Gottman Method Therapists in Lafayette, CO
![Photo of Rosa Dinelli, MA, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/f37b3a16-fce7-4eaf-b3e5-0e99dbe64fcb/3/320x400.jpeg)
I use PACT Therapy, IFIO, Emotion Focused Therapy, and The Gottman Method to help couples change relationship patterns and stay connected and aligned.
If issues with conflict, parenting, infidelity, money, housework or past hurts are clouding your marriage, couples therapy will offer you more clarity and compassion for yourself and your part. From this space you will be able to communicate with openness, courage, and create possibility for real relational change. In individual therapy, I can support you in self discovery, unwinding harmful patterns, and processing trauma. Inviting and integrating all parts of your experience increases presence and availability for your family, work and relationships.
I use PACT Therapy, IFIO, Emotion Focused Therapy, and The Gottman Method to help couples change relationship patterns and stay connected and aligned.
If issues with conflict, parenting, infidelity, money, housework or past hurts are clouding your marriage, couples therapy will offer you more clarity and compassion for yourself and your part. From this space you will be able to communicate with openness, courage, and create possibility for real relational change. In individual therapy, I can support you in self discovery, unwinding harmful patterns, and processing trauma. Inviting and integrating all parts of your experience increases presence and availability for your family, work and relationships.
![Photo of Melissa Raddatz, MA, LMFT, LAC, Marriage & Family Therapist](https://photos.psychologytoday.com/be7224e3-e4f0-4d86-b9ea-b73f5d6ce353/1/320x400.png)
Melissa Raddatz
Marriage & Family Therapist, MA, LMFT, LAC
Verified Verified
1 Endorsed
Lafayette, CO 80026 (Online Only)
Many of the client's that I work with have the same fight over and over again; maybe it's the dishes, maybe it's his friends, maybe you feel like she's not listening to you, maybe you both drink too much. Without professional help it's so easy to get stuck in a rut. At Kenosis Counseling, I believe in the potential of relationships. By resolving our issues through both vulnerability and committed action a relationship can become a place of peace and joy. I want you to have a relationship that others wished they had. I will help you become each others best friends, strongest allies, and emotional sanctuaries.
Many of the client's that I work with have the same fight over and over again; maybe it's the dishes, maybe it's his friends, maybe you feel like she's not listening to you, maybe you both drink too much. Without professional help it's so easy to get stuck in a rut. At Kenosis Counseling, I believe in the potential of relationships. By resolving our issues through both vulnerability and committed action a relationship can become a place of peace and joy. I want you to have a relationship that others wished they had. I will help you become each others best friends, strongest allies, and emotional sanctuaries.
![Photo of Katelyn Arterburn, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/842bfda2-4c5a-4f62-a67e-3bb948839695/2/320x400.jpeg)
Katelyn Arterburn
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Lafayette, CO 80026
Becoming a mom impacts every area of your life, in some expected ways and many unexpected. The impact of these changes can manifest in various ways, from shifts in your body to transformations within your career, your relationship, and even differences in parenting approaches. You may find yourself feeling lost or confused, constantly overwhelmed, and questioning yourself and your choices. You may be surrounded by others yet still feel completely alone and uncertain of what to do, where to start, and how to move forward. I want you to know that you are not alone.
Becoming a mom impacts every area of your life, in some expected ways and many unexpected. The impact of these changes can manifest in various ways, from shifts in your body to transformations within your career, your relationship, and even differences in parenting approaches. You may find yourself feeling lost or confused, constantly overwhelmed, and questioning yourself and your choices. You may be surrounded by others yet still feel completely alone and uncertain of what to do, where to start, and how to move forward. I want you to know that you are not alone.
![Photo of Joyce Larson, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/3ddc61f8-48c2-423a-82bc-af18d1502087/1/320x400.jpeg)
I help clients regain vision for their lives through a holistic approach considering their physical, emotional, intellectual, spiritual, and relational well-being. My approach has been described by clients and co-therapists as compassionate as well as practical. I believe that when people are able to live out of their strengths, they will experience a greater sense of purpose in life and in their relationships. My specialities are sexual issues and relational dynamics, life and career coaching, and trauma/grief. I have helped those suffering from sexual addictions, poor body image, anxiety, depression, anger, and attachment issues.
I help clients regain vision for their lives through a holistic approach considering their physical, emotional, intellectual, spiritual, and relational well-being. My approach has been described by clients and co-therapists as compassionate as well as practical. I believe that when people are able to live out of their strengths, they will experience a greater sense of purpose in life and in their relationships. My specialities are sexual issues and relational dynamics, life and career coaching, and trauma/grief. I have helped those suffering from sexual addictions, poor body image, anxiety, depression, anger, and attachment issues.
![Photo of Lauren Skuba, MA, MFTC, Marriage & Family Therapist](https://photos.psychologytoday.com/6bbe149b-b8fd-46c3-ae82-77f6dc39d56d/2/320x400.jpeg)
Do you feel alone, unimportant, misunderstood, or that you can’t do enough or get it right in your relationship? Do discussions escalate into conflict quickly and rarely lead to resolution? Sometimes in relationships we get stuck in negative cycles of interaction or feeling and in our work together, I will support you in exploring your unique relationship path, identify strengths and stuck places, and create space for experiences that lead to new patterns of connection.
Do you feel alone, unimportant, misunderstood, or that you can’t do enough or get it right in your relationship? Do discussions escalate into conflict quickly and rarely lead to resolution? Sometimes in relationships we get stuck in negative cycles of interaction or feeling and in our work together, I will support you in exploring your unique relationship path, identify strengths and stuck places, and create space for experiences that lead to new patterns of connection.
![Photo of Stacy Boone Harrison, LPC, NCC, MA, RN, BSN, Licensed Professional Counselor](https://photos.psychologytoday.com/685ed1ff-f8bb-414b-8855-86108809694d/2/320x400.png)
Stacy Boone Harrison
Licensed Professional Counselor, LPC, NCC, MA, RN, BSN
Verified Verified
Lafayette, CO 80026 (Online Only)
Accepting New Clients. You’ve come to the right place! Asking for help with your personal healing takes courage and strength. If you are struggling with life transitions, relationships, or experiencing a sense of powerlessness and feeling disconnected, you are not alone. Together, we will explore how you can best heal and thrive!
Accepting New Clients. You’ve come to the right place! Asking for help with your personal healing takes courage and strength. If you are struggling with life transitions, relationships, or experiencing a sense of powerlessness and feeling disconnected, you are not alone. Together, we will explore how you can best heal and thrive!
![Photo of Sharla P. Macy - Sharla P. Macy LMFT , LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/8847abea-7f35-44fd-9a74-cde21eb99ba3/1/320x400.jpeg)
Sharla P. Macy LMFT
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Lafayette, CO 80026
Are you experiencing increased levels of stress, disharmony in your marriage, or a lack of connection at home or at work? I believe we are living in a most challenging time. My practice creates a safe space to share and reset with increased support, resource, and vision. I bring relational principles and expertise from my 38 years to build lives and relationships that thrive. I see couples through all stages. I offer services as a Consultant at sharlamacyconsulting.com I provide counsel for CEO Couples-and the workplace in order to increase leadership and team development. Together we can grow resilience, love, and hope.
Are you experiencing increased levels of stress, disharmony in your marriage, or a lack of connection at home or at work? I believe we are living in a most challenging time. My practice creates a safe space to share and reset with increased support, resource, and vision. I bring relational principles and expertise from my 38 years to build lives and relationships that thrive. I see couples through all stages. I offer services as a Consultant at sharlamacyconsulting.com I provide counsel for CEO Couples-and the workplace in order to increase leadership and team development. Together we can grow resilience, love, and hope.
![Photo of Emily Wilson, MA, LPC, ATR, Art Therapist](https://photos.psychologytoday.com/1a466531-f4ce-4c12-abe8-0c45baf794f6/2/320x400.jpeg)
Our collective world & many folks’ lives have been increasingly full of change. Transition & change can create struggles as well as opportunities; we can navigate those together. I work with adults, and adolescents facing issues including depression, anxiety, trauma, relationship struggles, identity exploration, life transitions, existential exploration & more while maintaining a strengths-based, neurodiverse-affirming & gender-affirming lens. Some clients enjoy using art; others seek more traditional therapeutic approaches. Regardless of technique, building a compassionate relationship that supports growth is illuminating.
Our collective world & many folks’ lives have been increasingly full of change. Transition & change can create struggles as well as opportunities; we can navigate those together. I work with adults, and adolescents facing issues including depression, anxiety, trauma, relationship struggles, identity exploration, life transitions, existential exploration & more while maintaining a strengths-based, neurodiverse-affirming & gender-affirming lens. Some clients enjoy using art; others seek more traditional therapeutic approaches. Regardless of technique, building a compassionate relationship that supports growth is illuminating.
![Photo of Renee Shannon Hickey, MA, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/60fd0ff7-2b8f-4e7c-b406-a3bfd8de2714/2/320x400.jpeg)
Renee Shannon, MA, LPC, specializes in life transitions, anxiety, grief and trauma. Renee has been in private practice as a life coach and meditation/mindfulness teacher for over 20 years. Renee incorporates a holistic approach to her treatment of her clients. She takes her extensive background in self-development, her corporate training as an executive in the IT field, and her training as a life-coach and teacher into her assessments and treatments of her clients. She is comfortable working with individuals from all stages of life, also including children, families and couples.
Renee Shannon, MA, LPC, specializes in life transitions, anxiety, grief and trauma. Renee has been in private practice as a life coach and meditation/mindfulness teacher for over 20 years. Renee incorporates a holistic approach to her treatment of her clients. She takes her extensive background in self-development, her corporate training as an executive in the IT field, and her training as a life-coach and teacher into her assessments and treatments of her clients. She is comfortable working with individuals from all stages of life, also including children, families and couples.
![Photo of Eve Kilmer, PhD, Psychologist](https://photos.psychologytoday.com/3e8a03ff-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
I'm an interactive, solution-focused psychologist with 31 years experience (website: www.evekilmer.com). My therapeutic approach is to provide support and practical feedback to help you effectively address personal life challenges in a warm, safe environment. I integrate complementary methodologies and techniques to offer a highly personalized approach tailored to you as an individual or couple. With compassion and understanding, I work with you to help you build on your strengths and attain the personal growth that you want.
I'm an interactive, solution-focused psychologist with 31 years experience (website: www.evekilmer.com). My therapeutic approach is to provide support and practical feedback to help you effectively address personal life challenges in a warm, safe environment. I integrate complementary methodologies and techniques to offer a highly personalized approach tailored to you as an individual or couple. With compassion and understanding, I work with you to help you build on your strengths and attain the personal growth that you want.
![Photo of Johanna Lindau, MA, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/ac74791c-3493-4d37-90ed-9cc14ed5b46d/3/320x400.jpeg)
Johanna Lindau
Licensed Professional Counselor, MA, LPC
Verified Verified
9 Endorsed
Lafayette, CO 80026
I believe everyone has the ability to live a joyful life, have fulfilling relationships and experience wellness. I work with individuals and couples addressing challenges including: depression, anxiety, trauma, relationship difficulties, grief, disordered eating, low self esteem and more. I utilize practices of: PACT (Psychobiological Approach to Couples Counseling), mindfulness, somatic/body centered, principles of trauma resolution (neurobiology and polyvagal theory), wilderness/nature therapy, Internal Family Systems IFS (parts work), art therapy, Brainspotting and more in our work together.
I believe everyone has the ability to live a joyful life, have fulfilling relationships and experience wellness. I work with individuals and couples addressing challenges including: depression, anxiety, trauma, relationship difficulties, grief, disordered eating, low self esteem and more. I utilize practices of: PACT (Psychobiological Approach to Couples Counseling), mindfulness, somatic/body centered, principles of trauma resolution (neurobiology and polyvagal theory), wilderness/nature therapy, Internal Family Systems IFS (parts work), art therapy, Brainspotting and more in our work together.
15 Second Videos
Emily Wilson
Heather Gomez
Annika Papke
Beth Tamborski
Erika De La Castro
![Photo of Andrew Bunin, MS, LPC, Counselor](https://photos.psychologytoday.com/40778235-46cd-11ea-a6ad-06142c356176/1/320x400.jpeg)
I provide effective, supportive counseling services for adults, individually and in couples, assisting clients with a range of life issues, including: relationships; communication; grief and loss; trauma; life adjustments and transitions; depression; anxiety; substance abuse and addictions; and stress and anger management.
My goals are to support clients in
developing self-awareness; building interpersonal skills; resolving past trauma; promoting effective decision-making and problem-solving; deepening emotional and psychological wellbeing; achieving personal balance and improving overall quality-of-life.
I welcome your inquiries about my work and the opportunity to discuss how I can be of service.
I provide effective, supportive counseling services for adults, individually and in couples, assisting clients with a range of life issues, including: relationships; communication; grief and loss; trauma; life adjustments and transitions; depression; anxiety; substance abuse and addictions; and stress and anger management.
My goals are to support clients in
developing self-awareness; building interpersonal skills; resolving past trauma; promoting effective decision-making and problem-solving; deepening emotional and psychological wellbeing; achieving personal balance and improving overall quality-of-life.
I welcome your inquiries about my work and the opportunity to discuss how I can be of service.
![Photo of Heather Gomez, MA, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/3f41e234-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Heather Gomez
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Lafayette, CO 80026
I will provide individual, couples and family therapy to anyone seeking guidance. Regardless of your concerns, I will provide a non-judgmental and supportive environment to address your needs so that you can find a new perspective that will help you. When I provide couples counseling I begin with learning about you as a couple why you were attracted to each other. Then we work together to figure out what got lost that brought you to seek out counseling. I am a Level 2 PACT therapist, based on the teachings of Dr. Stan Tatkin.
I will provide individual, couples and family therapy to anyone seeking guidance. Regardless of your concerns, I will provide a non-judgmental and supportive environment to address your needs so that you can find a new perspective that will help you. When I provide couples counseling I begin with learning about you as a couple why you were attracted to each other. Then we work together to figure out what got lost that brought you to seek out counseling. I am a Level 2 PACT therapist, based on the teachings of Dr. Stan Tatkin.
![Photo of Annika Papke, MA, LPC, LAC, Licensed Professional Counselor](https://photos.psychologytoday.com/606f6ef7-7727-400b-b212-aba2f93f0ef0/1/320x400.jpeg)
Does it feel like you are just barely holding on? Treading water and can't catch your breath? Do you feel like you are going crazy and no one gets it? Well, you are in the right place and I'm glad you are here. I work with woman struggling with pregnancy and postpartum. This time can be wonderful for some, but for others, the experience doesn’t live up to, or look anything like the social media ideal of pregnancy and parenthood. You worry that you are, or are going to be, a bad mom. If any of this resonates with you, please know that I get it, and I see and hear you. Let’s chat so that you can start feeling better.
Does it feel like you are just barely holding on? Treading water and can't catch your breath? Do you feel like you are going crazy and no one gets it? Well, you are in the right place and I'm glad you are here. I work with woman struggling with pregnancy and postpartum. This time can be wonderful for some, but for others, the experience doesn’t live up to, or look anything like the social media ideal of pregnancy and parenthood. You worry that you are, or are going to be, a bad mom. If any of this resonates with you, please know that I get it, and I see and hear you. Let’s chat so that you can start feeling better.
![Photo of Danielle Schlagel, LPC, LAC, CST, ACS, Licensed Professional Counselor](https://photos.psychologytoday.com/ccfb128c-7719-44c3-bee4-731de3d96751/1/320x400.png)
Danielle Schlagel
Licensed Professional Counselor, LPC, LAC, CST, ACS
Verified Verified
5 Endorsed
Lafayette, CO 80026 (Online Only)
With warmth, humor, and honesty, I strive to create a time and place where you can feel supported in navigating the tough moments of life. As I’ve done this work over the last 17+ years I’ve learned that we can find joy and meaning, including in the hard things we pull away from. Relationships and emotions can feel confusing, scary, or painful. Sometimes our thoughts get overwhelming, we struggle with our emotions, and we try to hold onto control, all while feeling a bit lost. We can work collaboratively to help you get out of your head, learn to manage your feelings & boundaries, heal relationships, and create the life you want.
With warmth, humor, and honesty, I strive to create a time and place where you can feel supported in navigating the tough moments of life. As I’ve done this work over the last 17+ years I’ve learned that we can find joy and meaning, including in the hard things we pull away from. Relationships and emotions can feel confusing, scary, or painful. Sometimes our thoughts get overwhelming, we struggle with our emotions, and we try to hold onto control, all while feeling a bit lost. We can work collaboratively to help you get out of your head, learn to manage your feelings & boundaries, heal relationships, and create the life you want.
![Photo of Amanda Wurst, MSW , LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/904424a9-16b3-4e06-8f91-bb04fc2fcb0b/3/320x400.jpeg)
Events in life, whether it is experiencing mental health challenges, relationship complexities or a life transition rarely occur without stress. Adjusting to change takes time and patience and while this can be painful, change can influence personal growth and can leave one stronger, more confident and better prepared for what comes next in life. Sometimes it takes a neutral and objective person to facilitate and guide one through challenging seasons of life. Amanda Wurst, LCSW is the owner and operator of Solace Counseling, comprised of 7 therapists, each bringing different areas of speciality.
Events in life, whether it is experiencing mental health challenges, relationship complexities or a life transition rarely occur without stress. Adjusting to change takes time and patience and while this can be painful, change can influence personal growth and can leave one stronger, more confident and better prepared for what comes next in life. Sometimes it takes a neutral and objective person to facilitate and guide one through challenging seasons of life. Amanda Wurst, LCSW is the owner and operator of Solace Counseling, comprised of 7 therapists, each bringing different areas of speciality.
![Photo of Martina Mettes-Petrie, MA,, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/bcdbe554-3022-4578-80b9-e015889c7e9e/2/320x400.jpeg)
You have been struggling in your relationship or with yourself. No matter where you are in your journey, no matter how many times you have tried to change the course and the outcome, it is never too late to start working on different outcomes. It is never too late to change deeply engrained patterns, beliefs, thoughts and behaviors that have stood in between you and where you want to be. Whether in your career, relationships or, yourself. Therapy can help you understand yourself, what drives you, and what impedes your progress. Let me support and guide you toward who and where you want to be.
You have been struggling in your relationship or with yourself. No matter where you are in your journey, no matter how many times you have tried to change the course and the outcome, it is never too late to start working on different outcomes. It is never too late to change deeply engrained patterns, beliefs, thoughts and behaviors that have stood in between you and where you want to be. Whether in your career, relationships or, yourself. Therapy can help you understand yourself, what drives you, and what impedes your progress. Let me support and guide you toward who and where you want to be.
![Photo of Beth Tamborski, LPCC-S, Licensed Professional Counselor](https://photos.psychologytoday.com/94b6e4b6-3b6f-4f34-bebd-b146906ccbdf/2/320x400.jpeg)
Beth Tamborski
Licensed Professional Counselor, LPCC-S
Verified Verified
Lafayette, CO 80026 (Online Only)
Welcome! I’m glad you’ve decided to reach out for counseling, as I know it can often be a difficult step to take. I look forward to getting to know you as you explore what brought you here. I have over 20 years of experience in the mental health field working with individuals of all age ranges. I enjoy working with individuals and couples and utilize a person-centered approach, where I meet each individual where they are at on their journey towards wellness. I believe in the mind-body connection and the importance of using a holistic approach to building resilience and meeting life’s challenges.
Welcome! I’m glad you’ve decided to reach out for counseling, as I know it can often be a difficult step to take. I look forward to getting to know you as you explore what brought you here. I have over 20 years of experience in the mental health field working with individuals of all age ranges. I enjoy working with individuals and couples and utilize a person-centered approach, where I meet each individual where they are at on their journey towards wellness. I believe in the mind-body connection and the importance of using a holistic approach to building resilience and meeting life’s challenges.
![Photo of Kate Kelsey, MA LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/b246484a-9a42-4f81-87b1-dbcdd44c44a9/2/320x400.jpeg)
Do you find yourself struggling despite working hard to build the life you want? Excel in some areas of your life while you feel lost in others? Feeling stuck or uncertain about which direction to move in? I’m glad you’re here! It can be difficult to talk about our struggles, but often a relief too, because we realize we’re not alone and there is help available to us. I believe therapy can be a productive, yet healing process. If you're tired of repeating the same patterns, feeling lost or uncertain about an aspect of your life, or struggling in your relationships, I'm here to help you uncover your full potential.
Do you find yourself struggling despite working hard to build the life you want? Excel in some areas of your life while you feel lost in others? Feeling stuck or uncertain about which direction to move in? I’m glad you’re here! It can be difficult to talk about our struggles, but often a relief too, because we realize we’re not alone and there is help available to us. I believe therapy can be a productive, yet healing process. If you're tired of repeating the same patterns, feeling lost or uncertain about an aspect of your life, or struggling in your relationships, I'm here to help you uncover your full potential.
![Photo of Melisa Sanzone - Melisa Sanzone, Relationship & Sex Therapy, NCC, PACT, COUPLE, WOMEN, LGBTQIA, Licensed Professional Counselor](https://photos.psychologytoday.com/49914e5d-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Melisa Sanzone, Relationship & Sex Therapy
Licensed Professional Counselor, NCC, PACT, COUPLE, WOMEN, LGBTQIA
Verified Verified
9 Endorsed
Lafayette, CO 80026 (Online Only)
As far as everyone is concern, "you have an amazing life". "You have a partner who "loves you, gives you the world" or maybe "you are lucky to be single". "You can date whomever you like and not have to answer to anyone". But what if your experience of yourself and your life is completely different from what everyone else sees. What if life does not feel so amazing? What if even though you have a partner, you feel as though you are living separate lives; no joy, no intimacy, no sex, just constant bickering? What if you are tired of being alone, tired of the lack of connection? Tired of not having the relationship you desire?
As far as everyone is concern, "you have an amazing life". "You have a partner who "loves you, gives you the world" or maybe "you are lucky to be single". "You can date whomever you like and not have to answer to anyone". But what if your experience of yourself and your life is completely different from what everyone else sees. What if life does not feel so amazing? What if even though you have a partner, you feel as though you are living separate lives; no joy, no intimacy, no sex, just constant bickering? What if you are tired of being alone, tired of the lack of connection? Tired of not having the relationship you desire?
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Gottman Method Therapists
How does the Gottman method work?
One of the core doctrines of the Gottman method is that negative emotions hurt relationships about five times more than positive emotions help them. Thus, couples require five times more positive interactions than negative interactions with each other. The therapist will guide clients on how to improve communication and understanding of each other to manage conflict and have their emotional needs met. The therapist will also advise couples on how to repair relations with each other when conflict arises, and therefore avoid lasting damage.
Is the Gottman method evidence-based?
Yes, this method is an evidence-based approach to couples therapy. The method is based on more than 40 years of research by Drs. John and Julie Gottman, the psychologists who developed the method. The Gottmans analyzed decades of data to draw conclusions about what types of interactions are likely to lead to specific results, and which interventions are most likely to lead to success. Studies have found that this approach leads to improvements in relationship satisfaction, intimacy, communication skills, and a lower rate of divorce.
How long does the Gottman method take?
The duration of treatment depends on the specific challenges clients face. Sessions are typically 60 to 90 minutes long, and an average course of treatment is around 10 sessions. In some cases, such as for couples dealing with a critical problem, the therapist will suggest an intensive course of treatment, with daily sessions over the first two to four days. Treatment is complete when the couple is satisfied and has met the goals they’ve set, and when the therapist believes they have the skills to continue on their own.
Is the Gottman method effective?
Through the Gottman method, couples can achieve changes that are real and sustainable. This treatment has been used for more than 40 years; the method is supported by empirical research, including randomized controlled trials that have demonstrated effectiveness in improving relationship outcomes for couples. Like any talk therapy, success or failure depends in large part on how committed the clients are to making positive changes and working toward results.