5 Reasons Couples Counseling DOESN’T Work

One of the top google searches when it comes to couples therapy is, “does couples therapy work?” This is a logical and important question. Before you make the investment of your time, energy, and money to work on your relationship, I think it’s important to know how to get the most out of those investments. The short answer to that questions is no, it doesn’t always work, but here’s why: 

1. You see a  generalist rather than a specialist. 

I talk a lot about the importance of seeing a therapist who specializes in what it is you are looking for help with in my previous post about how to find a therapist. It is the number one thing you should be looking for when you set out to hire someone to help you with your relationship. 

I’ve had so many couples come to see me and tell me something egregious they’ve experienced with previous therapists. Things like, “well, the last therapist told us we should just get divorced,” or, “all she advised us to do was to have more date nights.” Not helpful. 

When I dig a little deeper and ask about the therapist it typically comes out that they were selected off of a list that their insurance company provided, or they were the first person available. Also not helpful. 

If you are having trouble with your eyes, you don’t go and see your primary care physician. You make an appointment with an Opthomolgist or Optometrist - someone who specializes in eye and vision care. This is the same way you should approach your search for a couples therapist. You don’t want someone who claims to specialize in everything from A-Z because they likely can’t give you the specialized care and treatment that you need. 

In my practice I have one main focus: couples. Through my education and training I have worked with many individual clients and even some children, but I have come to find that working with couples is my forte, and it’s what I’m most passionate about. Because I have dedicated my practice to working with couples it means that all of my continuing education is focused on honing those skills, on learning all that I can in this subject area, and I have attended many, many trainings that can help me be a better clinician in this exact area.  

2. You don’t attend sessions as often as recommended or for an optimal amount of time. 

A second reason couples therapy doesn’t work is that couples don’t invest the amount of time necessary to truly develop lasting change. When people tell me their last attempt at couples therapy wasn’t helpful, and I ask how many sessions they attended, the numbers are typically pretty low. If you can count on one hand the number of sessions you’ve attended, you can’t really expect a whole lot of change to come of that. 

Developing the skills that are necessary to create lasting change takes time. Think about how long you and your partner have been together, and how long you’ve been stuck in the same relational patterns. When you become accustomed to these patterns over time, it takes time to learn a new way, and to implement those things you are learning. 

Couples therapy isn’t like a regular doctor’s appointment. You don’t go in once, get a prescription, and then take it and move on. Therapy is a process, and in order for that process to work, you must invest the time. 

Another common issue is with the frequency of sessions. If you are seeing a therapist once a month you are literally spending one hour, out of the 730 hours focused on your relationship - think about that ratio. That is truly not enough time or energy to create change. 

In my practice I work with couples who are willing to show up on a weekly basis, because I have come to find that that is optimal and it is what leads to results.   

3. You look to the therapist to do the work for you. 

A couple’s therapist is like a guide. If you were to hire a guide to take you through a hike in a national forest, you would expect that guide to show you all of the amazing points of interest along that trek, point out areas you should avoid, and help you find your way. You would not expect that guide to move your feet for you - it is expected that you walk and climb alongside that guide, follow what he/she has to say, and do the work that it takes to get you to the peak, so that you can enjoy the amazing scenery. This is the same with therapy. 

It is not possible for the therapist to follow you home and implement the things you are learning in the therapy room for you - that is up to you. So if you uncover in therapy that you often become critical of your partner, and that has become detrimental to your relationship because of the hurt it is causing your partner, then it is up to you to change that pattern when you are outside the office. That process may be slow, and you might slip up from time to time, but ultimately you are the one who must create that change. 

4. You don’t do your homework. 

I give my clients homework all the time. I tell them what to focus on throughout the week between sessions, I recommend books for them to read, youtube videos for them to watch, and things to discuss outside our sessions. The clients who take the time to do the homework are the clients who are the most successful. They are the clients who report the most growth and change, and they are the couples who reach their goals the fastest. 

This goes back to the principle of time spent working on the relationship. If you are only spending one hour a week focusing on your relationship and hoping for massive change, that is not enough. It has to be on the forefront of your mind throughout the week as well, and homework is designed to help with that. 

5. You don’t give your therapist necessary feedback. 

If you don’t like starting sessions with smalltalk, then it is appropriate to ask your therapist to avoid it. Or maybe, you really don’t want any parenting advice, but instead would like to focus more on the parenting dynamic between you and your partner - it’s ok and necessary to speak up and let your therapist know how you are feeling. I’ve heard many clients tell me about things they disliked about their previous therapist, but when I inquire further, they often say they didn’t bring those things up to the therapist. In my practice I regularly seek out my client’s opinions of what the process is like for them, and check in regularly about what they like to change or focus on. 

Your therapist should also be seeking your feedback. It’s not always easy and it may even seem like you are being confrontational if you bring up something you dislike about their style, but our training prepares us for this. The therapeutic relationship also represents an authentic relationship, and so your therapist should be welcoming of criticism and requests in order to help strengthen your relationship, and to provide you with the best service possible. Holding back and not asking for what you need can result in poor therapeutic outcomes. 

If you have any questions for me, or if you are interested in working on your relationship, you can schedule a 15-minute phone consultation here.