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July, 2009

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High Altitude Marriage Workshops: No More Hollywood Sunsets; it’s truly a work of art

"I always recommend working as a couple," says Ruth Morehouse, Ph.D., co-director of The Marriage & Family Center in Evergreen. "Even if the issue is individual, like low self-esteem or insecurity, the context of couples therapy is important. Your partner keeps you honest, provides an accurate picture of you, and sees you taking an issue on. It promotes respect between partners."

The seven-year itch is alive and well in the Front Range as is the seven-month revelation, the 14-year separation, and the 28-year divorce. There is, it seems, something to be said for sevens. And while there are no magic bullets for a healthy marriage, partners who roll-up their sleeves and invest time for fun, friendship, frank discussion, and fevered passion may sidestep the pitfalls of divorce, say marriage counselors in the Front Range.

"There are definitely cycles when it comes to the frequency of divorce," says Carolee Nimmer, Ph.D., with Kaiser Permanente in Denver. Infatuation wears off, sexual boredom sets in, communication problems develop, and kids deliver a whole new set of issues. But most therapists attribute high divorce rates to unrealistic expectations. Most couples don’t expect their marriage to be work; they don’t expect to have problems.

"There’s not much understanding of what a long-term relationship looks like," says Carolee.

From intimacy issues to emotional turmoil, disagreements over financial issues, and arguments over the household division of labor, couples grapple with weighty issues that can, if not addressed, end marriages. But once in therapy husbands and wives realize that all couples struggle with different issues. And after group meetings couples often walk away whispering: "Wow, and we thought we had trouble," say therapists.

"Ebbs and flows in a relationship are normal," Carolee says. "It [marriage] isn’t like the movies. Why do you think most movies end when couples get married?"

My theory? Daily realities dampen the romantic spirit. Bills to pay, families to merge, chores to share, and inevitable compromises make marriage a complicated ordeal. Yet the rewards of a good marriage are unparalleled, which is why many couples across the Front Range are seeking couples therapy, attending weekend enrichment programs, and participating in couples retreats.

Looking for Options

Local options abound. From spa environments and weekend retreats to HMO settings and private practice, couples are investing in their relationships and reassessing their roles in maintaining healthy marriages. Regardless of the forum, couples are advised to address their problems early and together.

"I always recommend working as a couple," says Ruth Morehouse, Ph.D., co-director of The Marriage & Family Center in Evergreen. "Even if the issue is individual, like low self-esteem or insecurity, the context of couples therapy is important. Your partner keeps you honest, provides an accurate picture of you, and sees you taking an issue on. It promotes respect between partners."

Before seeking therapy, counselors suggest that couples talk about goals, specifically what each person wants to get out of the therapy, identify what their issues are, and discuss how they want to proceed.

Couples therapy may vary in terms of approach but it is an intimate experience whereas weekend retreats and seminar type environments appeal to men and women who want to be exposed to common marital issues and given a time to work independently.

Ranging from an HMO co-pay of $10 to $120 an hour or $2500 for a weekend program, therapy is an expensive investment and a decision that – therapists argue – should not be based upon dollar value. As one therapist says, "How much is your marriage worth?"

Emphasizing that there is no quick fix to marital problems, therapists stress the importance of finding the right counselor and suggest a series of questions to ascertain compatibility.

Group Therapy or Private?

"Not all therapists are created equal," says Howard Markman, Ph.D., professor at the University of Denver who has spent 25 years researching marital trends. "I strongly suggest – if people want to give their relationship an edge – that they take advantage of research-based programs. We know that group [therapy] settings work," he says. Research shows us that "it leads to happier marriages and a decrease in divorce."

However, some couples prefer private therapy where they can work closely with a therapist on their own issues.

When interviewing a therapist, ask about approach (Freud, Cognitive Behavior, Humanism) and gauge his/her personal demeanor, says Marshall Colt, Ph.D., Advance Counseling, LLC in Denver. "Talk to the therapist. Does he/she sound like they care? I get such a kick out of helping couples repair their relationship." Yet he points out that the couple is the most important element of the three-person team. "I can only do so much," says Colt, who sees couples ranging in age from early 20s to late 60s. "It really depends on the commitment, honesty, and courage of the couple and to tell the truth, not everybody has that courage."

Colt, like many local therapists, uses the first meeting to share information about his technique and identify what issues the couple wants to work on. Couples are given homework or behavioral exercises to do at home and their willingness to complete assignments is telling, says Colt.

"I always ask my patients where they are, [in the relationship]" says Nimmer. "Often they have one foot out the door and what they really want is divorce counseling. It’s much better to come in earlier when you’re having minor problems. It’s harder to pull back from [long-standing] anger and resentment," explains Nimmer, who helped design Kaiser’s couples therapy program.

Members receive a questionnaire, have a meeting with a counselor, and are referred to communications classes, individual therapy, or outside therapists.

"The questionnaire is an intervention in and of itself," she adds. "It triggers them [members] to think about their own participation in the relationship, what they’re doing to contribute to marital problems."

Morehouse also focuses on the individual with an emphasis on sexual and intimacy issues. She interviews patients instead of using a questionnaire and asks them, "What has brought you here?"

"We help each person look at ways he/she is limiting the relationship," she says. "Real change is more likely to occur if you focus on how you do things."

The Last Secrets

When interviewing therapists ask about their expertise and what their comfort level is with sexual issues if that is an area of concern. Described by many local therapists as a special skill, sexual training for therapists varies.

"One of the last secrets couples keep from themselves is how they feel about themselves sexually," says Colt.

Morehouse not only agrees but also believes that sexual issues oftentimes mask deeper issues of rejection, vulnerability, and a partner’s inability to ask for what he/she desires. "[Patients] learn how to have a deeper connection, improve emotional and sexual intimacy and connect with themselves and their partners."

A member with diplomat status in the American Association of Sexual Education, Morehouse frequently trains therapists on how to deal with sexual issues and has had tremendous success with her patients. "We have a very effective brand of therapy," she says. "Children send parents, parents send children, and therapists send us their hard patients."

The Center offers Enrichment Weekends, Couples Retreats, Local Therapy, and an Intense Therapy Program, which entails three hours of therapy four days in a row.

"The intensity [of the Intense program] is what prompts change to occur," she explains. "Couples confront themselves versus blaming the other person. People tell us that it goes deeper into issues instead of just addressing communication problems."

Seeking Pre-Marital Counseling

Communication is, however, one of the most popular complaints among couples in the Front Range, say therapists, who advise couples to seek counseling early.

Pre-marital counseling, which is required by some churches, nips potential problems in the bud for "forward-thinking people who want to get [started] on the right foot," says Colt.

Markman describes pre-marital counseling as "prevention not therapy". "It gives them an edge in developing healthy habits," he said.

Guidelines for effective therapy may vary but one steadfast rule, says Colt, is that "therapists shouldn’t tell couples what to do. Good therapists don’t give advice," he says. "They help couples do what they can to help themselves. They help people find out what is in their best interests to do."

Resources:

The Coalition for Marriage, Family and Couples Education, 5310 Belt Road NW, Washington, D.C. 20015-1961; www.smartmarriages.com.

D. Truman Parker M.Div., M.R.E.—Couples Workshops-PREP (Prevention and Relationship Enhancement Program), Windsor, 80550; 970-674-1662; e-mail: alrc1@cybercell.net.

Katherine Koselka-Robredo LCSW—Couples Research, Workshop, Colorado Springs, 80918; 719-531-9211, e-mail robredo@earthlink.net.

Marshall Colt, Ph.D., Advance Counseling, LLC, Denver; 303-399-5555; www.advance-counseling-denver-boulder.com.

PREP Inc. (Prevention and Relationship Enhancement Program)—Couples Research, Workshops, P.O. Box 102530, Denver, 80250 or 1780 South Bellaire, Suite 520, Denver, 80222; 303-759-9931.

Ruth Morehouse, Ph.D., The Marriage & Family Center, Evergreen; 303-670-2630; www.passionatemarriage.com.

Helpful website about finding the right therapist in the Prevention and Relationship Enhancement Program. This program is designed to facilitate communication within a relationship. Some programs have a religiously oriented approach: www.prepinc.com/main/about_therapy.asp.

Books:

Getting the Love You Want, Harville Hendrix, Ph.D.

The Good Marriage, Judith S. Wallerstein, Sandra Blakeslee.


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