I started my couples communication skills simulation training program called ‘Handling Conflict With Confidence’ in 1998.   Now 40% of my private practice is working with couples.   

While I use an educational approach in helping couples handle conflict, my work can still be called marriage therapy or couples counseling.   As a licensed therapist,  I assess the individuals to evaluate whether one, or both of them, has a disorder that results in poor impulse control.  I’ll make the appropriate referrals for medication or medical assessment when necessary. However, my skills training program is part of the assessment of medical issues.   

If someone cannot reasonably follow through on his agreements; then he (or she) is not in control of his own behavior, and may benefit from medications.   I’m doing my workshops for couples communication skills about once every other month.   I’ve been a psychotherapist for over 30 years treating people with depression, anxiety and posttraumatic stress disorders. Twenty- years ago I began my work in domestic violence men’s groups and continue to co-facilitate a weekly group for abusive men. 

While the principles of working with abusive men are different than marriage counseling and marriage therapy, my experience with the men help me focus on the disrespectful behaviors clearly.  It’s also clear to me that women can be disrespectful with their men, and I address this as vigorously as with the men.