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(1303 results for Marital/Couples Counseling Offered)

Marital/Couples Counseling Offered

Spousal relationships often are the first to suffer when alcohol or drug addiction are involved. The relationship frequently becomes codependent, with the sober spouse supporting or enabling addictive behaviors. Some people become more socially isolated because they abandon friendships in an attempt to meet the ever-growing demands of their addicted spouse. A basic premise of couples counseling for addiction is both partners agree not to discuss alcohol or drug abuse fears/issues at home, reserving these discussions for therapy sessions. This approach helps prevent substance-related conflicts associated with relapse triggers.

Reasons to Participate in Couples Therapy

Couples counseling for addiction, such as behavioral couples therapy (BCT) may be warranted to address the many repercussions of addiction. The goal is to reverse destructive behaviors associated with drug or alcohol use, including:

– High levels of relationship dissatisfaction and stress
– Unhealthy communication (nagging and arguing)
– Uncaring behaviors
– Covering up or lying for a spouse (e.g. when he or she is chronically late to work)
– Relationship instability (e.g. separation or divorce proceedings)
– Verbal and physical aggression
– Isolating behaviors
– Financial and legal problems
– A decline in emotional and physical health

Primary Goals of BCT

– Eliminate alcohol and drug abuse
– Involve the spouse in supporting his or her partner’s efforts to abstain
– Reverse destructive patterns associated with substance abuse
– Restructure the couple’s patterns in ways conducive to long-term, stable abstinence

Not every couple is an appropriate candidate for BCT. Relationships in which both partners abuse drugs often do not support abstinence and may cause increased conflict if attempts are made to abstain. Other exclusions include violence within the last year necessitating medical attention or if either partner is physically afraid of the other.

Females versus Males

Relationship concerns appear to be more pronounced in women seeking help for alcohol use disorder (AUD) or alcoholism than in men. Women are unhappier in couple relationships and more likely to drink in response to these interpersonal stressors than men. BCT is the most well-researched, family-based therapy for adults with AUD and has been shown to have advantages over individual therapy, however, most outcome studies have been on men with AUD. A study on 105 couples in which the woman was diagnosed with AUD found BCT offered advantages over individual therapy in both partners. Greater abstinence from alcohol and drugs and fewer substance-related problems were seen in women treated with BCT during the 12-month follow-up period. In the same follow-up period, men and women who received BCT had significantly greater relationship satisfaction compared to those who only received individual therapy.

Research shows BCT produces greater abstinence and improvements in couples’ relationships than typical individual-based treatment, and also decreases social costs, the incidence of domestic violence and emotional problems in the couple’s children.

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More on Marital/Couples Counseling Offered

Spousal relationships often are the first to suffer when alcohol or drug addiction are involved. The relationship frequently becomes codependent, with the sober spouse supporting or enabling addictive behaviors. Some people become more socially isolated because they abandon friendships in an attempt to meet the ever-growing demands of their addicted spouse. A basic premise of couples counseling for addiction is both partners agree not to discuss alcohol or drug abuse fears/issues at home, reserving these discussions for therapy sessions. This approach helps prevent substance-related conflicts associated with relapse triggers.

Reasons to Participate in Couples Therapy

Couples counseling for addiction, such as behavioral couples therapy (BCT) may be warranted to address the many repercussions of addiction. The goal is to reverse destructive behaviors associated with drug or alcohol use, including:

– High levels of relationship dissatisfaction and stress
– Unhealthy communication (nagging and arguing)
– Uncaring behaviors
– Covering up or lying for a spouse (e.g. when he or she is chronically late to work)
– Relationship instability (e.g. separation or divorce proceedings)
– Verbal and physical aggression
– Isolating behaviors
– Financial and legal problems
– A decline in emotional and physical health

Primary Goals of BCT

– Eliminate alcohol and drug abuse
– Involve the spouse in supporting his or her partner’s efforts to abstain
– Reverse destructive patterns associated with substance abuse
– Restructure the couple’s patterns in ways conducive to long-term, stable abstinence

Not every couple is an appropriate candidate for BCT. Relationships in which both partners abuse drugs often do not support abstinence and may cause increased conflict if attempts are made to abstain. Other exclusions include violence within the last year necessitating medical attention or if either partner is physically afraid of the other.

Females versus Males

Relationship concerns appear to be more pronounced in women seeking help for alcohol use disorder (AUD) or alcoholism than in men. Women are unhappier in couple relationships and more likely to drink in response to these interpersonal stressors than men. BCT is the most well-researched, family-based therapy for adults with AUD and has been shown to have advantages over individual therapy, however, most outcome studies have been on men with AUD. A study on 105 couples in which the woman was diagnosed with AUD found BCT offered advantages over individual therapy in both partners. Greater abstinence from alcohol and drugs and fewer substance-related problems were seen in women treated with BCT during the 12-month follow-up period. In the same follow-up period, men and women who received BCT had significantly greater relationship satisfaction compared to those who only received individual therapy.

Research shows BCT produces greater abstinence and improvements in couples’ relationships than typical individual-based treatment, and also decreases social costs, the incidence of domestic violence and emotional problems in the couple’s children.

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