Marriage and Relationship Counseling
Many therapists employ a communication model for couples work that assumes that most couples’ problems derive from dysfunctional communication. The assumption seems to be that teaching better communication should resolve their difficulties. Unfortunately, most well-controlled studies show that only about one-third of the couples going through marital therapy are reporting significant post-treatment benefits. Those are not impressive statistics and they do not give much support for a simplistic communication therapy model. A couple’s communication usually breaks down because of more complex emotional dynamics. Those dynamics can involve historical shame issues, personality deficits, knowledge deficits, and boundary interactions. These issues can be quite complex but are still understandable At Cary Counseling Center, teaching effective communication is only one small piece of a more comprehensive strategy. Even more emphasis is placed upon teaching a couple principles of effective emotional regulation. This may involve learning how to influence one’s own emotional state before projecting rage or behaving in a way that is toxic to the relationship. Old shame issues are clarified so that they do not unconsciously disrupt the relationship. Principles of “tact” are taught so that both partners experience less threat to their psychological boundaries while negotiating their needs. Couples are also taught about how “ego states” are often critical to getting their needs met and how to anticipate and schedule getting together so that both parties are receptive to each other. Sometimes, other forms of therapy will be a necessary first step in couple’s work. For example, sometimes group therapy or individual therapy is necessary to change a person’s internal emotional responses before the couple’s external interactions can constructively become the main focus.
While teaching is often employed in good couple’s work, an emphasis is also placed on homework between sessions. The therapist often assigns homework in the form of communication or behavioral exercises. For example, a couple may be assigned homework to re-enact a recent argument but to do it in a newly agreed upon way. An individual may also be given homework to practice self-talk or guided imagery to deal with irrational beliefs or old feelings of shame that are intruding into the relationship. There are many other forms of homework that are too numerous to list here. The main point is that Cary Counseling therapists place an emphasis on practice and implementation in addition to insight.
Currently, Dr. Bryce Kaye, Ms. Julie Marshall, Ms. Barbara Ann Caudill and Ms. Brandy Templeton are accepting referrals for marriage counseling. You can leave either of them a message at 919 467 1180.
Child and Adolescent Psychotherapy
In counseling children and adolescents, the therapist utilizes an integrated approach that attends to the thoughts, feelings and behaviors of each individual. In doing this, an understanding of the adolescent is developed using three theoretical domains: Affective, Behavioral, and Cognitive.
The Affective, or feeling-based theories include person-centered counseling and Gestalt therapy. Through these approaches, the therapist develops a trusting relationship with adolescents, provides empathy and positive regard while helping them develop insights into their problems that may involve past or present relationships or traumatic events.
Through the Behavioral theories such as Behavioral Counseling and Reality Therapy, the therapist assists adolescents in developing strategies to modify harmful or unsuccessful behaviors and to identify and make positive choices in their lives. Within these strategies, an emphasis is placed on responsibility for choices and the acceptance of consequences for behaviors.
Cognitive theories involve the thinking process of the client. The theory base most utilized is Cognitive Behavioral Therapy where the therapist and adolescent identify the adolescent’s irrational belief systems that influence negative feelings about him/herself and consequently often provoke negative behavior. The adolescent develops new self-statements and thoughts about him/herself that influence the overall development of self-esteem and positive behavior.
Ms. Barbara Ann Caudill and Ms. Miriane Portes are accepting referalls for child and adolescent psychotherapy.
This type of individual therapy is the most simple and entails what people refer to as “counseling.” It usually involves a lot of teaching and prescribed exercises at home. A significant part of counseling is to teach clients about human nature so that they have realistic expectations of themselves. Clients are often taught how to more effectively relax, how to fashion realistic goals from their own needs and desires, how to journal to promote emotional growth, how to compartmentalize grief, how to confront and replace automatic irrational beliefs, how to use autosuggestion for shifting emotions, how to manage situational cues to influence their emotional states, and many other self-management strategies. Our style of counseling has a reputation for being very direct and friendly.
Dr. Bryce Kaye, Ms. Julie Marshall, Ms. Barbara Ann Caudill, Ms. Miriane Portes and Ms. Brandy Templeton are accepting referrals for adjustment counseling.
Currently, individual psychotherapy for adults is being offered by Dr. Bryce Kaye, Ms. Julie Marshall, Ms. Brandy Templeton, Ms. Barbara Ann Caudill, and Ms. Miriane Portes. Each of the therapists can be reached by calling the Center’s main number 467-1180 and leaving your name and telephone number. There are many different ways of performing individual therapy. To get a sense of a certain therapist’s “style”, you would best read about what they have to say on their own page (See Staff Profiles).
“EMDR” is an acronym for “Eye Movement Desensitization and Reprocessing”. This is a technique of therapy invented by a superb clinician Dr. Francine Shapiro in 1989. Dr. Shapiro discovered that the brain seems to metabolize and reduce the emotional pain from traumatic memory if a patient can simultaneously recall the memories while attending to bilateral sensory stimulation. The term “bilateral” here refers to a sensory stimulus that alternately arouses the right and left hemispheres of the brain. In the form of EMDR practiced at Cary Counseling Center, a moving dot of light on a screen is used to provide the sensory stimulation while various components of the troubling memory are requested by the therapist. Brain scan research in the last 10 years has suggested that the amygdala and hypocampus areas of the brain are very involved in preventing and later resolving traumatic memory. EMDR therapy is thought to possibly stimulate this mechanism. Whatever the mechanism, there are more controlled effectiveness studies on EMDR than for any other form of treatment for Post Traumatic Stress Disorder. If you are interested, more background information on EMDR comparison studies can be mailed to you. Call Dr. Kaye at 467-1180 if you want this information. Ms. Miriane Portes and Dr. Bryce Kaye provide EMDR therapy for adults and Ms. Portes provides it for children.
Anger Management Training
This is a special treatment module designed and provided by Dr. Bryce Kaye.
Strengthening Self-Esteem and Assertiveness
This is a special treatment module designed and provided by Dr. Bryce Kaye.
Substance Abuse Counseling
At Cary Counseling Center, substance abuse counseling is only offered for people who are voluntarily seeking help with their chemical dependence. Where there is a court-ordered mandate for evaluation or treatment, we recommend for those clients to contact Recovery Partnership at 782-6554. For clients who have a history of physiological withdrawal and need medical management, we recommend contacting Keys to Recovery at 954-0004. When inpatient treatment is advisable, we recommend Fellowship Hall in Greensboro at 336-621-3381. Knowing the right level of treatment for substance abuse is often difficult. You may gain assistance by calling 467-1180 and asking for one of the following professionals who are trained in substance abuse treatment: Ms. Julie Marshall and Dr. Bryce Kaye.