Couples Counseling Therapists in Iowa
![Photo of Andrew Bradley, MA, LMHC, Counselor](https://photos.psychologytoday.com/4b4f5a62-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
I have years of experience working with children, teens, adults, parents, couples and families.
As a retired Marine, a licensed pilot, a scuba diver, and a linguist, I have a varied and multicultural background and am able to connect well with people of different cultures. In addition to a Masters in Professional Counseling, I have a Seminary degree in Pastoral Counseling. After serving as an Arabic and Persian Farsi linguist in the Marine Corps, I decided to continue a life of service by helping people find healing and personal growth. As a Veteran who served in Iraq and in Combat, I have special insight to help fellow Service Members.
I have years of experience working with children, teens, adults, parents, couples and families.
As a retired Marine, a licensed pilot, a scuba diver, and a linguist, I have a varied and multicultural background and am able to connect well with people of different cultures. In addition to a Masters in Professional Counseling, I have a Seminary degree in Pastoral Counseling. After serving as an Arabic and Persian Farsi linguist in the Marine Corps, I decided to continue a life of service by helping people find healing and personal growth. As a Veteran who served in Iraq and in Combat, I have special insight to help fellow Service Members.
![Photo of Laurie Fein - Fein Therapy Services, MSW, LISW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/4d01fbc2-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Do you need someone to talk to about your family, job, climate change, social justice or relationships? Are you struggling with loss, abuse or harassment in the recent or distant past? Do you feel misunderstood or question your identity or direction in life? Do you feel like life has handed you some lemons? If this sounds like you, I offer confidential mental health counseling for individuals, couples and families in a private 1857 farmhouse set on a nature sanctuary. I strive to provide a safe space for survivors, and people from diverse racial, gender ethnic religious and spiritual backgrounds. Diversity is celebrated here.
Do you need someone to talk to about your family, job, climate change, social justice or relationships? Are you struggling with loss, abuse or harassment in the recent or distant past? Do you feel misunderstood or question your identity or direction in life? Do you feel like life has handed you some lemons? If this sounds like you, I offer confidential mental health counseling for individuals, couples and families in a private 1857 farmhouse set on a nature sanctuary. I strive to provide a safe space for survivors, and people from diverse racial, gender ethnic religious and spiritual backgrounds. Diversity is celebrated here.
![Photo of Pamela Jeanne Nelson-Grotrian - Aging Pathways, LLC, MSW, LISW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/80782e51-d7bc-4960-970b-1f50eb4f38c2/1/320x400.png)
Aging Pathways, LLC
Clinical Social Work/Therapist, MSW, LISW
Verified Verified
Des Moines, IA 50310
Aging can bring a host of new issues such as feelings of isolation after retirement, grief and loss due to deaths of friends and loved ones, and finding new meaning in life after old roles have disappeared. New roles such as being a caregiver for your parents, spouse, partner, adult child, or grandchild can also add stress at this time. Mental health issues such as anxiety, depression, bipolar, addiction, and schizophrenia can continue and sometimes new mental health issues can arise. Health concerns and family dynamics can also make life challenging. Learning how to cope with these challenges and enjoy life is paramount.
Aging can bring a host of new issues such as feelings of isolation after retirement, grief and loss due to deaths of friends and loved ones, and finding new meaning in life after old roles have disappeared. New roles such as being a caregiver for your parents, spouse, partner, adult child, or grandchild can also add stress at this time. Mental health issues such as anxiety, depression, bipolar, addiction, and schizophrenia can continue and sometimes new mental health issues can arise. Health concerns and family dynamics can also make life challenging. Learning how to cope with these challenges and enjoy life is paramount.
![Photo of Heidi Powers, LMHC, Counselor](https://photos.psychologytoday.com/ef9fd771-98aa-4075-90b6-ee3441e862c7/3/320x400.jpeg)
Heidi Powers
Counselor, LMHC
Verified Verified
7 Endorsed
Hiawatha, IA 52233
Waitlist for new clients
I genuinely love working with children and families and would be honored to partner with you and your child on the path to hope and healing.
Do you have increasing concerns about your child’s mood and behavior? Perhaps your child has experienced a change, loss, traumatic experience or is struggling with peer relationships. As a parent, when your child is hurting, you hurt with them. While it can be difficult to ask for help, you don’t have to face these struggles alone. Many children experience mental and behavioral health challenges that are treatable. Through therapy, your child can develop healthy coping tools, improve emotional regulation, and learn positive and appropriate ways to get their needs met.
I genuinely love working with children and families and would be honored to partner with you and your child on the path to hope and healing.
Do you have increasing concerns about your child’s mood and behavior? Perhaps your child has experienced a change, loss, traumatic experience or is struggling with peer relationships. As a parent, when your child is hurting, you hurt with them. While it can be difficult to ask for help, you don’t have to face these struggles alone. Many children experience mental and behavioral health challenges that are treatable. Through therapy, your child can develop healthy coping tools, improve emotional regulation, and learn positive and appropriate ways to get their needs met.
![Photo of Ashley Ann King - The Nest Counseling Services, MS, LMHC, Counselor](https://photos.psychologytoday.com/a49aec86-246a-46cb-9fb1-5978ce033bf3/1/320x400.jpeg)
The Nest Counseling Services
Counselor, MS, LMHC
Verified Verified
1 Endorsed
Mitchellville, IA 50169 (Online Only)
Specializing in LGBTQ individuals, couples, and families, and adolescents.
Looking for therapy? My ideal client is dedicated to positive change, committed to consistent progress over time. They value understanding themselves better and improving relationships. They seek a therapist who's LGBTQIA+ affirming and knowledgeable, providing a safe, supportive space for their unique identity and experiences. If you're committed to transformative growth, prioritizing understanding and healthier relationships, and seeking LGBTQIA+ affirming care, please reach out about scheduling today! I am currently taking a waitlist until my practice opens in October.
Specializing in LGBTQ individuals, couples, and families, and adolescents.
Looking for therapy? My ideal client is dedicated to positive change, committed to consistent progress over time. They value understanding themselves better and improving relationships. They seek a therapist who's LGBTQIA+ affirming and knowledgeable, providing a safe, supportive space for their unique identity and experiences. If you're committed to transformative growth, prioritizing understanding and healthier relationships, and seeking LGBTQIA+ affirming care, please reach out about scheduling today! I am currently taking a waitlist until my practice opens in October.
![Photo of Susan Letsch, LMSW, CADC, Clinical Social Work/Therapist](https://photos.psychologytoday.com/eac852c6-0de4-4e43-a80b-9bd99175b1d1/2/320x400.jpeg)
Individuals, and couples who seek out help show incredible strength and courage.
Susan is committed to developing therapeutic relationships and assisting others. She believes in using a collaborative approach to help others reach their goals through individual and couples therapy. Focuses include general mental health, depression, anxiety, individual therapy, couples therapy, communication, personality disorders, trauma, and LGBTQIA+. My availability changes frequently. If I am unavailable, you may start services with a different provider or join my waiting list.
Individuals, and couples who seek out help show incredible strength and courage.
Susan is committed to developing therapeutic relationships and assisting others. She believes in using a collaborative approach to help others reach their goals through individual and couples therapy. Focuses include general mental health, depression, anxiety, individual therapy, couples therapy, communication, personality disorders, trauma, and LGBTQIA+. My availability changes frequently. If I am unavailable, you may start services with a different provider or join my waiting list.
![Photo of Amy Davis, tLMHC, NCC, Clinical Social Work/Therapist](https://photos.psychologytoday.com/07558e54-7fb2-4d8a-9706-041a05aebbf2/2/320x400.jpeg)
Have the stressors in your life taken away your smile and zest for life? Are you overwhelmed, irritable, or struggling with daily tasks? Has family and/or work life become so demanding and stressful that getting out of bed in the morning is draining? Are your relationships suffering? If you answered yes to any of these, I’m ready to walk alongside you on your path to hope and healing. Together, we will address what’s important to you and help you get your smile back. I am a temporary licensed mental health counselor in Iowa with over 20 years of experience serving adolescents, families, couples, and adults.
Have the stressors in your life taken away your smile and zest for life? Are you overwhelmed, irritable, or struggling with daily tasks? Has family and/or work life become so demanding and stressful that getting out of bed in the morning is draining? Are your relationships suffering? If you answered yes to any of these, I’m ready to walk alongside you on your path to hope and healing. Together, we will address what’s important to you and help you get your smile back. I am a temporary licensed mental health counselor in Iowa with over 20 years of experience serving adolescents, families, couples, and adults.
![Photo of Rosario Garcia Fino, MA, tLMHC, NCC, Counselor](https://photos.psychologytoday.com/95619088-7e60-47dd-904a-83bb6ee515c2/2/320x400.jpeg)
I am a bilingual Spanish/English mental health counselor who understands that talking about how you really think or feel is not easy, and sometimes can be scary. Opening up to a stranger takes courage, and I know that taking that first step can be difficult. You might doubt that things can get better, that’s why I want to provide you that space where you feel comfortable and where you can be you. Choosing a therapist is not an easy process, I am committed to developing our therapeutic relationship.
I am a bilingual Spanish/English mental health counselor who understands that talking about how you really think or feel is not easy, and sometimes can be scary. Opening up to a stranger takes courage, and I know that taking that first step can be difficult. You might doubt that things can get better, that’s why I want to provide you that space where you feel comfortable and where you can be you. Choosing a therapist is not an easy process, I am committed to developing our therapeutic relationship.
![Photo of Kendall Way, tLMHC, Counselor](https://photos.psychologytoday.com/7447d7d8-20cf-4054-9765-95c454c6fbe3/3/320x400.jpeg)
I have experience working with anxiety, relationship concerns, life transitions & stressors, work & school hardships, self-esteem, and boundary setting.
Hello! During life, we sometimes find ourselves in a season that is too heavy, overwhelming, or difficult; I believe that we don’t have to navigate this time alone. In therapy, I will meet you where you are as I believe you are the expert of your life. I strive to create a safe, non-judgmental, and understanding environment to explore concerns, relationships, and life stressors. I see therapy as a collaborative process where we can work together to identify strengths, address concerns, and employ new thinking patterns.
I have experience working with anxiety, relationship concerns, life transitions & stressors, work & school hardships, self-esteem, and boundary setting.
Hello! During life, we sometimes find ourselves in a season that is too heavy, overwhelming, or difficult; I believe that we don’t have to navigate this time alone. In therapy, I will meet you where you are as I believe you are the expert of your life. I strive to create a safe, non-judgmental, and understanding environment to explore concerns, relationships, and life stressors. I see therapy as a collaborative process where we can work together to identify strengths, address concerns, and employ new thinking patterns.
![Photo of Megan Runchey, LISW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/e5231a7f-d0d1-4e35-8a6c-23de18c838a3/2/320x400.jpeg)
Megan Runchey
Clinical Social Work/Therapist, LISW
Verified Verified
West Des Moines, IA 50266
Waitlist for new clients
I have experience working with teens, adults, & couples dealing with relationship issues, abuse, trauma/PTSD, chronic mental illness, life changes/stressors, anxiety, and depression.
Therapy can be a very intimidating process to begin. In my office I approach each person as an individual to create a safe and judgment free space for them to be who they are. We each have unique experiences that influence where we are in our journey through life. I have experience working with adults & teens to help them navigate and/or move forward from trauma, relationship issues, life transitions, anxiety, depression, and stressors that impact their quality of life. My goal will be to walk through the difficult or confusing paths you face and help you feel empowered to create the life you desire.
I have experience working with teens, adults, & couples dealing with relationship issues, abuse, trauma/PTSD, chronic mental illness, life changes/stressors, anxiety, and depression.
Therapy can be a very intimidating process to begin. In my office I approach each person as an individual to create a safe and judgment free space for them to be who they are. We each have unique experiences that influence where we are in our journey through life. I have experience working with adults & teens to help them navigate and/or move forward from trauma, relationship issues, life transitions, anxiety, depression, and stressors that impact their quality of life. My goal will be to walk through the difficult or confusing paths you face and help you feel empowered to create the life you desire.
![Photo of Kristin Boyd, MS, LMHC, CADC, Counselor](https://photos.psychologytoday.com/fe1fb15d-740c-49f0-bdfd-d11c423a25a0/1/320x400.jpeg)
Do you feel frustrated, anxious, sad, confused, hopeless, or hurt? Do you need something different? Are you ready for change? I work with adolescents ages 12+ and adults that are dealing with a variety of issues that could include depression, anxiety, relationship difficulties, addictions, life changes, grief or something else. I work with individuals, couples, families, or groups. Whatever your needs, there IS hope.
Do you feel frustrated, anxious, sad, confused, hopeless, or hurt? Do you need something different? Are you ready for change? I work with adolescents ages 12+ and adults that are dealing with a variety of issues that could include depression, anxiety, relationship difficulties, addictions, life changes, grief or something else. I work with individuals, couples, families, or groups. Whatever your needs, there IS hope.
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![Photo of Amy Halls, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/47e2e841-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
I have completed Level Two of the Gottman Method of Therapy for Couples.
My name is Amy Halls and I am a Licensed Marriage and Family Therapist (LMFT). I believe that everyone experiences pain and distress in their life, and there are times when you need someone to walk beside you and help you navigate. I want each client to have a safe, non-judgmental and understanding environment to explore stressors, relationships, and life transitions. I use a very collaborative approach by listening to my clients, establishing their goals together, and then providing insight, wisdom, humor (where appropriate), techniques and skills to help them overcome and move through their difficulties.
I have completed Level Two of the Gottman Method of Therapy for Couples.
My name is Amy Halls and I am a Licensed Marriage and Family Therapist (LMFT). I believe that everyone experiences pain and distress in their life, and there are times when you need someone to walk beside you and help you navigate. I want each client to have a safe, non-judgmental and understanding environment to explore stressors, relationships, and life transitions. I use a very collaborative approach by listening to my clients, establishing their goals together, and then providing insight, wisdom, humor (where appropriate), techniques and skills to help them overcome and move through their difficulties.
![Photo of Dr. Treye Rosenberger, LMHC, CRC, NCC, ACS, Counselor](https://photos.psychologytoday.com/486e3796-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Dr. Treye Rosenberger
Counselor, LMHC, CRC, NCC, ACS
Verified Verified
1 Endorsed
Alburnett, IA 52202
I adhere to a compassionate, ethical, and evidence-based approach, focusing on the intricate relationship between your thoughts, emotions, and behaviors.
Welcome to my counseling practice, where your journey towards self-discovery and personal growth is embraced with warmth and understanding. As a dedicated therapist, I am here to support individuals who are motivated to delve deep into their inner selves and pursue ongoing personal development. My expertise covers a range of areas, including anxiety, depression, ADHD, and life transitions. However, I am also available to address any other concerns that may bring you to therapy. Whether you are navigating complex emotions or seeking clarity during challenging times, I am here to help.
I adhere to a compassionate, ethical, and evidence-based approach, focusing on the intricate relationship between your thoughts, emotions, and behaviors.
Welcome to my counseling practice, where your journey towards self-discovery and personal growth is embraced with warmth and understanding. As a dedicated therapist, I am here to support individuals who are motivated to delve deep into their inner selves and pursue ongoing personal development. My expertise covers a range of areas, including anxiety, depression, ADHD, and life transitions. However, I am also available to address any other concerns that may bring you to therapy. Whether you are navigating complex emotions or seeking clarity during challenging times, I am here to help.
![Photo of Rebekah Cheevers, MS, CADC, t-LMHC, NCC, Counselor](https://photos.psychologytoday.com/efece45d-db67-49d8-9b72-6d07ae0441ca/2/320x400.jpeg)
I have been working within the social service field for over 12 years. My approach is simple and straightforward. The foundation of my clinical work is person-centered which aims to establish and build a relationship to foster safety and set goals you hope to achieve. Genuineness and empathy are incredibly important in the therapeutic relationship. I believe my knowledge and experience will help assist you to find the solutions you need to feel better and more settled in your unique circumstances. You are brave to take the first step in finding a therapist, and I'm excited to work with you as you start your journey.
I have been working within the social service field for over 12 years. My approach is simple and straightforward. The foundation of my clinical work is person-centered which aims to establish and build a relationship to foster safety and set goals you hope to achieve. Genuineness and empathy are incredibly important in the therapeutic relationship. I believe my knowledge and experience will help assist you to find the solutions you need to feel better and more settled in your unique circumstances. You are brave to take the first step in finding a therapist, and I'm excited to work with you as you start your journey.
![Photo of Jennifer Drew - Meadowlark Psychiatric Services, LISW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/03329dd5-6b95-4f25-8068-3ce66ea513e5/2/320x400.jpeg)
Meadowlark Psychiatric Services
Clinical Social Work/Therapist, LISW
Verified Verified
1 Endorsed
North Liberty, IA 52317
My hope for you as my client, is that you move toward caring for yourself, and creating a life that is in line with your values. My therapeutic approach is collaborative, client-focused, and goal-oriented. I use a strengths-based approach to therapy, and believe in taking a practical approach to problem-solving. I primarily work with individual adults and couples. I look forward to supporting you as you go through this journey!
My hope for you as my client, is that you move toward caring for yourself, and creating a life that is in line with your values. My therapeutic approach is collaborative, client-focused, and goal-oriented. I use a strengths-based approach to therapy, and believe in taking a practical approach to problem-solving. I primarily work with individual adults and couples. I look forward to supporting you as you go through this journey!
![Photo of Tyler Grimm, LMSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/ee4bc055-3073-4d4d-b83f-5aee28421944/1/320x400.jpeg)
Hi! I’m Tyler. I am a Licensed Master Social Worker (LMSW) who's dedicated to supporting individuals (ages 5-65), couples, and families navigate relationship dynamics, anxiety, depression, trauma recovery, and life transitions. I enjoy working with feelings of abandonment, attachment struggles, trauma from family of origin, and emotional intensity. I enjoy working with all walks of life and welcome LGBTQ+ individuals, couples and relationships that are open and/or non-monogamous.
Hi! I’m Tyler. I am a Licensed Master Social Worker (LMSW) who's dedicated to supporting individuals (ages 5-65), couples, and families navigate relationship dynamics, anxiety, depression, trauma recovery, and life transitions. I enjoy working with feelings of abandonment, attachment struggles, trauma from family of origin, and emotional intensity. I enjoy working with all walks of life and welcome LGBTQ+ individuals, couples and relationships that are open and/or non-monogamous.
![Photo of Tari Wilcox, MS, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/4d476880-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
I look forward to helping you seek greater peace and conflict resolution - helping you find an increased overall life balance. I work with individuals, couples, and families to help them work through former and current conflict and stressors. I use cognitive behavioral techniques to assist in challenging distorted thoughts and patterns. I have a focus in helping those who struggle with depression and anxiety, trauma and abuse, relationship or family conflicts, life transitions, and issues surrounding grief and loss.
I look forward to helping you seek greater peace and conflict resolution - helping you find an increased overall life balance. I work with individuals, couples, and families to help them work through former and current conflict and stressors. I use cognitive behavioral techniques to assist in challenging distorted thoughts and patterns. I have a focus in helping those who struggle with depression and anxiety, trauma and abuse, relationship or family conflicts, life transitions, and issues surrounding grief and loss.
![Photo of Julie McClatchey - Julie McClatchey, LISW, PC, LISW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/462058fc-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Julie McClatchey, LISW, PC
Clinical Social Work/Therapist, LISW
Verified Verified
Johnston, IA 50131
My areas of interest and strength include depression and anxiety; relationship issues; caregiving stress; aging issues; work issues, life transition; and grief.
I have been in the mental health field for over 30 years. My first goal is to help you feel safe to share your story. We will work together to identify where you are feeling stuck; better understand your issues; experience healing from recent and past hurts; learn new ways to manage stress; identify solutions, and take action toward your goals. I am an interactive therapist who believes in the importance of non-judgmental listening and emotional support while providing feedback, guidance, and education. I currently have a wait list of 4-6 wks.
My areas of interest and strength include depression and anxiety; relationship issues; caregiving stress; aging issues; work issues, life transition; and grief.
I have been in the mental health field for over 30 years. My first goal is to help you feel safe to share your story. We will work together to identify where you are feeling stuck; better understand your issues; experience healing from recent and past hurts; learn new ways to manage stress; identify solutions, and take action toward your goals. I am an interactive therapist who believes in the importance of non-judgmental listening and emotional support while providing feedback, guidance, and education. I currently have a wait list of 4-6 wks.
![Photo of Maria Isabel Ramos - Maria Isabel Ramos LMFT, LLC, MA, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/45995219-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Maria Isabel Ramos LMFT, LLC
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Cedar Rapids, IA 52402
I enjoy working with adults, couples & families.
In our busy and sometimes stressful lives, self-care is imperative. Tending to our own mental health may become necessary if the struggle becomes overwhelming to manage alone. Once you've made the decision that therapy is the next step for you, finding the right neutral, compassionate, non-judgmental and empathetic therapist is of the utmost importance. My mission is to build a therapeutic alliance with you using a collaborative approach to reach your goals. The evidence-based approaches and interventions that I use are designed to assist you in further identifying and tapping into the strengths you already possess.
I enjoy working with adults, couples & families.
In our busy and sometimes stressful lives, self-care is imperative. Tending to our own mental health may become necessary if the struggle becomes overwhelming to manage alone. Once you've made the decision that therapy is the next step for you, finding the right neutral, compassionate, non-judgmental and empathetic therapist is of the utmost importance. My mission is to build a therapeutic alliance with you using a collaborative approach to reach your goals. The evidence-based approaches and interventions that I use are designed to assist you in further identifying and tapping into the strengths you already possess.
![Photo of Kristine Conditt, PhD, Psychologist](https://photos.psychologytoday.com/3d02c21b-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Have you drifted away from the closeness you used to have in your relationship or even started to resent each other? I use my training in psychology, theology, and life coaching to help people connect deeply and learn to appreciate and enjoy each other again.
Do you feel overwhelmed by multiple responsibilities and stresses? Have you lost touch with yourself? I can help you learn to manage your responsibilities, reduce stress, take better care of yourself, and enjoy life again. Call or email today; don't wait to start enjoying your life and relationships again!
Have you drifted away from the closeness you used to have in your relationship or even started to resent each other? I use my training in psychology, theology, and life coaching to help people connect deeply and learn to appreciate and enjoy each other again.
Do you feel overwhelmed by multiple responsibilities and stresses? Have you lost touch with yourself? I can help you learn to manage your responsibilities, reduce stress, take better care of yourself, and enjoy life again. Call or email today; don't wait to start enjoying your life and relationships again!
See more therapy options for Iowa
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.