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    Couples, Families and Groups

    Couples Counseling

    Every couple experiences ups and downs in their levels of connection and communication over time. Couples counseling can help in a variety of intimate relationships, regardless of sexual orientation or marital status.  The trained mental health clinician with expertise in working with couples will help those in the relationship discuss their concerns and explore their patterns of interacting in a safe environment.   

    Some couples seek counseling to strengthen their partnership and gain a better understanding of each other.  Other couples are trying to evaluate whether or not they want to stay together or end their relationship.  Engaged couples may explore premarital counseling to help them have a deeper understanding of each other and work to resolve their differences before getting married. In other cases, couples seek counseling to improve a troubled relationship. Couples therapy may help with many specific issues, including:

    • Communication problems
    • Sexual difficulties
    • Conflicts about child rearing or blended families
    • Substance abuse
    • Anger
    • Infidelity

    During the course of couples counseling, the clinician will help the couple identify how negative patterns of interacting develop and what they need to do to get a more desired outcome.  Counseling can help couples slow down their spiral in order to identify what they need and then establish realistic expectations and goals for their relationship.    

    Family Counseling

    All families go through ups and downs as they maneuver through various life transitions.  When something changes inside or outside of the family unit, or when a particular family member is impacted by a stressful event, the family system as a whole often needs to make adjustments.  This process of reorientation after a positive or negative event can be stressful.  The growing pains that occur may impact communication, household roles, family rules and traditions, levels of closeness, and family resources.  Family therapy is often sought out when a life change strains the family relationships and affects the well being or functioning of one or several family members.  The following are examples of changes that lead a person to reach out for family counseling:  


    • Employment transitions
    • Moving homes or schools
    • Marriage, separation, divorce, or remarriage
    • Birth of a child or adoption
    • Money problems
    • New relationships or loss of relationships
    • Retirement
    • Child custody changes and differing parenting styles
    • Graduation
    • Death of a loved one or pet
    • New medical or mental health diagnosis
    • Relapse or shifting course of a chronic condition
    • Community or personal tragedy
    • Addiction 
    • Infidelity
    • Sharing new information about sexual orientation or gender identity
    • Legal problems
    • Experiences of abuse or neglect 


    The number of family members who attend each session may vary depending on the family needs and goals.  During family sessions, the mental health clinician will collaborate with family members to identify their strengths and challenges, promote respectful communication and understanding between family members, and explore patterns of interaction as well as family beliefs, roles, and responsibilities as the family learns skills and negotiates solutions to the problems impacting them.

    Group Counseling

    Group counseling allows one to find out that they are not alone in their type of life challenge. To be involved in a group of peers who are in a similar place not only increases one’s understanding of the struggles around the topic but also the variety in the possible solutions available. At AMHA, we strive to make the group atmosphere as comfortable and welcoming to all group members as possible. It is our goal to teach group participants effective interventions, give clients the chance to learn and practice new skills in a safe environment, and provide support and guidance to help clients reach their treatment goals. 

    Current AMHA Groups

    • Treatment Group for Children and Adolescents with OCD
      • If you suspect your child or adolescent is struggling with obsessions and compulsive behaviors, please reach out to our intake staff at 412-967-5660 x 1 and request an initial evaluation with either Amy DeMario, LCSW or Liz Vecenie, LCSW, the two therapists leading this group.  
      • OCD Group Brochure