Couples Counseling Therapists in Fresno, CA

Photo of Jay Mosoff, LMFT, Marriage & Family Therapist
Jay Mosoff
Marriage & Family Therapist, LMFT
Verified Verified
Fresno, CA 93720
I also love my work with couples and families.
My name is Jay Mosoff. I'm a licensed Marriage and Family Therapist. I take an individualized approach to therapy by choosing therapeutic interventions that are best suited to my clients and their goals. I believe in unconditional positive regard and focus on anxiety and how it underlies depression and many other problems. I also love working with couples and families! Our sessions are a collaboration. I believe we all do the best we can and communicate that attitude in various ways. All in all, I work to create an environment where clients feel safe.
I also love my work with couples and families.
My name is Jay Mosoff. I'm a licensed Marriage and Family Therapist. I take an individualized approach to therapy by choosing therapeutic interventions that are best suited to my clients and their goals. I believe in unconditional positive regard and focus on anxiety and how it underlies depression and many other problems. I also love working with couples and families! Our sessions are a collaboration. I believe we all do the best we can and communicate that attitude in various ways. All in all, I work to create an environment where clients feel safe.
(559) 379-5884 View (559) 379-5884
Photo of Justin Robert Stargaard, MA, LPCC, MFT, Marriage & Family Therapist
Justin Robert Stargaard
Marriage & Family Therapist, MA, LPCC, MFT
Verified Verified
Fresno, CA 93705  (Online Only)
Some content that may be covered in therapy regards boundaries, relationship building skills, trauma education, and setting goals to get you where you need to go.
Hello, I'm practicing therapy at the office of Scott Polenz in Fresno, CA. I apply a structural model of therapy to families/ couples and use a cognitive behavioral model when working with individuals. I have experience working in areas related to mood disorders, family issues, relational issues, gender, trauma, and substance use. I am licensed as MFT and LPCC in CA. Medical plans accepted. Our office also offers video sessions using Theranest. Contact me at (559) 549-3195 if you have questions about enrollment. Yes, I am taking new clients at this time.
Some content that may be covered in therapy regards boundaries, relationship building skills, trauma education, and setting goals to get you where you need to go.
Hello, I'm practicing therapy at the office of Scott Polenz in Fresno, CA. I apply a structural model of therapy to families/ couples and use a cognitive behavioral model when working with individuals. I have experience working in areas related to mood disorders, family issues, relational issues, gender, trauma, and substance use. I am licensed as MFT and LPCC in CA. Medical plans accepted. Our office also offers video sessions using Theranest. Contact me at (559) 549-3195 if you have questions about enrollment. Yes, I am taking new clients at this time.
(559) 513-8432 View (559) 513-8432
Photo of Yomaira Suazo - Cultural Family Therapy- Yomaira Suazo, LMFT, Marriage & Family Therapist
Cultural Family Therapy- Yomaira Suazo
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Fresno, CA 93710
I practice with an open and genuine relationship with clients, focusing on helping them grow from experiences to become the best version of themselves.
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!
I practice with an open and genuine relationship with clients, focusing on helping them grow from experiences to become the best version of themselves.
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!
(559) 551-2994 View (559) 551-2994
Photo of Brittany C Jenkins, MS, LMFT, Marriage & Family Therapist
Brittany C Jenkins
Marriage & Family Therapist, MS, LMFT
Verified Verified
2 Endorsed
Fresno, CA 93704  (Online Only)
As a therapist, I am passionate about supporting Christian women who feel stuck in cycles of self-doubt and low self-confidence. With a compassionate and faith-informed approach, I provide a safe space for you to explore your emotions, rediscover your inner strength, and build a deeper sense of self-worth. Together, we’ll work through the challenges you face, using evidence-based methods like CBT, alongside the healing power of your faith. My goal is to help you reconnect with your purpose, strengthen your relationship with yourself, and cultivate a life filled with confidence, clarity, and peace.
As a therapist, I am passionate about supporting Christian women who feel stuck in cycles of self-doubt and low self-confidence. With a compassionate and faith-informed approach, I provide a safe space for you to explore your emotions, rediscover your inner strength, and build a deeper sense of self-worth. Together, we’ll work through the challenges you face, using evidence-based methods like CBT, alongside the healing power of your faith. My goal is to help you reconnect with your purpose, strengthen your relationship with yourself, and cultivate a life filled with confidence, clarity, and peace.
(559) 543-9247 View (559) 543-9247
Photo of Sarah Settle - New Cov Counseling Center, LMFT, Marriage & Family Therapist
New Cov Counseling Center
Marriage & Family Therapist, LMFT
Verified Verified
Fresno, CA 93720
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.
(559) 206-2724 View (559) 206-2724
Photo of Kierra Gordon-Smith, AMFT, Marriage & Family Therapist Associate
Kierra Gordon-Smith
Marriage & Family Therapist Associate, AMFT
Verified Verified
Fresno, CA 93711
I specialize in working with individuals who struggle with depression, anxiety, stress management, family conflicts, coping with life changes, career difficulties, relationship issues, self-esteem and confidence, body image, or trauma.
My greatest reward as a therapist is helping others on their journey of becoming their best self, helping heal unhealed wounds, & validate other’s experiences with undeniable acceptance & warmth. As a therapist, I am passionate about helping you gain more insight into your problems or past & learn the necessary skills to overcome & achieve more peace in life. I consider it a privilege to walk alongside you at your pace & support you in navigating your way through life & toward a greater since of healing & wellness.
I specialize in working with individuals who struggle with depression, anxiety, stress management, family conflicts, coping with life changes, career difficulties, relationship issues, self-esteem and confidence, body image, or trauma.
My greatest reward as a therapist is helping others on their journey of becoming their best self, helping heal unhealed wounds, & validate other’s experiences with undeniable acceptance & warmth. As a therapist, I am passionate about helping you gain more insight into your problems or past & learn the necessary skills to overcome & achieve more peace in life. I consider it a privilege to walk alongside you at your pace & support you in navigating your way through life & toward a greater since of healing & wellness.
(559) 527-0372 View (559) 527-0372
Photo of Cindi Ransom, MS, LMFT, Marriage & Family Therapist
Cindi Ransom
Marriage & Family Therapist, MS, LMFT
Verified Verified
Fresno, CA 93704
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.
(559) 515-6380 View (559) 515-6380
Photo of Jonisha Ann Damon - Cultural Family Therapy Incorporated-Jonisha Damon, APCC
Cultural Family Therapy Incorporated-Jonisha Damon
Associate Professional Clinical Counselor, APCC
Verified Verified
1 Endorsed
Fresno, CA 93710
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!
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!
(559) 702-0765 View (559) 702-0765
Photo of David Bruce Rose, PhD , Psychologist
David Bruce Rose
Psychologist, PhD
Verified Verified
Fresno, CA 93704  (Online Only)
I work with adults, children, couples, and families.
Life is challenging. People are complex. Mind, body, behavior, spirt, and relationships are all connected and so effect each other. When part of us grows, other parts grow as well. When part of us is hurt, other parts hurt as well.
I work with adults, children, couples, and families.
Life is challenging. People are complex. Mind, body, behavior, spirt, and relationships are all connected and so effect each other. When part of us grows, other parts grow as well. When part of us is hurt, other parts hurt as well.
(559) 245-5881 View (559) 245-5881
Photo of Shelley Betts - Hope & Healing Christian Counseling , Pastoral Counselor
Hope & Healing Christian Counseling
Pastoral Counselor
Verified Verified
Fresno, CA 93710
Specializing in Abuse, Anxiety, Behavioral Challenges, Child/Adolescent, Couples, Crisis & Trauma, Depression, Domestic Violence and Intervention, Family, Social Anxieties and many more of life's challenges.
Hope & Healing Christian Counseling is a 501 (c)(3) nonprofit organization that provides Biblically-based counseling for adults, youth, couples and families.
Specializing in Abuse, Anxiety, Behavioral Challenges, Child/Adolescent, Couples, Crisis & Trauma, Depression, Domestic Violence and Intervention, Family, Social Anxieties and many more of life's challenges.
Hope & Healing Christian Counseling is a 501 (c)(3) nonprofit organization that provides Biblically-based counseling for adults, youth, couples and families.
(559) 379-6642 View (559) 379-6642
Photo of Paola Beatriz Caraker, MS, MFT, Marriage & Family Therapist
Paola Beatriz Caraker
Marriage & Family Therapist, MS, MFT
Verified Verified
Fresno, CA 93710
I am specialized in treating couples using the Gottman and Emotion Focused Couples therapy models.
Are you struggling to find life balance and feel overhwhelmed? Are you struggling with concerns related to relationships, navigating love and dating or life post divorce ? Are you trying to cope with occupational stressors or wanting to increase peak performance in your occupation, sports performance or any other aspects related to performance? I will focus on using your strengths and resiliency to find healing as well as develop actual solutions to your current and/ or unresolved concerns. Visit my website for further information: www.paola-caraker.com
I am specialized in treating couples using the Gottman and Emotion Focused Couples therapy models.
Are you struggling to find life balance and feel overhwhelmed? Are you struggling with concerns related to relationships, navigating love and dating or life post divorce ? Are you trying to cope with occupational stressors or wanting to increase peak performance in your occupation, sports performance or any other aspects related to performance? I will focus on using your strengths and resiliency to find healing as well as develop actual solutions to your current and/ or unresolved concerns. Visit my website for further information: www.paola-caraker.com
(559) 421-9416 View (559) 421-9416
Photo of Jose Gutierrez, MS, AMFT, Marriage & Family Therapist Associate
Jose Gutierrez
Marriage & Family Therapist Associate, MS, AMFT
Verified Verified
1 Endorsed
Fresno, CA 93711
As a bilingual Associate Marriage & Family Therapist, I work with individuals (adults, adolescents, & children), couples, & families from diverse backgrounds. I have treated depression, anxiety, trauma/PTSD, grief/loss, self-esteem issues, suicidality, self-harm, life transitions, marital & premarital challenges, parenting, & family dynamics in clinical & community settings. With nearly a decade of professional experience in the Central Valley, I have developed multicultural competence through work with various ethnic, socio-economic, & spiritual backgrounds. I have a strengths-based approach that fosters growth & healing.
As a bilingual Associate Marriage & Family Therapist, I work with individuals (adults, adolescents, & children), couples, & families from diverse backgrounds. I have treated depression, anxiety, trauma/PTSD, grief/loss, self-esteem issues, suicidality, self-harm, life transitions, marital & premarital challenges, parenting, & family dynamics in clinical & community settings. With nearly a decade of professional experience in the Central Valley, I have developed multicultural competence through work with various ethnic, socio-economic, & spiritual backgrounds. I have a strengths-based approach that fosters growth & healing.
(559) 206-3214 View (559) 206-3214
Photo of Zoua Xiong, LMFT, Marriage & Family Therapist
Zoua Xiong
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Fresno, CA 93704
For the past 10 years, I have worked with children, adults, couples, and families in order to improve their pattern of interaction with others. Relationships are essential to our lives, but at times it can be difficult and painful in relationships. Whether I work with you individually or in a couples/family setting, the goal of therapy is to improve the joy you have in your relationships. Seeking help can be overwhelming, but it is most effective when you are ready and willing to work towards the future you want for yourself.
For the past 10 years, I have worked with children, adults, couples, and families in order to improve their pattern of interaction with others. Relationships are essential to our lives, but at times it can be difficult and painful in relationships. Whether I work with you individually or in a couples/family setting, the goal of therapy is to improve the joy you have in your relationships. Seeking help can be overwhelming, but it is most effective when you are ready and willing to work towards the future you want for yourself.
(559) 527-5883 View (559) 527-5883
Photo of Sheera N Harrell - Own Your Mind Psychology Services and Consultation, PhD, Psychologist
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.
(559) 235-1354 View (559) 235-1354
Photo of Roxanne Marie Garza, LMFT, Marriage & Family Therapist
Roxanne Marie Garza
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Fresno, CA 93720
Have you been feeling overwhelmed or burnt out? Do you feel like you just cannot get a break or find someone who "gets it?" Do you feel like you are stuck and not the best version of yourself? Have you been living on autopilot, taking care of your responsibilities and obligations; be it family, friends, or work? I get it. Managing day to day things/stressors of life and or work can feel like too much at times. I can help provide insight into how to become or get back to the best version of yourself. As someone with a high stress job, or as the spouse of someone with a high stress job, trauma impacts you on some level.
Have you been feeling overwhelmed or burnt out? Do you feel like you just cannot get a break or find someone who "gets it?" Do you feel like you are stuck and not the best version of yourself? Have you been living on autopilot, taking care of your responsibilities and obligations; be it family, friends, or work? I get it. Managing day to day things/stressors of life and or work can feel like too much at times. I can help provide insight into how to become or get back to the best version of yourself. As someone with a high stress job, or as the spouse of someone with a high stress job, trauma impacts you on some level.
(559) 245-5718 View (559) 245-5718
Photo of Rosa Lomelí, MS, LMFT, Marriage & Family Therapist
Rosa Lomelí
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Fresno, CA 93720
My approach focuses on creating a safe, genuine, and accepting relationship with my clients, in which they can explore and unblock the issues that are keeping them from moving forward in their life and relationships.
So many of us are struggling with navigating such a difficult time, whether it be with anxiety, depression, relationships or family conflict. Allow me to assist you through this therapeutic journey. While working together, I will help you explore and unblock the issues that are keeping you from moving forward in your life and relationships. I have experience working with adults and children of all ages, orientations, and cultural backgrounds.
My approach focuses on creating a safe, genuine, and accepting relationship with my clients, in which they can explore and unblock the issues that are keeping them from moving forward in their life and relationships.
So many of us are struggling with navigating such a difficult time, whether it be with anxiety, depression, relationships or family conflict. Allow me to assist you through this therapeutic journey. While working together, I will help you explore and unblock the issues that are keeping you from moving forward in your life and relationships. I have experience working with adults and children of all ages, orientations, and cultural backgrounds.
(559) 206-0873 View (559) 206-0873
Photo of Truvette M Hollinquest, MA, LPCC, Counselor
Truvette M Hollinquest
Counselor, MA, LPCC
Verified Verified
1 Endorsed
Fresno, CA 93704  (Online Only)
Mostly, I build a relationship with you so that you can be heard.
I think that asking for support is pretty courageous and maybe even a little scary. Trusting that someone can be objective and supportive is hard for anyone, but this can be especially hard when something about your life experiences has made it difficult to trust (even) yourself. Maybe you struggle with making decisions. Maybe past or present trauma has left you feeling depressed or anxious or both. Or maybe you don’t know why you feel the way you feel or what causes you to do the things you do. I understand, from a very deep and personal way, what it’s like to feel like you are not the best version of yourself.
Mostly, I build a relationship with you so that you can be heard.
I think that asking for support is pretty courageous and maybe even a little scary. Trusting that someone can be objective and supportive is hard for anyone, but this can be especially hard when something about your life experiences has made it difficult to trust (even) yourself. Maybe you struggle with making decisions. Maybe past or present trauma has left you feeling depressed or anxious or both. Or maybe you don’t know why you feel the way you feel or what causes you to do the things you do. I understand, from a very deep and personal way, what it’s like to feel like you are not the best version of yourself.
(559) 234-3053 View (559) 234-3053
Photo of Victoria M Sanders, MS, LMFT, Marriage & Family Therapist
Victoria M Sanders
Marriage & Family Therapist, MS, LMFT
Verified Verified
3 Endorsed
Fresno, CA 93711
I also provide support to couples and adult individual's needing support with anxiety, depression, and other mental health issues.
Family and relationships are an integral part of an individual's ability to be happy, and healthy. I believe that all individuals can benefit from the unique relationship that is built between the therapist and client. Individual's who have difficulty with mental health problems are particularly appropriate for treatment. I have more than 11 years experience working with children with severe behavioral and attachment difficulties, and the family's/friends who love them. The parent/ partner relationship is a particularly special relationship that requires support, attention, and caring reflection. I am calm and supportive.
I also provide support to couples and adult individual's needing support with anxiety, depression, and other mental health issues.
Family and relationships are an integral part of an individual's ability to be happy, and healthy. I believe that all individuals can benefit from the unique relationship that is built between the therapist and client. Individual's who have difficulty with mental health problems are particularly appropriate for treatment. I have more than 11 years experience working with children with severe behavioral and attachment difficulties, and the family's/friends who love them. The parent/ partner relationship is a particularly special relationship that requires support, attention, and caring reflection. I am calm and supportive.
(559) 762-4730 View (559) 762-4730
Photo of Stacy Marie Borchardt, MS, AMFT, Marriage & Family Therapist Associate
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.
(559) 702-9122 View (559) 702-9122
Photo of Joe Anthony Galvan, MS, LMFT, Marriage & Family Therapist
Joe Anthony Galvan
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Fresno, CA 93711
I have specialized training in Early Childhood Mental Health, Relationship-Based, Attachment-Focused, and Trauma-Focused CBT.
Are you ready to begin therapy? There comes a pivotal point in our lives we begin to start questioning our decisions and thoughts, the interactions we have in our intimate/platonic relationships, and/or why we feel "stuck". It often leads us to have difficulty regulating our daily thoughts, feelings, and emotions. The experience of hardships and emotional pain follow us like our own shadow contributing to the way we think, feel, and behave. I firmly believe early childhood experiences, complex and secondary trauma, daily stressors/challenges, and life adjustments shape who we are as individuals and how we relate to others.
I have specialized training in Early Childhood Mental Health, Relationship-Based, Attachment-Focused, and Trauma-Focused CBT.
Are you ready to begin therapy? There comes a pivotal point in our lives we begin to start questioning our decisions and thoughts, the interactions we have in our intimate/platonic relationships, and/or why we feel "stuck". It often leads us to have difficulty regulating our daily thoughts, feelings, and emotions. The experience of hardships and emotional pain follow us like our own shadow contributing to the way we think, feel, and behave. I firmly believe early childhood experiences, complex and secondary trauma, daily stressors/challenges, and life adjustments shape who we are as individuals and how we relate to others.
(559) 785-2972 View (559) 785-2972
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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.