Showing posts with label Port Moody. Show all posts
Showing posts with label Port Moody. Show all posts

Saturday, August 20, 2011

Self-Help Ideas for couples

I've just put a new post on my RelatedMinds website blog. Click here to find the post: CLICK HERE

This post reviews a couple of the more useful, and scientifically based, self-help programs for couples who are considering a self-help approach rather than couples counselling / therapy or marriage counselling / therapy. The suggestions are based on the work of Dr. John Gottman, one of the few scientifically - research based marriage and relationship counselling programs available.

Dr. Jim Roche
Registered Psychologist
Registered Marriage and Family Therapist
778.998-7975

Tuesday, August 17, 2010

John Gray: How Men Communicate

I've never been a big fan of John Gray, the author of Men are From Mars and Women, well, you know, VENUS! But often times when sitting in a session, trying to be very focused on teaching John Gottman's theory and doing John Gottman's exercises, I end up telling a story based on what I heard from John Gray.

It's pretty good stuff, and you should take some time to figure out why on your wife's birthday the card is more important than the gift, and on your husband's birthday it's the present that counts.



Enjoy this short video.

For more information on my Marriage, Couple and Family Therapy services, serving Burnaby, Coquitlam, New Westminster and Port Moody out of my Burnaby office, or information about my Vancouver office, click here. If you need information on how to get to my office, or about other services, click here.

Again, I remind you, if you are looking for a marriage, couple or family therapist your best choice is a Registered Marriage and Family Therapist in British Columbia. These are individuals with specific training and supervision in working with families. If your insurance carrier will only pay for the services of a Registered Psychologist, you will find a number of RMFTs are also Registered Psychologists.

Sunday, August 1, 2010

Does Couple Counselling Work?

Does couple counselling work? That's a hard question to answer because success can mean something very different to one couple than another. What I do know is that if your marriage is having problems, you shouldn't wait too long to seek professional help. Sometimes success is a couple staying together. Sometimes it means breaking up. Sometimes it means breaking up and acting in a decent enough way to each other that the divorce doesn't have detrimental effects on your children. And sometimes it means breaking up and NOT making the same mistakes over and over again in your future relationships. But for most couples who show up at my office door for couple therapy or marriage counselling, their goal is to stay together. So what are your chances of staying together?

Some people think the answer is found in these questions:
Did you marry at an early age?
Did you not graduate from high school?
Are you in a low-income bracket?
Are you in an inter-faith marriage?
Did your parents divorce?
Do you criticize one another?
Is there a lot of defensiveness in your marriage?
Do you tend to withdraw from one another?
Do you feel contempt for one another?

If you answered "yes" to most of these questions, then you are statistically a higher risk for divorce than couples who have realistic expectations of one another and their marriage, communicate well, use conflict resolution skills, and are compatible with one another. But remember, that means you are statistically more at risk, not that your marriage or relationship is doomed. There are things that you can do, and two of the most effective areas you can do work on are criticism and contempt. John Gottman things these are the nuclear weapons of marriage problems, and he has the data and science to prove it.

The Effectiveness of Marriage Counselling
The science of marriage counselling is being studied in great detail these days, especially by science practitioners like John Gottman. Although some research studies have shown that marriage counselling is not as effective as people think, that women seem to get more from it than men, and that it might not have a lasting effect on the couple's marriage, we think that receiving professional help before problems reach critical stage is beneficial to a marriage. A study by AAMFT shows that families do want therapy and place a high value on the experience.

What Type of Couple Gets the Most From Marriage Counselling? Heres the list:
Young couples.
Non-sexist couples.
Couples who are still in love.
Couples who are open to therapy and change.

What Type of Couple Receives the Least from Marriage Counselling?
Couples who wait too long before seeking help.
Marriages with one or the other spouse set on getting a divorce.
Married individuals who are closed to any suggestions that may save the marriage.

Solutions Learned From Happy Couples
John Gottman's research looks at happy couples for solutions. He has discovered that even though all couples experience conflict in their marriages, happy couples apparently know how to handle their disagreements because of a foundation of affection and friendship.
Unhappy couples do not have this skill. Gottman suggests that the goal of couple therapy needs to change. Rather than trying to change marriages, he thinks counsellors should teach communication skills to couples. And this is best done by practice, practice and more practice. There are several books, DVD's and complete packaged programs available from the Gottman Institute. These can help, but most couples need personal guidance. My web page contains a number of these resources and your welcome to click here to check these resources out.

My practice, with offices close to Burnaby/Coquitlam/New Westminster and Vancouver can offer you this help. Click here for more information.

Finally, if you need a family therapist or couple therapist elsewhere in the province I suggest you look at the web site for the British Columbia Association for Marriage and Family Therapy, the American Association for Marriage and Family Therapy or the BC Psychology Association. If you go to the AAMFT or BCAMFT sites you will find licensed or registered family therapists who are also registered psychologists, this may help in finding someone who your insurance plan might cover. But most of all, see someone who is a registered marriage and family therapist. Others may claim they do family or couples therapy (such as RCC / Registered Clinical Counsellors or Registered Social Workers), but RMFTs, Registered Marriage and Family Therapists have specialized training working with couples, including on average two years of supervised clinical practice. Others may have taken a course in family therapy, but are not specialists.

Please feel free to contact me if you have questions about finding a family or couples counsellor.

Dr. Jim Roche
778.9987975
www.drjimroche.com

Monday, July 19, 2010

Children, Behaviour Problems and Couples Therapy: Which First?

Often couples come in to see me who are having problems both with their relationship and with their children's behaviour. "Which should we work on first?" is often the question. Well, it's hard to say, but I do know you can't get anywhere working on your children's behaviour issues while your fighting. So, generally I think it's relationship, then kids.

That doesn't mean that you should wait for your relationship to be fixed before you begin working on the kids. There are some simple techniques that will help improve things quickly, and working on these issues will be a good place for you and your spouse to try out your new couples and communications skills.

For those who are not familiar with my programs for children I do a considerable amount of child and adolescent therapy. This usually includes seeing the children briefly, so that I have a fairly good idea of how they are doing, and then training the parents. This is what works best, because parents spend the most time with their children and will have the greatest chance of effecting change.

Often initial child therapy involves developing some interactions skills that will come in useful. I often recommend Dr. Ross Greens book "The Explosive Child" in order to understand how to soften and reduce the frequency of temper tantrums. Yes, these are also good skills to use with each other, and even for couples without children I sometimes recommend this book! Next we try to develop a comprehensive behaviour plan that includes ignoring, as much as humanly possible, inappropriate behaviours, and reinforcing new appropriate behaviours. That means understanding why your child does something, and knowing what the "function" of the behaviour is. We then try to teach the child a new functionally equivalent replacement behaviour which still gets the child what he or she needs or wants, but to do it in an appropriate way. You may be thinking, well, maybe that's what we should be doing with each other as well. You right if that's what your thinking.

Often marriage or couple therapy is about developing a deeper understanding of the needs of the other, and together developing new appropriate ways to meet those needs. That goes for you, your spouse or your child.

If you would like to know more about family or marriage counselling please go to my web page at www.relatedminds.com If your having particular trouble with your child, especially one who has ADHD (attention deficit hyperactivity disorder, autism or other problems, you could go directly to my attention deficit hyperactivity disorder website at www.adhdhelp.ca Finally, you can find out more about me at my Psychology Today web site by clicking here.

You can set up an appointment for my Burnaby office by calling 778.9980-7975 My Burnaby office serves Burnaby, New Westminster, Coquitlam, Port Moody, New West Minster and Maple Ridge. I also have offices in Vancouver. You will find a map to my office on my website.

Saturday, June 19, 2010

How to Choose a Marriage and Family Counsellor or Therapist

How to choose a Marriage and Family Therapist

You will find a list of Registered Marriage and Family Therapists (RMFT’s) in British Columbia by clicking this link AAMFT.

All REGISTERED Marriage and Family Therapist are all clinical members of the British Columbia Association for Marriage and Family Therapy (BCAMFT) and the American Association of Marriage and Family Therapists (AAMFT). This includes a graduate degree focused on family therapy and two years of close clinical supervision by an approved and specially trained supervisor.

When you have identified one or more RMFT from the list who are accessible to you, call and interview them briefly over the phone. Some questions you may want to consider are:

What is your educational and training background?

All registered marriage and family therapists therapists on this list are qualified and experienced, but you may like to find out where they went to school, their specialty, or how long they have been doing this work.

Do you have experience treating the kind of problem I have?

Remember, not all therapists can treat all problems. Sometimes a therapist specializes in certain areas. If the therapist’s area of expertise is not the one you are looking for, ask for a referral to a therapist who can best help you. You will need to briefly indicate the problems you are experiencing (eg. marital difficulties, stress, anxiety at work etc). You should expect the therapist to ask you a bit about your problems to se if THEY are a good fit.

How much do you charge and what is your method of payment?

Fees typically range in B.C. $100.00 to $125.00 for those with an MA. Those with doctorate degrees (PhD’s) typically charge $160.00 to $175.00 per hour.

Would you be covered under my employment insurance policy or any other plan?

Some employers, typically the larger ones, have extended health benefits that cover some counselling. Read the fine print carefully. Sometimes MFTs are covered, sometimes they are not. A number of larger companies have employee assistance plans (EAP’s) that do cover MFTs. Again, check a carefully with your employer’s human resources or personnel department. Although the therapist may not know the answer off hand (as there are many policies and they keep changing) he/she should be able to guide you to find out the information you seek. As well, some employers or insurance companies will add a particular therapist or professional therapy designation to their list of those who are covered if employees make the request.

A number of MFT here in British Columbia are also Registered Psychologist (in addition to their MFT training). Their services are almost always covered by extended health care plans.

Also, remember that you may see a number of individuals advertising, especially on the web, who say they are marriage and family therapist or practice marriage counselling. Many of these are RCCs (Registered Clinical Counsellors) or CCC (Canadian Clinical Counsellors). Unless they are members of the British Columbia Association of Marriage and Family Therapist they are not registered family therapists. Often they will have had a course of two in family therapy, and maybe have practiced family therapy for a while. However, this is very different from a clinical member of AAMFT and BCAMFT who have completed specialized graduate programs in the field and have had a minimum of 1,200 hours of supervised clinical experience under the supervision of an approved and specially trained supervisor. (Some RCCs may have as little as 100 hours of supervised training, CCCs even less.) Ask, "Are you a clinical member of the British Columbia Association of Marriage and Family Therapists?" If couple or family issues are your problem, go to an expert.

Where are the sessions held and what is the length of time of a session?

After you have had a brief conversation based on the above questions you should have a “feel” for this therapist. If you feel fairly positive, proceed with booking an appointment. If you don’t feel comfortable for any reason, interview some one else.

Finally, the usual length of session is 50 to 60 minutes. Sometimes you can arrange a longer
session.

For more information on specialized Family and Couple Therapy in British Columbia you can click here and go to BCAMFT website.

For information about my website go to www.relatedminds.com

Tuesday, May 11, 2010

Research Supports Effectiveness of Marriage and Family Therapy / Counselling

The largest clinical trial of couple therapy ever conducted has found that therapy can help even very distressed married couples: if both partners want to improve their marriage. and that is a critical part of the findings.

“It takes only one person to end a marriage but two people to make it work,” said Andrew Christensen, the lead author of the study, which appears in the April issue of the Journal of Consulting and Clinical Psychology. The couples received up to 26 therapy sessions. Psychologists then conducted follow-up sessions approximately every six months for five years after therapy ended. When the therapy sessions were over, about two-thirds of the couples overall had shown "significant clinical improvement." The study included 134 married couples, 71 in Los Angeles and 63 in Seattle who were in their 30s and 40s. The couples were “chronically, seriously distressed” and fought frequently, but they were hoping to improve their marriages.

so there is hope, if you WANT to work on your marriage. In the next few posts I will look at the work of Dr. John Gottman of The Gottman Institute. Dr. Gottman was one of the first professionals to do scientific studies of couples and what the difference is between couples whose marriages withstand difficult times and those who don't. As a matter of fact Dr. Gottman is able to predict, after an initial interview, where your marriage is going.

Some of the factors that put couples at high risk for divorce are: Marriage at an early age; not graduating from high school; low-income bracket; inter-faith marriage; parents who were divorced; the way you criticize each other; the amount of defensiveness in your marriage; the tendency to withdraw from one another; and what can best be described as "contempt" for each other. These are all signs of you being statistically at higher risk of divorce. But they are also things we can actually do something about. These are things, for the most party, we can change or adapt to. If we want.

Who does well in marriage can couple counselling / therapy?

Young couples; non-sexist couples (yes, there is a reason for a therapist to push that issue!); couples who are still in love; and couples who are open to therapy and change.

In marriage and couple therapy we can help you set goals for what needs to change. We don't try to change your marriage, but instead teach you the skills to communicate your needs and perspectives. All couples experience conflict, most fight and argue! Happy couples know how to handle their disagreements because they have a relationship with a strong foundation of affection and friendship. Unhappy couples simply do not have these skills. But they are skills you can learn, practice and become experts at.

What the research is also clear about is that you shouldn't wait until it's too late. If you think your marriage is in trouble, get help and don't wait. One place you can look for a marriage therapist is through the American Association for Marriage and Family Therapists (AAMFT). In British Columbia members of the BCAMFT are Clinical Members of AAMFT. Many are also Registered Psychologists or Social Workers. Look for a therapist early.

Dr. Jim Roche is a Registered Psychologist and Registered MArriage and Family Therapist. He has offices in Burnaby (close to Coquitlam, Port Moody and New Westminster) and Vancouver. you can find information on his practice at www.relatedminds.com or at his link through AAMFT. He has over twenty years experience as a clinical member of AAMFT.

Dr. Jim Roche
778.998-7975
clinicalpsychology@gmail.com

Sunday, May 9, 2010

Marriage and Family Therapy Blog

Welcome to the Vancouver Marriage and Family Therapy Blog. Here I will try to provide some basic information on current practices in marriage, family and couples therapy, as well as some specific techniques that any couple might find useful to help their relationship grow.

I am a registered marriage and family therapist in British Columbia, as well as a registered psychologist. Additionally I am a clinical member of the American Association for Marriage and Family Therapists (AAMFT) and have licenses in social work and counselling in several other jurisdictions. I have a private practice in the lower mainland with offices in Burnaby and Vancouver. My Burnaby office is located at Lougheed Mall near Port Coquitlam and New Westminster. You can find out more about my practice at my professional website at www.drjimroche.com or at my Psychology Today site. My office hours include evening and weekends.

The next posting will begin with some basic information on marriage and couple therapy. After that I will try to explain some of the new research in the field of marriage therapy and give an explaination of the work of Dr. John Gottman, a leader in the field of marriage and couple's counselling. If you have any specific questions that you feel would be good for the blog just email me.

Key Words: Marriage therapy, marriage counselling, couples counselling, couples therapy, Vancouver, Burnaby, Coquitlam, New Westminster, Port Moody, psychologist, counsellor.