Debunking Common Myths in Couples Therapy

Couples therapy is a transformative space where partners can reconnect, heal, and grow. Yet, many couples hesitate to seek help due to persistent myths and misperceptions. As a licensed marriage and family therapist, I’ve seen how these beliefs can delay or derail the healing process.

Let’s explore and debunk some of the most common myths I encounter in my work with couples.

Myth #1: “Couples therapy is only for relationships in crisis.”

Many believe therapy is a last-ditch effort when a relationship is on the brink of collapse. In truth, couples therapy is most effective when used proactively. It can help partners navigate transitions, improve communication, and deepen emotional intimacy before issues become entrenched.

Research supports this: early intervention in relational conflict leads to better outcomes and prevents long-term distress (Lebow, Chambers, Christensen, & Johnson, 2012). Therapy isn’t just for crisis—it’s for connection.

Myth #2: “Therapists should always remain neutral.”

This is a nuanced topic. While traditional models of therapy emphasize neutrality, some modern approaches challenge this idea—most notably, the work of Terry Real, founder of Relational Life Therapy (RLT).

Real argues that strict neutrality can be counterproductive, especially when one partner is engaging in destructive or abusive behavior. In his words, “Therapists who remain neutral in the face of dysfunction are colluding with the dysfunction.” Instead, he advocates for “loving confrontation”—a compassionate but direct approach that holds individuals accountable while supporting the relationship as a whole (Real, 2002).

In my practice, I strive to balance empathy with honesty. Sometimes, that means gently challenging behaviors that harm the relationship, while always maintaining a safe and respectful environment for both partners.

Myth #3: “Therapy means we’ve failed.”

Seeking therapy is not a sign of failure—it’s a sign of commitment. It takes courage to acknowledge challenges and a willingness to grow. Couples who engage in therapy often report increased satisfaction, improved communication, and a renewed sense of partnership (Baucom et al., 1998).

Therapy is not about fixing a “broken” relationship; it’s about building a stronger, more resilient one.

Myth #4: “Therapy is just talking about problems.”

While open dialogue is essential, couples therapy is far more than venting. It’s a structured, evidence-based process that helps partners identify patterns, understand emotional needs, and develop practical tools for change.

Approaches like the Gottman Method and Emotionally Focused Therapy (EFT) provide frameworks for building trust, managing conflict, and fostering emotional connection (Gottman & Silver, 1999; Johnson, 2004).

Myth #5: “Therapy doesn’t work.”

Skepticism is understandable, especially if past experiences were unhelpful. However, numerous studies support the efficacy of couples therapy. A meta-analysis by Shadish and Baldwin (2003) found that couples therapy significantly improves relationship satisfaction and reduces distress.

Success depends on timing, therapist fit, and the couple’s willingness to engage. When both partners are committed, therapy can be deeply transformative.

Final Thoughts

Couples therapy is not a last resort—it’s a courageous step toward deeper connection and understanding. By challenging these myths, we can reduce stigma and open the door for more couples to access the support they deserve.

If you and your partner are considering therapy, know that you don’t have to wait for a crisis. Whether you’re navigating a rough patch or simply want to strengthen your bond, therapy can be a meaningful investment in your relationship’s future.

References

• Baucom, D. H., Shoham, V., Mueser, K. T., Daiuto, A. D., & Stickle, T. R. (1998). Empirically supported couple and family interventions for marital distress and adult mental health problems. Journal of Consulting and Clinical Psychology, 66(1), 53–88.

• Gottman, J. M., & Silver, N. (1999). The Seven Principles for Making Marriage Work. Crown Publishing Group.

• Johnson, S. M. (2004). The Practice of Emotionally Focused Couple Therapy: Creating Connection. Brunner-Routledge.

• Lebow, J., Chambers, A., Christensen, A., & Johnson, S. (2012). Research on the treatment of couple distress. Journal of Marital and Family Therapy, 38(1), 145–168.

• Real, T. (2002). How Can I Get Through to You? Reconnecting Men and Women. Scribner.

• Shadish, W. R., & Baldwin, S. A. (2003). Meta-analysis of MFT interventions. Journal of Marital and Family Therapy, 29(4), 547–570.

Can You Fix Your Family?

The short answer is no. You cannot fix your family.

I have noticed a significant reoccurring pattern in several of my client’s stories these past few weeks and thought it might be helpful to share my thoughts on this with others. 

There are some amazing families out there who are loving, securely attached, have healthy boundaries, and fulfill individual emotional needs in balanced ways.  They handle big feelings and give grace for the human imperfections that are in even the best of us.  They address conflicts and repair hurts in relationships.  Yet, many of the adult clients who end up in my office do not come from such a family.  Often, a big part of their recovery is identifying patterns they learned from their family of origin, such as attachment styles, communication, and handling conflict.

I love this quote from Brené Brown, Rising Strong, about an exercise that she does with people:

“Folks write down the name of someone who fills them with frustration, disappointment, and/or resentment, and then I propose that their person is doing the best he or she can. The responses have been wide-ranging...One woman said, 'If this was true and my mother was doing the best she can, I would be grief-stricken. I'd rather be angry than sad, so it's easier to believe she's letting me down on purpose than grieve the fact that my mother is never going to be who I need her to be.'"

The bad news is that you cannot heal the dysfunction in the family you grew up in.  If that was hard to read, read it again.  It is not your role to save your parents/caregivers now, nor should it ever have been your job growing up.  Let that responsibility go. It is keeping you stuck, sick, and sad.  Maybe they will change and maybe they won’t. It is not up to you and it never was.

There is a very real grief process that comes along with the acceptance of that reality.  All of us have expectations and dreams about what we hope life looks like, and this includes our family relationships. To lead healthy and wholehearted lives, we must make peace with the very real limits of others. 

The good news is that you can change your own life. 

• You can grow. 

• You can parent differently and stop those generational patterns. 

• You can accept yourself as worthy of love and belonging.

• You can freely give empathy because of the struggles you endured. 

• You are not doomed to repeat the past. 

• You can learn new ways to communicate. 

• You can set boundaries. 

• You can take the good parts of your family and limit the parts that are harmful. 

• You can make a new family. 

You can cultivate authentic relationships based on love, emotional/physical safety, deep connection, grace, compassion, courage, joy, and showing up for each other.  Not sure where to start? Give our office a call at 309-713-1485.

Do Marriage Counselors have Better Marriages?

This is a follow up post to Why You Should Probably Marry an Optometrist - Part 1.  You can read that article here. 

Recently, I wrote an article that raised some questions about the divorce rates of therapists, specifically Marriage and Family Therapists. As a MFT, I wanted to learn more about this topic.  I decided to dig a little bit deeper, and see if I could make sense of these statistics in existing research. There are many studies about psychotherapists, but not as many specific to MFTs.

Duncan and Duerden (1990) published a study focused on the stressors and enhancers of the marital and family relationships of family professionals. The sample of 44 couples was obtained from a family professional membership list and their spouses. Couples were sent packets by mail, and had a response rate of 24%. Surveys included the following questions: “How has your work (or your spouse’s work) as a family professional uniquely strengthened your own marriage/family?” and “How has your work (or your spouse’s work) as a family professional uniquely stressful to your own marriage/family?” (p. 212). The surveys contained a list of eleven response items and a fill-in-the-blank item. Respondents were instructed to check the item if it applied to their situation, and rank it by strength.

The enhancer that family professionals most often checked was “Greater potential to prevent marital/family problems” (p. 212). The next three enhancers (in order of frequency) were “Greater awareness of problems as normal although stressful,” “Greater ability to solve marital/family problems,” and “Greater appreciation of our own marital/family strengths” (p. 213).

When family professionals were asked to rank enhancers, the highest was “Greater ability to communicate effectively,” trailed by “Greater acceptance of our own part in marital/family problems” and “Greater sensitivity to each other’s needs” (p. 213).

The stressors most often checked by family professionals were “Little time left for my own marriage/family” and “Little energy left for my own marriage/family” (p. 213). “Family professional sets unrealistic standards for marriage/family” was ranked third (p. 213). The same three items were also ranked the three highest, in the same order.

Results were also reported for the spouses of family professionals. The three most frequently checked enhancers for spouses were “Greater appreciation of own marital/family strengths,” “Greater awareness of some problems as normal, though stressful,” and “Greater sensitivity to each others’ needs.” The top three ranked enhancers were “Greater ability to communicate effectively,” “Greater sensitivity to each others’ needs,” and “Greater acceptance of our own part in marital/family problems” (p. 213).

The checking and ranking scores of the most important enhancers of both spouses and family professionals seem to be in agreement. Furthermore, the most commonly checked stressors for spouses were “Little time left for own marriage/family,” “Little energy left for own marriage/family,” and “Difficulty switching roles from family professional to family member” (p. 213). The first two stressors were also the most highly ranked. “Little energy left for own marriage/family” was ranked highest by the spouse group. This was followed closely by “Little time left for own marriage/family” and “Concern about job security due to shifts in funding” (p. 213). Once more, it seems that family professionals and their spouses had comparable checking frequencies and strength rankings in this area.

After further analysis, family professionals and their spouses reported significantly more enhancers than stressors (p < .001). Also, family professionals reported a significantly larger number of enhancers (p < .01) and stressors (p < .05) than the spouse group. The overall strength rank ordering of stressors and enhancers between family professionals and their spouses was significantly correlated for both stressors (p < .001) and enhancers (p < .05).

Duncan and Goddard (1993) completed a similar study and reported somewhat similar findings. This study again used a mailing to randomly sample family professionals from three different family related council membership lists. The sample size was 59 couples, with a 21% response rate. Surveys included exactly the same two questions: “How has your work (or your spouse’s work) as a family professional uniquely strengthened your own marriage/family?” and “How has your work (or your spouse’s work) as a family professional uniquely stressful to your own marriage/family?” (p. 436). The participants then were given eleven ranking response items, and also a written response item.

“Greater awareness of problems as normal although stressful,” “Greater ability to communicate effectively,” and “Greater appreciation of our own marital/family strengths” were the three most checked marital enhancers by the family professionals (p. 437). “Greater sensitivity to each other’s needs,” was the highest ranked marriage enhancer for family professionals (p. 437). Moreover, “Greater parenting skills” was the highest ranked family enhancer by family professionals. The most checked marriage stressors by family professionals were “Little time left for own marriage/family” and “Little energy left for own marriage/family” (p. 437). The family professional rated unrealistic standards set for the marriage/family as most stressful for the marriage. Finally, lack of respect for the family professional’s role was reported to be most stressful for family life by the family professional.

The spouse group reported, “Greater sensitivity to each other’s needs,” “Greater ability to communicate effectively,” and “Greater appreciation of our own marital/family strengths” as the most frequently reported enhancers (p. 437). These enhancers also had the three highest rankings. Parenting skills were also the most highly ranked family life enhancer in the spouse group. The spouses most often reported little time, little energy, and concerns about job security as marital and family life stressors. These were also the top three ranked stressors, in the same order. The family professionals and their spouses both reported significantly more marital enhancers than stressors (p < .001) and more family enhancers then stressors (p < .001). Family professionals, however, reported a significantly larger number of marital and family life enhancers (p < .001) and marital and family life stressors than their spouses (p < .05).

I think the good news here is these studies suggest that Marriage and Family Therapists do experience marital and parenting enhancements. The bad news is that those enhancements also appear to come with a set of problems. Now, we have some data to begin to explain the high divorce rates for Marriage and Family Therapists. There are still many unanswered questions.

How does this research compare with your experiences? Please take a moment and leave a comment below.

 References

1. Duncan, S. F., & Duerden, D. S. (1990). Stressors and enhancers in the marital/family life of the family professional. Family Relations, 39(2), 211-215.

2. Duncan, S. F., & Goddard, H. W. (1993). Stressors and enhancers in the marital/family life of family professionals and their spouses. Family Relations, 42(4), 434-441.

Why You Should Probably Marry an Optometrist (Part 1)

Have you ever wondered if there was a link between divorce rates and your profession?  There are many personality and lifestyle issues to consider when choosing a lifelong companion.  Though no one factor will doom your relationship, you may want to consider a nice Optometrist. 

McCoy and Aamodt (2010) compiled the divorce rates for 449 occupations in the United States.  They stated 16.96% reported that they “had been in a marital relationship, but were no longer with their spouse [separated or divorced]” (p. 3).  This number is the average of each occupation’s average, which may account for the low number.  The current employment status of the sample was not given.

The same study suggests that divorce rates were higher for occupations with higher numbers of African Americans and females, while rates were actually lower for occupations with higher numbers of Asian Americans and higher average incomes.

The top five highest divorce/separation rates by occupation were the following:

1. “Dancers and choreographers” at 43.05%,

2. “Bartenders” at 38.43%,

3. “Massage therapists” at 38.22%,

4. “Gaming cage workers” at 34.66%, and

5. “Extruding and forming machine setters, operators, and tenders, synthetic and glass fibers” at 32.74%.

The five lowest divorced/separated rates reported by occupation are as follows:

1. “Media and communication equipment workers, all other” at less than 1%,

2. “Agricultural engineers” at 1.78%,

3. “Optometrists” at 4.01%,

4. “Transit and railroad police” at 5.26%,

5. “Clergy” at 5.61%.

Are divorce rates worse for marriage therapists or counselors?  There was not a specific occupation listed as Marriage and Family Therapist in the same study, however, there were multiple occupations in which a Marriage and Family Therapist may fall.  McCoy and Aamodt listed the occupation “Therapists, all other” as having a divorce/separation rate of 24.20%, “Sociologists” as 23.53%, “Social workers” as 23.16%, “Counselors” as 22.49%, “Miscellaneous social scientists and workers” as 19.65%, and “Psychologists” as 19.30%.  Each one of these categories had a divorce/separation rate well above the national average for all occupations of 16.96%.

The specific goal of that study was to further investigate the divorce rates of police officers as compared to other occupations.  The researchers did not speculate as to why the divorce/separation rates of those in the field of psychotherapy might be so much higher.

To all my Marriage and Family Therapist colleagues, why do you think our divorce rate is not better when compared to other professions?  Should we not all be marriage rockstars?

Part 2 is coming soon!

References

1. McCoy, S. P., & Aamodt, M. G. (2010). A comparison of law enforcement divorce rates with those of other occupations. Journal of Police and Criminal Psychology, 25, 1-16.

Marriage & Divorce: Family Therapists Share Their Own Stories

I have done a bit of research gathering stories of marriage and family therapists and their thoughts on marriage. As a marriage and family therapist who is married to another marriage and family therapist, I have a deeply personal interest in learning more about the marriages of therapists.

Framo (1968) wrote of his own experience of trying to keep boundaries between his clinical work, his family of origin, and his wife and children. He stated:

I don’t know when I first became aware of the phenomena that treating families not only revives the specters of one’s own past family life, but also has subtle, suffusing effects on the therapist’s current family relationships. After doing family therapy, and seeing what emotional systems can do to people, I take my own family life more seriously. In the living presence of a mother, father, brothers, and sisters, the constellation in which most of us grew, one finds oneself transported back to old thoughts, longings, disharmonies, and joys in a way which can be more moving and reintegrative than one’s own personal therapy or analysis. Each family we treat contains part of our own. As I saw more and more families I have become used to reliving each stage of my own family life cycle during sessions, in a series of flashbacks at once compelling and fearsome, fascinating and despairing, growth-promoting and regressive. While I am conducting treatment sessions, with my surface calm and important, hiding behind my degrees and the trappings of my profession, evaluating the dynamics of the family before me, figuring out the strategy, avoiding the traps, I communicate to the family only a small portion of the emotional connections I make with them the places where we touch. (p. 24-25)

Framo seemed to feel as if there was a link between his personal relationships and his psychotherapeutic practice.

Benningfield (2006) wrote an article about her own experiences in the process of divorce as a marriage and family therapist. She and her husband were both therapists, and worked in the same office. Benningfield mentioned one particular encounter with a client during this time. The client said, “Well, doc, if I couldn’t manage my own money, I wouldn’t expect my clients to give me theirs to manage. So how can you help us if you couldn’t make your marriage work?” (p. 31). It is a question that Benningfield struggled with for some time. Yet, she continued on in her work as a therapist and concluded the following:

One of the wonderful privileges of being a therapist is that our life experiences—whether aging, illness, birth, death, marriage or divorce— inform and transform our work with others. We learn from ourselves as well as from others. Perhaps one of the most valuable gifts we offer our clients is the opportunity to watch us be human, to struggle with as much as they do and sail in our own leaky boats on the same seas as they do, especially if in that process we also help them learn from themselves as well. (p. 31)

Clearly, Benningfield believed that therapists could still be of aid to others, despite their own imperfections. We could actually be even better when we allow our lives to continually inform our practices.

What to do you think? Please leave a comment below.

References

1. Benningfield, A. B. (2006). When therapists divorce. Family Therapy Magazine, 5(3), 31-33.

2. Framo, J. L. (1968). My families, my family. Voices: The Art and Science of Psychotherapy, 4, 18–27.

10 Signs That You Need a New Therapist

If you are in counseling now or consider seeking a therapist in the future, it is important to choose a counselor who is the right fit for you. I am always saddened to hear of an individual or couple giving up on counseling after one bad experience. Therapists are each unique in their specific approaches and you deserve one who is qualified to meet your needs. Here are a few signs that you may need a new therapist.

#1 Connection is Missing

It is well researched that the therapeutic alliance, or relationship, with the therapist and client is likely the single biggest predictor of success in therapy (Martin, Garske, & Davis, 2000). If you do not feel a connection or trust starting to build between you and your therapist, it might be time to consider a change.

#2 No Improvement

You see a therapist for several months and do not feel that any progress has been made. You might even feel worse after every session. Some issues take longer to solve or learn to manage than others, but if there is no hope for change…you might need a new therapist.

#3 Lack of Boundaries

Your counselor seems to forget that you are a client. They talk to you in depth about their own personal life or problems with no apparent therapeutic purpose. Maybe they seem a bit too interested in the details of your sex life. They want to be buddies outside of the therapy room while you are still a client. It sounds like they have boundary issues.

#4 Distractions

Your therapist seems to have trouble paying attention. They take calls or text during sessions. They seem to be thinking about something else. Maybe they even fall asleep.  Not only is this rude, but you are paying them for a service. This is your time.

#5 Focus is on the Therapist

It is not a good sign if your counselor monopolizes your therapy hour by talking about him or herself. A certain amount of self-disclosure is probably therapeutic, but the therapist should not do the overwhelming majority of the talking. If you cannot seem to get a word in during your session, you need a new therapist.

#6 Never Neutral

Your therapist clearly always aligns with you or with your spouse on every issue. Yes, there are times when a therapist might agree with one person on a concern, but this should not be a constant taking of sides. It makes me think that the therapist has a personal issue that is appearing in the therapy office.

#7 Feeling Shamed and Judged

Feeling guilt because you are doing something or have done something that conflicts with your belief system might be a very appropriate response to a situation. A therapist can explore this without shaming a client and making him or her feel bad about who they are. If you feel constantly judged by your therapist, you need a new one.

#8 Violating Your Belief System

Every therapist has his or her own set of personal values. We cannot “not” have them. As counselors, we are not allowed to push our beliefs on others. This does not mean we cannot explore issues like spirituality, but simply that we cannot force our own values on you.

#9 Not Qualified or a Specialist

Some therapists claim to be able to treat a wide variety of issues. Many therapists truly are generalists, but I recommend that you seek a therapist that specializes in your presenting issue. They may have specialty certifications or degrees in that area. I have heard horrible stories about a therapist blaming a spouse for a client’s sexual addiction, and the therapist was simply not trained properly in addiction. This can be very damaging.

#10 Cancelling or Showing Up Late

This happens to all of us from time to time. If they are consistently late or cancelling often, it shows that they are not respectful of you or your time. Your counselor expects you to show up for appointments and they owe you the same courtesy.

In the end, you need to trust your gut. If you have a bad feeling about a therapist, I would find a new one. If you have a bad feeling about ten therapists, then something might be off with your gut feeling. Do you agree with these red flags? Please share below.

References

1. Martin, D. J., Garske, J. P., & Davis, M. K. (2000). Relation of the therapeutic alliance with outcome and other variables: a meta-analytic review. Journal of consulting and clinical psychology, 68(3), 438.

5 Myths About Marriage & Family Therapists

5 Myths About Marriage & Family Therapists

I have noticed over the years that there are many common misconceptions people have about marriage and family therapists.   I am a Licensed Marriage and Family Therapist in Illinois, so some of what I am saying may be influenced by my specific experiences and location.  Here are a few of the things I wish people would understand.  Can any of you think of ones I have missed?

#1 We Only Work With Marriages and Families

This is not true. Marriage and family therapists have unique training and conceptualize problems in a relational context or, in other words, they consider your significant relationships. Marriage and family therapists are qualified to treat individuals, couples, families, children, groups, etc. We just treat them from a family systems perspective.

#2 MFTs Only Work in Private Practices

False! Marriage and family therapists work in many different settings including:

1. Business consulting

2. Churches

3. Community mental health centers

4. Courts

5. Employee assistance programs

6. Hospitals

7. Inpatient facilities

8. Prisons

9. Private practice

10. Research centers

11. Schools

12. Social service agencies

13. Universities

I am sure there are even more out there. Marriage and family therapists practice in a wide range of environments.

#3 Marriage and Family Therapy is Just a Specialization

This one is not true either. According to the American Association of Marriage and Family Therapists, the US Federal government considers marriage and family therapy to be one of the five core mental health professions. The others are psychiatry, psychology, social work, and psychiatric nursing. Each is considered to be a separate field with a unique treatment approach.

#4 Anyone Who Works with Couples or Families is a MFT

Wrong again. There are many different approaches to working with families and other mental health professions treat families, too. A social worker may do a wonderful job with a family in counseling, but this does not make them a marriage and family therapist.

#5 MFTs Cannot Treat Mental Illness

Not even close. Research suggests that marriage and family therapists are effective in treating a full range of mental and emotional disorders and health problems (Sprenkle, 2003). Addiction, drug abuse, anxiety, depression, alcoholism, eating disorders, and marital problems are only a few examples of problems treated by marriage and family therapists.

I am not offended when people have these misconceptions about marriage and family therapy.  However, I do feel that it is a significant part of my professional identity.  I am very proud of the life changing training that I have received and I want it to be acknowledged correctly as a part of who I am.

To my fellow MFTs, have you ever had a client or family member have one of these misconceptions? Did I miss any? I hope this helps and feel free to share!

References

Sprenkle, D. H. (2003), effectiveness research in marriage and family therapy: introduction. Journal of Marital and Family Therapy, 29, 85–96.