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marriage counseling Archives - Suzanne Wallach

What Does A Marriage And Family Therapist Do?

Family-Therapist

Marriage and family therapists (MFTs), as explained by the American Association for Marriage and Family Therapy (AAMFT), “are mental health professionals trained in psychotherapy and family systems, and licensed to diagnose and treat mental and emotional disorders within the context of marriage, couples, and family systems.” MFTs must have graduate-level training, hold a master’s or doctoral degree in marriage and family therapy, and have completed at least two years of clinical experience. MFTs may provide premarital counseling, relationship counseling, child counseling, individual counseling, and separation and divorce counseling. Marriage and family therapists regularly practice short-term therapy with an average number of 12 sessions. The AAMFT assert that nearly 65.6% of the cases are completed within 20 sessions, and 87.9% within 50 sessions. Marriage/ couples therapy (11.5 sessions) and family therapy (9 sessions) both require less time than the average individuated treatment (13 sessions). Approximately half of the treatment provided by marriage and family therapists is divided between marriage/ couples therapy and family therapy, or a combination of treatments, and the other half is primarily made up of individual therapy. Marriage and family therapists treat a wide range of issues, helping couples or family members overcome difficult situations, reconcile differences, and cope with mental or emotional problems.

MFTs and Couples Therapy

The work that occurs during marriage counseling sessions is guided by the needs of the couple. By nature of participating in marriage counseling both partners engage in shared emotional experiences via the therapy sessions, which can help to foster aligned relationship goals. The work that occurs during marriage counseling can be emotionally charged, elicit difficult to face feelings and seem arduously trying. However, the skills, tools and emotional awareness that can come from actively participating in marriage counseling can be both empowering and insightful. The AAMFT reported the findings of a study that indicate, “of couples who try marriage counseling, 90% feel that their emotional health improves, and two-thirds report improvements in their physical health.” The reason behind why a couple elects to participate in marriage counseling will affect its outcome and success.

MFTs and Family Therapy

Family therapy is a type of psychological counseling that is designed to help improve the interactions of individuals within the family unit, improve the overall wellness of the family, and change patterns of dysfunction. Family therapy is based on family systems theory, which is a theory of human behavior. Family systems theory views the family as a living, complex social system, rather than the sum of its individual members. Family therapy uses systems theory to evaluate family members in terms of their position or role within the family system. Instead of attributing a problem to a single family member, in family therapy, problems are treated by addressing and shifting the way the entire family system functions. A marriage and family therapist facilitating family therapy acts as mediator to ensure every member is heard and creates a safe environment to address specific issues that may be affecting the functioning, cohesiveness, and health of the family unit.

The information above is provided for the use of informational purposes only. The above content is not to be substituted for professional advice, diagnosis, or treatment, as in no way is it intended as an attempt to practice medicine, give specific medical advice, including, without limitation, advice concerning the topic of mental health. As such, please do not use any material provided above to disregard professional advice or delay seeking treatment.

Is Marriage Counseling Effective?

couple in marriage counseling

Every couple is different and will make the decision to go to marriage counseling for distinct reasons. It would be inaccurate to suggest that marriage counseling unequivocally works for every couple. There are a variety of factors (e.g., the level of commitment each member gives to the therapeutic process, how the marriage counselor resonates with both members of the couple, etc.) that contribute to its efficacy. Marriage counseling is typically conducted with both partners present. It is a relatively short-term process, lasting between twelve to twenty sessions, in some cases longer. Most marriage counseling sessions last approximately fifty minutes long. The time between sessions will depend both on the availability of the mental health provider as well as the wants and needs of the couple. Although it is not an inevitability for all couples, marriage counseling can be highly effective for many.

How Can It Help?

The reasons why a couple decides to go to marriage counseling are wide-ranging. Psychology Today provide the following potential reasons why a couple may seek and benefit from marriage counseling:

  • Poor and/ or lack of communication
  • Trust has been broken
  • Feelings of unease in the relationship (e.g., being aware that something is wrong but being unable to pinpoint the issue) 
  • Diminished emotional intimacy 
  • Diminished sexual intimacy 
  • Conflicts regarding child rearing and/ or blended families
  • Infidelity 
  • Constant dysfunction during conflict (one or both members)
  • Feeling stuck in unhealthy and/ or undesirable patterns
  • Addressing and/ or sharing difficult to talk about information with the partner
  • Processing situational circumstances that have devastated the relationship (e.g., loss of a child, prolonged unemployment, being diagnosed with a long-term illness, etc.)

The work that occurs during marriage counseling sessions is guided by the needs of the couple. Some couples attend marriage counseling as a means to gain better understanding of their partner. Aside from the above, there are many additional nuanced reasons why a couple may decide to go to marriage counseling. 

Does It Really Work?

The reasons driving a couple to engage in marriage counseling can have a direct affect in its outcome and success. The American Association for Marriage and Family Therapy (AAMFT) reported the findings of a study that indicate, “of couples who try marriage counseling, 90% feel that their emotional health improves, and two-thirds report improvements in their physical health.” By nature of participating in marriage counseling both partners engage in shared emotional experiences via the therapy sessions, which can help to foster aligned relationship goals. The marriage counseling process is not always easy and at times sessions can be emotionally charged and elicit difficult to face feelings. However, the skills, tools and emotional awareness that can come from actively participating in marriage counseling can be both empowering and insightful. 

Disclaimer: 

The information above is provided for the use of informational purposes only. The above content is not to be substituted for professional advice, diagnosis, or treatment, as in no way is it intended as an attempt to practice medicine, give specific medical advice, including, without limitation, advice concerning the topic of mental health.  As such, please do not use any material provided above as a means to disregard professional advice or delay seeking treatment.

How To Find The Right Marriage Counselor

couple in marriage counseling

There are many different reasons why a couple may be seeking the guidance of a marriage counselor. Every individual is different, and each person contributes uniqueness to the relationship dynamics that make up a marriage. The habits, patterns, and roles in a marriage are often assumed by each party early in the relationship. Individuals are constantly evolving, and as the individuals in a marriage change and develop, so too must their relationship. As is true with maintaining any authentic relationship, marriage will require active work and dedication. The American Association for Marriage and Family Therapy (AAMFT) reported the findings of a study that indicate, “of couples who try marriage counseling, 90% feel that their emotional health improves, and two-thirds report improvements in their physical health.” Marriage counseling provides a couple with an emotionally safe environment to delve into areas of the relationship that may need attention, make thoughtful decisions surrounding the status of a relationship, and help couples come to realize whether or not both parties authentically wish to work towards rebuilding and/ or strengthening the relationship or work towards separating amicably. In order for marriage counseling to be truly effective, both members of the relationship must be open and willing to participate in the therapeutic process. 

Getting Started

There are a multitude of marriage counselors available, each with differing foci and/ or specializing in different therapeutic modalities. Narrowing down the options can seem overwhelming. Below are several suggestions that can help you through the process and ensure you find a marriage counselor that is the best fit for accommodating all of your couple counseling needs. 

  • Get recommendations:
    • If you are comfortable delving into your network of trusted family and friends, ask for references.
    • Check out some online sources: many marriage counselors have websites available for potential clients to review and/ or are included in an online compilation of reputable mental health professionals:
  • Ask your primary care provider (PCP) to refer you to a marriage counselor that they recommend.
  • Understand costs: each marriage counselor will charge a fee for their services. The costs will vary, as different providers charge different rates. Some marriage counselors accept insurance as a form of payment, while others do not. It is important to understand your out-of-pocket financial responsibility prior to selecting a counselor, to ensure their services are not financially prohibitive. 
  • Interview: Call and interview potential marriage counselors: prior to scheduling an appointment make a phone call to ask a potential counselor questions, so as to ensure their practices align with your needs.
  • Give yourself options: Interview at least three marriage counselors before you make your selection.
  • Be Patient: Although you are likely eager to find a marriage counselor, take your time and be patient. Remember that this is a process, and trust that you will eventually find the right one. 

It is important to bear in mind that each marriage counselor is different, and not all marriage counselors will be a perfect match. If you and/ or your spouse finds he or she does not necessarily jive with the therapist selected, try a different one. In order for marriage counseling to work each party must feel comfortable with the professional selected.

Disclaimer: 

The information above is provided for the use of informational purposes only. The above content is not to be substituted for professional advice, diagnosis, or treatment, as in no way is it intended as an attempt to practice medicine, give specific medical advice, including, without limitation, advice concerning the topic of mental health.  As such, please do not use any material provided above as a means to disregard professional advice or delay seeking treatment. 

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