Case study- Couples counselling

Lianne (35) and Brianna (34), both cis-gender females, have been together for over 10 years. They are seeking couples counselling as about a year ago Brianna kissed another female (Tina, 29) at a party and despite any attempts at talking this through, the couple does not seem to understand why what happened had happened. Lianne has been growing increasingly worried about the future of the couple, especially as she would like to start a family soon.

Growing up, Brianna often had to spend a lot of time with her mother, a single parent, had to work several jobs. Brianna describes her relationship with her mother as complicated. Lianne comes from a family of 6 and says her upbringing was normal.

In counselling, Lianne presents as quite vocal, very devoted to Brianna and repeatedly says how much she loves her partner. Brianna appears to be more withdrawn, very polite and quiet. Lianne complains about lack of communication from Brianne, but when Brianna opens up and talks about her feelings, Lianne seems to listen for a while but inevitably reacts with more frustration. To Brianna, it seems like nothing is working, no matter what she does or says.

At the end of your last session, when Lianne went to the bathroom, Brianna asked to speak with your privately. As you were running out of time before the next client arrives, you replied to Brianne that you would get back to her.

As their counsellor:

1. What is your case formulation of what is going on between Brianna and Lianne.
2. What are some of the underpinning theories that will influence your practice?
3. How would you approach counselling this couple.
4. Please discuss any possible areas of special consideration or concern arising from the described situation.