When Courtney Ezzo was engaged to her now-husband -- Jamal Smith, whom she married on Jan. 21 -- she told him that premarital counseling was mandatory.
As a substance-abuse counselor herself, Ezzo, 27, wanted to make sure her relationship was as healthy as it could be. Smith, she says, at first felt was reluctant to attend, and said it wasn't necessary. But after a few sessions, Ezzo's fiance got into it.
"He saw it was more than just going and complaining about each other and talking about our problems," says Ezzo of Wilkinsburg. "We were brainstorming and talking about anything."
If Smith had not agreed to counseling, Ezzo says, she would not have married him yet. "Our communication is absolutely better, 100 percent."
Ezzo's situation presents the best prognosis for a healthy, lasting marriage, according to mental-health therapists who work with couples. However, many people -- most often, women -- get couples counseling without the other half of the couple. Is couples therapy for one a contradiction in terms? Maybe, therapists say. Yet people struggling with relationship issues benefit from solo counseling: They can focus on getting themselves healthy.
"The most effective treatment is when they can both come in together," says DeMarquis Clarke, director of the marriage and family-therapy program at Seton Hill University in Greensburg. "However, we do know that if one partner changes in the couple, the whole couple dynamic shifts. The thought is, regardless of what is going on in the relationship, both parties have some responsibility in it. .... Counseling makes them more accountable for their piece."
One example: A wife who is enabling harmful behavior from her husband can learn to stop, and the dynamics of the relationship will shift with the new boundaries. Chances are, that woman also enables friends and family members and can benefit from counseling, Clarke says. Once an enabling partner starts to change, the other spouse knows the situation is serious and agrees to come to counseling.
Clarke estimates that 75 percent of people seeking couples therapy from him come with their partner -- but of those, maybe 15 percent of spouses will quit the counseling, leaving their mates to go it alone.
According to an article in the Wall Street Journal, unpublished results from a study of 300 couples at the University of Denver found that after a month or so of solo relationship training, people saw as much improvement as those who sought help as a couple. A year and a half after the training, the women who attended sessions …