Amy: One of the most profound transformations for a couple occurs with the birth of the first child, that magic transition from a
All families have Rule Systems, but they may not even know it. In this case story, psychiatrist/family therapist Dave Keith treats a family with a child diagnosed with ADHD. Watch how he disrupts the Family Rule system. Good things happen for the child.
Over the years, I’ve seen many couples whose presenting complaint revolves around sex. Usually it’s because the sex is too infrequent, too lackluster, or at the male parter has some kind of sexual dysfunction. (I’ve only seen one case where the complaint was too much sex!) As usual, unless there’s a biological problem, the sexual relationship is embedded in the larger emotional/psychological dance of the couple. Learning about this dance, and how to do some new steps, can change everything.
Amy: One of the best-kept secrets that even families themselves don’t know, is that kids worry about their parents. And why
Parenting advice often describes ways to “manage” a child’s temper tantrums. But temper tantrums, or defiant behavior in kids contain important messages for the parents. Often, without meaning to, kids are responding to underlying tensions in the family. They react in the only way they know how: through their behavior. The message: HELP!
Therapist Avi Klein wrote about the shame many men feel about their emotions, particularly feelings that expose a sense of vulnerability. We see men like that often in therapy with couples. Here’s a case of how one man allowed himself to be un-masked, and how it transformed the couple’s relationship.
In contemporary culture, as portrayed in commercials for pharmaceuticals, family members are portrayed as bystanders to suffering, having to “manage” the symptoms of their bi-polar loved one, or “suffer” the effects of the depressed person’s symptoms or behavior. But families, couples, all of us, can unwittingly get stuck in patterns, sometimes destructive patterns, of which we are unaware. Those patterns can cause distress in ourselves and others, which can show up as a “symptom” in one person. This is rarely intentional, more a product of the tricky, powerful and subtle nature of relationship dynamics.
Eating disorders are no exceptions. Most of the clinical writing and popular assumptions about anorexia and other eating disorders note that these conditions are characterized by the need for individual “control”. There’s truth to this. But if you expand the lens to include the family, you learn a lot about what this “control” can look like.
An extra-marital affair is one of the most profound “Stress Tests” of a marriage. Many couples who use this crisis as an opportunity to examine the state of their marriage end up with a more alive, more genuine connection. But others fail this test. What’s the difference between these couples? Here’s what one couple who didn’t make it looks like.
Depression is not a straightforward problem; it typically doesn’t yield to straightforward solutions. Here Dave consults on a case of an elderly depressed woman. His seemingly crazy intervention brings surprising results. Enjoy.
In this post, a family therapist and our good friend, Raluca, shares her observations about working with couples who are caught in hopeless power struggles. She talks about how the power of play can unlock these couples from a dead-end cycle, creating a sense of freedom and possibility.