Therapy for Couples in San Antonio

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Couples Therapy is Our Specialty

We understand that we are being trusted with one of the most important parts of your life — your closest and most important relationship — and we take this responsibility very seriously. We have couples therapists with experience and expertise in all aspects of relationship needs, including communication, conflict resolution, infidelity recovery, sex and intimacy, discernment, and navigating life transitions together.

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Our Approach to Couples Therapy

The specific approach will depend on the nature of the problem that brought you to therapy, your relationship's history, your current interactions, and the personality of each partner. However, in any case, the therapist will seek to:

  • develop a relationship with each partner that allows each member of the partner to feel comfortable and safe with the therapist

  • understand how each partner experiences the relationship in general and the “problem” specifically

  • understand what each partner needs from the relationship in order to feel connected, satisfied, and fulfilled

  • help the couple build the skills, trust, confidence, and connection to create the relationship they want and need

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Types of Couples Therapy

Approaches to couples therapy most commonly used by ICFE therapists are:

  • Emotionally Focused Couples Therapy (EFCT)

  • Gottman Method

  • Solution-Focused Therapy

  • Psychoeducational Therapy

  • Narrative Therapy

  • Cognitive Behavioral Couples Therapy (CBCT)

  • Trauma-informed approaches

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Discernment Counseling

If either partner is seriously considering ending the relationship, discernment counseling is likely the better alternative to couples therapy. Discernment Counseling is a brief, focused couples intervention to support the couple in gaining confidence and clarity about how to move forward in their relationship.

Discernment Counseling

Common Issues Leading Couples to Seek Therapy

  • Feeling unheard or misunderstood

  • Loss of connection and intimacy

  • Dissatisfaction with sexual intimacy

  • A significant change that has occurred (birth of a child, child leaving household, employment changes, illness of family member, etc.)

  • Inability to have a “productive” disagreement and solve problems together

  • Frequently having conflict over money management or household tasks

  • A significant loss or traumatic event

  • Infidelity (physical, emotional, or “virtual”) has been discovered or disclosed

  • Disagreement over parenting styles and other decisions related to children

  • Physical or verbal aggression

  • Substance use or abuse

  • A threat of separation or divorce