They Don't Lead
"We saw two counselors before you. We'd get angry and start fighting, right in the office, and they'd just sit there. It got ugly fast."
They Take Sides
"After one joint session, she asked to meet with me alone. She told me he was just like her ex-husband and I should divorce him..."
They Avoid the Topic of Sex
"Intimacy? No, that never came up. I wish that it did, because we have real problems in that area. We haven't been close in a while."
Direct clinical experience with couples is not required anywhere for licensure as a mental health professional, even for licensure as a marriage and family therapist.
Insurance companies don't pay for couples therapy, so public agencies can't bill for it. Without financial support, trainees just can't get the experience they need to become skilled couples therapists.
Insurance pays therapists to treat individuals with mental illness for 45- minute sessions. While these insurance corporations don't reimburse for couples therapy, if a therapist does see couples, it is within that limited time frame.
1 person = 45 minute sessions.
2 people = _ ?
Research says 80-90 minutes.
...most therapists learn couples therapy after they get licensed, through workshops and by trial and error. Most have never had anyone observe or critique their couples work. ~Putting Family First, 2002, p. 26
I go through hundreds of websites and resumes on an ongoing bases looking for qualified couples therapists. Most of them believe they skilled enough to do it. A thimble-full actually are. 'Certified' means that someone actually watched you do it and said: 'They know what they are doing...'"