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Support for Anxiety and Depression in Relationships

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by Sharon Hamilton, LPC

I often work with couples that struggle to understand each other when one person suffers from anxiety or depression. This has become even more common since the COVID-19 pandemic, as it has caused an uptick in the number of people struggling with these conditions while having to adjust so many aspects of their lives in a very unpredictable and ever-changing environment.

Anxiety and depression are mental health disorders that are not the same as typical sadness, stress, or worry. They are defined primarily by the persistence and severity of the emotional distress someone experiences and they often create difficulties with functioning, including participation in family and romantic relationships. 

Making Relationships Harder

When anxiety or depression is present in a relationship it tends to make the common relationship challenge of effective communication even more difficult. One of the ways all of us attempt to understand or support someone we care about is by putting ourselves in their shoes, and trying to relate to how they are feeling. This isn’t always very effective in general, as different people feel differently in similar situations and circumstances due to their individual experiences and perspectives.

However, when anxiety or depression are involved it almost inevitably leaves one person feeling confused or frustrated and the other feeling misunderstood and unsupported. Simply put, it is very difficult for most people to understand the experiences of someone suffering from anxiety or depression without having either experienced it themselves or having been very close to someone in the past who was suffering from it (like a parent or sibling).

Often partners of someone struggling with anxiety will say things like, “there’s nothing to worry about” or “just stop thinking about it” or “it could be worse” or “just cheer up.” These things are taken by the anxious or depressed partner as dismissive, as they show a fundamental misunderstanding of the nature of their feelings. 

There is Hope

Working with a couple who present with this dilemma is something I find very rewarding as a counselor. The process involves a few things, including helping the anxious or depressed partner recognize the difficulty their partner has in understanding them. It also involves helping educate both partners on the nature of anxiety and depression, what it is and what it isn’t, and how to communicate more effectively about it. I also help the couple identify what allows them to feel they are partners in coping with the real problem, the anxiety or depression, rather than seeing each other as the problem.

Depression and anxiety are really difficult for the person suffering, but when their partner is able to really understand and support them it tends to lead to more effective coping strategies and symptoms improving, particularly in combination with other treatment or support. 


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How Long Does Marriage Counseling Take?

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How much time would you be willing to spend a week to get a happier, healthier, more enriching relationship with your spouse or partner? Marriage counseling sessions typically take around 50 minutes per session, with the  average length of marriage counseling  totaling 12-25 conversations over the course of a few months. The return on this time can be transformative and Well Marriage Center is here to answer all your questions about the timing and length of marriage counseling. Here’s what you need to know!

But First…Couples Therapy vs Marriage Counseling

Before we dig into how long marriage counseling takes, we want to clarify that we do not see a difference between couples therapy and marriage counseling. We create a safe space for every relationship to be built, healed, or restored, regardless of if there is a legal marriage or a different style of commitment. Whether you call it marriage counseling, couples therapy, or some other combination of terms, the goals of reducing conflict, restoring intimacy and trust, and developing better communication are the same. Whatever type of committed relationship you are in, our team has dedicated their careers to helping couples build a better foundation for the future. 

When To Go To Couples Therapy

When a relationship is already going through challenges, setting aside time each week for couples therapy can feel like a big ask. Often, couples choose to look in the other direction and hope the phase will pass instead of seeking targeted help for long-term problems. When these issues reach a breaking point,  often the best option is couples therapy. In fact, if you’re thinking you might need therapy, it might be time to schedule an initial session. But when should you put it on the calendar? It’s important to choose a time that can regularly work for you, your partner, and your mutual schedules. If you can schedule a recurring appointment for the same time and weekday, then nurturing your relationship starts to become a healthy part of your routine more naturally. 

How Often Should You Go To Couples Therapy?

At Well Marriage Center, we recommend our couples start with weekly therapy sessions. This allows participants to start forming better habits and addressing issues in an environment of supportive accountability. After the first few sessions have laid a foundation for progress and determined your end goals as a couple, you may agree to start meeting bi-monthly, and eventually once a month or even less. This gradual decline in the number of sessions you need to attend is supported by better daily experiences in the relationship as the lessons from therapy take root and help you grow together in the right direction. However, every couple is different. Some may decide to further benefit from prolonged therapy  to truly heal and resolve relationship traumas. You should go to couples therapy for as long as it feels supportive and beneficial towards your relationship goals. 

How Long Does Couples Therapy Take To Work?

Couples generally attend between 12-25 sessions of therapy before they arrive at a place where they are satisfied with their growth. However, that doesn’t mean it takes 12 sessions for therapy to show any results. Week to week, you and your partner will be following techniques and activities in your daily life to reinforce what you have discussed with your therapist. As you grow and get more in tune through doing the work, the benefits will show up along the journey.

You’ll focus on identifying and honoring the strengths that still exist within your relationship, as well as set goals for communication, conflict resolution, and moving forward. Through these techniques, therapy can begin to reset negative or toxic patterns in your relationship from the first session onward. For some couples, these small, foundational changes may take longer to emerge because every relationship is unique. You can always talk to your therapist about your goals and timelines during a session. 

Some couples are concerned about how long marriage counseling takes to work in specific situations, like at the beginning of a marriage or when it is at risk of ending. Here are some more specific answers to common questions. 

Should You Go To Couples Therapy Before Marriage?

Investing in a pre-marriage therapy program is an excellent way to get your married life off to a strong start. Even though marriage is an exciting time of hope and planning for the future, it can also feel uncertain, overwhelming, and even confusing based on past events in the relationship. During our pre-marital program, you will meet with a Well Marriage Center therapist for as many sessions as you agree on. These conversations will be dedicated to your personal histories and dating story, any current concerns about the relationship, and the goals and plans you have set for the future. 

One thing that makes our pre-marital program unique is that we meet twice again after you are married, once around the six-month point and once around your one-year anniversary. This establishes a few neutral touchpoints for you and your new spouse to check in around goals and discuss anything new that has arisen after the knot is tied. 

Does Marriage Counseling Work After Separation? 

Yes, marriage counseling can work for both the couple and an individual after separation. It depends on the goals you have moving forward from the separation. If you want to reconcile and heal the relationship, marriage counseling provides a neutral opportunity to talk about what has gone wrong in the short-term and how it has impacted the long-term relationship. At Well Marriage Center, we practice pro-relationship counseling, seeking to heal and restore your relationship along with you even when you aren’t sure it’s possible. On the other hand, there might be no way to reconcile, but one or both parties need support adjusting to life outside of marriage. A licensed marriage counselor can also help with this, empowering you to figure out what went wrong in the relationship and help you avoid repeating similar issues in the future. Whether you want to fix the separation or heal yourself on the other side, marriage counseling can help. 

Well Marriage Center Helps You Keep Healing

The relationship specialists at Well Marriage Center are committed to helping you restore your relationship with each session you invest. They’ve dedicated their entire careers to helping couples just like you, whether you hope to be done with marriage counseling in just 12 sessions, or you think 25 doesn’t sound like enough. The good news is that you and your partner set the pace and get to have input about how many sessions you think you need. Whether we see you every week or once a month, we want you to leave each meeting feeling like you achieved something together and know what to work on next. That’s how healing happens–one day at a time, slowly but surely. We’re here to stick with you throughout the journey! Set up a conversation with our Intake Coordinator, Melinda, to share a little bit about where your relationship is at and where you want to go.


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Communication Problems

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From the Therapists Perspective

Written by Michael Fronce, LMFT

Jeff and Cindy came to their first marriage counseling session anxious to repair their 15 year relationship. The session started like most, me getting to know them and learning a bit more about their story.

As we explored their marital strengths it was clear they deeply loved each other, but that love was now being questioned by each of them. They explained they had not been able to communicate about anything except logistics.

Cindy swore Jeff did not have the ability to communicate at all. She complained about his avoidance of important issues. While she was voicing her frustration, he rolled his eyes and sighed. He said she was blowing things out of proportion and that he knows how to communicate. He was sick of how often she interrupted and didn’t listen.

Jeff said he felt like he was never going to please his wife so he admitted to withdrawing from conversations. They both wanted me to get the other to communicate better.

Jeff and Cindy had made a good decision to reach out for help. These things fester. Communication problems are one of the most common concerns that bring couples to Well Marriage for marriage counseling.

When we’re able to catch these communication blocks early, we’re often able to help the couple avoid the more toxic and deeper level problems that come years down the road if left unchecked.

The good news is our counselors have the experience and training to be helpful. While there are often underlying issues that play a part in some communication breakdowns (which would be an entirely different blog post), I often find myself starting by helping couples practice the skills of effective communication. It’s helpful to see where they are and what they already know. This is what I did with Jeff and Cindy.

Now the movies and TV comedies give practicing communication skills a bad rap. I get it, no one wants to simply be told to say a lot of “I statements” and repeat back what the other person is saying.

You’re right, that doesn’t fix communication problems. However, I’m often surprised by how a simple intervention or solution can indeed become the impetus for change.

I was looking for just that type of impetus for change when I gave Jeff and Cindy a task early in our communication work. They shared about how one of their rituals is to go to a certain fast food establishment for dinner. So I invited them to dinner. Well, I should say that I invited them to pay attention in a different way next time they went for dinner.

Their task was to observe how the person at the counter took their order. When they came back to the next session, they were excited to talk with me about what they saw.

The server greeted Jeff and Cindy warmly, asked how he could serve them and then listened to their order. He busily punched the order into the system and then did something a little strange.

They noticed that the server repeated back their order to make sure that he had it correct. He then asked if there was anything else that they would like. He then proceeded to check their order again before moving on and telling them the cost.

After the order was confirmed and the payment was made, the server thanked the couple. So simple, yet for them it made an impression.

They appreciated the way that the server listened to them, took the time to get their order right, and did not move on until he was sure that he had heard it correctly and that it was what the couple wanted.

That’s what they each desired from the other. They missed being truly heard and respected. Here’s the important breakthrough part: they both began looking at what they, individually, had been doing to keep them from communicating effectively.

They each began talking about ways they would like to focus on each other, listen to each other, and truly hear each other. That led them into Jeff’s withdrawing (Cindy felt abandoned and got anxious). Cindy would then over pursue Jeff to calm her anxiety (which then had Jeff withdrawing again).

So we explored this cycle and ways to interrupt it. Effective communication helped! They began making such incredible positive progress about the deeper level issues that were affecting their relationship.

The good news – Jeff and Cindy both began to find each other again, connect with each other again, and experience a closeness they hadn’t felt in years, all through working on communication problems in couples therapy.


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Long Winter of Marriage

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Written by Glen Denlinger

The wind is blowing here at the Well Marriage Center office again and fellow marriage therapist, Mary Baker, tells me the high tomorrow is not expected to even hit 30 degrees. I caught myself referring to this season as “Old Man Winter,” the personification my own father used to use when winter stayed too long. It has been too long. We all feel it.

Couples feel it.

Marriages feel it.

“Winter” has become a theme and analogy for some of the demanding work many couples are investing in right now. I thought I would share a quick story and analogy…

Meet Tim and Cindy

Tim and Cindy are a couple I’ve been guiding through therapy for a few months now. They’re experiencing their own “marital winter” – years of hurts and disillusionment have brought them to this difficult season. They said marriage counseling was their last hope.

They had a choice: stay together and do the difficult work or split apart. We spent time processing that decision, a decision only they could make. I was reminded of an analogy from Dr. William Doherty, a prominent name in the marriage counseling field. He’s from Minnesota and he talks about long-term marriage using his Minnesota winters for context. He points out that we all move into marriage in the springtime of hope, but eventually get to winter with its chill and darkness. Many couples are tempted to move south at this point and give up. The problem with giving up, he points out, is that your next marriage will eventually hit its own winter at some point. So do we just give up, or do we make our stand with this person, in this season?

Cindy and Tim decided that they wanted to stand together, but they were both scared and unsure. Like Dr. Doherty, I recognized my role as being a guide to help them “cling together as a couple, warming each other against the cold of their winter and seeking out whatever sunlight was still available while they wrestled with their pain and disillusionment.” It’s a powerful privilege…the role we marriage counselors provide.

The good news is that winter does break and spring does come. Often marriages can experience this same hope.

We experienced marriage counselors know how incredible and magnificent that spring can be for couples who have done the demanding work winter requires.

Tim and Cindy are on their way…and that’s my message of hope for couples during this, Old Man Winter’s, one last gasp.


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Marriage Counseling McLean VA

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Welcome to Well Marriage Center!  We understand it can be intimidating to consider couples counseling when your relationship runs into difficulty.  Plenty of questions run through people’s minds: “Will this help?” “How long does it last?” “How much money will this cost us?” “What if the counselor doesn’t think we can be helped?”

Click here to begin at our homepage: Well Marriage Center

It takes a lot of courage to ask for help.  Our commitment to you is to provide a safe, “marriage-friendly” approach that supports the probability that you can save and improve your relationship.  We want that for you and we believe you can make it happen!  For over 25 years we’ve sat with couples just like you, couples who have run into minor bumps or significant potholes, couples who wondered if their relationship could even be saved.  The great news is this: countless couples have echoed almost the identical statement, “several months ago I never would have imagined our relationship could be this good again.”

Well Marriage Center specializes in couples and marriage counseling in Northern VA, among other locations. We utilize a combination of therapeutic and wellness (strengths-based) models, we study the latest research, we engage with the leaders in our field, and we work exclusively with relationships or relationship dynamics.  Trust your relationship to a couple’s specialist!

We provide couples / marriage counseling to the Northern VA community, with office locations convenient to McLean, VA and the surrounding areas.

Well Marriage Center Launches!

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For years I’ve heard Glen Denlinger dream about how to best help couples.  For 25+ years he has specialized in helping people save and repair their marriage relationships.  Back from the brink.  Succeeding.  Thriving.  This is his passion.  It’s what he enjoys most.  It’s his area of expertise.  Thousands of couples have benefited from his counsel and coaching.

Bit by bit…

But his dream as I heard it went beyond just couples counseling. More and more, bit by bit, it became a broader vision for the community and for couples in every stage of their relationship. “People can change the trajectory of their entire marriage if they can learn how to care for and nurture their relationship.  We need to help people understand that positive, strengths-based care and supportiveness helps a marriage soar much more than negativity drags it down.  This is not just about reducing our divorce rate. We also need to increase our percentage of ‘well-married’ and thriving relationships.”

Well Marriage Center was created to help your relationship succeed. We’re a full service center for your relationship. While we specialize in couples/marriage counseling, our vision is to encourage couples along the entire spectrum of relational health to care for and nurture their marriage relationship.