Behavioral Couples Therapy
A structured couples therapy that uses behavioral principles to improve relationship functioning and, in its specialized form, supports recovery from substance use disorders.
What Is Behavioral Couples Therapy?
Behavioral couples therapy is a structured couples therapy applying behavioral principles, such as positive reinforcement and structured communication training, to improve relationship functioning; a specialized adaptation is used specifically to support recovery when one partner has a substance use disorder.
How It Works
This approach uses behavioral techniques, including structured communication training and shared activities, to increase positive interactions between partners; the substance use-focused adaptation also incorporates a daily recovery contract involving both partners. This description uses original explanatory language.
What Happens During Therapy?
Sessions typically involve both partners practicing structured communication skills, engaging in positive shared activities, and, in the substance use adaptation, reviewing a daily sobriety-supportive ritual together.
Evidence and Effectiveness
Research supports behavioral couples therapy for improving relationship satisfaction, and specifically for substance use disorders, evidence shows it improves both relationship functioning and substance use outcomes compared to individual treatment alone.
Who May Benefit?
Behavioral couples therapy may be considered for couples experiencing relationship distress, or specifically when one partner has a substance use disorder and both partners are willing to participate in recovery-focused couples work.
Limitations and Considerations
This approach requires both partners’ active participation and is not appropriate in situations involving active intimate partner violence.
Finding a Qualified Therapist
Behavioral couples therapy is delivered by licensed marriage and family therapists, psychologists, and addiction specialists with training in this specific model.
How Long Does Therapy Take?
Behavioral couples therapy is often delivered over approximately 15 to 20 sessions, though length varies by specific concerns addressed.
Therapy vs. Medication
Behavioral couples therapy is a psychotherapy approach and may be combined with medication-assisted treatment for substance use disorders, in consultation with a qualified healthcare professional.
What Conditions Is It Used For?
Related Therapy Types
Medical Information Disclaimer
Ratel Health provides general educational information and does not provide medical diagnosis, treatment, or individualized medical advice. Information on this page is not a substitute for evaluation or care from a qualified healthcare professional. Do not use this information to diagnose yourself or another person, or to start, stop, or change treatment or medication without consulting an appropriately qualified healthcare professional.
References
- Substance Abuse and Mental Health Services Administration. Evidence-Based Practices Resource Center.
- National Institute on Drug Abuse. Principles of Drug Addiction Treatment.
- American Psychological Association. Clinical Practice Guidelines.