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House Calls

Homes are where real-life stressors unfold—routines, power struggles, and relational tensions are in full display—and it is within this context that house calls bring opportunities to gain deeper insights, new understanding and emotional connections between parent and child.

House Calls offer a clinically rich and uniquely effective approach to understand families in distress. By observing, interacting and modeling the very behaviors parents want to express, accelerates the healing process that often remain hidden in a traditional office setting. 

 

Children, in particular, tend to behave more authentically in familiar surroundings.  Unlike in a clinical office, where they may be guarded or performative, the home allows for spontaneous interactions—both positive and negative—that offer invaluable diagnostic information.  Moments of sibling rivalry, resistance to parental direction and conflict during daily routines like meals, homework, and bedtime provide real-time opportunities for assessment and intervention.

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For parents, it can also relieve the logistical and emotional burden of getting to an appointment—especially for those with demanding work schedules and larger families. It reduces the sense of shame or failure that some parents feel when seeking outside help.  Instead of feeling judged, many come to experience House Calls as a supportive and collaborative, in an effort to bring clarity, calm and structure to family life.

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To help establish therapeutic trust, the process typically begins with an in-office meeting, allowing the family to get to know me in a relaxed space.  This step reduces the likelihood that I am perceived as an outsider or enforcer, and instead provides the foundation for trust and relatability.  Ultimately, House Calls bridge the gap between clinical insight and practical, sustainable change. 

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Clinical Summary:

• Direct observation of family routines and parent-child interactions.

• Real-time coaching and modeling of behaviors. 

• Identification of multiple factors contributing to behavior (e.g., overstimulation, lack of boundaries, inconsistent consequences, negative moods, etc. ).

• Immediate feedback and course correction in real time.

• Enhanced rapport and trust, especially among children who may be resistant to therapy in unfamiliar settings.

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© 2025 Dr. Mark L. Brenner

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