Marblehead
Counseling
Center

LEARN MORE ABOUT COUNSELING

What Is Counseling?

Simply put, counseling is a process through which a person explores with another or others an issue that is affecting his/her life.  The art of counseling is as old as mankind and continues to today.  From the ancient Egyptians seeking the advice of the high priest to the current day use of consultants to address a corporation’s marketing issues, counseling has been a way to arrive at a new perspective on a problem.

The science of psychotherapeutic counseling, however, traces its roots back to Sigmund Freud’s work in Germany.  Since then, psychotherapy has come a long way in understanding what needs drive a person and what approaches can most effectively help to discover solutions to the “stuck points” in someone’s life.

It is fair to say that today most therapists use a combination of techniques in their practices.  The counseling process no longer means “lying on the couch and getting psychoanalyzed” nor does it equate to “getting your head shrunk”.  These days counseling is a dynamic interaction between a client and a therapist in which both work on the issues at hand.  The topics can range from substance abuse to parenting and from depression to career choices.  Most important in this process are not the techniques that the counselor utilizes but the relationship of trust and openness that he/she and the client develop.  In an effective therapeutic relationship, a “chemistry” exists that allows the therapist to challenge and the client to explore even through emotional pain or struggle.

Most often, the methodology used in counseling falls into one, or a combination of, five approaches:

  • Individual sessions in which a client meets one-on-one with a therapist.  In the beginning of treatment the two determine which issues to discuss, the goals of the counseling and what support systems exist outside counseling to bolster the changes that the client wants to implement in his/her life.  Individual sessions can last for a very short time (e.g., two sessions for feedback on a decision that is nearly complete) or a longer period (e.g., 18 months of weekly sessions to deal being a victim of child sexual abuse).  Usually, ten to twenty sessions are enough to address and resolve most issues or problems.  Individual counseling is used to gain insights, explore alternatives, generate solutions, and change behaviors and attitudes.
     

  • Couple sessions in which two adults in a personal/intimate relationship address issues that are affecting that relationship.  The overall goals are to help partners listen to each other, clarify expectations each has of the other, change attitudes, let go of built-up resentments, and reconnect.  Often the specific topics covered include communication, sexual conflicts, financial tensions, child rearing and day-to-day living agreements.  There are three basic types of couple counseling:  premarital, relationship growth, and decision whether or not to continue a relationship.  The last one, while difficult, can help keep a marriage together or help to make a separation/divorce be a positive and supported change for both partners.  In couple counseling, if one of the clients discovers issues that he/she has been carrying for a long time (such as childhood trauma) or that he/she needs to address alone (such as depression), individual sessions are arranged.
     

  •  Family sessions in which parents and children in a family come together to handle struggles that they are all experiencing.  Usually, the types of issues that family counseling address are specific and can be dealt with in a few sessions.  However, some problems, such as substance abuse of a family member, can go much deeper and require an investment of time to resolve.  The beauty of this approach is that many of the players in a family system look at their problems together and jointly decide what to do to change their life together.  It allows the therapy to progress much more quickly because they are all working toward the same goals.
     

  • Therapy Group sessions in which four to twelve, usually unrelated persons come together in a structure that is led by one or two therapists.  In group counseling, the leaders define the purpose of getting together, lay out the rules of interaction and confidentiality, and guide the members in exploring their issues.  For their part, the members are both receiving help from others and giving help to their fellow members.  Group sessions are a very powerful way to explore common themes and grow individually.  Groups come in many shapes.  They can be ongoing with no special topic on which to focus (called general therapy groups).  On the other hand, they can be very specific and time-limited (such as an eight-week group for teens whose parents are separating).
     

  • Support Group sessions in which two to any number of persons gather to help each other.  Like a therapy group, a support group can be topic related (such as parenting support) or open ended.  And, it has a rule of confidentiality that lets members feel comfortable enough to reveal themselves.  While it does not have leaders who are therapists, usually one or two members take on the role of organizing, ranging from where and when the group meets to who brings the refreshments.  The support group is a powerful tool to help people change and renew their lives.  The largest one is the world-wide Alcoholics Anonymous.  But on a smaller level, ones such as women-in-transition groups are just as effective in supporting growth.

Counseling by itself cannot change a person’s life.  Rather, change occurs only when a client explores his/her issues, looks at alternatives, makes a decision to alter an attitude or a behavior and then puts that decision into action.  Counseling, in whatever form it takes, is merely the catalyst and guide in helping a client through that process.


  Tel: 781.631.8273  Fax: 781.631.7264
  Info@marbleheadcounseling.org
Marblehead Counseling Center
66 Clifton Avenue
Marblehead, MA  01945
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