Gottman Method Therapists in East Grand Rapids, MI

Photo of Mariah Root, LMSW, LCSW, Clinical Social Work/Therapist
Mariah Root
Clinical Social Work/Therapist, LMSW, LCSW
Verified Verified
1 Endorsed
East Grand Rapids, MI 49506
Not accepting new clients
I also provide counseling influenced by the Gottman Method.
Beginning therapy and sharing your most intimate struggles can be overwhelming. With this in mind, I create a space that is non-judgmental where we can explore what is no longer serving you. The change you desire is possible. I work with adults who are experiencing relationship issues, life transitions, anxiety or depression or low self worth.
I also provide counseling influenced by the Gottman Method.
Beginning therapy and sharing your most intimate struggles can be overwhelming. With this in mind, I create a space that is non-judgmental where we can explore what is no longer serving you. The change you desire is possible. I work with adults who are experiencing relationship issues, life transitions, anxiety or depression or low self worth.
(616) 200-7679 View (616) 200-7679
Photo of Olivia Brooks-McLaughlin, MA, LLPC, NCC, Counselor
Olivia Brooks-McLaughlin
Counselor, MA, LLPC, NCC
Verified Verified
4 Endorsed
East Grand Rapids, MI 49506
For couples, I utilize the Gottman Method as a basis for intervention, where I help each couple understand one another in order to work together toward a mutual goal for the relationship.
For whatever reason you are seeking therapy, I want to commend you for taking this first step. I am here for you. For me, the relationship between client and therapist is crucial. It is my goal to create a safe space for my clients to feel comfortable and cared for. Being vulnerable is not easy and having a judgement-free and compassionate environment is essential for us to work together toward your therapy goals.Using a strength-based lens I love to empower my clients to help them recognize their inner strengths. I work from a humanistic approach where I aim to understand my clients from their own identities and upbringing.
For couples, I utilize the Gottman Method as a basis for intervention, where I help each couple understand one another in order to work together toward a mutual goal for the relationship.
For whatever reason you are seeking therapy, I want to commend you for taking this first step. I am here for you. For me, the relationship between client and therapist is crucial. It is my goal to create a safe space for my clients to feel comfortable and cared for. Being vulnerable is not easy and having a judgement-free and compassionate environment is essential for us to work together toward your therapy goals.Using a strength-based lens I love to empower my clients to help them recognize their inner strengths. I work from a humanistic approach where I aim to understand my clients from their own identities and upbringing.
(616) 537-2489 View (616) 537-2489
Photo of Jennifer DiGennaro, MA, LPC, Licensed Professional Counselor
Jennifer DiGennaro
Licensed Professional Counselor, MA, LPC
Verified Verified
8 Endorsed
East Grand Rapids, MI 49506
Being at war with yourself and your body is exhausting. Maybe it started with your first diet in your teens or maybe it didn't start until later in life dealing with chronic pain or illness, or something else. You are sick of suffering and feeling like your body is an endless problem to be solved. It is hard to feel hopeful. Psychotherapy with me can help you deepen self-trust, self-care and self-acceptance. I have specialized training in trauma-informed approaches, including EMDR and Body Trust® which inform my holistic approach. I can support you to work through your past, honor your present and envision your future.
Being at war with yourself and your body is exhausting. Maybe it started with your first diet in your teens or maybe it didn't start until later in life dealing with chronic pain or illness, or something else. You are sick of suffering and feeling like your body is an endless problem to be solved. It is hard to feel hopeful. Psychotherapy with me can help you deepen self-trust, self-care and self-acceptance. I have specialized training in trauma-informed approaches, including EMDR and Body Trust® which inform my holistic approach. I can support you to work through your past, honor your present and envision your future.
(616) 201-3324 View (616) 201-3324
Photo of Arianna Pittenger, LLMSW, Clinical Social Work/Therapist
Arianna Pittenger
Clinical Social Work/Therapist, LLMSW
Verified Verified
1 Endorsed
East Grand Rapids, MI 49506  (Online Only)
We have all been through things in life, and some items can be challenging to heal or talk about. Those are normal and validating feelings, but sometimes we need someone to talk to. To help navigate and conceptualize these experiences and gain coping skills. Communicating and healthily processing these emotions can be difficult, depending on our intersectional identities, to do out of fear of being stigmatized. That is why I am passionate about providing a safe space. My goal as a therapist is to help clients nourish their brains in practices that are best for them.
We have all been through things in life, and some items can be challenging to heal or talk about. Those are normal and validating feelings, but sometimes we need someone to talk to. To help navigate and conceptualize these experiences and gain coping skills. Communicating and healthily processing these emotions can be difficult, depending on our intersectional identities, to do out of fear of being stigmatized. That is why I am passionate about providing a safe space. My goal as a therapist is to help clients nourish their brains in practices that are best for them.
(231) 427-2146 View (231) 427-2146
Photo of Amy Duffy-Barnes - Heartstone Guidance Center, LMSW, Clinical Social Work/Therapist
Heartstone Guidance Center
Clinical Social Work/Therapist, LMSW
Verified Verified
28 Endorsed
East Grand Rapids, MI 49506
Heartstone Guidance Center is a group of neurodivergent therapists offering neurodiversity affirming, LGBTQIA-affirming, and culturally aware therapy services. We have autistic, ADHD, and otherwise neurodivergent therapists who offer authenticity and a space where you will be seen, heard, and respected as the authority and expert in your life. We are the alternative to the world that tells you that you need to be neurotypical or normal to fit in and be accepted. We offer therapy to help you understand and embrace your true identity, find compassion for yourself, and develop coping strategies for living in a stressful world.
Heartstone Guidance Center is a group of neurodivergent therapists offering neurodiversity affirming, LGBTQIA-affirming, and culturally aware therapy services. We have autistic, ADHD, and otherwise neurodivergent therapists who offer authenticity and a space where you will be seen, heard, and respected as the authority and expert in your life. We are the alternative to the world that tells you that you need to be neurotypical or normal to fit in and be accepted. We offer therapy to help you understand and embrace your true identity, find compassion for yourself, and develop coping strategies for living in a stressful world.
(616) 984-1023 View (616) 984-1023
Photo of Gary L. Oxendale - Oxendale and Associates, LLC, ADS, MSW, LMSW, Clinical Social Work/Therapist
Oxendale and Associates, LLC
Clinical Social Work/Therapist, ADS, MSW, LMSW
Verified Verified
2 Endorsed
East Grand Rapids, MI 49506  (Online Only)
Not accepting new clients
Providing a space of safety and acceptance to explore life issues, we work together to begin the process of change. Beginning with a solution-focused approach, we begin with your strengths. A key to this is learning to effectively use tools (coping skills) along with being able to see and understand situations differently. We work together to improve the health of your relationships, the most important one being with yourself, and then other relationships in your life. Problems with alcohol or other drugs can be addressed if that's something you want to work on.
Providing a space of safety and acceptance to explore life issues, we work together to begin the process of change. Beginning with a solution-focused approach, we begin with your strengths. A key to this is learning to effectively use tools (coping skills) along with being able to see and understand situations differently. We work together to improve the health of your relationships, the most important one being with yourself, and then other relationships in your life. Problems with alcohol or other drugs can be addressed if that's something you want to work on.
(616) 499-6017 View (616) 499-6017
Photo of Dr. Alice Huang, PhD, Psychologist
Dr. Alice Huang
Psychologist, PhD
Verified Verified
East Grand Rapids, MI 49506  (Online Only)
Welcoming couples clients! Relationship problems are common, and you have taken a courageous step by seeking therapy. As one of the few psychologists specializing in couple therapy, I have supported hundreds of couples by providing effective, evidence-based treatments that scientific research has shown to bring significant and lasting improvement. My own research on relationships has been published in peer-reviewed journals, and featured here in Psychology Today, international media outlets such as Business Insider Germany & New York Times Best Seller Atlas of the Heart by Brené Brown.
Welcoming couples clients! Relationship problems are common, and you have taken a courageous step by seeking therapy. As one of the few psychologists specializing in couple therapy, I have supported hundreds of couples by providing effective, evidence-based treatments that scientific research has shown to bring significant and lasting improvement. My own research on relationships has been published in peer-reviewed journals, and featured here in Psychology Today, international media outlets such as Business Insider Germany & New York Times Best Seller Atlas of the Heart by Brené Brown.
(734) 519-7046 View (734) 519-7046
Photo of Katie Gendron, LMSW, Clinical Social Work/Therapist
Katie Gendron
Clinical Social Work/Therapist, LMSW
Verified Verified
East Grand Rapids, MI 49506
Waitlist for new clients
With 28 years of experience, helping others is not just my job; it is my nature. Life can be stressful at times, leaving you feeling overwhelmed and lost in your own thoughts. In my practice, you will find a warm and empathetic environment so you may share your feelings and your story. I offer coping skills, ways to understand your emotions, and help you find real solutions to daily problems. These tools can help to restore a sense of calm in your life and guide you in finding your way back to yourself.
With 28 years of experience, helping others is not just my job; it is my nature. Life can be stressful at times, leaving you feeling overwhelmed and lost in your own thoughts. In my practice, you will find a warm and empathetic environment so you may share your feelings and your story. I offer coping skills, ways to understand your emotions, and help you find real solutions to daily problems. These tools can help to restore a sense of calm in your life and guide you in finding your way back to yourself.
(616) 300-2969 View (616) 300-2969
Photo of Hande Walker, MA, LLP, Limited Licensed Psychologist
Hande Walker
Limited Licensed Psychologist, MA, LLP
Verified Verified
1 Endorsed
East Grand Rapids, MI 49506
Are you experiencing difficulties in your relationship? Do you feel isolated, depressed, and helpless? Are you having a difficult time coping with life stressors? You are not alone! It is hard to function and be the best version of yourself when these unresolved issues are weighing you down. We all need a helping hand when going through tough times and it is okay to ask for help.
Are you experiencing difficulties in your relationship? Do you feel isolated, depressed, and helpless? Are you having a difficult time coping with life stressors? You are not alone! It is hard to function and be the best version of yourself when these unresolved issues are weighing you down. We all need a helping hand when going through tough times and it is okay to ask for help.
(616) 207-2587 View (616) 207-2587
Photo of Jacob Moon, MS, LMFT, EMDR-C, Marriage & Family Therapist
Jacob Moon
Marriage & Family Therapist, MS, LMFT, EMDR-C
Verified Verified
3 Endorsed
East Grand Rapids, MI 49506
You deserve the support you need and I am here to help you find it. I specialize in treating many forms of trauma. My priority is to help you find strength, support, and confidence in and out of session. Suppose you are dealing with trauma, anxiety, depression, or relational issues. These are difficult to experience and I can help you find control and power over your experience that create overwhelming thoughts and feelings and help you try to get back to living your life the way you want.
You deserve the support you need and I am here to help you find it. I specialize in treating many forms of trauma. My priority is to help you find strength, support, and confidence in and out of session. Suppose you are dealing with trauma, anxiety, depression, or relational issues. These are difficult to experience and I can help you find control and power over your experience that create overwhelming thoughts and feelings and help you try to get back to living your life the way you want.
(616) 201-1306 View (616) 201-1306

More Therapists Nearby

Photo of Amanda Walker, MA, LLP, CAADC, Limited Licensed Psychologist
Amanda Walker
Limited Licensed Psychologist, MA, LLP, CAADC
Verified Verified
Grand Rapids, MI 49503  (Online Only)
I utilize an integrated approach of therapeutic models, including Cognitive Behavioral therapy (CBT), Solution Focused Therapy (SFT), Emotionally-Focused Therapy (EFT), and Gottman Method Couples; Therapy.
I view therapy as a collaborate space where it is safe to share life’s difficulties. I find joy in working together to learn to cope with stressors and develop healthy habits for better managing relationships, mental health concerns, and whatever situation might be important in that moment. I enjoy working with adults and couples. My primary areas of expertise include treating mood disorders such as depression and anxiety, as well as working with adjustment disorders and substance use disorders. Therapy is about helping people through situational life stressors or relationship conflicts.
I utilize an integrated approach of therapeutic models, including Cognitive Behavioral therapy (CBT), Solution Focused Therapy (SFT), Emotionally-Focused Therapy (EFT), and Gottman Method Couples; Therapy.
I view therapy as a collaborate space where it is safe to share life’s difficulties. I find joy in working together to learn to cope with stressors and develop healthy habits for better managing relationships, mental health concerns, and whatever situation might be important in that moment. I enjoy working with adults and couples. My primary areas of expertise include treating mood disorders such as depression and anxiety, as well as working with adjustment disorders and substance use disorders. Therapy is about helping people through situational life stressors or relationship conflicts.
(616) 201-1399 View (616) 201-1399
Photo of Karen Robertson - Healthy Heads + Hearts, LCSW, Clinical Social Work/Therapist
Healthy Heads + Hearts
Clinical Social Work/Therapist, LCSW
Verified Verified
Grand Rapids, MI 49503
I have post-graduate training in all levels of the Gottman Method Couples Therapy.
Relationships are the engine of human survival. Whether you are troubled and unsure about a relationship, want to build a healthier and more vibrant relationship, or need to recover from a bad relationship, I will help you identify the core challenges and find a path to achieving your best life and best relationships. I am Karen Robertson, LMSW, wife, mother, creative spirit, and a lifelong student of relationships and how people work (or don't) together. I would be honored to help you with the relationship that is troubling you.
I have post-graduate training in all levels of the Gottman Method Couples Therapy.
Relationships are the engine of human survival. Whether you are troubled and unsure about a relationship, want to build a healthier and more vibrant relationship, or need to recover from a bad relationship, I will help you identify the core challenges and find a path to achieving your best life and best relationships. I am Karen Robertson, LMSW, wife, mother, creative spirit, and a lifelong student of relationships and how people work (or don't) together. I would be honored to help you with the relationship that is troubling you.
(616) 207-2794 View (616) 207-2794
Photo of Anangabii Stewart - Connally Counseling, Pre-Licensed Professional
Connally Counseling
Pre-Licensed Professional
Verified Verified
1 Endorsed
Grand Rapids, MI 49501
I draw from multiple modalities, such as internal family systems, dialectical behavioral therapy, cognitive behavioral therapy and the Gottman method (couples).
My name is Anangabii (uh-nung-uh-bee), and my pronouns are they/them. I am an enrolled citizen of the Sault Ste. Marie Tribe of Chippewa Indians and am two-spirit/trans nonbinary. I aim to help people of all ages who struggle with adjustments, trauma/PTSD, depression, anxiety, gender dysphoria, racial trauma and communication. My therapeutic approach prioritizes the client’s perspective, validating the intersections of their identity and building on their individual strengths and community support.
I draw from multiple modalities, such as internal family systems, dialectical behavioral therapy, cognitive behavioral therapy and the Gottman method (couples).
My name is Anangabii (uh-nung-uh-bee), and my pronouns are they/them. I am an enrolled citizen of the Sault Ste. Marie Tribe of Chippewa Indians and am two-spirit/trans nonbinary. I aim to help people of all ages who struggle with adjustments, trauma/PTSD, depression, anxiety, gender dysphoria, racial trauma and communication. My therapeutic approach prioritizes the client’s perspective, validating the intersections of their identity and building on their individual strengths and community support.
(734) 749-9770 View (734) 749-9770
Photo of Joshua Edward Baron - Josh Baron Counseling and Therapy, LMSW, MDiv, Clinical Social Work/Therapist
Josh Baron Counseling and Therapy
Clinical Social Work/Therapist, LMSW, MDiv
Verified Verified
Grand Rapids, MI 49546
Not accepting new clients
I help clients who are experiencing issues related to marriage (I've completed Gottman Method Couples Therapy Level 2 Training), depression, anxiety, OCD, stress, relationships, life transitions, self-esteem, narcissism, family conflict, social skills, grief/loss, dementia, caregiving, and spirituality.
I'm a clinical social worker in Grand Rapids, Mi. I received my Master of Social Work degree from Western Michigan University and my Master of Divinity degree from Western Theological Seminary and have 19 years of experience providing professional care and counseling.
I help clients who are experiencing issues related to marriage (I've completed Gottman Method Couples Therapy Level 2 Training), depression, anxiety, OCD, stress, relationships, life transitions, self-esteem, narcissism, family conflict, social skills, grief/loss, dementia, caregiving, and spirituality.
I'm a clinical social worker in Grand Rapids, Mi. I received my Master of Social Work degree from Western Michigan University and my Master of Divinity degree from Western Theological Seminary and have 19 years of experience providing professional care and counseling.
(616) 920-6445 View (616) 920-6445
Photo of Melanie Szucs, MA, LPC, LMFT, Marriage & Family Therapist
Melanie Szucs
Marriage & Family Therapist, MA, LPC, LMFT
Verified Verified
3 Endorsed
Grand Rapids, MI 49546
Waitlist for new clients
Depending on your particular needs and experiences, I draw from several different treatment models, including Emotionally Focused Therapy, Gottman Method Couples Therapy, and client-centered therapy.
Our lives are stories and we all want them to be stories worth telling, that give us hope. Maybe you long to rewrite the story you are living. I believe everyone has the ability to change their story. Whether you are a couple, a family, or an individual, you can have hope. I desire to walk alongside you in your struggles and help you to forge a new path. Sometimes all it takes is a listening ear; sometimes it takes long, hard work. But you have the choice-to step out in courage and to start writing a new story.
Depending on your particular needs and experiences, I draw from several different treatment models, including Emotionally Focused Therapy, Gottman Method Couples Therapy, and client-centered therapy.
Our lives are stories and we all want them to be stories worth telling, that give us hope. Maybe you long to rewrite the story you are living. I believe everyone has the ability to change their story. Whether you are a couple, a family, or an individual, you can have hope. I desire to walk alongside you in your struggles and help you to forge a new path. Sometimes all it takes is a listening ear; sometimes it takes long, hard work. But you have the choice-to step out in courage and to start writing a new story.
(616) 965-2816 View (616) 965-2816
Photo of Caleb Charles Rudd, MA, LPC, Counselor
Caleb Charles Rudd
Counselor, MA, LPC
Verified Verified
3 Endorsed
Grand Rapids, MI 49546
After the fresh passion of a new or developing relationship cools, partners in marriages and committed relationships often find they experience a distancing from one another. Often this distancing results in anger and resentment toward partners. Problems which were once minor irritants now seem to be major issues which seem to always be a source of conflict and anger, or may be avoided entirely for fear of conflict. In counseling couples and families using the Gottman method, my passion is helping my clients transform their relationships and gain a new sense of optimism in their relational pursuits.
After the fresh passion of a new or developing relationship cools, partners in marriages and committed relationships often find they experience a distancing from one another. Often this distancing results in anger and resentment toward partners. Problems which were once minor irritants now seem to be major issues which seem to always be a source of conflict and anger, or may be avoided entirely for fear of conflict. In counseling couples and families using the Gottman method, my passion is helping my clients transform their relationships and gain a new sense of optimism in their relational pursuits.
(269) 234-1686 View (269) 234-1686
Photo of Dan Slane, LMSW, Clinical Social Work/Therapist
Dan Slane
Clinical Social Work/Therapist, LMSW
Verified Verified
3 Endorsed
Grand Rapids, MI 49506
I completed my Master of Social Work at the University of Michigan in 2017 and now blend cognitive therapies (CBT/DBT) with strategies and awarenesses from Eye Movement Desensitization and Reprocessing (EMDR), Gottman Method, Internal Family Systems (IFS), Emotional-focused Therapy (EFT), Sensate Focus Therapy (SFT), and Mindfulness.
I interlace myriad strategies for assuaging complex trauma, increasing vulnerability, improving emotional and physical intimacy, strengthening relationships, and decreasing the disconnecting symptoms of anxiety, depression, and personality disorders, specifically Narcissistic Personality Disorder (NPD).
I completed my Master of Social Work at the University of Michigan in 2017 and now blend cognitive therapies (CBT/DBT) with strategies and awarenesses from Eye Movement Desensitization and Reprocessing (EMDR), Gottman Method, Internal Family Systems (IFS), Emotional-focused Therapy (EFT), Sensate Focus Therapy (SFT), and Mindfulness.
I interlace myriad strategies for assuaging complex trauma, increasing vulnerability, improving emotional and physical intimacy, strengthening relationships, and decreasing the disconnecting symptoms of anxiety, depression, and personality disorders, specifically Narcissistic Personality Disorder (NPD).
(616) 207-8013 View (616) 207-8013
Photo of Rachel Schelhaas, LMSW, Clinical Social Work/Therapist
Rachel Schelhaas
Clinical Social Work/Therapist, LMSW
Verified Verified
3 Endorsed
Grand Rapids, MI 49503
Our lives can be chaotic and we all need support to make sense of the chaos. Challenges in life can be opportunities for growth, and that growth is tough work to do alone. Whether that chaos manifests itself in a battle with depression or anxiety, challenges in a relationship, or navigating life following a transition, loss, or diagnoses, hope and healing are possible.
Our lives can be chaotic and we all need support to make sense of the chaos. Challenges in life can be opportunities for growth, and that growth is tough work to do alone. Whether that chaos manifests itself in a battle with depression or anxiety, challenges in a relationship, or navigating life following a transition, loss, or diagnoses, hope and healing are possible.
(616) 253-6744 x31 View (616) 253-6744 x31
Photo of Cynthia Cortez, MA, LLPC, Pre-Licensed Professional
Cynthia Cortez
Pre-Licensed Professional, MA, LLPC
Verified Verified
1 Endorsed
Grand Rapids, MI 49503
I believe that every person is unique and different. I strive to create a safe space where you will be treated with respect and kindness, feel validated, heard, and feel safe to be yourself regardless of age, gender, or race. I believe that counseling is a journey to better oneself at any point in life’s journey and not only during a crisis or through challenges. Whether it is shame, guilt, depression, anxiety, relationship issues, questioning your identity or trauma you are dealing with, know that change is possible.
I believe that every person is unique and different. I strive to create a safe space where you will be treated with respect and kindness, feel validated, heard, and feel safe to be yourself regardless of age, gender, or race. I believe that counseling is a journey to better oneself at any point in life’s journey and not only during a crisis or through challenges. Whether it is shame, guilt, depression, anxiety, relationship issues, questioning your identity or trauma you are dealing with, know that change is possible.
(616) 219-2043 View (616) 219-2043
Photo of Nicholas Lange, MA, LPC, LMFT, Licensed Professional Counselor
Nicholas Lange
Licensed Professional Counselor, MA, LPC, LMFT
Verified Verified
2 Endorsed
Grand Rapids, MI 49503
Has a recent event made you reevaluate your life? Or are you in a relationship and believe that you could be getting more out of it? If so, let me help you explore. Life is too short and there is always room to strive for more. I believe that people need to be authentic and genuine in order to fully experience and enjoy their lives and relationships. There is no greater feeling than discovering and embracing your true self. Stress/anxiety/depression can weigh you down and make you forget what you are aiming for. If you are struggling to make sense of your next step in life and don’t know where to begin, I can help.
Has a recent event made you reevaluate your life? Or are you in a relationship and believe that you could be getting more out of it? If so, let me help you explore. Life is too short and there is always room to strive for more. I believe that people need to be authentic and genuine in order to fully experience and enjoy their lives and relationships. There is no greater feeling than discovering and embracing your true self. Stress/anxiety/depression can weigh you down and make you forget what you are aiming for. If you are struggling to make sense of your next step in life and don’t know where to begin, I can help.
(616) 920-6933 View (616) 920-6933

See more therapy options for East Grand Rapids

Gottman Method Therapists

How does the Gottman method work?

One of the core doctrines of the Gottman method is that negative emotions hurt relationships about five times more than positive emotions help them. Thus, couples require five times more positive interactions than negative interactions with each other. The therapist will guide clients on how to improve communication and understanding of each other to manage conflict and have their emotional needs met. The therapist will also advise couples on how to repair relations with each other when conflict arises, and therefore avoid lasting damage.

Is the Gottman method evidence-based?

Yes, this method is an evidence-based approach to couples therapy. The method is based on more than 40 years of research by Drs. John and Julie Gottman, the psychologists who developed the method. The Gottmans analyzed decades of data to draw conclusions about what types of interactions are likely to lead to specific results, and which interventions are most likely to lead to success. Studies have found that this approach leads to improvements in relationship satisfaction, intimacy, communication skills, and a lower rate of divorce.

How long does the Gottman method take?

The duration of treatment depends on the specific challenges clients face. Sessions are typically 60 to 90 minutes long, and an average course of treatment is around 10 sessions. In some cases, such as for couples dealing with a critical problem, the therapist will suggest an intensive course of treatment, with daily sessions over the first two to four days. Treatment is complete when the couple is satisfied and has met the goals they’ve set, and when the therapist believes they have the skills to continue on their own.

Is the Gottman method effective?

Through the Gottman method, couples can achieve changes that are real and sustainable. This treatment has been used for more than 40 years; the method is supported by empirical research, including randomized controlled trials that have demonstrated effectiveness in improving relationship outcomes for couples. Like any talk therapy, success or failure depends in large part on how committed the clients are to making positive changes and working toward results.