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What is Marriage and Family Therapy?

Marriage and Famly Therapists (MFT) are systemic thinkers which means that we look at the whole person.  Looking at the whole person requires inquiry into various aspects of a person's life (work, friendships, intimate relationships, living situation etc).   It is good to anticipate being asked about aspects of your life that may not seem to directly relate to the problem or issue you bring to therapy.    

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Welcome to Your Therapeutic Journey

The Therapeutic Process

The therapy process primary goal is to help produce change in your life and/or the social world for the better which can take place in one or over hundreds of sessions.  The duration of treatment depends mostly on you (the client), the presenting issue(s) and your level of commitment to the process.   In addition,  good therapy acts as a ripple in a pond; spreading concurrently throughout many other facets of your life which takes time and is a process with many ebbs and flows.  Therefore, It is not uncommon to venture into areas in your and/or your family's life that was not your initial concerns for coming to therapy.   In fact, it is more typical for primary concerns to change due to an increased understanding of the problem..  Your needs and the areas of your life that will produce the most positive change throughout your life longterm are the priority, which greatly influences and determines the direction and duration of therapy.   


The therapeutic process consists of a beginning (initial phase), middle (working phase), and an end (closing phase) which is captured within a treatment plan.   A treatment plan is a document outlining a plan/map for therapy that you are co-created between you and your therapist.  Knowing and including community resources and acquiring general information on relevant topics is an important part of treatment planning.  The beginning mostly consists of building the therapeutic relationship, identifying the problems and goals of therapy as well as identifying relevant individuals to include or utilize in the therapy process.  For example, a mother or sibling may attend a session in order for emotional support or information gathering to help inform the therapeutic process.  The beginning stage also seeks to decrease any current crises and reduce some symptomology or stress that you are experiencing.   The middle process is working through the presenting issue(s) through established goals, measuring progress, completing homework assignments and maximizing progress as much as possible.   The middle stage is crucial in the sense that your ability to understand, synthesize, apply and practice concepts and behaviors learned in therapy highly influences the progression of therapy.  The end or termination is solidifying achievements in therapy that will help sustain change long term.  


American Association of Mariage and Family Therapy (AAMFT) Code of Ethics

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Welcome to Your Therapeutic Journey

Success in Therapy

Therapy is most rewarding and successful when your level of comfort and trust in the therapist is high (which is determined by goodness-of-fit) as well as having open and honest communication between both therapist and client.  Attending sessions regularly is a crucial component to successful therapy which helps to build rapport, comfort and good communication.  The responsibility of the therapist is captured in the therapeutic principles; autonomy, non-maleficence, beneficence, justice, fidelity, and veracity (truthfulness).  It is also the therapist's job to provide structure to the therapeutic process meaning setting the expectation for weekly sessions, communicating and setting boundaries regarding appropriate decorum as well as terminating treatment when the integrity of therapy has been compromised.  For the client, some important practices and mindsets are communicated in this therapy assessment.   Lastly, It is strongly recommended that you purchase a journal (if you do not have one already) in order to keep track of important ideas, concepts, homework assignments and topics of discussion that occur in therapy. 


Stabilization

Stabilization is important to achieve before actual therapy can begin.   Therapy requires that the client has achieved a certain level of emotional regulation, cognitive functioning and general stability in their lives in order for therapy to be helpful and effective.  Stabilization is assuring basic needs (e.g., food, clothing, and adequate housing) are consistently met as well as addressing current or anticipated safety concerns and other barriers that can interfere with the progression of therapy.   Stabilization includes co-creating a stabilization plan with the therapist and the completion of the stabilization assessment in order to identify and improve destabilizing aspects of your life.

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Welcome to Your Therapeutic Journey

Structure of Sessions

Sessions are typically 50 minutes long which is also considered the clinical hour.  Unless there is an urgent matter to address, in the first 10 - 15 minutes of the session, typically, there will be a 2 - to 3-minute survey about activities of daily living and your level of self-care within the last week.  Thereafter, the agenda is set meaning that issues to be discussed will be identified and prioritized.  A recap of last week's session and/or the therapeutic process, as well as things learned, are discussed and encouraged to be implemented during the session.  The next 30 – 35 minutes is talk therapy.  The last 5 minutes conclude therapy with a survey of your experience of therapy, rescheduling, and any other housekeeping or logistical matters.


Visual Outline

10 - 15 min: Survey and Recap

35 - 40 min: Talk Therapy

5 min: conclude the session

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Welcome to Your Therapeutic Journey

Homework

Homework is a key component to therapy.   Homework is activities assigned to you between sessions in order to help you progress through therapy.   Homework is a time for you to practice what you have either learned in therapy or further explore aspects of your life that will increase your self-awareness, self-insight and further inform your therapist about who you are as a person.  1-2 hours a week outside of therapy is a good amount of time to dedicate to homework.  Some homework assignments, as well as other common therapeutic activities, are located below. 


Homework

Homework is a key component to therapy. Homework is activities assigned to you between sessions in order to help you progress through therapy. Homework is a time for you to practice what you have either learned in therapy or further explore aspects of your life that will increase your self-awareness, self-insight and further inform your therapist about who you are as a person. 1-2 hours a week outside of therapy is a good amount of time to dedicate to homework. Some homework assignments, as well as other common therapeutic activities, are located below. 

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Welcome to Your Therapeutic Journey

Therapeutic Approach

I am a trauma, attachment, structural and strategic focused therapist that is multiculturally and social justice informed.   I seek to understand the role trauma has played in your life and how it has affected your development in both positive (your resilience)  and negative ways.  I understand the importance of having a healthy attachment (positive, warm and accepting relationship) in and outside of therapy.   Therefore, I practice being genuine, curious, open-minded and emotionally regulated in hopes to help you foster such relationships outside of therapy.  I am very structured meaning that I strongly encourage and is constantly assessing and promoting living a balanced and healthy lifestyle with adequate self-care, functioning well in activities of daily living and maintaining healthy boundaries across a variety of situations and relationships.  I am strategic which means that I recognize that the way in which boundaries are set, negotiated and communicated is an art and a skill.  Being a structural and strategic therapist also means that I am directive and action-orientated.   I also have a multicultural and social justice focus meaning that I am sensitive and intentional in understanding my client's cultural background particularly in the areas of power and privilege.   Below is a list of therapies that I am either specifically trained and/or strongly adhere to.  Mental Research Institute (MRI) approach, Attachment-Focused Family Therapy, Adlerian Psychotherapy, Psychoanalytic Theory, Cognitive Behavioral Therapy (CBT) and Rational Emotional Behavioral Therapy (REBT), Emotional Focused Therapy (EFT), Acceptance and Commitment Therapy (ACT), and the Client-Centered Approach.

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Welcome to Your Therapeutic Journey

Choose Your Therapy

Here is a list of therapies for you to choose from and to communicate to your therapist about what you are most interested in.   

Those with an * are therapies more commonly used by your therapist.  

I = Individual Therapy Approach       C = Couples Therapy Approach       F = Family Therapy Approach


Structural Therapy* 

(ICF)

Structural Therapy addresses disorganization in relationships where there are unclear roles, rules, and boundaries. 

Individuals, parents with misbehaving children, or families who are experiencing moderate to severe relationship problems benefit most from this therapy. 


Strategic Therapy*

(IFC)

Strategic Therapy addresses communication in relationships which helps to define more clearly roles, rules, and boundaries.

 Individuals, couples, and families looking to learn how to improve their communication skills choose this therapy.


Experiential Therapy

(CF)

Experiential therapy focuses on exploring each family member's experience within the family and interactional patterns.

Couples and families looking to have a safe space to discuss relational dynamics and how to change problematic ones.  


Trauma-Informed Care*

(ICF)

Trauma Treatment includes stabilization, psychoeducation, improving self-regulation, and posttraumatic-growth and resilience.  


Bownenian or Family of Origin Therapy*

(ICF)

Bowenian/Family of Origin Therapy looks at your family or origin to better understand your 

development as well as  learning how to balance these close relationship 


Cognitive Behavioral Therapy*

(ICF)

Cognitive Behavioral Therapy (CBT) is an evidence-based approach that looks to helps clients to more critically analyze their 

implicit/unconscious thoughts that ultimately dictate your feelings and behavior.  CBT works well to treat anxiety and depression. 


Rational Emotional Behavioral Therapy

(IF)

Similar to CBT, Rational Emotional Behavioral Therapy helps clients to identify irrational beliefs that occur after some event 

that lead to unhelpful behavior that perpetuates the occurrence of a problem or distracts from achieving a wanted goal.


Acceptance and Commitment Therapy*

Acceptance and Commitment Therapy (ACT) emphasizes the use of over usage of adaptive strategies such as fight and flight that 

can help to create more problems than they solve.   


Solution Focused Therapy

Solution Focused Therapy is quite simplistic, continue what is working and discontinue what is not.  Solution Focused Therapy deals less in the emotional process

  

Narrative Therapy

Narrative Therapy addresses personally held harmful narratives that have been internalized and imposed upon an individual, couple, or family.

Narrative Therapy helps to identify and externalize those harmful internalized narratives.  


Objective Relations Therapy

(IC)

Object Relations Therapy encouraged clients to examine unhealthy dynamics in relationships.  

Object Relations Therapy helps clients to better understand where they stop and the other begins.  


Emotional Focused Therapy

(CF)

Emotional Focused Therapy looks at capturing the unhealthy and vicious cycles couples and families find 

themselves in but struggle to change.  EFT 

 


Attachment-Focused Family Therapy

(F)

Attachment-Focused Family Therapy helps to repair the ruptures or disconnect experienced relationships.

Emotional Focused/Attachment Therapy works well for couples and families.  

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Welcome to Your Therapeutic Journey

Significant Quotes for Thought


"Humans are not disturbed simply by our experiences; rather we bring our ability to disturb ourselves to our experiences"  

                                                                                                                                         - Alber Ellis & Windy Dryden (REBT)


"The range of what we think and do is limited by what we fail to notice. And because we fail to

notice that we fail to notice, there is little we can do to change; until we notice how failing to notice shapes our thoughts and deeds. 

                                                                                                  - R. D. Laing


"According to systems theory, it makes no sense to analyze a person independently because...each member 

of a family is in relation to the other and each affects and is affected by the other person."  In other words, I know who I am because of

who I am with you.

                                                                                                                                       - Dorothy and Raphael Becvar    

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Evidence of Quality Service

Data was collected from clients for 8 months, between mid-July 2018 and February 2019, on their experience in therapy through a survey called the Session Experience Scale (SES), which are questions 1 -through 4 above. Clients were also asked their likelihood of referring someone to B.P.R. Services, which is question #5 above. N above represents the number of times each question was answered. Question 1 through 4 was answered on a scale ranging from 1 - 10 with 1 = disagree and 10 = agree. Question #5, the likelihood of referring someone to B.P.R. Services, was answered on a Likert scale; 1 = very likely, 2 = likely, 3 = neutral, 4 = unlikely, and 5 = not very likely. As you can see in the mean (average) column, clients reported very high scores in all categories.

Learn More

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Testimonials

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"You're a pretty chill dude.   

Benny Fitz

Director of High Fives, Apple

"Bryan passed my expectations with flying colors. My family and I still remark to each other how grateful we are to have the skills and knowledge that Bryan imparted to us."

Bryan P. Range

Owner

"Wonderful and outstanding therapist."

Hugh Canduit

Chief Ranch Dressing Advisor

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