Couples Counseling Therapists in Pasadena, CA

Photo of Rebecca Doppelt, LMFT, EMDR, Marriage & Family Therapist
Rebecca Doppelt
Marriage & Family Therapist, LMFT, EMDR
Verified Verified
11 Endorsed
Pasadena, CA 91103
Do you get caught in unhealthy repetitive cycles? Anxiety loops or the same relationship mistakes over and over? Our fast-paced culture can be challenging for personal growth, but together we can collaborate to find tools that work for you.
Trauma. Betrayal. Anxiety. Relationships. Discernment. These are my areas of focus. Whether you are seeking to heal childhood wounds or are facing an overwhelming challenge in present day, we can collaborate on a path forward. Change is possible and I will be in your corner every step of the way.
Do you get caught in unhealthy repetitive cycles? Anxiety loops or the same relationship mistakes over and over? Our fast-paced culture can be challenging for personal growth, but together we can collaborate to find tools that work for you.
Trauma. Betrayal. Anxiety. Relationships. Discernment. These are my areas of focus. Whether you are seeking to heal childhood wounds or are facing an overwhelming challenge in present day, we can collaborate on a path forward. Change is possible and I will be in your corner every step of the way.
(310) 893-1830 View (310) 893-1830
Photo of Julie Kenworth, MA, LMFT, Marriage & Family Therapist
Julie Kenworth
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Pasadena, CA 91101
I work with adults dealing with issues such as depression, anxiety, sexual assault & other traumas, PTSD, relationship stress, nonmonogamy, eating disorders, grief & loss, and mid-life crisis.
Do you feel overwhelmed? Hopeless? Scared? Stuck? Do you feel like your world is spinning out of control? Are you taking care of a family member with a disability or illness? Do you wish the chaos would stop? What would it be like to not feel that way? Sometimes past hurts affect present relationships. Sometimes what you know in your head doesn't match what you feel in your heart. Sometimes multiple stressors can overwhelm you. And sometimes we just need a tune-up for our lives.
I work with adults dealing with issues such as depression, anxiety, sexual assault & other traumas, PTSD, relationship stress, nonmonogamy, eating disorders, grief & loss, and mid-life crisis.
Do you feel overwhelmed? Hopeless? Scared? Stuck? Do you feel like your world is spinning out of control? Are you taking care of a family member with a disability or illness? Do you wish the chaos would stop? What would it be like to not feel that way? Sometimes past hurts affect present relationships. Sometimes what you know in your head doesn't match what you feel in your heart. Sometimes multiple stressors can overwhelm you. And sometimes we just need a tune-up for our lives.
(510) 519-6944 View (510) 519-6944
Photo of Yvonne Miller, PhD, Psychologist
Yvonne Miller
Psychologist, PhD
Verified Verified
Pasadena, CA 91101  (Online Only)
I see adults and couples for therapy.
I see adults and couples for therapy.
(626) 566-7896 View (626) 566-7896
Photo of Lincoln Madley, MA, LMFT, Marriage & Family Therapist
Lincoln Madley
Marriage & Family Therapist, MA, LMFT
Verified Verified
8 Endorsed
Pasadena, CA 91101
Also, I am certified in Inter-analytic Couples and Sex Therapy through the American Association of Couples and Sex Therapists (AACAST).
Transition, loss, and transformation may be universal, but everyone experiences these changes differently. Sometimes you may become overwhelmed -- like everything is too much, or you cannot connect with the person you were before. You may have become stuck in a difficult moment or are acting in ways that make things worse. You deserve to lead a life worth living. Therapy provides an opportunity to explore personal challenges and discover areas of personal growth inherent in these painful times. I welcome adolescents, adults, and couples who are looking for support and validation in the work of healing and self-empowerment.
Also, I am certified in Inter-analytic Couples and Sex Therapy through the American Association of Couples and Sex Therapists (AACAST).
Transition, loss, and transformation may be universal, but everyone experiences these changes differently. Sometimes you may become overwhelmed -- like everything is too much, or you cannot connect with the person you were before. You may have become stuck in a difficult moment or are acting in ways that make things worse. You deserve to lead a life worth living. Therapy provides an opportunity to explore personal challenges and discover areas of personal growth inherent in these painful times. I welcome adolescents, adults, and couples who are looking for support and validation in the work of healing and self-empowerment.
(747) 223-8408 View (747) 223-8408
Photo of Mark Christopher Yates, PhD, Psychologist
Mark Christopher Yates
Psychologist, PhD
Verified Verified
1 Endorsed
Pasadena, CA 91101
When it is overwhelming to be faced with life's many challenges, having an experienced and compassionate ally on your side can help you get through the tough times and also begin a process of growth and discovery. Seeking psychotherapy is a courageous step to create meaningful and lasting change. Dealing with the end of a relationship or the loss of a loved one can leave you feeling paralyzed; Uncertainty about how to face into the fears about career, school, and relationships can leave you feeling stuck; Occasionally one may just wake up feeling depressed, anxious or in physical pain.
When it is overwhelming to be faced with life's many challenges, having an experienced and compassionate ally on your side can help you get through the tough times and also begin a process of growth and discovery. Seeking psychotherapy is a courageous step to create meaningful and lasting change. Dealing with the end of a relationship or the loss of a loved one can leave you feeling paralyzed; Uncertainty about how to face into the fears about career, school, and relationships can leave you feeling stuck; Occasionally one may just wake up feeling depressed, anxious or in physical pain.
(626) 354-1562 View (626) 354-1562
Photo of Quiana M. Daniel, PsyD, Psychological Associate
Quiana M. Daniel
Psychological Associate, PsyD
Verified Verified
Pasadena, CA 91107
Dr. Quiana M. Daniel is a Psychological Assistant working under the supervision of Licensed Clinical Psychologist, Dr. Andrea Forbes, PSY23101. In regards to her clinical practice, Dr. Daniel has had extensive training in parent-child interactions, trauma focused therapy, parenting skills, and interpersonal relationships. In addition, she has a history of working with families who are engaged with the foster care system, adopting, or considering adoption. Dr. Daniel aspires to work with individuals, couples, and families within a safe environment to help them navigate their personal, emotional, and spiritual growth.
Dr. Quiana M. Daniel is a Psychological Assistant working under the supervision of Licensed Clinical Psychologist, Dr. Andrea Forbes, PSY23101. In regards to her clinical practice, Dr. Daniel has had extensive training in parent-child interactions, trauma focused therapy, parenting skills, and interpersonal relationships. In addition, she has a history of working with families who are engaged with the foster care system, adopting, or considering adoption. Dr. Daniel aspires to work with individuals, couples, and families within a safe environment to help them navigate their personal, emotional, and spiritual growth.
(626) 653-4345 x175 View (626) 653-4345 x175
Photo of Peter J Radestock, LLB, PhD, PsyD, Marriage & Family Therapist
Peter J Radestock
Marriage & Family Therapist, LLB, PhD, PsyD
Verified Verified
Pasadena, CA 91107
My primary interest is in raising each person's level of functioning, whether it is from deep trauma to a greater sense of security, or whether it is from an empty relationship to a life of vitality and gratification.
Often, when we are hurting, we don't know why. We think it might be work, or problems at home. It might be money, or worries about health. These vague, nameless feelings are sometimes softened just by feeling understood. Feeling better in the world, sometimes, is achieved by feeling deeper connections to others, feeling responded to rather than ignored, and just simply feeling that who you are is important to another human being. I believe that being seen, recognized, and having explanations that make sense, can improve your life, both on a deeper level, and on a day to day basis.
My primary interest is in raising each person's level of functioning, whether it is from deep trauma to a greater sense of security, or whether it is from an empty relationship to a life of vitality and gratification.
Often, when we are hurting, we don't know why. We think it might be work, or problems at home. It might be money, or worries about health. These vague, nameless feelings are sometimes softened just by feeling understood. Feeling better in the world, sometimes, is achieved by feeling deeper connections to others, feeling responded to rather than ignored, and just simply feeling that who you are is important to another human being. I believe that being seen, recognized, and having explanations that make sense, can improve your life, both on a deeper level, and on a day to day basis.
(626) 722-8952 View (626) 722-8952
Photo of Dr. Melissa Hofstetter, PhD, Psychologist
Dr. Melissa Hofstetter
Psychologist, PhD
Verified Verified
1 Endorsed
Pasadena, CA 91101
Hofstetter has decades of experience in the field of psychology, with expertise in relational and in-depth therapy for couples, older adolescents (18+), adults, and groups.
Those who gravitate to me for therapy are often incredibly strong, high-functioning people who have already fought harder in life than anyone should have to, just to make it through. If this sounds like you, know that you already have my respect before you walk through the door. Perhaps you now find yourself in adulthood after a traumatic beginning, ready to break generational cycles of pain or patterns of abuse that you’ve seen, but it’s still a struggle despite your best efforts. It has been my honor to help such individuals and couples achieve emotional peace and relationship harmony that once felt out-of-reach to them.
Hofstetter has decades of experience in the field of psychology, with expertise in relational and in-depth therapy for couples, older adolescents (18+), adults, and groups.
Those who gravitate to me for therapy are often incredibly strong, high-functioning people who have already fought harder in life than anyone should have to, just to make it through. If this sounds like you, know that you already have my respect before you walk through the door. Perhaps you now find yourself in adulthood after a traumatic beginning, ready to break generational cycles of pain or patterns of abuse that you’ve seen, but it’s still a struggle despite your best efforts. It has been my honor to help such individuals and couples achieve emotional peace and relationship harmony that once felt out-of-reach to them.
(323) 968-6978 View (323) 968-6978
Photo of Marissa Ruiz, Marriage & Family Therapist
Marissa Ruiz
Marriage & Family Therapist
Verified Verified
1 Endorsed
Pasadena, CA 91114  (Online Only)
My name is Marissa and I’m a licensed Marriage and Family therapist. I see individuals and couples remotely. Most people have a busy schedule and I try to accommodate your schedule with mine. Going to therapy is sometimes not your first choice and it might be hard to talk to a stranger. Therapy is your time to say whatever you are feeling and my job is to validate you so you feel heard. Welcome to your corner. I am bilingual in Spanish.
My name is Marissa and I’m a licensed Marriage and Family therapist. I see individuals and couples remotely. Most people have a busy schedule and I try to accommodate your schedule with mine. Going to therapy is sometimes not your first choice and it might be hard to talk to a stranger. Therapy is your time to say whatever you are feeling and my job is to validate you so you feel heard. Welcome to your corner. I am bilingual in Spanish.
(626) 699-9161 View (626) 699-9161
Photo of Connie Vaillancourt - Connie V Therapy, LMFT, Marriage & Family Therapist
Connie V Therapy
Marriage & Family Therapist, LMFT
Verified Verified
Pasadena, CA 91107
I have worked with Individuals, Couples, and Groups in Private Practice, Residential Settings, Schools, and Hospital Based Treatment Centers.
Humorist, Mark Twain once wrote, "I've had a lot of worries in my life, most of which never happened." Left unchecked, fear-based thinking shapes reality and impedes potential and growth. The unknown and mixed messages surrounding the pandemic has reinforced this mindset and may have left you with perpetual feelings of sadness, uncertainty and doubt. The first step of our journey together is establishing a relationship built upon trust, respect, and safety. Through shared conversation, mindfulness, and self-regulating techniques, we create a bond that honors your unique story and circumstance.
I have worked with Individuals, Couples, and Groups in Private Practice, Residential Settings, Schools, and Hospital Based Treatment Centers.
Humorist, Mark Twain once wrote, "I've had a lot of worries in my life, most of which never happened." Left unchecked, fear-based thinking shapes reality and impedes potential and growth. The unknown and mixed messages surrounding the pandemic has reinforced this mindset and may have left you with perpetual feelings of sadness, uncertainty and doubt. The first step of our journey together is establishing a relationship built upon trust, respect, and safety. Through shared conversation, mindfulness, and self-regulating techniques, we create a bond that honors your unique story and circumstance.
(626) 790-5679 View (626) 790-5679
Photo of Eileen Beirich, MFT, PsyD, Marriage & Family Therapist
Eileen Beirich
Marriage & Family Therapist, MFT, PsyD
Verified Verified
2 Endorsed
Pasadena, CA 91104
When these feelings cause unmanageable pain I can coach patients to reweave their own life tapestry through self and relationship changes.
I am Eileen Beirich, PsyD, MFT. I encourage patients toward an acquired awareness and management of conflict out of attachment and self-regulation issues. Using dynamic family systems, I begin to review a patient's family of origin story about how life has been lived. I introduce an idea of looking at life's picture like it is a tapestry. A tapestry is constructed of many colored threads laid down next to each other to blend into a picture. Sometimes a person does not have a completed tapestry picture of life.
When these feelings cause unmanageable pain I can coach patients to reweave their own life tapestry through self and relationship changes.
I am Eileen Beirich, PsyD, MFT. I encourage patients toward an acquired awareness and management of conflict out of attachment and self-regulation issues. Using dynamic family systems, I begin to review a patient's family of origin story about how life has been lived. I introduce an idea of looking at life's picture like it is a tapestry. A tapestry is constructed of many colored threads laid down next to each other to blend into a picture. Sometimes a person does not have a completed tapestry picture of life.
(626) 935-9933 View (626) 935-9933
Photo of Gerrian Wuts - Dr. Gerrian Wuts, PhD, Psychologist
Dr. Gerrian Wuts
Psychologist, PhD
Verified Verified
3 Endorsed
Pasadena, CA 91105
I am trained in Psychodynamic theory, use Developmental and Relational Therapy approaches to best serve couples and individuals.
I like working with Adults and Couples and use RLT (Relational Life Therapy) tools to help you find healthier ways to communicate. In addition, becoming aware of how your family of origin formed you can help provide self-understanding. My goal is to help you cultivate healthy relationships that will support you in the ups and downs of life. We all experience stressors and are juggling many demands that drain or overwhelm us. As a therapist I take an active and practical approach to guide you in finding the tools that help you grow in your path forward.
I am trained in Psychodynamic theory, use Developmental and Relational Therapy approaches to best serve couples and individuals.
I like working with Adults and Couples and use RLT (Relational Life Therapy) tools to help you find healthier ways to communicate. In addition, becoming aware of how your family of origin formed you can help provide self-understanding. My goal is to help you cultivate healthy relationships that will support you in the ups and downs of life. We all experience stressors and are juggling many demands that drain or overwhelm us. As a therapist I take an active and practical approach to guide you in finding the tools that help you grow in your path forward.
(626) 498-1107 View (626) 498-1107
Photo of Dr. Briana Hedman, PhD, Psychologist
Dr. Briana Hedman
Psychologist, PhD
Verified Verified
2 Endorsed
Pasadena, CA 91103
My approach may include helping you identify and change unhelpful thinking patterns and behaviors, learn coping skills, build awareness about relationship patterns, and increase self-acceptance.
Life is pretty good, so why do you feel so terrible? You tell yourself that you’re smart enough to figure it out. Muscle through. Stop complaining. But you can’t remember the last time you felt happy. So here you are, hoping therapy can help. You don't want to keep having the same conversation or scrolling through endless internet “self-care” tips. This is bigger than downloading a meditation app. You're ready to stop feeling a sense of dread that follows you as you go through the motions of your life. It's time to stop white-knuckling and actually get some relief.
My approach may include helping you identify and change unhelpful thinking patterns and behaviors, learn coping skills, build awareness about relationship patterns, and increase self-acceptance.
Life is pretty good, so why do you feel so terrible? You tell yourself that you’re smart enough to figure it out. Muscle through. Stop complaining. But you can’t remember the last time you felt happy. So here you are, hoping therapy can help. You don't want to keep having the same conversation or scrolling through endless internet “self-care” tips. This is bigger than downloading a meditation app. You're ready to stop feeling a sense of dread that follows you as you go through the motions of your life. It's time to stop white-knuckling and actually get some relief.
(323) 831-7169 View (323) 831-7169
Photo of Mervin Maier, LMFT, Marriage & Family Therapist
Mervin Maier
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Pasadena, CA 91105
I work with individuals, couples and families.
We all need strong, healthy relationships for our personal, social, emotional growth and development. At times the pathway to building strong relationships can be perplexing and bewildering. My therapeutic approach provides a supportive, safe harbor that is both collaborative and non-judgmental. I will help families, couples, and individuals build robust, satisfying lives and deeply meaningful relationships.
I work with individuals, couples and families.
We all need strong, healthy relationships for our personal, social, emotional growth and development. At times the pathway to building strong relationships can be perplexing and bewildering. My therapeutic approach provides a supportive, safe harbor that is both collaborative and non-judgmental. I will help families, couples, and individuals build robust, satisfying lives and deeply meaningful relationships.
(707) 271-9323 View (707) 271-9323
Photo of Christina Kousakis, MA, MFT, Marriage & Family Therapist
Christina Kousakis
Marriage & Family Therapist, MA, MFT
Verified Verified
1 Endorsed
Pasadena, CA 91101
What is your vision for your life? My non-traditional, postmodern perspective results in a collaborative style of therapy designed to help you find the answer. Together, we will examine the contents of your life and determine which elements will be useful on your journey, and which should be discarded. I am a licensed Marriage and Family Therapist, and a certified Imago therapist, specializing in individual, pre-marital, couples and parenting issues. My practice, though centered on relationships, includes a wide range of clients whose needs vary from LGBTQ issues, grief, career anxiety, depression, and life transitions.
What is your vision for your life? My non-traditional, postmodern perspective results in a collaborative style of therapy designed to help you find the answer. Together, we will examine the contents of your life and determine which elements will be useful on your journey, and which should be discarded. I am a licensed Marriage and Family Therapist, and a certified Imago therapist, specializing in individual, pre-marital, couples and parenting issues. My practice, though centered on relationships, includes a wide range of clients whose needs vary from LGBTQ issues, grief, career anxiety, depression, and life transitions.
(626) 658-3376 View (626) 658-3376
Photo of Brianna Winbigler, MA, AMFT, APCC, Marriage & Family Therapist Associate
Brianna Winbigler
Marriage & Family Therapist Associate, MA, AMFT, APCC
Verified Verified
2 Endorsed
Pasadena, CA 91107  (Online Only)
Whether you’re struggling with your relationship with yourself or your relationships with others, I'm here to walk alongside you in your journey to a greater sense of ease, fulfillment, purpose, presence, self-awareness, healthy coping, peace, emotional regulation, and connection.
I'm so glad you're here. I want to share some hopeful news with you: The way you are feeling right now is temporary. Perhaps you’ve been feeling stuck, stressed, unable to cope with life’s challenges, operating on auto-pilot, missing your sense of purpose, or struggling in your relationships. In these seasons, it can seem like life is just passing you by, while you miss out on moments of joy and connection. Just being here on your search for a therapist is a sign that you’re ready for a healthy and refreshing change in your life. Your desire to feel better is proof that it is possible.
Whether you’re struggling with your relationship with yourself or your relationships with others, I'm here to walk alongside you in your journey to a greater sense of ease, fulfillment, purpose, presence, self-awareness, healthy coping, peace, emotional regulation, and connection.
I'm so glad you're here. I want to share some hopeful news with you: The way you are feeling right now is temporary. Perhaps you’ve been feeling stuck, stressed, unable to cope with life’s challenges, operating on auto-pilot, missing your sense of purpose, or struggling in your relationships. In these seasons, it can seem like life is just passing you by, while you miss out on moments of joy and connection. Just being here on your search for a therapist is a sign that you’re ready for a healthy and refreshing change in your life. Your desire to feel better is proof that it is possible.
(323) 861-3173 View (323) 861-3173
Photo of Susan Y Chi, PhD, Psychologist
Susan Y Chi
Psychologist, PhD
Verified Verified
2 Endorsed
Pasadena, CA 91101
Are you seeking a creative and empowering psychologist to accompany you on a journey of insight, healing, and powerful change? My approach is integrative and based on the latest research in neuroscience, mind-body integration, and attachment theory. I am culturally informed and LGBTQ+ affirming; I will respect your unique experiences and world view. We will work closely to uncover, process, and release traumatic stress and challenge self-limiting beliefs. Work with me to develop a healthier relationship with yourself and others; build intentional creative and professional practices; cultivate a deeper appreciation for life.
Are you seeking a creative and empowering psychologist to accompany you on a journey of insight, healing, and powerful change? My approach is integrative and based on the latest research in neuroscience, mind-body integration, and attachment theory. I am culturally informed and LGBTQ+ affirming; I will respect your unique experiences and world view. We will work closely to uncover, process, and release traumatic stress and challenge self-limiting beliefs. Work with me to develop a healthier relationship with yourself and others; build intentional creative and professional practices; cultivate a deeper appreciation for life.
(626) 624-5672 View (626) 624-5672
Photo of Jennie Nystrom, LMFT, EMDR, Marriage & Family Therapist
Jennie Nystrom
Marriage & Family Therapist, LMFT, EMDR
Verified Verified
Pasadena, CA 91101
I specialize in issues related to anxiety, depression, and trauma when working with individuals, couples, and families.
Do you feel depressed or anxious due to childhood trauma? Do you feel disconnected in your relationships with others? I’m here to help you develop an action plan for meaningful changes. My approach to therapy is relational and person-centered. I will work alongside you in a warm and understanding environment where you can explore your emotions and find better ways to deal with the stressors in your life.
I specialize in issues related to anxiety, depression, and trauma when working with individuals, couples, and families.
Do you feel depressed or anxious due to childhood trauma? Do you feel disconnected in your relationships with others? I’m here to help you develop an action plan for meaningful changes. My approach to therapy is relational and person-centered. I will work alongside you in a warm and understanding environment where you can explore your emotions and find better ways to deal with the stressors in your life.
(626) 316-6512 View (626) 316-6512
Photo of Holli Eaton, PsyD, Psychologist
Holli Eaton
Psychologist, PsyD
Verified Verified
1 Endorsed
Pasadena, CA 91101
Specializing in short-term CBT and coaching for doctors and lawyers as well as short-term couples coaching. As a high functioning, high achieving professional you may find variability in your interest, energy level, and achievement at work. You may also find some of your personal relationships get less attention than your professional relationships. I work from a strengths and positive psychology model to help you function at your best in all areas of your life.
Specializing in short-term CBT and coaching for doctors and lawyers as well as short-term couples coaching. As a high functioning, high achieving professional you may find variability in your interest, energy level, and achievement at work. You may also find some of your personal relationships get less attention than your professional relationships. I work from a strengths and positive psychology model to help you function at your best in all areas of your life.
(626) 240-1381 View (626) 240-1381
Photo of Michael E Farinha, MA, PsyD, Psychologist
Michael E Farinha
Psychologist, MA, PsyD
Verified Verified
Pasadena, CA 91107
I specialize in all mood, anxiety, and addictive and relationship disorders.
As your psychologist/therapist I will help you in anyway that I can. I will provide you a supportive and comforting environment in which you will able to share and process your feelings. We will also look at ways that we can improve your psychological health and well-being by applying cognitive behavioral therapy, interpersonal therapy, as well as recovery, spirituality, and grief and loss issues. We will identify any illnesses and issues, and will work towards full recovery. I see individuals, couples and families for psychotherapy, intervention and consultation. I specialize in mood, anxiety, addictive and relationship disorders.
I specialize in all mood, anxiety, and addictive and relationship disorders.
As your psychologist/therapist I will help you in anyway that I can. I will provide you a supportive and comforting environment in which you will able to share and process your feelings. We will also look at ways that we can improve your psychological health and well-being by applying cognitive behavioral therapy, interpersonal therapy, as well as recovery, spirituality, and grief and loss issues. We will identify any illnesses and issues, and will work towards full recovery. I see individuals, couples and families for psychotherapy, intervention and consultation. I specialize in mood, anxiety, addictive and relationship disorders.
(626) 325-0766 View (626) 325-0766
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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.