians and child psychiatrists are sometimes also necessary for treatment to be fully effective. Where necessary, assistance with child rearing issues is also given to help solve your current child’s or adolescent’s problems and to reduce the likelihood of future difficulties.
Older adolescents many times need to be seen in individual therapy. Initially the parents may be involved in the treatment process, but a majority of older adolescents need the therapist they are seeing to see them alone and to protect their confidentiality in order to form a good therapeutic relationship with their therapist. Parents
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