Couples Counseling Therapists in El Cajon, CA

Photo of Amy Lynn Kabler, LMFT, Marriage & Family Therapist
Amy Lynn Kabler
Marriage & Family Therapist, LMFT
Verified Verified
El Cajon, CA 92020
I enjoy working with children, individuals, couples, caregivers and families to improve communication and restore relationships.
Does your self esteem need a boost? Are you struggling with anxiety, depression, or trauma? Do you have a child struggling with their behavior, which may be affecting their learning or relationships? You may need some support for yourself, your primary relationship, or your family. Everyone needs a little extra help sometimes. There is joy in the solving and you are already on your way.
I enjoy working with children, individuals, couples, caregivers and families to improve communication and restore relationships.
Does your self esteem need a boost? Are you struggling with anxiety, depression, or trauma? Do you have a child struggling with their behavior, which may be affecting their learning or relationships? You may need some support for yourself, your primary relationship, or your family. Everyone needs a little extra help sometimes. There is joy in the solving and you are already on your way.
(619) 937-2818 View (619) 937-2818
Photo of Jacqueline Eyerly, LMFT, Marriage & Family Therapist
Jacqueline Eyerly
Marriage & Family Therapist, LMFT
Verified Verified
El Cajon, CA 92021
My name is Jacqueline Eyerly, and I am a (M.S.) Licensed Marriage and Family Therapist (LMFT) , and (M.A.) Licensed Professional Clinical Counselor (LPCC), and have additional education, as an Ed.D in Counseling Psychologist. I am based in Playa Vista, California and working with clients statewide via telehealth. I work with adults/ couples and specialize in anxiety, stress, marriage counseling, ADHD, Trauma Issues, Intimacy and sexual issues. I have also worked with LBGTQ+ community for a number of years in the West Hollywood area.
My name is Jacqueline Eyerly, and I am a (M.S.) Licensed Marriage and Family Therapist (LMFT) , and (M.A.) Licensed Professional Clinical Counselor (LPCC), and have additional education, as an Ed.D in Counseling Psychologist. I am based in Playa Vista, California and working with clients statewide via telehealth. I work with adults/ couples and specialize in anxiety, stress, marriage counseling, ADHD, Trauma Issues, Intimacy and sexual issues. I have also worked with LBGTQ+ community for a number of years in the West Hollywood area.
(619) 975-4255 View (619) 975-4255
Photo of Isabelle George - Live Inspired Child & Family Therapy, Inc., LMFT, Marriage & Family Therapist
Live Inspired Child & Family Therapy, Inc.
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
El Cajon, CA 92020  (Online Only)
Currently offering Individual and Family Therapy for children, adults, and couples.
Through a holistic approach including: Play Therapy, Expressive Arts, and Integrative Nutrition, I support clients in exploring their unique strengths and individual needs. I am a believer in the extraordinary healing powers of play! "The creation of something new is not powered by the intellect, but by the play instinct arising from inner necessity." ~ Carl Jung.
Currently offering Individual and Family Therapy for children, adults, and couples.
Through a holistic approach including: Play Therapy, Expressive Arts, and Integrative Nutrition, I support clients in exploring their unique strengths and individual needs. I am a believer in the extraordinary healing powers of play! "The creation of something new is not powered by the intellect, but by the play instinct arising from inner necessity." ~ Carl Jung.
(619) 738-6512 View (619) 738-6512
Photo of Veronica Velasco - Accepting Me Therapy, MA, LMFT, Marriage & Family Therapist
Accepting Me Therapy
Marriage & Family Therapist, MA, LMFT
Verified Verified
El Cajon, CA 92020
My professional experience has provided me with a wide range of abilities that have helped many clients reach their individual and family goals, including my work with couples, families, individuals, children, and adolescents, as well as clients in crisis and drug addictions.
The population I generally provide services for struggle with the following issues and symptoms: depression, anxiety, anger management, relationship issues/conflicts, social/peer challenges, parenting difficulties, LGBTQ challenges, trauma, parent-child conflicts, behavioral problems, adjustment issues, mood disregulation, grief & loss. Most clients, like everyone in life, are looking for relief from difficult situations and troubling symptoms, a sense of comfort within their own skin. They have the desire towards alleviating their distress and looking for professional help.
My professional experience has provided me with a wide range of abilities that have helped many clients reach their individual and family goals, including my work with couples, families, individuals, children, and adolescents, as well as clients in crisis and drug addictions.
The population I generally provide services for struggle with the following issues and symptoms: depression, anxiety, anger management, relationship issues/conflicts, social/peer challenges, parenting difficulties, LGBTQ challenges, trauma, parent-child conflicts, behavioral problems, adjustment issues, mood disregulation, grief & loss. Most clients, like everyone in life, are looking for relief from difficult situations and troubling symptoms, a sense of comfort within their own skin. They have the desire towards alleviating their distress and looking for professional help.
(619) 305-0780 View (619) 305-0780
Photo of Jennifer Leonard, MA, LMFT, Marriage & Family Therapist
Jennifer Leonard
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
El Cajon, CA 92020
Is your teenager acting differently or struggling with mood changes? Is the whole family being negatively affected by their behavior? I have 20 years of experience helping teens, couples and families learn how to manage and communicate their emotions effectively and respectfully. Reaching out for support is a sign of strength, not weakness. You don’t have to be “messed up” or in total crisis to seek help from a therapist.... Sometimes it only takes a few sessions to get on track so please call today for a free 15-minute phone consultation.
Is your teenager acting differently or struggling with mood changes? Is the whole family being negatively affected by their behavior? I have 20 years of experience helping teens, couples and families learn how to manage and communicate their emotions effectively and respectfully. Reaching out for support is a sign of strength, not weakness. You don’t have to be “messed up” or in total crisis to seek help from a therapist.... Sometimes it only takes a few sessions to get on track so please call today for a free 15-minute phone consultation.
(619) 597-2994 View (619) 597-2994
Photo of Jonathan Kallis, LCSW, Clinical Social Work/Therapist
Jonathan Kallis
Clinical Social Work/Therapist, LCSW
Verified Verified
El Cajon, CA 92021
Hello, my name is Jonathan Kallis (Jon) and my friends know me. I am a Licensed Clinical Social Worker licensed by the state of California. My approach to therapy is to work with you to find the style that will work best for you. I tend to lean towards Cognitive Behavioral, but I am eclectic and well versed in other modalities. It would be my privilege to work with you. I have over 33 years of experience and I have treated many different conditions. Currently, I see a lot of Depression, Anxiety, and OCD as well as others. I also enjoy working with couples.
Hello, my name is Jonathan Kallis (Jon) and my friends know me. I am a Licensed Clinical Social Worker licensed by the state of California. My approach to therapy is to work with you to find the style that will work best for you. I tend to lean towards Cognitive Behavioral, but I am eclectic and well versed in other modalities. It would be my privilege to work with you. I have over 33 years of experience and I have treated many different conditions. Currently, I see a lot of Depression, Anxiety, and OCD as well as others. I also enjoy working with couples.
(619) 558-1332 View (619) 558-1332
Photo of Brittany Drnek, Clinical Social Work/Therapist
Brittany Drnek
Clinical Social Work/Therapist
Verified Verified
El Cajon, CA 92021
My name is Brittany Drnek. I am a Licensed Clinical Social Worker who has been working in the mental health field for over ten years.My area of expertise is helping people manage anxiety and panic, depression and mood disorders, OCD, trauma symptoms, parenting and family challenges, and relationship issues. My therapeutic technique is rooted in a combination of CBT, ACT, DBT, psychodynamic theory, attachment theory, and mindfulness practice. My clinical experience has made me a firm believer in the importance of treating the whole person and I work to support my clients in learning to care for themselves in all areas of their life.
My name is Brittany Drnek. I am a Licensed Clinical Social Worker who has been working in the mental health field for over ten years.My area of expertise is helping people manage anxiety and panic, depression and mood disorders, OCD, trauma symptoms, parenting and family challenges, and relationship issues. My therapeutic technique is rooted in a combination of CBT, ACT, DBT, psychodynamic theory, attachment theory, and mindfulness practice. My clinical experience has made me a firm believer in the importance of treating the whole person and I work to support my clients in learning to care for themselves in all areas of their life.
(619) 768-2751 View (619) 768-2751
Photo of Bethany Minick, LMFT, Marriage & Family Therapist
Bethany Minick
Marriage & Family Therapist, LMFT
Verified Verified
El Cajon, CA 92021
Waitlist for new clients
I have experience working with disadvantaged youth, couples, families, individuals with disabilities, support systems, advocacy, group homes and day programs and helping individuals manage psychiatric symptoms through collaborative efforts.
Hi, and thanks for visiting! My name is Bethany! I have an appreciation for culture, arts, music and outdoor activities! I can be described as easy-going and understanding. I believe that it is important to take the time needed to explore one's process for personal growth. We all need a break sometimes! Sometimes we need a break from work, others or even ourselves. My goal is to help support you on your path to well-being! I am able to support: Depression, Anxiety, Loneliness, Grief, Trauma, Personal/ Interpersonal processing, Couples, Caregivers and more.
I have experience working with disadvantaged youth, couples, families, individuals with disabilities, support systems, advocacy, group homes and day programs and helping individuals manage psychiatric symptoms through collaborative efforts.
Hi, and thanks for visiting! My name is Bethany! I have an appreciation for culture, arts, music and outdoor activities! I can be described as easy-going and understanding. I believe that it is important to take the time needed to explore one's process for personal growth. We all need a break sometimes! Sometimes we need a break from work, others or even ourselves. My goal is to help support you on your path to well-being! I am able to support: Depression, Anxiety, Loneliness, Grief, Trauma, Personal/ Interpersonal processing, Couples, Caregivers and more.
(619) 452-3857 View (619) 452-3857
Photo of Jenelle Deilgat, Marriage & Family Therapist
Jenelle Deilgat
Marriage & Family Therapist
Verified Verified
El Cajon, CA 92021  (Online Only)
Hi! My name is Jenelle, a licensed Marriage and Family Therapist & Professional Clinical Counselor. I am happy to see you are taking a step towards self-growth. I've been a therapist for 8 years working with ages 11-75 including teens, adults, and couples who struggle with the roller coaster of being human. Over the years I have worked with a wide range of mental health barriers including ADHD, depression, anxiety, complex mood & personality disorders, and psychosis. I love helping people develop skills and tools they can use independently to be successful and navigate the mountains of life. Let's tackle the next one together!
Hi! My name is Jenelle, a licensed Marriage and Family Therapist & Professional Clinical Counselor. I am happy to see you are taking a step towards self-growth. I've been a therapist for 8 years working with ages 11-75 including teens, adults, and couples who struggle with the roller coaster of being human. Over the years I have worked with a wide range of mental health barriers including ADHD, depression, anxiety, complex mood & personality disorders, and psychosis. I love helping people develop skills and tools they can use independently to be successful and navigate the mountains of life. Let's tackle the next one together!
(619) 853-5657 View (619) 853-5657
Photo of Joanna Bain, LMFT, Marriage & Family Therapist
Joanna Bain
Marriage & Family Therapist, LMFT
Verified Verified
El Cajon, CA 92021
I enjoy working with teens, adults, families, and couples of a wide range of ages.
Hello, I am Joanna Bain! I’m a Marriage and Family Therapist committed to helping clients learn how to build healthier relationships. My work focuses on targeting ineffective behaviors, habits, and beliefs around anxiety and depression. I believe in taking a collaborative approach to helping clients reach their goals.
I enjoy working with teens, adults, families, and couples of a wide range of ages.
Hello, I am Joanna Bain! I’m a Marriage and Family Therapist committed to helping clients learn how to build healthier relationships. My work focuses on targeting ineffective behaviors, habits, and beliefs around anxiety and depression. I believe in taking a collaborative approach to helping clients reach their goals.
(619) 759-5630 View (619) 759-5630
Photo of Kyung St Laurence, LMFT, Marriage & Family Therapist
Kyung St Laurence
Marriage & Family Therapist, LMFT
Verified Verified
El Cajon, CA 92021
I have worked with a wide range of clients from all backgrounds, with an emphasis on treating veterans and their families. I value a person-centered approach to building respectful and collaborative relationships to empower the change my clients seek through therapy. My area of particular interest is in working with individuals during life transitions, dealing with childhood trauma, OCD, ADHD, loss and grief, transgender issues, depression, anxiety, and interpersonal relationship struggles.
I have worked with a wide range of clients from all backgrounds, with an emphasis on treating veterans and their families. I value a person-centered approach to building respectful and collaborative relationships to empower the change my clients seek through therapy. My area of particular interest is in working with individuals during life transitions, dealing with childhood trauma, OCD, ADHD, loss and grief, transgender issues, depression, anxiety, and interpersonal relationship struggles.
(619) 393-6219 View (619) 393-6219
Photo of Shannan Oconnor, LMFT, Marriage & Family Therapist
Shannan Oconnor
Marriage & Family Therapist, LMFT
Verified Verified
El Cajon, CA 92019
I am licensed in California, and I have experience in helping clients with stress and anxiety, relationship issues, family conflicts, & intimacy related issues. I believe that you are the expert of your story and that you have many strengths that will assist you in overcoming things that challenge you. It takes courage to seek out a more fulfilling and happier life and to take the first steps towards a change. I am here to support & empower you in that journey. Stress and anxiety, relationship issues, family conflicts, intimacy related issues, low self-esteem, low/depressed mood, and emotional dysregulation.
I am licensed in California, and I have experience in helping clients with stress and anxiety, relationship issues, family conflicts, & intimacy related issues. I believe that you are the expert of your story and that you have many strengths that will assist you in overcoming things that challenge you. It takes courage to seek out a more fulfilling and happier life and to take the first steps towards a change. I am here to support & empower you in that journey. Stress and anxiety, relationship issues, family conflicts, intimacy related issues, low self-esteem, low/depressed mood, and emotional dysregulation.
(858) 358-6161 View (858) 358-6161
Photo of Tawny Weir, LMFT, Marriage & Family Therapist
Tawny Weir
Marriage & Family Therapist, LMFT
Verified Verified
El Cajon, CA 92020
My name is Tawny Weir, and I am a Licensed Marriage and Family Therapist (LMFT) based in Rancho Cucamonga, California, and working with clients statewide via telehealth. I work with adults and specialize in trauma, stress, anxiety, and depression, using Cognitive Behavioral Therapy, Attachment-Based treatment, and Emotionally Focused Therapy to help my clients make progress and start their healing journey. I have specialized in working with adults from BIPOC communities. I treat and provide individual and couples therapy. My area of focus is individuals who have experienced trauma, anxiety, depression, and mood disorders.
My name is Tawny Weir, and I am a Licensed Marriage and Family Therapist (LMFT) based in Rancho Cucamonga, California, and working with clients statewide via telehealth. I work with adults and specialize in trauma, stress, anxiety, and depression, using Cognitive Behavioral Therapy, Attachment-Based treatment, and Emotionally Focused Therapy to help my clients make progress and start their healing journey. I have specialized in working with adults from BIPOC communities. I treat and provide individual and couples therapy. My area of focus is individuals who have experienced trauma, anxiety, depression, and mood disorders.
(858) 786-1967 View (858) 786-1967
Photo of Deatria Davis, LMFT, Marriage & Family Therapist
Deatria Davis
Marriage & Family Therapist, LMFT
Verified Verified
El Cajon, CA 92019
I like to work with Adults and Couples who present with a range of mental issues such as Anxiety, Depression, Bipolar, Emotional Regulation, Family discord, Grief/Loss, Trauma, Relationship concerns.
My name is Deatria Davis and I'm an LMFT. My approach to therapy is rooted in empathy, compassion, and non-judgment. I strive to create a safe and supportive environment where clients feel comfortable exploring their thoughts and feelings while moving toward a journey of self-awareness, cultivating resilience, developing interpersonal skills, and the healing needed to form and sustain relationships with oneself and others. I use an integrative approach of CBT, DBT, ACT, Mindfulness, Expressive Arts, and other theoretical approaches depending on the client's needs.
I like to work with Adults and Couples who present with a range of mental issues such as Anxiety, Depression, Bipolar, Emotional Regulation, Family discord, Grief/Loss, Trauma, Relationship concerns.
My name is Deatria Davis and I'm an LMFT. My approach to therapy is rooted in empathy, compassion, and non-judgment. I strive to create a safe and supportive environment where clients feel comfortable exploring their thoughts and feelings while moving toward a journey of self-awareness, cultivating resilience, developing interpersonal skills, and the healing needed to form and sustain relationships with oneself and others. I use an integrative approach of CBT, DBT, ACT, Mindfulness, Expressive Arts, and other theoretical approaches depending on the client's needs.
(323) 643-8569 View (323) 643-8569
Photo of Guy Washington, LCP, Psychologist
Guy Washington
Psychologist, LCP
Verified Verified
El Cajon, CA 92020
Guy E Washington, Psy.D. I prefer an integrative approach to treatment, as there is no one model technique that fits everyone. Therefore, it is imperative to connect and collaborate with clients to better understand their needs. I work with a variety of client types but not limited to those experiencing depression, anxiety, post-traumatic stress disorder, interpersonal difficulties, and relationship challenges, and those experiencing severe mental illness.
Guy E Washington, Psy.D. I prefer an integrative approach to treatment, as there is no one model technique that fits everyone. Therefore, it is imperative to connect and collaborate with clients to better understand their needs. I work with a variety of client types but not limited to those experiencing depression, anxiety, post-traumatic stress disorder, interpersonal difficulties, and relationship challenges, and those experiencing severe mental illness.
(619) 658-8964 View (619) 658-8964
Photo of Andrew Lancaster Byrne - Balanced Life Therapy Center, LMFT, LMFT, Marriage & Family Therapist
Balanced Life Therapy Center, LMFT
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
El Cajon, CA 92020
We are a collective of mental health professionals who all share a deep desire to heal the suffering of the world, one human, or one relationship at a time.
Just being human can be hard, and with all that is expected of us in this life, it can seem almost impossible at times. The external world can feel overwhelming and unsafe and our internal world can feel chaotic and just as unsafe. At the heart of any therapeutic approach is the attempt to find peace within so we can learn to be at peace with what is beyond our control. At Balanced Life Therapy Center, our clinicians are trained, each in their own preferred approach to healing, to support the inner world of their clients and help them get connected to the power they hold to move towards the life they desire.
We are a collective of mental health professionals who all share a deep desire to heal the suffering of the world, one human, or one relationship at a time.
Just being human can be hard, and with all that is expected of us in this life, it can seem almost impossible at times. The external world can feel overwhelming and unsafe and our internal world can feel chaotic and just as unsafe. At the heart of any therapeutic approach is the attempt to find peace within so we can learn to be at peace with what is beyond our control. At Balanced Life Therapy Center, our clinicians are trained, each in their own preferred approach to healing, to support the inner world of their clients and help them get connected to the power they hold to move towards the life they desire.
(619) 382-2873 View (619) 382-2873
Photo of Tyeast Brown, LMFT, Marriage & Family Therapist
Tyeast Brown
Marriage & Family Therapist, LMFT
Verified Verified
El Cajon, CA 92021
My name is Tyeast Brown, and I am a Licensed Marriage Family Therapist (LMFT) in California and work with various clients via telehealth. I have worked in the mental health field for over 25 years and utilize different tools to fit the needs of each client. My approach to therapy varies depending on the needs of each client. I work well with children, teens/adolescents, young adults, transitional-age youth, couples, and individuals via different evidence-based modalities.
My name is Tyeast Brown, and I am a Licensed Marriage Family Therapist (LMFT) in California and work with various clients via telehealth. I have worked in the mental health field for over 25 years and utilize different tools to fit the needs of each client. My approach to therapy varies depending on the needs of each client. I work well with children, teens/adolescents, young adults, transitional-age youth, couples, and individuals via different evidence-based modalities.
(619) 815-5731 View (619) 815-5731
Photo of Marissa Machado, LCP, Psychologist
Marissa Machado
Psychologist, LCP
Verified Verified
El Cajon, CA 92019
Additionally, I specialize in assisting individuals facing difficult life transitions, relationship issues, career-related stress, work-life balance struggles, and burnout.
Marissa Machado, Clinical Psychologist, PsyD. In my therapy, I embrace an integrative, empathic, and strengths-based approach, prioritizing the whole person over isolated symptoms. I use diverse techniques tailored to each client, aiming for insight-based healing by exploring patterns and beliefs, while also recognizing the role of movement in enhancing well-being. With a focus on self-motivation and advocacy, I empower clients to lead their own growth journey through collaborative support.
Additionally, I specialize in assisting individuals facing difficult life transitions, relationship issues, career-related stress, work-life balance struggles, and burnout.
Marissa Machado, Clinical Psychologist, PsyD. In my therapy, I embrace an integrative, empathic, and strengths-based approach, prioritizing the whole person over isolated symptoms. I use diverse techniques tailored to each client, aiming for insight-based healing by exploring patterns and beliefs, while also recognizing the role of movement in enhancing well-being. With a focus on self-motivation and advocacy, I empower clients to lead their own growth journey through collaborative support.
(909) 323-0191 View (909) 323-0191
Photo of Shannon Ashburn, LMFT, Marriage & Family Therapist
Shannon Ashburn
Marriage & Family Therapist, LMFT
Verified Verified
El Cajon, CA 92019
I work with a wide variety of clients including minors, adults, and couples.
I am a licensed Marriage and Family Therapist (LMFT) and I have been working in the counseling field since 2010. I have experience working in Child Welfare, non-profit, and private practice settings with individuals, couples, families, and groups who are experiencing a wide range of challenges. Much of my experience has been dedicated to helping those affected by trauma. My experience with this hurting population spans over 12 years. I am trained in Trauma-Informed Practice and have assisted individuals and families in overcoming barriers to personal emotional and psychological safety.
I work with a wide variety of clients including minors, adults, and couples.
I am a licensed Marriage and Family Therapist (LMFT) and I have been working in the counseling field since 2010. I have experience working in Child Welfare, non-profit, and private practice settings with individuals, couples, families, and groups who are experiencing a wide range of challenges. Much of my experience has been dedicated to helping those affected by trauma. My experience with this hurting population spans over 12 years. I am trained in Trauma-Informed Practice and have assisted individuals and families in overcoming barriers to personal emotional and psychological safety.
(562) 662-8604 View (562) 662-8604
Photo of Miranda Duncan, LCSW, Clinical Social Work/Therapist
Miranda Duncan
Clinical Social Work/Therapist, LCSW
Verified Verified
El Cajon, CA 92020
I believe the most important first step in the therapeutic relationship is to build trust and rapport.
Hi there, I'm Miranda, a licensed clinical social worker. I am a mother of four and have been in private practice for about five years. Before that, I worked in clinical settings, in criminal and family courts and shelters. Much of my experience has been with at-risk youth and victims of domestic violence so I mainly utilize a trauma-informed approach. However, I don't subscribe to any single theoretical approach, and employ Cognitive Behavioral Therapy, Mindfulness, and Psychodynamic techniques based on each individual. I will also teach you the skills to help you contain any reactions or symptoms that come up while processing.
I believe the most important first step in the therapeutic relationship is to build trust and rapport.
Hi there, I'm Miranda, a licensed clinical social worker. I am a mother of four and have been in private practice for about five years. Before that, I worked in clinical settings, in criminal and family courts and shelters. Much of my experience has been with at-risk youth and victims of domestic violence so I mainly utilize a trauma-informed approach. However, I don't subscribe to any single theoretical approach, and employ Cognitive Behavioral Therapy, Mindfulness, and Psychodynamic techniques based on each individual. I will also teach you the skills to help you contain any reactions or symptoms that come up while processing.
(858) 504-6621 View (858) 504-6621
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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.