Ideally, you will be committed to participating in 8-10 sessions. Each session will involve discussions, activities, and skill-building exercising. In addition, there will be some homework assignments in between sessions. All sessions are 55 minutes.

Couples Assessment.jpg — What to Expect

Once your initial intake is scheduled, your Prepare/Enrich counseling begins with a 30-45 minute online assessment completed separately by both individuals. A customized report will then be provided that gives feedback in these core areas:
Strength and Growth Areas
Communication Skills
Personal Stress
Conflict Resolution
Financial Management
Leisure Activities
Sex and Affection
Relationship Roles
Spiritual Beliefs
Relationship Expectations
Children and Parenting
Family of Origin & Its Present Impact
Personality Differences
Goals (Personal, Couple, & Family)

Get back to a place where you can feel relaxed and connected again.

To set up your first appointment, please fill out this form. Pastor Luke will follow up shortly.

Request Couples Counseling

Name *

First Name

Last Name

Email *

Best Contact Number *

(###)

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Will you both be attending? *

Name of your spouse/partner? (I will use the general term "partner" on this form as some filling this out may only be in a dating/engaged relationship) *

How long have you been dating or married?

Have either of you been married previously to this relationship?

Please share about your level of involvement in a local church community:

Which best describes the personal faith/beliefs for you and your partner:

Are you both in agreement and on board with pursuing couples counseling?

Please rate the accuracy of the following statement: my relationship with my significant other is healthy. *

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

Have any physical and/or emotional affairs taken place, at any time in your relationship, by either of you? If yes, please explain by whom, when, and duration of the affair. *

Check any of the following types of control happening (not a one time occurrence but ongoing patterns):

There's no issues with power, control, or abuse in our relationship.

Emotional control (invalidating feelings, silent treatment, threats, guilt to manipulate, blame for everything, deny affection, wake other up from sleep, etc..)

Financial control (limit access to accounts, must know every penny spent, must ask for money, creating debt, make all financial decisions, etc..)

Pets and property control (hurting pets, destroying property, punching walls, slamming doors, etc...)

Physical control (slap, hit, punch, bite, kick, restrain, choke, spit on, driving fast/reckless, lock out of the house, block exits, use an object rather than hands to cause harm, etc...)

Psychological control (say things then later deny it, intimidate with gestures/words, blame shifting, minimizing, threatening suicide, displaying weapons, false remorse, fake empathy, etc...)

Sexual control (forcing sex, sexual put downs, criticizing body, use of pornography, have or threaten to have an affair, sexually harming others, etc...)

Spiritual control (use scripture to excuse behaviors, twist scripture to gain power, isolate from faith community, put beliefs down, etc...)

Verbal control (sarcasm to put down, yelling, swearing, shaming, insults, condescending, name calling, cutting off in conversation, etc...)

If you checked any of the boxes above, please explain.

Have you or your partner battled addictions in the past or present?

Please describe the specific addictions, if indicated above:

Use the space below to share your main reasons for seeking counseling at this time.

Please check any/ all preferences for scheduling the initial intake. (Please Note: I typically ask that only the parent(s) or guardian(s) come to the initial intake) *

Monday

Tuesday

Wednesday

Thursday

Friday

Any additional comments/questions?

You just took the first huge step towards healing. I will be in touch shortly to discuss how I can help you.

In the meantime, please download your Intake Form. If you forget, don’t worry! I’ll have one in the office for you.

*Prepare/Enrich is NOT a suitable option for destructive and devitalized relationships, marked by long-term and/or current abuse, addiction, ongoing affairs, or extreme dysfunction. In those instances, individual counseling would be the recommendation.

About
Services
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Faith-Based Couples Counseling

Couples Counseling

$100-$140

Couples counseling is useful for dating, engaged and married couples.

What to Expect

Get back to a place where you can feel relaxed and connected again.