Counseling Couples with Psychiatric Disorders

Relationship difficulties frequently occur in the presence of depressive, anxiety, personality and other psychiatric disorders. Couples therapists report coexisting psychiatric disorders to be among the most common and difficult problems encountered in couples therapy.

Being in a couple where one of the people suffers from a psychiatric disorder or mental health problem can be very difficult. When exhaustion and frustration increase the feelings can turn to anger and resentment. Couples therapy can often be helpful. The couples that are most likely to stay together are the ones that acknowledge the problem and get help.

Choosing the Right Couples Therapist

While couples counseling has long been established as an effective form of intervention, the usual clinical strategies are less effective when underlying psychiatric issues exist.

Therapists struggle to find options to promote enduring positive changes for these couples. Because different approaches, techniques and ethical considerations are required for success, it is important that therapists become more skilled in recognizing and treating existing psychiatric disorders within couples counseling.

If a one or both people in a relationship are dealing with mental health issues, it is important to find a therapist who has experience working with those specific issues. For example, a therapist who has training and experience with eating disorders will better understand how the problem impacts the both the individual and the relationship.

In addition to competency, a good couples therapist is sensitive to the fact that living with a mental health problem is a challenge. In both couples and individual counseling, I look beyond a "diagnosis" so I can appreciate the human being I am experiencing and communicating with.

How Psychiatric Disorders Affect Relationships

When someone in an intimate relationship has a psychiatric disorder or other mental health problem, it can exacerbate other difficulties in the relationship. Some of the most common mental health problems in relationships are the following. Click on the link to learn more about it affects relationships.

Psychiatric disorders can be particularly disruptive to a relationship, especially when the person is not under treatment. Sometimes part of the work in couples counseling is examining how mental health issues are affecting both the couple's relationship and each person's individual welfare.



A coward is incapable of exhibiting love; it is the prerogative of the brave.
~ Mohandas Gandhi
All I really, really want our love to do is to bring out the best in me and
in you too.
~ Joni Mitchell

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Dr. Randi Fredricks Ph.D. is a Psychotherapist and licensed as a Marriage Family Therapist MFC 47803. Dr. Fredricks is not licensed with the California Medical
Board or the California Bureau of Naturopathic Medicine. © 2012 Randi Fredricks, Marriage and Family Therapist, Inc. All rights reserved. Serving
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