Feb. 7, 2018
Today we want to lift the hood on the world of marriage counseling and look at one particular approach and how it works. If you’ve ever been curious about what happens in the counseling room or are considering counseling there’s a lot more to it than you might think! The Mystery of Marriage Counseling The world of counseling may seem like a mysterious or even intimidating place to those who know little about it. There’s a stigma around mental health itself, and although a distressed marriage is not a mental health problem, we rarely talk about our struggles as a couple. We like to appear like we have it all together and I think us church-going folk are even more prone to this. But then you do hear the horror stories when things don’t go well and people open up. Some terrible advice comes from people who call themselves counselors. So then when it comes to choosing a marriage counselor it can be pretty scary because your marriage is a big deal and you don’t want to the wrong person trying to help you with it! Basic Marriage Counselor Criteria Now I want to say that this article is not an extended advertisement for our services, but the things I am going to tell you are important facts you need to know, whether you decide to work with someone from my counseling practice or find a local counselor. The first thing is that not all counseling degrees are created equal. When a person is earning their Master’s degree in order to become a therapist, their school and the degree program they choose will generally orient itself around a particular school of thought. Of course, there are a plethora of flavors. But when it comes to marriage counseling you should know that there are a number of universities around North America that offer marriage and family therapy programs specifically. These kinds of degrees have less focus on specific mental health problems like anxiety disorders or even addictions, and they focus very much on relationships, how humans interact, how children learn to love and relate to others, on marriage dynamics and on family systems. So when you choose a therapist the first thing you should filter on is their education: do they have a degree that specializes in marriage and family? And usually you’ll see this in the letters after their last name in that either their degree will look like MAMFT (Master of Arts in Marriage and Family Therapy) or their certifying body will supply MFT credentials like LMFT (Licensed Marriage and Family Therapist). If you’re not sure, ask about the person’s training. The second thing you want to look for is whether the therapist has a specific approach to marriage counseling that is evidence-based. “Evidence-based” means that they are using a treatment approach which has been tested and tried through research and peer-reviewed journals. Surprisingly, there are only a handful of marriage approaches that have been rigorously tested in this way, and so if you want to give you marriage the best chance of success you would do well to ensure you are selecting a counselor who uses an evidence based approach. Otherwise you’ll have no idea whether what you’re being told actually works or not. Probably the two most popular evidence-based counseling approaches are Emotionally Focused Couples Therapy (sometimes called EFT or EFCT) and the Gottman Method. I have taken specific training in both of these, on top of my MFT degree, as has my colleague in my practice, Jesse Schellenberg. They are quite different but very complementary. Both of us favor EFCT as our preferred approach: about 90% of couples show significant improvements using this approach and we’ll talk more about success rates in a moment, but 90% is incredible. How EFCT Works Key Principles Now, I am going to work hard to break the scientific jargon and psychobabble into English here but there are some key principles in this approach to marriage counseling that are important (Gurman et al, 2015[i])