1. Dealing with Domestic Violence in Couples Counseling
Assess Domestic Violence
Interview as Couple and Separately
Conflict Tactics Scale
Assess Current Risk of Lethal/Injurious Violence
History and Nature of Violence (e.g., verbal, physical, weapons used?)
Fear of Recurrence
Recent Threats of Violence
Has violence occurred only or mostly when alcoholic is/was drinking?

2. Dealing with Domestic Violence
If Risk of Lethal/Injurious Violence is High:
Provide Separate Treatment for Alcoholic and Spouse
Make a Safety Plan
If Risk of Lethal/Injurious Violence is NOT High:
Treat with Caution and Address Violence

3. Dealing with Domestic Violence
Address Violence in Couples Counseling:
Commitment to nonviolence (“No angry touching.” “No threats.”)
Review at each session successes and challenges to keeping nonviolence commitment
“Time Out” to reduce escalating conflict
Communication Skills Training
Written agreement for at least temporary separation if violence occurs
Address risk of violence if relapse occurs