Working As a Marriage Therapist: What to Expect

Even the best of marriages can experience rough patches. Significant life events, career changes, feelings of doubts, and even communication problems can lead to feelings of hurt and mistrust between spouses. Once both spouses in a marriage are hurt, it can cause a variety of relationship problems and conflict between the two. A marriage therapist's job is to help a couple determine the root cause of their marital distress and assist in developing new methods and behaviors to solve their differences and determine if the marriage is salvageable. Whether referred to as couples therapy, marital therapy, or relationship therapy, the goal remains the same: to foster mental health and relational harmony. 

So, how does marriage therapy work? To help you decide if a career in marriage therapy is something you'd like to explore, we've put together this guide outlining what to expect when working as a marriage therapist.

What is a Marriage Therapist?

To better understand the concept, what is marriage therapy and what do marriage therapists talk about? According to the American Association for Marriage and Family Therapy (AAMFT), a licensed marriage therapist is someone who performs a variety of clinical services for mental health issues, psychological concerns, and interpersonal relationship issues. Simply put, marriage therapists are trained to listen, access, and mediate conversations between individuals struggling in their marriage to improve their well-being and relationship. Though marriage therapists often work with individuals, they can also help to counsel couples and families in marital therapy.

What Does a Marriage Therapist do?

A marriage and family therapist is a licensed mental health therapist for couples and families. They may work alongside a licensed clinical social worker to provide comprehensive clinical mental health therapy. They can engage in private practice or in an institutional setting. While the job description of a marriage therapist differs depending on where and who a therapist works with^1, Here are a few typical job requirements and specifications of a marriage therapist:

1. Provide therapy services to couples and individuals seeking to improve the health of their relationship
2. Identify critical obstacles within interpersonal relationships
3. Help facilitate positive change
4. Diagnosing, accessing and providing mediation services as needed
5. Coordinating treatment and referring individuals to other professionals (medical doctors, dietitians, and case managers) as required. 

How to Become a Marriage Therapist for Couples Therapy

Couples therapists are adept in clinical psychology techniques. The most common way to begin working toward becoming a marriage therapist is to obtain a Master's degree in Marital and Family Therapy, or Clinical Mental Health Counseling followed by the required licensure and clinical experience. While there are alternative methods, like seeking clinical graduate and postgraduate supervised hours of practice, most job positions will require a master's degree.²

Master's degree programs in marital and family therapy typically focus on coursework involving:

• Clinical interventions
• Counseling theory
• Law and Ethics
• Individual and Family Life Cycle
• Introduction to Psychopathology
• Group Therapy
• Parent-Child Therapy Techniques
• Chemical Dependency and the Family
• Couples Therapy
• Trauma and Crisis Intervention
• Psychopharmacology

As students complete their school coursework, they often have the opportunity to intern as a training therapist at approved clinical sites. Upon the completion of a master's degree and required training, some individuals go on to complete a Doctorate in Marriage and Family Therapy program.

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What can you Expect as a Marriage therapist?

1. Expect to Counsel Individuals and Couples

While a couples therapist helps couples through their marriage problems, they do not always see both individuals at the same time. Often, it is better for the marriage therapist and the couple if the patients work through things in individual therapy. Talking to a couples therapist on a one-on-one basis or individual therapy allows patients to feel more comfortable expressing their feelings and diminishes feelings of judgment from their spouse. Or, in other instances, a spouse may seek relationship therapy on their own because their partner refuses to attend meetings.

Often, when both spouses agree they need couples therapy, they will seek help together to better understand what is causing their marriage problems. If a married couple attends relationship therapy together it is the marriage therapists job to clearly assess the situation and help mediate discussions between the couple. By providing a couple with a set of actionable steps and boundaries, a good marriage therapist can help their patients get their marriage back on track.

2. Expect to Provide a Level Ground

The role of therapy is to provide patients with a safe space to talk openly about what is troubling them. In a marriage therapy session, the therapist mustn't make either spouse feel as if they are taking sides. Instead, the therapist should encourage each spouse to talk about what is disrupting the marriage and keep bullying and dominating to a minimum. In addition to providing a neutral space for the couple to talk, it's a couples therapist's job to detect emotions of betrayal, hurt, or anger during a therapy session and work on coping strategies for the patient.

3. Expect to Listen

In most cases, marriage therapists will refrain from telling a couple if they should continue to work on their marriage or file for divorce. Instead, a licensed professional therapist is trained to help promote effective communication between the couple, dialogue that will render real results. Marriage therapy questions are aimed at nurturing communication skills and mutual understanding. Instead of telling a couple what to do, an experienced marriage therapist or licensed therapist provides insight into each of the spouses' perspectives. A therapist may make suggestions about reducing hurtful habits that they have noticed a spouse is bothered by - habits like, not showing respect to one another, being insensitive, or habitual lying. By helping the couple identify what is hurting their marriage, a therapist can teach the couple how to communicate with one another more effectively and end problems before they start.

4. Expect to Keep it Real

Remember, a relationship therapist cannot diagnose and treat mental illnesses that may be contributing to the failure of a marriage. Diagnosing and treating mental illness is the role of a psychiatrist, and any mention of mental illness should be taken very seriously.³ Instead, if a therapist suspects that mental illness may be present, they can make suggestions about what they believe the underlying issue to be. Childhood trauma, depression, and substance abuse are all underlying factors that could contribute to a couple's troubles. Depending on the severity of the mental illness, it is a therapist's responsibility to refer the individual to an appropriate medical doctor. If a patient does decide to seek the help of a medical doctor, this does not mean that the marriage therapy session ends. Instead, once treatment has started, the marriage therapist can continue with the couples therapy session and help the couple determine the next steps to take to mend the marriage.

5. Expect to Keep Couples on Track

As life gets busier, it's not uncommon for the health of a marriage to take the backseat. Often, two people enter a marriage with a team mindset, and overtime small issues begin to build into bigger ones until the team dynamic is no longer. Children, demanding jobs, or a spouse's personal interests are all factors that can contribute to the mutual goals of a successful marriage getting lost or set aside. It is a marriage therapist's duty to help shed light on these issues and encourage their patients to be considerate and thoughtful of each other once again - just like when they were dating! A marriage therapist will help the couple assess the underlying problems in their marriage and provide them with the tools needed to mend it back into a healthy relationship.

6. Expect to Assist Couples in Difficult Circumstances

Though couples often explore marital therapy after they are already experiencing problems in their marriage, there are non-marriage related circumstances in which a couple will seek out a family therapist. When families face a difficult situation such as an illness, death, or job loss it can become hard to navigate through the struggle without feelings of anxiety, depression, or resentment arising. Significant life changes can put a great deal of pressure on individuals and their relationships. One spouse may shut down and not want to communicate, while the other is left seeking someone to talk to. It is the role of a Marriage Counselor or Family Therapist to assist, support, and offer solutions to families experiencing these difficult times.

Earning your Marriage and Family Therapy Degree

Pursuing careers in marriage therapy opens many doors for those passionate about helping couples and families navigate their relationships. Earn your Marriage and Family Therapy degree on a schedule that works for you. At Alliant International University, we offer day, evening, and executive-format classes at each campus. Our family therapy programs make every effort to meet the needs of each cohort of students creating a tailored schedule that fits within your lifestyle.

Become a Marriage therapist today

Ensure that your graduate program is accredited by the Commission on Accreditation for Marriage and Family Therapy Education (COAMFTE) and receive quality family therapy education by enrolling in Alliant's Marriage and Family Therapy graduate programs. Alliant is one of a select number that hold COAMFTE accreditation. 

For more information on Alliant's uniquely tailored Marital and Family Therapy courses and marriage therapist jobs, check out our online and on campus MFT Programs.

Sources

1. “Where Do Counselors Work? - Settings & Their Similarities & Differences.” Study.com | Take Online Courses. Earn College Credit. Research Schools, Degrees & Careers. Accessed November 19, 2021. https://study.com/academy/lesson/where-do-counselors-work-settings-thei….
2. “What Does a Marriage Counselor Do?” CHRON. CHRON. Accessed November 19, 2021. https://work.chron.com/marriage-counselor-do-12240.html.
3. “How to Become a Marriage Counselor.” Marriage Counselor Career: Job Duties, Skills & Degrees. Accessed November 19, 2021. https://www.psychologyschoolguide.net/counseling-careers/becoming-a-mar…;