There are a number of advantages to working within an integrated model framework when doing family therapy; however, few therapists test what they articulate as their model against what they really do. The purpose of this study was to test how well one therapist practiced her explicated theoretical integration in a clinical setting. Quantitative and qualitative data were gathered to answer three research questions: the level of adherence to the integration, client change, and change within the integrated model over the course of the study. The sample included three couples; data from 25 video-coded sessions, the Revised Dyadic Adjustment Scale and Outcome Ratings Scale, client case notes, and a reflection journal were analyzed to answer the research questions. Results indicate that the therapist remained true to the described integrated model; that all couples experienced change, some positive, some negative; and small changes to the model occurred. Other findings, limitations, and clinical implications are discussed.