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Couples Counseling

Couples seek counseling for a variety of reasons, including infidelity repair, addictions, communication skills, conflict resolution, parenting, and jealousy. This can be true for anyone who has made a commitment to another person and finds themselves at place where the challenge is more than one can handle. It is important to remember that relationships change over time and your connection and intimacy with your spouse/partner can be affected. But this does not have to be the case. It is important to remember that you fell in love for a reason. You have a shared history, and this is what we seek to repair and restore.

Our counselors work with couples to strengthen each aspect of the relationship, whether couples are in a long-term relationship, preparing to be married, or married for decades. Couples are provided with specific tools and resources to meet their personal needs.

Our counselors follow the Gottman Method for Healthy Relationships as well as an Emotionally-Focused Couples Theory. Both are highly researched and evidence-based treatments. According to the Gottman Method, created by Drs. John and Julie Gottmann, couples must continue to grow in their fondness for one another, be able to influence each other, and turn toward and not away from their partner. Our counselors help couples learn and utilize these skills for a healthier relationship.

Emotionally Focused Couples Therapy, founded by Drs. Sue Johnson and Les Greenberg, is rooted in Attachment Theory and the belief that couples need to have a secure emotional attachment with one another in order to feel safe and vulnerable. Once a secure bond is achieved, couples can restructure their interactions and responses.

Contact one of our therapists if you are interested in improving your relationship.

Trauma / PTSD

Young woman sitting outside with sad expression

  • Did you ever witness or experience something you wish you hadn’t?
  • Have you questioned whether a specific experience has triggered a negative aftermath in your life or the life of someone you know?

If yes, then it is possible that you or that person could be experiencing symptoms of Post Traumatic Stress Disorder, also known as PTSD.

Understanding the impact on your life and your relationships is the first step in changing the disabling and unhealthy behaviors that are caused from traumatic experiences.


What is PTSD? It is a set of symptoms that can follow exposure to a specific situation or event that actually occurred or was perceived to be threatening due to serious injury, death, violence, and/or its harmful nature. This can include:

  1. Direct exposure—An individual personally experienced an event that involved actual or threatened death, serious injury, or danger to ones’ physical integrity.
  2. Witnessing—An individual witnessed an event or situation that involved death, injury, or threat to the physical integrity of another person.
  3. Indirect exposure—An individual learns about an unexpected or violent death, serious harm, or threat of death or injury experienced by a family member or loved one.
  4. Repeated indirect exposure—An individual is repeatedly exposed to aversive details of a specific event(s) due to professional settings or job duties.

Typically, PTSD causes fear, a sense of helplessness, horror, agitation, and disorganized behavior. It also triggers persistent re-experiencing of some aspect of the traumatic event/experience, avoidance, hypervigilance, hyperarousal, negative alterations in thoughts and mood, and functional impairments. It is not unusual for individuals to try and deal with traumatic experiences by depersonalizing it (“this isn’t happening to me or it didn’t happen to me”) or derealization (“this is not real”.)

Deciding to get help for PTSD can be scary. Recognizing that your traumatic experience cannot be wiped away and you do not have to be ashamed of it or go through the process alone is needed relief. The therapists at Hidden Stream Counseling would like to offer you the help you need in learning to manage the stressors associated with past trauma by not only treating the wound but also healing the scares.


Listen to Tanya talk about the myths of PTSD and how she helped a man reclaim his life after a traumatic experience.

Ready to reclaim your life back? We can help.

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Sex Therapy

sex therapist raleigh ncMen and women alike have sexual related concerns. Whether you are dealing with a lack of sexual desire, arousal, dysfunction, or pornography addiction or other unwanted sexual behavior, you may benefit from meeting with a trained sex therapist. Mark Harol has received extensive training through the Institute for Sexual Wholeness at Richmont Graduate University in Atlanta, Georgia. He also is pursuing certification in sex addiction counseling with the International Institute for Trauma and Addiction Professionals.

Mark recognizes that clients who struggle with these concerns often walk around with a great deal of shame. For those addicted to certain sexual behaviors, it may be difficult to understand the driving factors for sexual obsessions or compulsions, particularly if it contradicts with personal and spiritual values or interferes with life goals. Mark helps clients learn the necessary skills to curb unwanted behaviors and counsels those who are having specific sexual dysfunctions.

If you identify with any of the following, contact Mark to schedule a consultation.

For Individuals:

  • Are you someone who never liked sex?
  • Do you have erectile dysfunction?
  • Do you have trouble getting or staying aroused?
  • Have you lost the sexual desire you once had?
  • Have you never been orgasmic?
  • Do you feel ashamed about the way you function sexually
  • Does past sexual trauma make it hard for you to enjoy sex now?
  • Are you sexually addicted or compulsive?

For Couples:

  • Does it feel like you are incompatible sexually?
  • Do you fight over the frequency of sex?
  • Has a sexual dysfunction such as a pain disorder or premature ejaculation created a pattern where you have come to dread sex?
  • Are you unhappy in a sexless marriage?
  • Are you trying to heal from infidelity?


To learn more about Sex Therapy Treatment:

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ADHD

Attention-Deficit/Hyperactivity Disorder, or ADHD, is characterized by symptoms of inattention, impulsivity, distractibility, hyperactivity, and difficulty organizing tasks. These symptoms not only affect children in the classroom setting but at home as well. Because their brains are wired differently and are considered “fast brains,” they often have trouble concentrating and are easily distracted by extraneous stimuli. ADHD kids also may present with other symptoms, such as anxiety, behavioral outbursts, parental defiance, poor self-esteem, and depression. As teenagers, they may be vulnerable to substance use if their condition goes untreated. Our therapists target organizational skills, impulsivity, inattention, and self-esteem, teaching teens and adults to have confidence in themselves and accept that they are more than their diagnosis.

While ADHD was initially reserved for children only, recent research demonstrates that this condition can persist into adulthood for about 60% of those diagnosed. Changes to the Diagnostic and Statistical Manual-V, demonstrate a change in this thinking as well. While some adults have found effective ways to compensate for these symptoms, others may still struggle with it. And they may even experience difficulties in their relationships due to untreated symptoms.

Contact one of our therapists to find out how you can identify the ways your ADHD affects you, develop skills to manage your ADHD effectively, and rebuild your relationships.