Andy MacBride — The Couch

Andy MacBride

After a long stint in marketing and creative services, I will complete my MA in clinical psych (Marriage & Family Therapy) in June of 2024 — hey, that’s not too far off anymore! Until I graduate, I’m at The Couch part-time.

I’m delighted to be working with Stefanie; she is a stellar mentor and supervisor, and it feels like I’ve learned as much or more from her than I have in my entire formal classroom training. We share a keen interest in the clinical use of ketamine as it enables clients to have powerful breakthroughs quickly — generally 3–5 months as opposed to traditional therapies that can bring similar results but often taking many years.

My expertise lies in addressing trauma, which means I work across a broad spectrum of issues — causes of addictions, the aftermath of violence, loss & grief, painful early childhood experiences, and the suffering many of us carry as a consequence of living in a wounded world. I’ve found Internal Family Systems to be an invaluable tool in this area.

I have a particular interest in religious trauma (from both professional and personal experience); I sometimes call this clinical philosophy or navigating a worldview transition.

I also enjoy couples counseling (certified in Gottman Method Levels 1 and 2 and informed by Imago therapy). I especially enjoy guiding couples through pre-commitment exploration. My approach differs significantly from conventional premarital counseling, offering a unique trajectory that examines the relationship as an independent entity and considers the skills needed to maintain its health.

It’s important to clarify that my goal in relational work is not to save (or dissolve) relationships. Instead, my work focuses on providing clarity and self-insight, enabling you and your partner to know where you both stand and what you want and need. This allows you to decide to move forward together or make a necessary ending. The goal is to facilitate a deep understanding of yourself and create the foundation for an informed, intentional, and empowered relationship.

Embarking on this journey with me is not about seeking quick fixes but about engaging in a meaningful process that addresses conflicting desires and motivations, paving the way for a harmonious and integrated life. This requires time and dedication, but is invaluable for its potential to transform relationships and personal growth.