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Most people who resort to couples counseling in Bethesda, MD are not "sick" in the medical sense, but they may be having mental and emotional pain, they may be frustrated and discouraged about not reaching their life goals or they may not be functioning optimally. This is because sometimes, people continually use old and ineffective ways, avoid or deny problems, or simply don't have a support system. After feeling demoralized in their unsuccessful problem solving efforts or powerless about changing things, individuals then resort to therapy. However, the act of doing therapy shows a new determination to get better, the "I can do it" sense; this is an act of hope.

Good therapy supports this kind of thinking. Effective therapy offers hope that something can be done to improve one's situation. Dr. Durana's methods for counseling makes way for clients to experience effective problem-solving techniques. A client's perception of the problem and his/her hope about how to imporove it is the 3rd important factor in measuring the success of therapy. A belief in the healing properties of the therapy helps facilitate progress. Attending to what's functional in the client's life, and enhancing the client's strengths, resources and capacities to effectively copy within a context of care and respect helps generate optimistic expectations that change will occur and that the client has the competency and power to make recovery and change feasible.

Change is defined as a step-by-step process wherein an individual tries out new things a lot of times. In everyday life, people change through normal processes of thinking about a problem, discovering and experimenting with solutions and receiving feedback from the environment; out of this come new perspectives and experiences which then result to new solutions and explorations. These are natural self-righting mechanisms, that when laid out, will generate hopefulness in the pursuit of goals.

Couples counseling in Bethesda, MD can be useful for most people. Therapy research findings contend that beneficial effects can be attained in 5-10 sessions with at least fifty percent of clients. 20-30% of the clients, however, need about 25 sessions. The chances for a successful therapy lessens for hostile, poorly motivated and passive clients.