frequently asked questions

What is a Marriage and Family Therapist?

Let me say that while my professional license is described as a Marriage and Family Therapist, I view myself as a Relationship Therapist as it makes room for all configurations of consensual relationships of which I am an ally.

That said, Marriage and Family therapists (MFT’s) work with single or married individuals, committed couples, families of all types to explore emotional and relational concerns. They utilize a "systemic" orientation that focuses on understanding their clients' symptoms and interaction patterns within a "system" or in the context of his or her current and/or prior relationships.

Do I have to be married or have a family to go to a marriage and family therapist?

No. Individuals often seek marriage and family therapy for help with behavioral struggles, relational issues or mental health and emotional disorders. MFT's provide the same services as other mental health professionals but with a different orientation.

How do I prepare for my first session? What will subsequent sessions be like?

Prior to our first session, it is necessary for each person to read, complete and submit paperwork that is sent to you online. The first session or two will be getting to know each other. It will be most helpful if you arrive with the intention of being as open and honest as you can be. We will most likely discuss what brings you into therapy, and aspects of your life that are important to you. As I am getting to know you, it is likely that you will have some questions about my training and approach to therapy. I am always happy to answer questions about my professional background and the counseling process. We will also discuss your goals for therapy.

The structure of ongoing sessions will depend on the type of therapy — individual or couple, and your goals. They will generally consist of check-ins about what has transpired since our last session. Also, we may review any homework or skills you’ve practiced or introduce new ones.  Much of therapy will be important discussions about the aspects of your relationship or life that are causing discomfort.

Do I bring anything with me to my sessions?

If you are seeking couples therapy, you will need to bring all individuals participating in counseling. If there are items such as a journal entry, diary or homework results that are important to further our work, for sure, bring them in!

What I have to talk about is very personal. How do I know that our conversation will stay private?

As a licensed therapist, I am legally and ethically bound to keep our conversations and all of your personal information confidential. There are exceptions to confidentiality that are outlined in my Disclosure Statement and will be addressed at our first meeting and throughout therapy, as needed.

What if I don't want to answer a question or I feel uncomfortable?

One of your rights as a client is the right to refuse to answer a question. You may also decline to participate in homework assignments or any part of treatment. I strongly believe that therapy is a collaborative process and I welcome feedback. It will be helpful to discuss areas of therapy that may be difficult, uncomfortable or unhelpful.

What is counseling homework? Will there be tests?

Counseling homework is anything that I suggest you do between our sessions. Examples of homework would be taking daily walks, writing down your thoughts and feelings, practicing a new relational skill or reading a book or handouts. Like all parts of treatment, it is optional but tends to greatly enhance treatment. No tests, but we may talk about how you’ve experienced these activities or had difficulty trying them.

How long does therapy last? When does it end?

Good question! The length of treatment will be different for every individual and couple based on their identified needs and goals. Counseling ends for a variety of reasons. Ideally, treatment ends when you have met your goals and feel significantly different about the issues that brought you into counseling. You may notice a new energy, interest and enthusiasm about aspects of your life and confidence to tackle new challenges. However, you are not bound to attend therapy sessions and have the right to end counseling whenever you wish.

What is sex & intimacy therapy?

In sex therapy, I focus on helping my clients verbalize the sexual difficulties they are having and work towards a sex life that feels more authentic, exciting, pleasurable and fulfilling. Additionally, talking about sexuality, the way we express ourselves as sexual beings, can be important.

Won't it be embarrassing to talk about my sex life?

Conversations about sex and intimacy can be uncomfortable at first. I understand and anticipate some discomfort and strive to create an atmosphere that is safe, nonjudgmental and relaxing. I am passionate about this subject and endeavor for everyone to enjoy a great sex life! We are all created to love and be loved. I hope that my enthusiasm will help to decrease your anxiety.

What can I expect from our sex therapy sessions?

Sex therapy is based on talk therapy. Although all of the therapy in my office is talk therapy, I may suggest exercises or techniques to practice outside of our appointments, either alone or with your partner. As always, it is your right to decline to participate in homework assignments or any part of treatment if you feel uncomfortable.

Is there touch involved in sex therapy?

Nope. None. Never. There is no physical touch, nudity and no sexual contact of any sort. We sit in a room and talk, keeping it professional.

Bothell Location

10516 East Riverside Drive
Bothell, WA 98011

Get Directions

Phone

425-210-0381

Email

knielsencounseling@gmail.com

NEWS

Northwest Couples:

Northwest Couples is led by co-creators Kristin Nielsen MS, LMFT, CST and Marcia Erickson Bates MS, LMFT providing Hold Me Tight® couples workshops in the Greater Seattle area. We help couples transform their relationships by unpacking patterns that create disconnection, and providing a road map to a secure and lasting bond. 

Let’s connect! Visit our website to find resources to educate, support and cultivate your relationship.

Upcoming Couples Workshops:

  • March 2 - 3, 2024

  • October 5 - 6, 2024


QUESTIONS? LET’S CHAT.

Have questions or want to chat? Send me a message and I'll get back to you as soon as I am able. I am excited to hear from you!