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When Not To Do Individual Therapy

Juan Korkie, Clinical Psychologist

One of the things I hear fairly often in my work is some version of this: “Maybe you should do individual therapy first, and then we can do couple therapy later.”

On the surface, this sounds reasonable. Even thoughtful. As if sorting oneself out individually is a necessary prerequisite for working on the relationship. But when the primary difficulty lies in what happens between two people, I strongly advise against this sequence.

If the problem is relational, then the unit of work needs to be the relationship itself. What is struggling is not one person in isolation, but the interaction between two people and the patterns that shape it. Starting with individual therapy often bypasses the actual conversations and interactions that keep the relationship as it is.

This is not because individual therapy is wrong or less valuable. It is because it is organised around a different unit of focus. Individual therapy works within a single frame: one person’s experience, one person’s meaning-making, one person’s organised reality. That frame is coherent and necessary for individual work. But when the difficulty is relational, the problem does not sit fully within either individual account. It is expressed in the interaction between them. Working from a single frame in that context can only ever engage one side of it.

Over time, that single perspective can become clearer and more internally consistent. It also develops blind spots. What often takes shape is an internalised version of the other person, shaped by hurt, repetition, and interpretation. It isn’t a lie, and it isn’t created deliberately. It is limited because it captures only one position within a larger pattern, and therapy organised around that single frame can further stabilise it.

The difficulty is that this consolidation can harden meaning. The intentions, motivations, and inner world of the other person become more settled and less flexible. What feels like understanding is often a narrowing rather than an opening. The relationship itself remains untouched. Anyone who has worked with couples will recognise the moment when the partner who has been described for months finally enters the room. The discrepancy can be striking. What has been worked with is not the relationship, but one person’s experience of it.

Couple therapy works differently. It does not privilege one perspective over the other. It works with what happens in real time, between two people, under emotional pressure. The caricatures are exposed by contact. Patterns that remain abstract in individual narration become visible as they unfold.

This does not mean individual therapy has no place. Sometimes it is essential. But when the injury, the stuckness, and the distress are relational, starting with individual work can unintentionally reinforce the very pattern people are hoping to change.

“Work on yourself first” sounds wise. But when the problem lives between people, it does not resolve by working on only one side of the interaction.

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