I require that new couples/ polycules, commit to weekly sessions at the onset of treatment for the first few months as we establish care. Most clients have a fixed, recurring time in my calendar, which is my recommendation for the greatest consistency and guarantee of access. Some clients migrate to sessions every other week after the first few months due to time, finances, or emotional bandwidth. Couples counseling is highly experiential, so clients should be aware that only meeting twice a month will likely slow momentum and lengthen the course of treatment.
Typically the first one or two sessions are all together, and then I conduct one or two one-on-one sessions for assessment. After assessment, the remainder of couple’s treatment is done with both partners in session. When working with polycules and non-monogamous partnerships involving more than two clients, the work is similar to family therapy wherein I may work systemically in various dyads, triads, and couplings.
I primarily use Emotionally Focused Couples Therapy (EFCT) when working with couples. As an integrative therapist, I also weave in polyvagal theory, Narrative Therapy, IFS-informed parts work, and EMDR for couples. The way we tailor sessions is largely dependent on goals. For high-conflict couples, we may work initially on nervous system stabilization and co-creating safe boundaries before engaging in attachment and emotion-focused work.
Every case is different, so this is a difficult question to answer, however, most couples and polycules should anticipate being in treatment for 6-12 months minimum. When there are more individuals involved in treatment, higher conflict, trauma histories, active substance use, or a history of physical or emotional intimate partner violence in the relationship, typically treatment is longer as a result.