Couples Counseling Therapists in Fresno, CA
![Photo of Nancy Lynch, MA, LMFT, PsyD(C), Marriage & Family Therapist](https://photos.psychologytoday.com/ab03f6b6-b2c1-4e1a-8044-d26c1f39dd5a/1/320x400.jpeg)
Nancy Lynch
Marriage & Family Therapist, MA, LMFT, PsyD(C)
Verified Verified
1 Endorsed
Fresno, CA 93704
My practice focuses on providing therapeutic services to adults, adolescents, and children with anxiety, depression, trauma, major life transition, anger and relationship issues.
My focus as a psychotherapist is to assist you to achieve your unique goals. I create a genuine, safe and supportive environment so you can feel comfortable expressing yourself. My goal is to enable you to explore yourself so you become more confident and assertive. You will be empowered to make changes that lead to greater satisfaction in your life.
My practice focuses on providing therapeutic services to adults, adolescents, and children with anxiety, depression, trauma, major life transition, anger and relationship issues.
My focus as a psychotherapist is to assist you to achieve your unique goals. I create a genuine, safe and supportive environment so you can feel comfortable expressing yourself. My goal is to enable you to explore yourself so you become more confident and assertive. You will be empowered to make changes that lead to greater satisfaction in your life.
![Photo of Saloumeh Kazemi, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/b02c3acf-a994-4300-8f7c-de65054cfee4/1/320x400.png)
My name is Saloumeh Kazemi (Sally Kazemi) Licensed Marriage and Family Therapist 144478. I have a bachelor's in psychology and a Master of Science in Counseling/Marriage, Family, And Child Therapy. I have worked with many different individuals, families, couples, and children. I have experience working with clients who have depression, anxiety, low self-esteem, social anxiety, OCD, trauma, couple’s issues, and family of origin issues.
My name is Saloumeh Kazemi (Sally Kazemi) Licensed Marriage and Family Therapist 144478. I have a bachelor's in psychology and a Master of Science in Counseling/Marriage, Family, And Child Therapy. I have worked with many different individuals, families, couples, and children. I have experience working with clients who have depression, anxiety, low self-esteem, social anxiety, OCD, trauma, couple’s issues, and family of origin issues.
![Photo of Domonqe Walker, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/16ea6506-e93f-413d-9a60-6751de83dad7/1/320x400.jpeg)
My name is Domonqe Walker, and I am a Licensed Marriage and Family Therapist based in San Diego, California. I work statewide with clients via telehealth and occasionally in person depending on demand in the area. I work with a wide range of populations from children, adolescents, and adults to elder adults focusing on stress, anxiety, eating disorders, depression, pre and post-pregnancy concerns, and couples/ marriage therapy with a specialized interest in ADHD and ARFID. I use an integrative method for services that address tailor-made needs based on client resources.
My name is Domonqe Walker, and I am a Licensed Marriage and Family Therapist based in San Diego, California. I work statewide with clients via telehealth and occasionally in person depending on demand in the area. I work with a wide range of populations from children, adolescents, and adults to elder adults focusing on stress, anxiety, eating disorders, depression, pre and post-pregnancy concerns, and couples/ marriage therapy with a specialized interest in ADHD and ARFID. I use an integrative method for services that address tailor-made needs based on client resources.
![Photo of Susan Amador, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/0418a832-d153-460f-9590-c16144adcbe4/2/320x400.jpeg)
I work with children, teenagers, couples, and individuals.
I am passionate about helping others. My role as a therapist is to help my clients make progress toward meeting their goals in therapy. Counseling should be a positive and productive process in which the client works closely with the therapist to learn and grow through self exploration.
I work with children, teenagers, couples, and individuals.
I am passionate about helping others. My role as a therapist is to help my clients make progress toward meeting their goals in therapy. Counseling should be a positive and productive process in which the client works closely with the therapist to learn and grow through self exploration.
![Photo of Cheryl Anne Hixson, MS, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/26724ffb-5c7f-401c-8af6-389f08bce422/2/320x400.jpeg)
Cheryl Anne Hixson
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Fresno, CA 93710
Life can be challenging and even overwhelming, whether it is due to grief and loss, relationship problems, a challenging child, anxiety or depression. We all need a little help once in a while. Sometimes it is difficult to see your options, but there are always options that are yours for the taking. My clients say my down-to-earth style, life experience and calming personality helped them to feel safe and comfortable so they can express themselves freely. Some of my specialty areas are parenting, perinatal mood disorders, anxiety, bonding and attachment, and couples therapy.
Life can be challenging and even overwhelming, whether it is due to grief and loss, relationship problems, a challenging child, anxiety or depression. We all need a little help once in a while. Sometimes it is difficult to see your options, but there are always options that are yours for the taking. My clients say my down-to-earth style, life experience and calming personality helped them to feel safe and comfortable so they can express themselves freely. Some of my specialty areas are parenting, perinatal mood disorders, anxiety, bonding and attachment, and couples therapy.
![Photo of Nora Espino, MA, AMFT, Marriage & Family Therapist Associate](https://photos.psychologytoday.com/464ffe61-10b0-4f88-adee-c834f3724e7a/1/320x400.jpeg)
Nora Espino
Marriage & Family Therapist Associate, MA, AMFT
Verified Verified
1 Endorsed
Fresno, CA 93711
My work experience includes working in private practice, where I treated children, teens, couples and families experiencing Depression, Anxiety, Bipolar, Borderline PD, Panic disorders, OCD/ Infidelity, Self- Harming behaviors, Narcissistic abuse-trauma recovery.
Taking the step towards therapy is an act of courage and self-care, and I'm deeply honored to be part of your transformative journey towards personal growth. I am truly passionate about helping you discover inner peace and resilience to create a sense of belonging within yourself. Together, we will navigate the obstacles that may have made you experience fear, loss, and rejection. My specialization lies in supporting the emerging generation and adults facing a range of challenges, including anxiety, panic disorder, depression, infidelity, marital and/or intimate relationship discord, various types of trauma, loss, or life adjustment
My work experience includes working in private practice, where I treated children, teens, couples and families experiencing Depression, Anxiety, Bipolar, Borderline PD, Panic disorders, OCD/ Infidelity, Self- Harming behaviors, Narcissistic abuse-trauma recovery.
Taking the step towards therapy is an act of courage and self-care, and I'm deeply honored to be part of your transformative journey towards personal growth. I am truly passionate about helping you discover inner peace and resilience to create a sense of belonging within yourself. Together, we will navigate the obstacles that may have made you experience fear, loss, and rejection. My specialization lies in supporting the emerging generation and adults facing a range of challenges, including anxiety, panic disorder, depression, infidelity, marital and/or intimate relationship discord, various types of trauma, loss, or life adjustment
![Photo of Angelica C Ceja - Cultural Family Therapy-Angelica Ceja LMFT & Owner, LMFT , Marriage & Family Therapist](https://photos.psychologytoday.com/0969fa10-b5c0-4387-b476-e237809f03e5/1/320x400.jpeg)
Cultural Family Therapy-Angelica Ceja LMFT & Owner
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Fresno, CA 93710
In-Network Plans: Anthem Medical/MHO plans (We do not accept PPO plans from Anthem) Cigna/Evernorth, MHN/HealthNet/Medical &UHC. At Cultural Family Therapy, we are committed to guiding children, adolescents, adults, couples, and the LGBTQ+ community on their personal paths and challenges in life. Our approach helps identify unhealthy thoughts/behaviors and actions that can cause depression, conflict within relationships, anxiety, triggers and provide skills and support to promote inner self-confidence and different outlooks on life. Please check out our website and email us about our clinician's availability!
In-Network Plans: Anthem Medical/MHO plans (We do not accept PPO plans from Anthem) Cigna/Evernorth, MHN/HealthNet/Medical &UHC. At Cultural Family Therapy, we are committed to guiding children, adolescents, adults, couples, and the LGBTQ+ community on their personal paths and challenges in life. Our approach helps identify unhealthy thoughts/behaviors and actions that can cause depression, conflict within relationships, anxiety, triggers and provide skills and support to promote inner self-confidence and different outlooks on life. Please check out our website and email us about our clinician's availability!
![Photo of Sarah Settle - New Cov Counseling Center, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/51be159e-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Our counseling center offers a wide range of clinical and professional counseling services from a Christian perspective including services for Individuals, Couples, Families and Children. Our staff includes Licensed Marriage and Family Therapists (LMFT). Our Purpose is to provide mental health services to individuals and families, by providing a place of restoration, support and hope and to allow individuals to find purpose and belonging within their lives.
Our counseling center offers a wide range of clinical and professional counseling services from a Christian perspective including services for Individuals, Couples, Families and Children. Our staff includes Licensed Marriage and Family Therapists (LMFT). Our Purpose is to provide mental health services to individuals and families, by providing a place of restoration, support and hope and to allow individuals to find purpose and belonging within their lives.
![Photo of Merry Tern, Pre-Licensed Professional](https://photos.psychologytoday.com/6569537d-993c-412f-a318-fc7e8632ec57/1/320x400.jpeg)
As a Marriage and Family Therapy Intern, I am passionate about helping couples and families build trust, navigate challenges, and cultivate healthy, fulfilling relationships. My approach is rooted in empathy, active listening, and evidence-based practices designed to foster understanding and communication. I believe that every relationship has the potential for growth and transformation, and I am committed to guiding you through that journey.
As a Marriage and Family Therapy Intern, I am passionate about helping couples and families build trust, navigate challenges, and cultivate healthy, fulfilling relationships. My approach is rooted in empathy, active listening, and evidence-based practices designed to foster understanding and communication. I believe that every relationship has the potential for growth and transformation, and I am committed to guiding you through that journey.
![Photo of Jodi Mitchell, MA, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/3f189c5a-46cd-11ea-a6ad-06142c356176/1/320x400.jpeg)
I am a Licensed Marriage and Family Therapist who has a Master of Arts in Counseling Psychology with a background in Recreation Therapy. I have been working in the counseling field since 2009. I believe that establishing healthy boundaries and having a balanced lifestyle help foster emotional health. I specialize in helping individuals, couples, and families identify their emotions and work through cognitive distortions, utilizing a cognitive behavioral therapy approach. I have experience working with individuals who are suffering from depression, anxiety, trauma, grief and loss, stress management, and phase of life issues.
I am a Licensed Marriage and Family Therapist who has a Master of Arts in Counseling Psychology with a background in Recreation Therapy. I have been working in the counseling field since 2009. I believe that establishing healthy boundaries and having a balanced lifestyle help foster emotional health. I specialize in helping individuals, couples, and families identify their emotions and work through cognitive distortions, utilizing a cognitive behavioral therapy approach. I have experience working with individuals who are suffering from depression, anxiety, trauma, grief and loss, stress management, and phase of life issues.
![Photo of Kathleen Weldon, LPCC](https://photos.psychologytoday.com/b8fd9716-f305-44ac-acd5-2127f20b4bb8/1/320x400.jpeg)
Hello, I am Katie Weldon, a Licensed Professional Clinical Counselor in San Diego, CA. My approach to therapy is eclectic and tailored to the needs of each client or couple. My areas of greatest clinical interest include survivors of prior trauma or abuse, military members and families, LGBTQIA2S+, disordered eating, couples therapy, grief counseling and life transitions. Couples, Veterans/Active-Duty Service Members or their Families, PTSD, Survivors of Abuse, LGBTQIA2S+ and Queer clients, eating disorders/Disordered Eating, Anxiety, and Depression.
Hello, I am Katie Weldon, a Licensed Professional Clinical Counselor in San Diego, CA. My approach to therapy is eclectic and tailored to the needs of each client or couple. My areas of greatest clinical interest include survivors of prior trauma or abuse, military members and families, LGBTQIA2S+, disordered eating, couples therapy, grief counseling and life transitions. Couples, Veterans/Active-Duty Service Members or their Families, PTSD, Survivors of Abuse, LGBTQIA2S+ and Queer clients, eating disorders/Disordered Eating, Anxiety, and Depression.
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![Photo of Stacy Cordero, MA, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/6d84b4d1-a8ac-48c2-8ee7-9cae83427d50/2/320x400.jpeg)
I am excited to introduce myself to you. My name is Stacy, I am a Licensed Marriage and Family Therapist in Fresno. I am committed to the idea that a healthy therapeutic foundation must include a safe space where individuals feel comfortable. I consider it my responsibility to build a relationship built on trust and mutual respect so the client can get the most out of the time we spend together. I recognize therapy is hard to work into busy schedules and the time I spend with clients is treated as such with great respect.
I am excited to introduce myself to you. My name is Stacy, I am a Licensed Marriage and Family Therapist in Fresno. I am committed to the idea that a healthy therapeutic foundation must include a safe space where individuals feel comfortable. I consider it my responsibility to build a relationship built on trust and mutual respect so the client can get the most out of the time we spend together. I recognize therapy is hard to work into busy schedules and the time I spend with clients is treated as such with great respect.
![Photo of Donald Turnmire, MS, LMFT, 200 YTT, TCYM, EMDRIA, Marriage & Family Therapist](https://photos.psychologytoday.com/fe49894e-a92c-4a11-b37f-ffeb84defa9b/2/320x400.jpeg)
Donald Turnmire
Marriage & Family Therapist, MS, LMFT, 200 YTT, TCYM, EMDRIA
Verified Verified
Fresno, CA 93710
With my skill & training in EMDR (certified), Gottman Method (couples), & Yoga, I help people build connection, heal from pain, become aware of their body, mind & emotions.
Life can be wonderful & harmonious, & it can also be complicated. Often times, we go through life learning to hide parts of ourselves that have felt criticism, fear & other difficult emotions (rejection, hurt, etc.). We learn to ignore those difficult parts of ourselves due to shame & guilt, which can lead to sadness, worry, low self-esteem, trauma, and so on. These emotions & hurts can also affect the relationships around us (romantic, friendships, work, etc.), causing deeper pain & rejection. We notice our emotions, mind, & body’s reaction to situations that cause these parts to resurface & then struggle to cope.
With my skill & training in EMDR (certified), Gottman Method (couples), & Yoga, I help people build connection, heal from pain, become aware of their body, mind & emotions.
Life can be wonderful & harmonious, & it can also be complicated. Often times, we go through life learning to hide parts of ourselves that have felt criticism, fear & other difficult emotions (rejection, hurt, etc.). We learn to ignore those difficult parts of ourselves due to shame & guilt, which can lead to sadness, worry, low self-esteem, trauma, and so on. These emotions & hurts can also affect the relationships around us (romantic, friendships, work, etc.), causing deeper pain & rejection. We notice our emotions, mind, & body’s reaction to situations that cause these parts to resurface & then struggle to cope.
![Photo of Christine Field, MA, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/3dedfd6d-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
I enjoy working with young adults, adults, and couples of varied ethnicity and beliefs.
The heart of my practice is to empower clients as they journey toward wholeness and health. I provide a safe, respectful, and nurturing environment for individuals to process and explore concerns that brought them to therapy. My approach to therapy includes exploration and awareness of how the past can influence current and future behaviors; helping clients discover and remove roadblocks to a life of purpose and meaning; challenging clients to believe in themselves once again.
I enjoy working with young adults, adults, and couples of varied ethnicity and beliefs.
The heart of my practice is to empower clients as they journey toward wholeness and health. I provide a safe, respectful, and nurturing environment for individuals to process and explore concerns that brought them to therapy. My approach to therapy includes exploration and awareness of how the past can influence current and future behaviors; helping clients discover and remove roadblocks to a life of purpose and meaning; challenging clients to believe in themselves once again.
![Photo of Stacy Marie Borchardt, MS, AMFT, Marriage & Family Therapist Associate](https://photos.psychologytoday.com/ec44a706-2244-4031-a5a9-276b0d011378/1/320x400.jpeg)
Stacy Marie Borchardt
Marriage & Family Therapist Associate, MS, AMFT
Verified Verified
Fresno, CA 93711
I specialize in treating couples within a Gottman Method framework, and assisting individuals who are facing transitions in marriage, divorce, or phase of life issues.
I believe you can have a life of purpose, passion, and growth. I imagine every individual or couple has the ability to get curious, change patterns, and recover from even the most difficult life circumstances. Although the thought of therapy can be scary at times, reaching out to a compassionate professional can be the first step in learning new ways to manage past hurts or embrace new life transitions. I view my role as your teammate; helping you to achieve your goals and jointly discovering a healthy path forward. Your life is your own and I am committed to helping you realize a vision for your future that is uniquely yours.
I specialize in treating couples within a Gottman Method framework, and assisting individuals who are facing transitions in marriage, divorce, or phase of life issues.
I believe you can have a life of purpose, passion, and growth. I imagine every individual or couple has the ability to get curious, change patterns, and recover from even the most difficult life circumstances. Although the thought of therapy can be scary at times, reaching out to a compassionate professional can be the first step in learning new ways to manage past hurts or embrace new life transitions. I view my role as your teammate; helping you to achieve your goals and jointly discovering a healthy path forward. Your life is your own and I am committed to helping you realize a vision for your future that is uniquely yours.
![Photo of Tanya Blomgren, MA, AMFT, Pre-Licensed Professional](https://photos.psychologytoday.com/6d1362c1-945c-48b5-b690-fd24d215b2c4/1/320x400.jpeg)
As a Registered Associate Marriage and Family Therapist, Tanya enjoys working with children, teens, adults, and couples. She has received additional training in the impact of trauma in migration, Emotion Focused Therapy (EFT), and Neurodivergent Affirming Mental Health Care. Specific areas of interest include anxiety, identity formation, life transitions and adjustment, neurodiverse individuals (including Autism and ADHD), and the LGBTQ+ community.
As a Registered Associate Marriage and Family Therapist, Tanya enjoys working with children, teens, adults, and couples. She has received additional training in the impact of trauma in migration, Emotion Focused Therapy (EFT), and Neurodivergent Affirming Mental Health Care. Specific areas of interest include anxiety, identity formation, life transitions and adjustment, neurodiverse individuals (including Autism and ADHD), and the LGBTQ+ community.
![Photo of Sheera N Harrell - Own Your Mind Psychology Services and Consultation, PhD, Psychologist](https://photos.psychologytoday.com/507403d0-9e01-4074-abcb-36c51da2ea9c/1/320x400.jpeg)
Own Your Mind Psychology Services and Consultation
Psychologist, PhD
Verified Verified
1 Endorsed
Fresno, CA 93727 (Online Only)
We specialize in providing services for diverse groups dealing with depression, anxiety, trauma, anger, and other emotional and relationship difficulties.
Are you battling depression, anxiety, trauma, anger, or seeking healthier coping mechanisms for difficult relationships? Do you identify as culturally diverse (e.g. BIPOC, LGBTQIA+, etc.)? Are seeking support tailored to your experiences? Our inclusive group practice is here for you. We're here to navigate your struggles with you as you heal from traumas; embrace change; discover alternate ways of thinking, feeling, behaving, and being; gain insights into how your past impacts your present; finding solace and emotional release in co-created healing spaces; and live the life that aligns with your truest, most liberated self.
We specialize in providing services for diverse groups dealing with depression, anxiety, trauma, anger, and other emotional and relationship difficulties.
Are you battling depression, anxiety, trauma, anger, or seeking healthier coping mechanisms for difficult relationships? Do you identify as culturally diverse (e.g. BIPOC, LGBTQIA+, etc.)? Are seeking support tailored to your experiences? Our inclusive group practice is here for you. We're here to navigate your struggles with you as you heal from traumas; embrace change; discover alternate ways of thinking, feeling, behaving, and being; gain insights into how your past impacts your present; finding solace and emotional release in co-created healing spaces; and live the life that aligns with your truest, most liberated self.
![Photo of Michelle Holguin, LMFT, LPCC, Marriage & Family Therapist](https://photos.psychologytoday.com/3d4cdafa-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Michelle Holguin
Marriage & Family Therapist, LMFT, LPCC
Verified Verified
3 Endorsed
Fresno, CA 93704
Now Taking New Clients! Finding a therapist that you connect with is so important and personal; so much so that our relationship is the foundation for success in treatment. Helping people has always been my passion and I believe people have the internal tools necessary for positive change. I have worked with many different people throughout the years. These people have sought out therapy for many reasons. Life happens and challenges come up. Maybe it's older issues from childhood that have an impact now. Maybe it's brand new grieving the loss of a relationship. Maybe there is a feeling of being stuck.
Now Taking New Clients! Finding a therapist that you connect with is so important and personal; so much so that our relationship is the foundation for success in treatment. Helping people has always been my passion and I believe people have the internal tools necessary for positive change. I have worked with many different people throughout the years. These people have sought out therapy for many reasons. Life happens and challenges come up. Maybe it's older issues from childhood that have an impact now. Maybe it's brand new grieving the loss of a relationship. Maybe there is a feeling of being stuck.
![Photo of Cindi Ransom, MS, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/3d13f401-46cd-11ea-a6ad-06142c356176/4/320x400.jpeg)
My special interest is working with couples.
My role as a therapist, is to provide a safe, sacred place, allowing the pain and suffering to come forth and be processed in a collaborative respectful manner. I use my skills in depth therapy to help make the unconscious conscious leading to transformation of painful symptoms into new life meaning. I have 20 years of experience working in a social work department within a hospital setting. This taught me; people need to tell their story and be heard. In a world of technology and lack of human connection I offer the lost art of listening.
My special interest is working with couples.
My role as a therapist, is to provide a safe, sacred place, allowing the pain and suffering to come forth and be processed in a collaborative respectful manner. I use my skills in depth therapy to help make the unconscious conscious leading to transformation of painful symptoms into new life meaning. I have 20 years of experience working in a social work department within a hospital setting. This taught me; people need to tell their story and be heard. In a world of technology and lack of human connection I offer the lost art of listening.
![Photo of Delane McGuire, AMFT, Marriage & Family Therapist Associate](https://photos.psychologytoday.com/bd7f5d58-6206-495c-9706-429531ac0e1c/2/320x400.jpeg)
Pursuing your own healing can feel overwhelming and initiating a relationship with a therapist is often a daunting part of this process. If you’ve made the courageous decision to seek healing through therapy, I would be honored to support you by creating a warm and safe space that will allow you the freedom to explore your feelings and develop new ways of coping. I enjoy working with teens & adults of many backgrounds, and I feel especially passionate about working with women that are experiencing relationship conflict, life transitions, or carrying the burdens of trauma.
Pursuing your own healing can feel overwhelming and initiating a relationship with a therapist is often a daunting part of this process. If you’ve made the courageous decision to seek healing through therapy, I would be honored to support you by creating a warm and safe space that will allow you the freedom to explore your feelings and develop new ways of coping. I enjoy working with teens & adults of many backgrounds, and I feel especially passionate about working with women that are experiencing relationship conflict, life transitions, or carrying the burdens of trauma.
See more therapy options for Fresno
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.