TEEN/FAMILY THERAPY

Parenting a teenager is not easy.  Being a teenager is complicated. The adolescent
stage is associated with notable changes in mood.  Because teens are experiencing
various strong cognitive and physical changes, for the first time in their lives they may
start to view their friends and peers as more important and influential than their
parents/guardians. This is a very confusing time filled with
struggles of adolescent
identity
, change and loss.  A most important loss is the changing relationship
between the adolescent and their parent.  
Their changing mind, body and relation-
Joanne Koegl M.A.,LMFT

  245 S. Euclid Avenue, Pasadena, California 91101
626.792.0773
Marriage Family Therapist, License #MFC 45854

Servicing Pasadena, Alhambra,  Glendale, La Canada, Montrose, La Crescenta,  Sierra Madre and surrounding areas of Los Angeles
Couples therapy focuses on the problems existing in the relationship between two
people. But these relational problems most always involve individual symptoms and
problems as well as the
relationship conflicts.  For example, if you are constantly
arguing with your spouse, you may also be chronically anxious, angry or depressed
(or all three).

In couples therapy, I will help you and your partner identify the conflict issues within
your relationship.  I will help you decide what changes are needed in the
relationship and in the behavior of each partner, for both of  you to feel satisfied
with the relationship. Couples therapy involves learning how to communicate more effectively, and how to listen
more closely.  In couples therapy I am often more proactive and direct helping the couple gain awareness of their
"disconnect" by pointing out observed behaviors and putting words to body language, eye rolling, etc. The way I and
the couple develop rapport is by being honest from the start and the couple feeling heard. Sometimes the process
is very similar to individual psychotherapy, sometimes it is more like coaching and it is educational. The goal is to
initially gather each individuals feelings, thoughts, and conflicts in front of each other, to practice mindfulness and
respect while the spouse/partner is speaking. I work with the couple to identify the disconnect and often that may
include homework. I believe that intimate connectedness and full respectful living is our birthright and optimal state
for all types of relationships.
COUPLES THERAPY
PREMARITAL COUNSELING
Premarital counseling, also known as the marriage preparation program, explores and
helps bring forward all elements of beginning a life together.  Long before you met your
partner you began preparing for marriage.  Each experience of attachment and love has
formed expectations and colored your dreams. Now is the time to plan your journey and
set your course for future that will bring joy and unity.  Your premarital assessment is an opportunity to honor your
strengths and identify potential areas to strengthen your relationship.  Your profile develops over four, fifty minute
sessions.  Included in this process is the use of FOCCUS, an internationally used multiple choice inventory which
covers questions pertaining to issues of  
expectations, communication styles, family of origin, conflict
resolution, finances, sexuality, intimacy, parenthood, spirituality and goals and dreams
. It provides
individualized couple feedback on where each partner stands in regard to topic areas important to marriage. Often
the questions form the basis for further discussion of issues that sometimes couples may have not considered
before entering into marriage.
ships often present themselves with emotional instability that can lead to issues of parent/child relational
problems, depression, anxiety, eating disorders, self injury and substance abuse
, to name a few.
I have done intensive research on the sociological, physiological and psychological perspectives of teens.  I am
keenly aware that each teen is a unique as his or her own fingerprints. My focus is two-fold: the wellbeing of the
teenager and the wellbeing of the parent/teen relationship.
Another large emphasis of my practice is also in helping individuals and couples understand how often one
remains "stuck in adolescent behavior" beyond the teen years and its affects on relationships.
HOME                                                                     ABOUT JOANNE                                                          CONTACT US

SPECIALTIES

Anxiety

Depression

Life Transitions

Grief and Loss

Blended Families

Bereavement

Stress
Management

Bi-lingual in
Spanish
Services  
LOSS AND GRIEF THERAPY

One thing we are all going to face in life is LOSS.  Often people think loss is only by death but everyday losses such
as health, divorce, loss of a job, finances, retirement, empty nest syndrome, youth, aging parents, family and friends
moving away, etc,  can be difficult  losses to cope with or obtain some perspective to help us move through life's
changes.  We are such a society of attainment and we are not taught how to talk about loss and bereavement.  This
past economic year has been an example of how many of us suffered different losses and how we had to learn to
re-evaluate our lives. Going through the loss can be detrimental to your physical and emotional well being if you do
not have someone to talk with about and to learn coping skills.

The death of a loved one can be the most stressful event in a person’s life. A wide array of emotions can be
experienced, such as sadness, anger, anxiety, guilt, and despair. Changes in sleep patterns and appetite can
occur, as well as physical illness. These are all normal parts of grieving and the feelings can ebb and flow over
time. Grieving over the loss of a loved one is a necessary and natural process.  Time and balance are important
components yet talking about our loved one is the start to healing. Everyone grieves differently, especially  
depending on how we were brought up and our own backgrounds.   Grieving is one of the most universal of all
human experiences, cutting across race, nationality, gender and socioeconomic backgrounds.

Although it is something we will all encounter eventually, it is still one of our society’s
biggest taboos.  We are bombarded daily on TV with the images of accidents, shootings
naturals disasters, war, etc., but we often do not address grieving and we always hear
"it is time to move forward". For those of us that are left in its wake, it is not so simple.   
I help my clients that are mourning the death of a loved one by giving them permission
to talk about their loved one, remembering them, and we examine your UNIQUE feelings.
I help you recognize that life is never going to be the same without that person but that
life does go on and that your loved one would want you to move on. Before you can get
to that place of acceptance and readjustment, I help you mourn the loss both by talking
and through some healing tasks.