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Why does good couples therapy fail?

According to the American Association for Marriage and Family Therapy (AAMFT), “After receiving treatment, almost 90% of clients report an improvement in their emotional health, and nearly two-thirds report an improvement in their overall physical health. Over three-fourths of those receiving marital/couples or family therapy report an improvement in the couple relationship.”

If therapy works so well, then why then, does good couples therapy sometimes fail? What are the reasons?

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Why does good couples therapy fail?

I have twelve rules that have proven effective for having productive couples counseling. These rules particularly apply to couples in distress, who wonder if they should even be together at all.

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Why does good couples therapy fail?

Ahhhh. We do love a quiz that promises to reveal ourselves to our, well, ourselves. And big business loves to to see how well you might fit into their organizational team. That we love personality tests is the why that drives their proliferation. But I wonder if you might like to understand why many of them are junk, clickbait, and rather useless. And how to pick one that gives useful information about your personality. I am going to help you do that!

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In addition to my degree in clinical social work, I have a masters degree in public health. One important goal of public health is to prevent disease from spreading. I want to help you see the costs to you of broken (or non-existent) boundaries by using the analogy of vaccines. First you need to understand that prevention is often invisible unless you look at the prevented costs. Here’s an example of that.

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boost your relationship happiness

This isn’t the typical advice column, so you are duly warned. It’s a two minute read, so no excuses, to learn five ways to boost your relationship happiness. Read more

Estrangement is heartbreaking.

I’m sorry. Estrangement is truly heartbreaking. The stories I hear on this topic are always heartbreaking, and include much ongoing, unresolved loss. The stories hold such longing for what could have been rich, healthy, and loving relationships. It happens between siblings, parents and children, and in-laws. 

These are always stories about wretched boundaries and differing belief systems, from political parties to substance abuse, and to mental health disorders that disrupt even the possibility of “normal.”

The issues will often be generational as well, passed down in a chain that is among the hardest to break. I often tell clients that the very difficult work they are embarking on is heroic. It requires So. Much. Courage.

I’ll offer some examples of what this can look like. 

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over-explaining

Have you ever thought about this? Do you over-explain something when you are saying no to a request, or to an intrusive question? Did you know that you do not have to explain your thoughts to someone simply because they asked? And that the tendency to do this typically occurs with someone we care about, or someone that has power over us? Learning this is crucial to your ability to set a clear and healthy boundary.

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guilty

Why so guilty? Or maybe I should ask ‘Why are you so afraid of being yourself?’

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neurodiverse couples

Connection or protection? How are you wired? Did you know that love wires us for connection but trauma wires us for protection? Sometimes over-protection. Sometimes under-protection. Here’s how.

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happy marriage

What is the secret sauce to a long and happy marriage? I recently had my own personal physician ask me this. She said she asks every patient this. I have to assume she meant every long-time married patient! 

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