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After the Affair

Two Case Studies Illustrate the Opportunities Moving Forward

Don-David Lusterman

By Don-David Lusterman - My goal is not merely to help these couples weather the crisis and patch things up, but to help them understand how both spouses created the marital context that made an affair possible, and how the crisis itself can be the spring board to a healthier, more satisfying relationship.

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Finding the Path Back

Couples Therapy After an Affair

Leo Fay

By Leo Fay - Every therapist knows that the disclosure of an extramarital affair can create an explosive crisis undermining the foundation of trust necessary to sustain a relationship. In the midst of that turbulence, our job is to help couples find a pathway to a new understanding of themselves and their marriage. Here's a protocol I've found especially helpful.

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Neutrality Is Sabotaging Couples Therapy

How Taking Sides Gets to the Heart of Conflict

Terry Real

By Terry Real - My own experience as a couples therapist has taught me that we aren't doing clients a favor by soft-pedaling difficult issues. More than adopting any particular methodology of change, we can be far more direct and challenging to clients who come to us than we've previously acknowledged. By and large, people are neither fragile nor stupid. If you show them how they're getting in their own way and what behaving more skillfully looks like, they'll be grateful.

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The Gay Man in the Straight Marriage

Exploring the Uncharted Territory of a "Mixed-Orientation Marriage"

Jeff Levy

By Jeff Levy - Gay men married to women frequently describe their experiences in therapy as confusing and polarizing, facing a strong bias toward full disclosure and divorce. My work with gay and bisexual men over the past 10 years has taught me to see psychotherapy as a place to hold dynamic tensions without easy, premature resolutions.

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What Makes Couples Therapy Stick?

Three Ways to Maintain Progress Outside the Consulting Room

Carolyn Daitch

By Carolyn Daitch - Successfully combating and overriding firmly ingrained behaviors requires practice. It's our job as therapists to help clients learn how and when to practice these skills, and then make sure they go home and do it.

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Words That Haunt

Helping Couples Work Through Old Character Attacks

Ellen Wachtel

By Ellen Wachtel - I used to believe that if a couple was getting along and behaving in a loving way to one another, hurtful and even cruel words would naturally fade into the background. But I’ve frequently seen couples in which hurt spouses may forgive their partner for the harsh words spoken in anger, but nonetheless remain haunted by some biting comment that continues to sting long after the argument is over.

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Disabling Toxic Verbiage

Four Ways to Push Pause on a Verbal Bully

Kate Cohen-Posey

By Kate Cohen-Posey - We live in an age in which using toxic verbiage against others has almost become the norm. Here's how we can help clients deal with these kinds of situations in the moment.

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VIDEO: Breaking Rigid Thinking Around Intimacy

A Three-Part Solution for Couples Therapy

Suzanne Iasenza

Sex therapist Suzanne Iasenza talks about a three-part process that helps couples free themselves from the rigid narratives about sex that keep them from exploring what really brings them pleasure.

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Esther Perel's Guide to Creating Erotic Experiences

Good Intimacy Doesn't Always Mean Good Lovemaking

Esther Perel

By Esther Perel - It’s long been the conventional wisdom among couples therapists that if couples fix the emotional issues in their relationship, their sexual lives will improve. But good intimacy doesn’t guarantee good sex.

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Getting Real in Couples Therapy

Ignoring the Destructive Patterns in Front of Us Does Our Clients a Disservice

Terry Real

By Terry Real - It's disrespectful to clients not to let them in on the truth about what we witness regularly in our offices as they play out their relationships in front of us: the ways they deal with their partners are often self-centered, unfeeling, and counterproductive. I believe that in order to teach our clients how to be authentic and connected, we must be real with them ourselves.

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