Couples Counseling Therapists in Tucson, AZ

Photo of Shoshana Elkins - Sequoia Springs Trauma Healing Center, LCSW, Clinical Social Work/Therapist
Sequoia Springs Trauma Healing Center
Clinical Social Work/Therapist, LCSW
Verified Verified
Tucson, AZ 85715
Sequoia Springs Trauma Healing Center is here to help by providing therapy services to individuals, couples and families as they find their path into healing and recovery. We specialize in the treatment of trauma and work with people who would like to improve their sense of connection, communication, empowerment and healing in the challenges that create stress, conflict, isolation, and addiction. Together we can work to challenge defenses and patterns that create disconnect, dissatisfaction, and overall unhappiness - at school, work, relationships, home or in yourself.
Sequoia Springs Trauma Healing Center is here to help by providing therapy services to individuals, couples and families as they find their path into healing and recovery. We specialize in the treatment of trauma and work with people who would like to improve their sense of connection, communication, empowerment and healing in the challenges that create stress, conflict, isolation, and addiction. Together we can work to challenge defenses and patterns that create disconnect, dissatisfaction, and overall unhappiness - at school, work, relationships, home or in yourself.
(520) 447-4164 View (520) 447-4164
Photo of Lydia Suitt, LAC
Lydia Suitt
Licensed Associate Counselor, LAC
Verified Verified
Tucson, AZ 85715
I specialize in working with couples and with individuals with trauma-related issues, which can include PTSD, anxiety, depression, shame, and low self-esteem.
Whatever you’re going through, you don’t have to face it alone. Together, we’ll explore your strengths and struggles as we pave a path toward greater mental, emotional, and relational wellness. As a person-centered counselor at heart, I bring authenticity, curiosity, empathy, and acceptance to our work.
I specialize in working with couples and with individuals with trauma-related issues, which can include PTSD, anxiety, depression, shame, and low self-esteem.
Whatever you’re going through, you don’t have to face it alone. Together, we’ll explore your strengths and struggles as we pave a path toward greater mental, emotional, and relational wellness. As a person-centered counselor at heart, I bring authenticity, curiosity, empathy, and acceptance to our work.
(520) 650-5608 View (520) 650-5608
Photo of Rosie Wick, MA, LPC, Licensed Professional Counselor
Rosie Wick
Licensed Professional Counselor, MA, LPC
Verified Verified
Tucson, AZ 85718
Waitlist for new clients
I specialize in Couples Therapy and trained directly with Sue Johnson, creator of EFT and John and Julie Gottman, the most effective and widely-researched models.
The heart of my work combines gentleness, strength, and evidence-based approaches with an intuitive understanding. I use inner and outer resources to support people, and sometimes laughter and irony along the way. Attending to banished voices, lost dreams, inner-child work, saboteurs, and avoidance helps to get people where they want to go. I utilize EMDR, have worked in grief support and inpatient. In addition, applying well-known factors in the neuropsychology of learning optimizes change. In practice, it all comes together using structure, flow, and clinical assessment.
I specialize in Couples Therapy and trained directly with Sue Johnson, creator of EFT and John and Julie Gottman, the most effective and widely-researched models.
The heart of my work combines gentleness, strength, and evidence-based approaches with an intuitive understanding. I use inner and outer resources to support people, and sometimes laughter and irony along the way. Attending to banished voices, lost dreams, inner-child work, saboteurs, and avoidance helps to get people where they want to go. I utilize EMDR, have worked in grief support and inpatient. In addition, applying well-known factors in the neuropsychology of learning optimizes change. In practice, it all comes together using structure, flow, and clinical assessment.
(520) 704-6942 View (520) 704-6942
Photo of Charlotte Holst Reilley, MA, LPC, Licensed Professional Counselor
Charlotte Holst Reilley
Licensed Professional Counselor, MA, LPC
Verified Verified
4 Endorsed
Tucson, AZ 85719
Waitlist for new clients
Through the therapeutic relationship we can also address the interpersonal issues in your life.
The decision to begin therapy is a powerful moment. It is a mobilizing action towards living a fuller, more wholesome existence. My approach honors your inner wisdom that may be blocked by current behavior patterns, past events, or fear of the future. I use a sensorimotor psychotherapy approach to create awareness on many levels; cognitive, emotional, and physical. I will guide you in learning the tools to self regulate, feel your strength, and carry out your unique destiny.
Through the therapeutic relationship we can also address the interpersonal issues in your life.
The decision to begin therapy is a powerful moment. It is a mobilizing action towards living a fuller, more wholesome existence. My approach honors your inner wisdom that may be blocked by current behavior patterns, past events, or fear of the future. I use a sensorimotor psychotherapy approach to create awareness on many levels; cognitive, emotional, and physical. I will guide you in learning the tools to self regulate, feel your strength, and carry out your unique destiny.
(520) 376-2556 View (520) 376-2556
Photo of Priscilla Williamson Reynolds - Priscilla W. Reynolds, LCSW, PLC, MSW, LCSW, PLC, Clinical Social Work/Therapist
Priscilla W. Reynolds, LCSW, PLC
Clinical Social Work/Therapist, MSW, LCSW, PLC
Verified Verified
Tucson, AZ 85741
I practice from a positive client-centered focus. I treat relationship and communication issues. Issues with depression and anxiety. Women's issues along with any trauma issues. I work with adolescents, children and families. I also accept a sliding fee scale for those with no insurance or for those who do not want to use their insurance.
I practice from a positive client-centered focus. I treat relationship and communication issues. Issues with depression and anxiety. Women's issues along with any trauma issues. I work with adolescents, children and families. I also accept a sliding fee scale for those with no insurance or for those who do not want to use their insurance.
(520) 955-5025 View (520) 955-5025
Photo of Kresta Werner, MS, MA, LPC, CCST, Licensed Professional Counselor
Kresta Werner
Licensed Professional Counselor, MS, MA, LPC, CCST
Verified Verified
1 Endorsed
Tucson, AZ 85712
Relationship 101 is captured beautifully by Esther Perel: "The quality of our relationships determines the quality of our lives." If you long to learn how to nourish, strengthen, and/or repair your relationships therapy can facilitate clearer and compassionate communication between you and your loved ones. I'm sex-positive and believe that a relationship is like an intimate dance in which mutual partnership depends on healthy communication, curiosity and vulnerability. If you feel stuck in your relationship, are dating, or taking some much needed time off, therapy can play a supportive role in deepening connection to self and other.
Relationship 101 is captured beautifully by Esther Perel: "The quality of our relationships determines the quality of our lives." If you long to learn how to nourish, strengthen, and/or repair your relationships therapy can facilitate clearer and compassionate communication between you and your loved ones. I'm sex-positive and believe that a relationship is like an intimate dance in which mutual partnership depends on healthy communication, curiosity and vulnerability. If you feel stuck in your relationship, are dating, or taking some much needed time off, therapy can play a supportive role in deepening connection to self and other.
(520) 210-5972 View (520) 210-5972
Photo of Garret Bolthouse, MA, MCFC, LAC, NCC, Counselor
Garret Bolthouse
Counselor, MA, MCFC, LAC, NCC
Verified Verified
Tucson, AZ 85742
For thirteen years, I worked as a lay-minister alongside teenagers, college students, couples, and their families, and have also worked professionally with mental and behavioral health programs for young people across the country.
Everyone has their own unique story to tell and needs someone they feel is safe, confidential, and ready to listen. I am passionate about people and the stories they are willing to share - their hurts and their joys, their losses and their successes. Absolutely everyone, at some point in their life, experiences a sense of feeling stuck or feeling unable to move forward, and that’s OK! The fact that you are seeking counseling tells me that you have incredible courage, and are ready to push forward, but may not know where to begin.
For thirteen years, I worked as a lay-minister alongside teenagers, college students, couples, and their families, and have also worked professionally with mental and behavioral health programs for young people across the country.
Everyone has their own unique story to tell and needs someone they feel is safe, confidential, and ready to listen. I am passionate about people and the stories they are willing to share - their hurts and their joys, their losses and their successes. Absolutely everyone, at some point in their life, experiences a sense of feeling stuck or feeling unable to move forward, and that’s OK! The fact that you are seeking counseling tells me that you have incredible courage, and are ready to push forward, but may not know where to begin.
(520) 214-9998 x705 View (520) 214-9998 x705
Photo of Laura K Orlich, MS, MC, LPC, NCC, CEDS, Licensed Professional Counselor
Laura K Orlich
Licensed Professional Counselor, MS, MC, LPC, NCC, CEDS
Verified Verified
1 Endorsed
Tucson, AZ 85704
I support individuals and couples who are struggling with relationship issues, anxiety, depression, eating disorders, body image concerns, and other mood disorders to arrive at long-term, sustainable solutions. Years of experience and varied theoretical approaches address root-causes that drive your distress. In a safe, compassionate environment, you can explore your questions, concerns, fears, and goals. I devote attention, energy, expertise, humor and best recommendations to help you discover what you need to move forward. I work with English and Spanish speakers and all religions and backgrounds, including the LDS community.
I support individuals and couples who are struggling with relationship issues, anxiety, depression, eating disorders, body image concerns, and other mood disorders to arrive at long-term, sustainable solutions. Years of experience and varied theoretical approaches address root-causes that drive your distress. In a safe, compassionate environment, you can explore your questions, concerns, fears, and goals. I devote attention, energy, expertise, humor and best recommendations to help you discover what you need to move forward. I work with English and Spanish speakers and all religions and backgrounds, including the LDS community.
(520) 686-7377 View (520) 686-7377
Photo of Sigal Simhony Nadler - Sigal Simhony Counseling, MSc, NCC, LPC, Licensed Professional Counselor
Sigal Simhony Counseling
Licensed Professional Counselor, MSc, NCC, LPC
Verified Verified
2 Endorsed
Tucson, AZ 85718  (Online Only)
I offer a safe and comforting environment to assist you in developing strength and resilience through building internal resources of safety, power, and control. I have experience working with children, adolescents, adults, and families in a variety of presenting concerns, including depression, anxiety, trauma and abuse, parenting issues, relationship difficulties, and adjustment to major life events. I believe in an individual's desire and capacity to change and improve. I believe the path to healing is unique to each person and my aim is to provide a safe and nurturing place for you while you embrace your journey.
I offer a safe and comforting environment to assist you in developing strength and resilience through building internal resources of safety, power, and control. I have experience working with children, adolescents, adults, and families in a variety of presenting concerns, including depression, anxiety, trauma and abuse, parenting issues, relationship difficulties, and adjustment to major life events. I believe in an individual's desire and capacity to change and improve. I believe the path to healing is unique to each person and my aim is to provide a safe and nurturing place for you while you embrace your journey.
(520) 867-4783 View (520) 867-4783
Photo of Layne Hood, LCSW, Clinical Social Work/Therapist
Layne Hood
Clinical Social Work/Therapist, LCSW
Verified Verified
Tucson, AZ 85750  (Online Only)
I integrate methods that strengthen emotional fitness and well being, awaken personal freedom, as well as foster strong relationship.
I only offer online/phone services. I specialize in awakening resilience. Resilience is positive and constructive adaptation. My work fosters emotional agility, develops mental clarity, and optimizes personal power. Whether you feel out of balance, lost, broken, or looking to express yourself more fully, we can quickly activate growth in the direction you choose to help you feel better and deal well with what life presents. You can expect to access your strengths and activate your will to not simply survive but thrive and even flourish.
I integrate methods that strengthen emotional fitness and well being, awaken personal freedom, as well as foster strong relationship.
I only offer online/phone services. I specialize in awakening resilience. Resilience is positive and constructive adaptation. My work fosters emotional agility, develops mental clarity, and optimizes personal power. Whether you feel out of balance, lost, broken, or looking to express yourself more fully, we can quickly activate growth in the direction you choose to help you feel better and deal well with what life presents. You can expect to access your strengths and activate your will to not simply survive but thrive and even flourish.
(520) 462-5105 View (520) 462-5105
Photo of Patrick Stephen Thurman, LPC-S, LPAT, LMHC, CSAT, ATRS, Licensed Professional Counselor
Patrick Stephen Thurman
Licensed Professional Counselor, LPC-S, LPAT, LMHC, CSAT, ATRS
Verified Verified
Tucson, AZ 85711
Not accepting new clients
If you are unhappy because of relationship issues, trauma or obsession with romantic or sexual behaviors and thoughts, I have education and expertise in helping men & women find resolution in.
I am experienced in assisting individuals work through life challenges, such as anxiety, depression and mood disorders. I specialize in Trauma and Addiction issues. My priority is to provide my clients a safe environment to facilitate the insight they need to overcome their current obstacles, which includes the use of art therapy.
If you are unhappy because of relationship issues, trauma or obsession with romantic or sexual behaviors and thoughts, I have education and expertise in helping men & women find resolution in.
I am experienced in assisting individuals work through life challenges, such as anxiety, depression and mood disorders. I specialize in Trauma and Addiction issues. My priority is to provide my clients a safe environment to facilitate the insight they need to overcome their current obstacles, which includes the use of art therapy.
(520) 462-2905 View (520) 462-2905
Photo of Jacob Gotwals, MA, Counselor
Jacob Gotwals
Counselor, MA
Verified Verified
Tucson, AZ 85750  (Online Only)
Welcome! I imagine you’re facing some challenges. Maybe you're struggling with relationship issues or dating. Maybe you're having upsetting memories of traumatic experiences you've been through. Or, maybe you’re feeling anxious or insecure. Everyone struggles sometimes, and sometimes we all need help. We need someone who will listen, understand, and accept us. Someone who cares, who can help us heal. Someone who can help us make sense of what’s happening so we can see things more clearly. I’m passionate about being there for my clients in these ways, and I’m glad you’re here. I work with both individuals and couples.
Welcome! I imagine you’re facing some challenges. Maybe you're struggling with relationship issues or dating. Maybe you're having upsetting memories of traumatic experiences you've been through. Or, maybe you’re feeling anxious or insecure. Everyone struggles sometimes, and sometimes we all need help. We need someone who will listen, understand, and accept us. Someone who cares, who can help us heal. Someone who can help us make sense of what’s happening so we can see things more clearly. I’m passionate about being there for my clients in these ways, and I’m glad you’re here. I work with both individuals and couples.
(505) 336-0088 View (505) 336-0088
Photo of Christina Romano, MEd, LPC, LISAC, Licensed Professional Counselor
Christina Romano
Licensed Professional Counselor, MEd, LPC, LISAC
Verified Verified
1 Endorsed
Tucson, AZ 85730  (Online Only)
Psychology of the True Self, Internal Family Systems, Mindfulness-Based Cognitive Therapy, Existential and Transpersonal Therapy, IMAGO Relationship Counseling, compassionate, non-judgmental and client-centered approach.
The essence of my counseling approach is that I know each person to be whole and unique regardless of what is currently being experienced. I help clients focus on areas of difficulty with kind acceptance. Knots of anxiety, depression and unhappiness unravel and resolve into greater peace. One begins to know oneself as bigger than the problem. I teach cognitive behavioral skills of mindfulness, centering and focusing to allow a greater repertoire of responses to habitual problem areas. I provide a safe place to explore one's deeper self and resolve issues that block happiness and the realization of potential.
Psychology of the True Self, Internal Family Systems, Mindfulness-Based Cognitive Therapy, Existential and Transpersonal Therapy, IMAGO Relationship Counseling, compassionate, non-judgmental and client-centered approach.
The essence of my counseling approach is that I know each person to be whole and unique regardless of what is currently being experienced. I help clients focus on areas of difficulty with kind acceptance. Knots of anxiety, depression and unhappiness unravel and resolve into greater peace. One begins to know oneself as bigger than the problem. I teach cognitive behavioral skills of mindfulness, centering and focusing to allow a greater repertoire of responses to habitual problem areas. I provide a safe place to explore one's deeper self and resolve issues that block happiness and the realization of potential.
(520) 704-9199 View (520) 704-9199
Photo of Emily Farabaugh - Professional Life Coach, MSc, CPLC
Emily Farabaugh - Professional Life Coach
MSc, CPLC
Verified Verified
Tucson, AZ 85716
Feeling stuck? Do you have ideas or goals, but struggle with motivation to start? Are you ready to ignite your potential to THRIVE, not just survive? We will collaborate to create a plan tailored just for you, identifying manageable steps towards your goals and where to start. I provide a supportive safe space to brainstorm ideas, assess vulnerabilities and overcome challenges. I provide tools and reminders to help with employment performance, stress management, relationship communication, etc. Its time to navigate your path and seize opportunities for your future success.
Feeling stuck? Do you have ideas or goals, but struggle with motivation to start? Are you ready to ignite your potential to THRIVE, not just survive? We will collaborate to create a plan tailored just for you, identifying manageable steps towards your goals and where to start. I provide a supportive safe space to brainstorm ideas, assess vulnerabilities and overcome challenges. I provide tools and reminders to help with employment performance, stress management, relationship communication, etc. Its time to navigate your path and seize opportunities for your future success.
(520) 523-4181 View (520) 523-4181
Photo of Dolores K Fair, MA, LPC, Licensed Professional Counselor
Dolores K Fair
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Tucson, AZ 85719
I specialize in working with adults and teens in individual, couples and group therapy.
How can we find joy in a world full of turmoil: fires, hurricanes, shootings, political upheavals, wars, etc. This adds more stress to our already stressful lives. Sometimes, all we need is to have someone to talk to---someone unbiased and nonjudgmental. Sometimes, we need a little help and it is okay to ask for that help. We can work through the challenges that you face; like, grief and loss, couples' issues, self-esteem, depression, anxiety and trauma, to name a few. All you need to do is pick up the phone and call.
I specialize in working with adults and teens in individual, couples and group therapy.
How can we find joy in a world full of turmoil: fires, hurricanes, shootings, political upheavals, wars, etc. This adds more stress to our already stressful lives. Sometimes, all we need is to have someone to talk to---someone unbiased and nonjudgmental. Sometimes, we need a little help and it is okay to ask for that help. We can work through the challenges that you face; like, grief and loss, couples' issues, self-esteem, depression, anxiety and trauma, to name a few. All you need to do is pick up the phone and call.
(520) 300-9879 View (520) 300-9879
Photo of Carol J Ross, LPC, CSAT, Counselor
Carol J Ross
Counselor, LPC, CSAT
Verified Verified
Tucson, AZ 85704
If you are unhappy because of relationship issues, trauma or obsession with romantic or sexual behaviors & thoughts, I have many years of education and expertise in helping men & women find resolution in order to change and grow. If you are the partner of someone with obsessive sexual behaviors or thoughts, you may be struggling with hurt and betrayal and my experience can help with healing these issues.
If you are unhappy because of relationship issues, trauma or obsession with romantic or sexual behaviors & thoughts, I have many years of education and expertise in helping men & women find resolution in order to change and grow. If you are the partner of someone with obsessive sexual behaviors or thoughts, you may be struggling with hurt and betrayal and my experience can help with healing these issues.
(520) 314-4867 View (520) 314-4867
Photo of Tiffany Ruelaz - Change AZ, PhD, LPC
Change AZ
PhD, LPC
Verified Verified
Tucson, AZ 85756  (Online Only)
Unlock a brighter future, overcome trauma, and discover your most authentic self with our dedicated team of clinical therapists at Change. We specialize in providing compassionate, virtual therapy for individuals, couples, and families (ages 12 and up) who are navigating the complexities of trauma, consensually nonmonogamous relationships, and everyday life challenges. Our expertise empowers clients to create meaningful connections, strengthen their emotional resilience, and work towards their goals in a safe, supportive environment. Together, let's embark on a transformative journey toward healing, growth, and genuine fulfillment.
Unlock a brighter future, overcome trauma, and discover your most authentic self with our dedicated team of clinical therapists at Change. We specialize in providing compassionate, virtual therapy for individuals, couples, and families (ages 12 and up) who are navigating the complexities of trauma, consensually nonmonogamous relationships, and everyday life challenges. Our expertise empowers clients to create meaningful connections, strengthen their emotional resilience, and work towards their goals in a safe, supportive environment. Together, let's embark on a transformative journey toward healing, growth, and genuine fulfillment.
(623) 400-7779 View (623) 400-7779
Photo of Andria J Jennings, MSW, LCSW, Clinical Social Work/Therapist
Andria J Jennings
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Tucson, AZ 85741  (Online Only)
Whether you are experiencing a problem that needs immediate attention, or you are finally ready to confront a long-standing issue, finding the right provider is the next important step. I work with individuals, couples and families dealing with depression, anxiety, stress, relationship issues and parenting, as well as adolescence/ phase of life issues, blended families and other change of life/adjustment issues. My goal for the therapeutic partnership is to help clients enhance their strengths and develop new skills to overcome obstacles to their emotional health and achieve their full potential.
Whether you are experiencing a problem that needs immediate attention, or you are finally ready to confront a long-standing issue, finding the right provider is the next important step. I work with individuals, couples and families dealing with depression, anxiety, stress, relationship issues and parenting, as well as adolescence/ phase of life issues, blended families and other change of life/adjustment issues. My goal for the therapeutic partnership is to help clients enhance their strengths and develop new skills to overcome obstacles to their emotional health and achieve their full potential.
(520) 636-6389 View (520) 636-6389
Photo of Denise Hausler, MC, LPC, Counselor
Denise Hausler
Counselor, MC, LPC
Verified Verified
Tucson, AZ 85712
My expertise includes treating of depression , anxiety, phase of life challenges, relationship issues and self destructive behaviors.
If you are ready to improve the quality of your life through coaching, divorce coaching, counseling, spiritual exploration and reviewing the domains of your current life, I would be honored to work with you. Barriers and challenges come in all forms. The key is to embrace the timing of change and allow for growth and improvement in your life. If you are reading this now, you are seeking the help. Please, take the next step. I am certified as a Mental Health Professional for Collaborative divorce which enables families to go through the process of divorce with the families goals at center.
My expertise includes treating of depression , anxiety, phase of life challenges, relationship issues and self destructive behaviors.
If you are ready to improve the quality of your life through coaching, divorce coaching, counseling, spiritual exploration and reviewing the domains of your current life, I would be honored to work with you. Barriers and challenges come in all forms. The key is to embrace the timing of change and allow for growth and improvement in your life. If you are reading this now, you are seeking the help. Please, take the next step. I am certified as a Mental Health Professional for Collaborative divorce which enables families to go through the process of divorce with the families goals at center.
(520) 357-0853 View (520) 357-0853
Photo of Miguel C. Federico, MPsy, LPC, CCATP, CCTP-II, ACEP, Licensed Professional Counselor
Miguel C. Federico
Licensed Professional Counselor, MPsy, LPC, CCATP, CCTP-II, ACEP
Verified Verified
Tucson, AZ 85715
I also counsel couples in my comfortable office.
Are you stressed out or feeling down? I I use Emotional Freedom Techniques and other energy psychotherapy to deactivate the obsessions, the worries, and the urge to do the compulsion in those with OCD; to deactivate negative thoughts, even suicidal ideation; deactivate the mindreading of a person with social anxiety, along with negative body image; process trauma and whichever mental health issues it causes, PTSD, Depression, anxiety disorders, etc; and relieve pain (not cure the condition) pain management only. Otherwise, I use Cognitive challenging, Cognitive restructuring, EMDR, and/or Mindfulness for some clients/patients.
I also counsel couples in my comfortable office.
Are you stressed out or feeling down? I I use Emotional Freedom Techniques and other energy psychotherapy to deactivate the obsessions, the worries, and the urge to do the compulsion in those with OCD; to deactivate negative thoughts, even suicidal ideation; deactivate the mindreading of a person with social anxiety, along with negative body image; process trauma and whichever mental health issues it causes, PTSD, Depression, anxiety disorders, etc; and relieve pain (not cure the condition) pain management only. Otherwise, I use Cognitive challenging, Cognitive restructuring, EMDR, and/or Mindfulness for some clients/patients.
(520) 200-3606 View (520) 200-3606
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Couples Counseling Therapists

Does couples counseling work?

Research shows that couples counseling is effective; it can reduce relationship distress and improve emotional awareness, communication, empathy, intimacy, and overall relationship satisfaction. For example, emotionally focused therapy was found to be effective for about 75 percent of couples, and those benefits lasted at least two years.

When should a couple seek counseling?

Couples can benefit from counseling if they consistently struggle in their relationship. They may have lost the ability to communicate effectively, become entrenched in harmful patterns, begun to fight more than usual, broken the other’s trust, suffered from a mental or physical illness, or faced any number of other challenges. Many therapists offer free consultations, so if a couple isn’t sure whether therapy is necessary, asking directly can provide clarity.

How can I get my partner to go to couples therapy?

The decision to seek couples therapy is often driven by one partner, who then convinces the other to participate. When discussing the idea, the initiator should be direct and assertive. They can state the problems they see and explain how the relationship would benefit from therapy. In more serious cases, they can also explain how their relationship may suffer without making any changes or seeking professional help.

How does a couple prepare for couples counseling?

The anticipation of beginning couples counseling can be difficult—sometimes more difficult than the first session itself. Taking a few moments to reflect can allay those concerns: What are the current challenges? When and how did they begin? What do they want the relationship to look like in the future? Reflecting on these questions can help individuals or couples articulate their goals. Of course, the therapist will also ask questions and guide couples through the process.