The question of whether a therapist can or should provide conjoint individual and couples therapy is a hotly debated issue with no clear guidelines or answers.
There are no clear guidelines or rules for therapists considering conjoint individual and couples' therapy.
If you ever want to watch a gathering of therapists devolve into chaos, simply lean in and say, “I think it’s absolutely fine for couples’ therapists to provide individual therapy to the members of the couple at the same time as they are doing marital therapy for the couple.” Then, sit back and watch. It’s unlikely it will turn into a brawl, but I can almost guarantee you will be entertained. This is a complex issue where therapists have strong feelings on both sides.
Another issue that can frequently come up in this dynamic is that the therapist may learn during individual therapy that one of the partners has engaged inor other behaviors that jeopardize the health of the couple.
Couples’ therapists are always at risk of developing counter-productive triangulations as they work with a dyad. Some therapists may overly identify with, or ally with, one individual in the couple. They may see one partner as the victim, and the therapist’s job is to protect them from the other partner. Here, the therapist may lose sight of their focus on the overall couple’s well-being.
Either of the individuals in the couple are unable to consistently and consciously consider and weigh their needs against their partners’ needs, and the needs of the couple.I have, rarely, suggested that conjoint individual and couples’ therapy may be appropriate when:
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