Therapists in North Carolina
![Photo of Jakob Jensen, PhD, LMFT, Couples, Expert, Marriage & Family Therapist](https://photos.psychologytoday.com/3f1f0b5b-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Jakob Jensen
Marriage & Family Therapist, PhD, LMFT, Couples, Expert
Verified Verified
1 Endorsed
Greenville, NC 27858
As a therapy professor at ECU, I not only have extensive experience working with families, couples, and individuals, I also train therapists. I help couples struggling with communication issues, infidelity, and parenting. I also specialize in the individual treatment of anxiety and depression. I offer hope and I try to help people feel safe being vulnerable. I look forward to helping you meet your goals.
As a therapy professor at ECU, I not only have extensive experience working with families, couples, and individuals, I also train therapists. I help couples struggling with communication issues, infidelity, and parenting. I also specialize in the individual treatment of anxiety and depression. I offer hope and I try to help people feel safe being vulnerable. I look forward to helping you meet your goals.
![Photo of Lisa James Silverman, LCSW, MSW, MA, Clinical Social Work/Therapist](https://photos.psychologytoday.com/4d6c4ca7-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Lisa James Silverman
Clinical Social Work/Therapist, LCSW, MSW, MA
Verified Verified
Carrboro, NC 27510
Waitlist for new clients
I am a licensed clinical social worker who specializes in treating individuals, couples, and families. I accept each individual without judgement while providing an environment of warmth, positive regard, acceptance, and compassion. I find that most individuals who are seeking help are stuck in some way, and hence, are experiencing anxiety and/or depressive symptoms. My goal is to assist the client by problem solving together in order to get back on the right track in attaining peace and understanding.
I am a licensed clinical social worker who specializes in treating individuals, couples, and families. I accept each individual without judgement while providing an environment of warmth, positive regard, acceptance, and compassion. I find that most individuals who are seeking help are stuck in some way, and hence, are experiencing anxiety and/or depressive symptoms. My goal is to assist the client by problem solving together in order to get back on the right track in attaining peace and understanding.
![Photo of Tahiyya Martin, LCMHC, Licensed Professional Counselor](https://photos.psychologytoday.com/8a89dfc3-8bb9-408f-b4d6-56170db2905b/2/320x400.png)
Tahiyya Martin
Licensed Professional Counselor, LCMHC
Verified Verified
12 Endorsed
Charlotte, NC 28215
As a relationship and sex therapist specializing in women's sexual health, my ideal client is a woman seeking to heal and thrive. She may face challenges such as past sexual trauma, intimacy issues, low libido, or menopause concerns. She needs a safe, empathetic space to explore her feelings and experiences. Her goals are to reclaim her sexual autonomy, improve her relationships, and cultivate self-love. She wants to rediscover joy and confidence in her sexuality, understanding that this journey is vital for her overall well-being and personal empowerment. I also work with men with similar challenges.
As a relationship and sex therapist specializing in women's sexual health, my ideal client is a woman seeking to heal and thrive. She may face challenges such as past sexual trauma, intimacy issues, low libido, or menopause concerns. She needs a safe, empathetic space to explore her feelings and experiences. Her goals are to reclaim her sexual autonomy, improve her relationships, and cultivate self-love. She wants to rediscover joy and confidence in her sexuality, understanding that this journey is vital for her overall well-being and personal empowerment. I also work with men with similar challenges.
![Photo of Faith Dulin, MA, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/00d21de2-3247-4a9b-9d1f-db4a8bdb1c57/2/320x400.jpeg)
I work with individuals and couples, in-person only, and out-of-network.
Tired of scanning therapist profiles? Almost feels like a bad dating app experience? I'll cut to the chase; some of my favorites to work with are: people-pleasers/stressed and anxious "high performers"/those wondering why they keep dating jerks/religious deconstruction.
I work with individuals and couples, in-person only, and out-of-network.
Tired of scanning therapist profiles? Almost feels like a bad dating app experience? I'll cut to the chase; some of my favorites to work with are: people-pleasers/stressed and anxious "high performers"/those wondering why they keep dating jerks/religious deconstruction.
![Photo of Sally Harris, LCSW, MACT, Clinical Social Work/Therapist](https://photos.psychologytoday.com/6e7e3881-d05b-4ad9-911a-0f83c6eedd49/3/320x400.jpeg)
Sally Harris
Clinical Social Work/Therapist, LCSW, MACT
Verified Verified
1 Endorsed
Charlotte, NC 28203
I am a Certified Gottman Couples Therapist helping couples with marriage and/or relationship counseling. This begins with a thorough, research-based assessment which clarifies the particular strengths and needs of each couple. With this information, I collaborate with clients to develop treatment goals and a treatment plan. I have found this process highly beneficial in helping couples work through their challenges and reach increased stability and overall satisfaction in their relationships. I also integrate Christian counseling for those interested in integrating their spiritual and emotional development in their therapy.
I am a Certified Gottman Couples Therapist helping couples with marriage and/or relationship counseling. This begins with a thorough, research-based assessment which clarifies the particular strengths and needs of each couple. With this information, I collaborate with clients to develop treatment goals and a treatment plan. I have found this process highly beneficial in helping couples work through their challenges and reach increased stability and overall satisfaction in their relationships. I also integrate Christian counseling for those interested in integrating their spiritual and emotional development in their therapy.
![Photo of Elizabeth W Watson](https://photos.psychologytoday.com/8439e37f-3024-4eaa-bf42-88941443e173/1/320x400.jpeg)
Elizabeth W Watson
Lic Clinical Mental Health Counselor Associate
Verified Verified
1 Endorsed
Wilmington, NC 28401
Hi! I'm Elizabeth. If you're reading this, you or someone you care about might be interested in seeking counseling services. Working through relationship and family of origin issues, challenging negative belief systems and improving unhelpful habits/thoughts are a few areas worked on often in therapy. I have worked with those who are adjusting to change, grieving, experiencing depression/anxiety (postpartum or otherwise) as well as teenagers coping with change, and children and families coping with divorce. My desire is to walk alongside clients to help navigate whatever issue is before them.
Hi! I'm Elizabeth. If you're reading this, you or someone you care about might be interested in seeking counseling services. Working through relationship and family of origin issues, challenging negative belief systems and improving unhelpful habits/thoughts are a few areas worked on often in therapy. I have worked with those who are adjusting to change, grieving, experiencing depression/anxiety (postpartum or otherwise) as well as teenagers coping with change, and children and families coping with divorce. My desire is to walk alongside clients to help navigate whatever issue is before them.
![Photo of Caitlin Paez, LCAS, LCMHC, CCS, Counselor](https://photos.psychologytoday.com/52e854f5-95b4-4cf1-9640-5f66b3f0fa22/2/320x400.jpeg)
I have gained clinical experience with working alongside adults who would like to address concerns of mental health symptoms, family/relationship concerns, addiction, trauma, grief and overall life transitions.
I have gained clinical experience with working alongside adults who would like to address concerns of mental health symptoms, family/relationship concerns, addiction, trauma, grief and overall life transitions.
![Photo of Stephanie Hogate, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/698a919a-835a-4429-a660-8fb8e10baadd/1/320x400.png)
Stephanie Hogate
Clinical Social Work/Therapist, LCSW
Verified Verified
Raleigh, NC 27615 (Online Only)
Stephanie Hogate is a Licensed Clinical Social Worker and a Licensed Clinical Addictions Specialist with over 30 years of experience in the behavioral health field. She is committed to helping adults and seniors navigate their life challenges and find their paths to a more fulfilled life. Stephanie specializes in treating depression, anxiety, trauma, relationship issues, addiction issues, and major life transitions. Stephanie has a Master of Social Work (MSW) from Virginia Commonwealth University.
Stephanie Hogate is a Licensed Clinical Social Worker and a Licensed Clinical Addictions Specialist with over 30 years of experience in the behavioral health field. She is committed to helping adults and seniors navigate their life challenges and find their paths to a more fulfilled life. Stephanie specializes in treating depression, anxiety, trauma, relationship issues, addiction issues, and major life transitions. Stephanie has a Master of Social Work (MSW) from Virginia Commonwealth University.
![Photo of Bri McCarroll, MSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/508c6abc-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Bri McCarroll
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
6 Endorsed
Asheville, NC 28803
In your relationship, maybe YOU feel TIRED from trying to make this relationship better; UNHEARD and misunderstood; ALONE and LONELY in this relationship & not appreciated by your partner. Your partner may call you ‘NEEDY’, ‘negative’ or a ‘complainer’. Your PARTNER may feel they are walking on EGGSHELls & may seem COLD, non-caring, or shut-down. They feel that talking just leads to CONFLlCTS & that what they do is never 'good enough'. As a couple, you feel STUCK, TIRED, & don't know how to CONNECT. :(. I GET lT and I can help. Couples get stuck in cycles and just don't know HOW to do things differently, even if they want to.
In your relationship, maybe YOU feel TIRED from trying to make this relationship better; UNHEARD and misunderstood; ALONE and LONELY in this relationship & not appreciated by your partner. Your partner may call you ‘NEEDY’, ‘negative’ or a ‘complainer’. Your PARTNER may feel they are walking on EGGSHELls & may seem COLD, non-caring, or shut-down. They feel that talking just leads to CONFLlCTS & that what they do is never 'good enough'. As a couple, you feel STUCK, TIRED, & don't know how to CONNECT. :(. I GET lT and I can help. Couples get stuck in cycles and just don't know HOW to do things differently, even if they want to.
![Photo of Robert Reinhardt - Serenity Springs Counseling and Wellness, LCMHCS, MEd, NCC, Licensed Professional Counselor](https://photos.psychologytoday.com/3cc32619-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Serenity Springs Counseling and Wellness
Licensed Professional Counselor, LCMHCS, MEd, NCC
Verified Verified
Fuquay Varina, NC 27526
Waitlist for new clients
Are you, a family member, or your relationship struggling? Need some help getting things on track? Our group of therapists works with couples, individuals, and families of all ages and backgrounds. Our diverse group of clinicians can help you tackle almost any challenge thrown your way. We work with clients to foster their strengths and achieve their goals and are dedicated to helping you reach your healthiest potential.
Are you, a family member, or your relationship struggling? Need some help getting things on track? Our group of therapists works with couples, individuals, and families of all ages and backgrounds. Our diverse group of clinicians can help you tackle almost any challenge thrown your way. We work with clients to foster their strengths and achieve their goals and are dedicated to helping you reach your healthiest potential.
![Photo of Katherine E. Walker, PhD, LCMHC, NCC](https://photos.psychologytoday.com/83021158-074f-49a4-bf0c-547e48710b1a/2/320x400.jpeg)
Katherine E. Walker
Licensed Clinical Mental Health Counselor, PhD, LCMHC, NCC
Verified Verified
Wake Forest, NC 27587
Twenty-five years of clinical experience working with individuals, couples, and families.
Combining a number of evidenced-based and complementary therapeutic approaches, I work with clients to achieve a greater sense of awareness, empowerment, and develop better solutions and strategies to resolve their intrapersonal and interpersonal issues and problems. I believe that, as people become more aware and accepting of themselves, they are more capable of finding peace and contentment in their lives. Together we will work to identify goals, explore areas where you feel stuck or lost, approach it in a way that feels safe and manageable, and strive to improve resiliency, adaptability, assertiveness, and empowerment.
Twenty-five years of clinical experience working with individuals, couples, and families.
Combining a number of evidenced-based and complementary therapeutic approaches, I work with clients to achieve a greater sense of awareness, empowerment, and develop better solutions and strategies to resolve their intrapersonal and interpersonal issues and problems. I believe that, as people become more aware and accepting of themselves, they are more capable of finding peace and contentment in their lives. Together we will work to identify goals, explore areas where you feel stuck or lost, approach it in a way that feels safe and manageable, and strive to improve resiliency, adaptability, assertiveness, and empowerment.
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![Photo of Arley Smith, LCMHC](https://photos.psychologytoday.com/4e2e6dd4-7e9b-445e-b228-761813444b81/1/320x400.jpeg)
Arley Smith
Licensed Clinical Mental Health Counselor, LCMHC
Verified Verified
Charlotte, NC 28209 (Online Only)
Arley Smith is a Licensed Counselor here to help you navigate through this journey called life. Counseling can be both rewarding and challenging, but it is worth it in the end. Arley has about 15 years of experience in mental health. She has worked with adults from early adulthood to the geriatric stage, children, adolescents, couples, and families. She has worked with various agencies and companies. This includes start-up companies where she helped to build and develop therapeutic programs and establish companies, find her niche, and overcome challenges.
Arley Smith is a Licensed Counselor here to help you navigate through this journey called life. Counseling can be both rewarding and challenging, but it is worth it in the end. Arley has about 15 years of experience in mental health. She has worked with adults from early adulthood to the geriatric stage, children, adolescents, couples, and families. She has worked with various agencies and companies. This includes start-up companies where she helped to build and develop therapeutic programs and establish companies, find her niche, and overcome challenges.
![Photo of Kyla D. Harvey, MSW, LCSWA, Clinical Social Work/Therapist](https://photos.psychologytoday.com/e2390516-38c9-43d9-9652-9c5f5b7058a1/1/320x400.png)
Kyla D. Harvey
Clinical Social Work/Therapist, MSW, LCSWA
Verified Verified
1 Endorsed
Huntersville, NC 28078 (Online Only)
Through the therapeutic relationship, I create space where clients can write a new narrative and push past their current one.
Utilizing a dynamic therapeutic style, that draws from multiple theories, Kyla encourages clients to reconnect and balance emotionally, physically, spiritually, and socially. Through therapy, clients are inspired to look beyond the constructs of their traumatic experiences in an environment that fosters transparency, honesty, and sustainable growth. I work with issues such as anxiety, depression, low self-esteem, trauma, anger management, women issues, emotional disturbances, and other life stressors. I believe that childhood experiences play a major role in our lives as adults.
Through the therapeutic relationship, I create space where clients can write a new narrative and push past their current one.
Utilizing a dynamic therapeutic style, that draws from multiple theories, Kyla encourages clients to reconnect and balance emotionally, physically, spiritually, and socially. Through therapy, clients are inspired to look beyond the constructs of their traumatic experiences in an environment that fosters transparency, honesty, and sustainable growth. I work with issues such as anxiety, depression, low self-esteem, trauma, anger management, women issues, emotional disturbances, and other life stressors. I believe that childhood experiences play a major role in our lives as adults.
![Photo of La'Tanya L Ramos, MA, LMFT, CCTP-II, CFTP, Marriage & Family Therapist](https://photos.psychologytoday.com/31449785-6ed7-4bf7-b859-fb3cf3e46347/1/320x400.jpeg)
La'Tanya L Ramos
Marriage & Family Therapist, MA, LMFT, CCTP-II, CFTP
Verified Verified
2 Endorsed
Sanford, NC 27330
As an experienced and dedicated therapist, I commit to working with individuals / couples who’ve experienced various types of trauma to include childhood and relational trauma, combat trauma, sexual trauma and affairs.
Here’s the thing, you do not have to solve it, heal from it, get over it, get past it, or figure it out alone. Therapy offers you the space and support to approach and intentionally navigate your trauma, grief, past or present experiences, ways you have related to yourself, your relationships, and/or your environments that are just not serving you anymore. Your life should not be limited to living in familiar discomfort. You deserve genuine happiness and abundance in every area that you exist in. I can help you. It is time to start being intentional about your healing process, don't you think?
As an experienced and dedicated therapist, I commit to working with individuals / couples who’ve experienced various types of trauma to include childhood and relational trauma, combat trauma, sexual trauma and affairs.
Here’s the thing, you do not have to solve it, heal from it, get over it, get past it, or figure it out alone. Therapy offers you the space and support to approach and intentionally navigate your trauma, grief, past or present experiences, ways you have related to yourself, your relationships, and/or your environments that are just not serving you anymore. Your life should not be limited to living in familiar discomfort. You deserve genuine happiness and abundance in every area that you exist in. I can help you. It is time to start being intentional about your healing process, don't you think?
![Photo of Paula Zerfoss - Paula Zerfoss, LCSW, Couple Therapy That Works, LICSW, MSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/a621741b-ad57-4487-83f1-a62746bff003/3/320x400.jpeg)
Paula Zerfoss, LCSW, Couple Therapy That Works
Clinical Social Work/Therapist, LICSW, MSW, LCSW
Verified Verified
Asheville, NC 28801
The method works for any couples, any sexual orientation, any age, married or not.
If you are having the same arguments over and over again, you are not alone. I will be with you every step of the way. I use Emotionally Focused Therapy for Couples to interrupt repetitive Cycles where one person reaches out in frustration, causing their partner to withdraw and hide out. Couple Therapy doesn't have to be torture, and there doesn't have to be a "bad guy". I have helped couples with a range of issues from Domestic Abuse to infidelity to communication issues. I even use humor sometimes, but we don't waste a moment! I welcome couples who have been in couple therapy before and have almost given up.
The method works for any couples, any sexual orientation, any age, married or not.
If you are having the same arguments over and over again, you are not alone. I will be with you every step of the way. I use Emotionally Focused Therapy for Couples to interrupt repetitive Cycles where one person reaches out in frustration, causing their partner to withdraw and hide out. Couple Therapy doesn't have to be torture, and there doesn't have to be a "bad guy". I have helped couples with a range of issues from Domestic Abuse to infidelity to communication issues. I even use humor sometimes, but we don't waste a moment! I welcome couples who have been in couple therapy before and have almost given up.
![Photo of Amanda Clerkin, MSSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/d6324a7d-aa19-4b85-9a8a-847505de0848/1/320x400.jpeg)
Amanda Clerkin
Clinical Social Work/Therapist, MSSW, LCSW
Verified Verified
1 Endorsed
Raleigh, NC 27616
I specialize in providing treatment for couples, families, adults and teens. Many clients I work with are looking for help with a mental health issue like addiction, anxiety, ADHD or depression. Some may also need help adjusting to life transitions whether it's a teenager trying to gain self confidence, or an older adult who has experienced loss. I have over twenty years of professional experience helping a diverse range of people get people on a better path to wellness!
I specialize in providing treatment for couples, families, adults and teens. Many clients I work with are looking for help with a mental health issue like addiction, anxiety, ADHD or depression. Some may also need help adjusting to life transitions whether it's a teenager trying to gain self confidence, or an older adult who has experienced loss. I have over twenty years of professional experience helping a diverse range of people get people on a better path to wellness!
![Photo of Devon Abdo, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/49b6b1b6-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Devon Abdo
Marriage & Family Therapist, LMFT
Verified Verified
5 Endorsed
Chapel Hill, NC 27517 (Online Only)
Sex and relationships can be hard to talk about --- But you don't have to do it alone! I am Devon Abdo (her/she), LMFT, a Licensed Marriage and Family Therapist who specializes in Sexuality and Sex Therapy. I work with both couples and individuals who are interested in exploring their relationships and sexuality or need help dealing with this crazy world. I believe in tailoring each session to the needs of each client where they are, of any gender orientation, gender expression, race, or relationship style. I am trans-affirming, fetish-affirming, and poly-affirming.
Sex and relationships can be hard to talk about --- But you don't have to do it alone! I am Devon Abdo (her/she), LMFT, a Licensed Marriage and Family Therapist who specializes in Sexuality and Sex Therapy. I work with both couples and individuals who are interested in exploring their relationships and sexuality or need help dealing with this crazy world. I believe in tailoring each session to the needs of each client where they are, of any gender orientation, gender expression, race, or relationship style. I am trans-affirming, fetish-affirming, and poly-affirming.
![Photo of Justice Alaiah Byrd, LCSW-A](https://photos.psychologytoday.com/36831a0f-c2dc-427d-8254-7b14d04f4fef/1/320x400.png)
My goal when working with clients is to cultivate a therapeutic relationship by offering an accepting, safe space to be your authentic self to share, learn, and heal.
Hi there! My name is Justice, and I am a Licensed Clinical Social Worker Associate in the State of North Carolina. I was drawn to this profession because of the experiences I have faced in my own life. My passion is working alongside of adolescents, young adults, and new moms as they transition through the seasons of life..
My goal when working with clients is to cultivate a therapeutic relationship by offering an accepting, safe space to be your authentic self to share, learn, and heal.
Hi there! My name is Justice, and I am a Licensed Clinical Social Worker Associate in the State of North Carolina. I was drawn to this profession because of the experiences I have faced in my own life. My passion is working alongside of adolescents, young adults, and new moms as they transition through the seasons of life..
![Photo of Lori Torres, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/41a4acdd-46cd-11ea-a6ad-06142c356176/1/320x400.jpeg)
Lori Torres
Marriage & Family Therapist, LMFT
Verified Verified
5 Endorsed
Charlotte, NC 28211
Waitlist for new clients
In our lives we juggle multiple relationships/ roles every day; our relationship to friends, family, our significant others, & co-workers/ teachers. Let's not forget the relationship to ourselves, one of the most important relationships we can have! Sometimes it is overwhelming trying to be the best that we can be. Sometimes we settle for just getting by. That is okay, to a point. However, when we do not feel like ourselves, or our relationships start changing, feeling stressed, or off track, to a point that it is influencing other parts of our lives that is where I can help.
In our lives we juggle multiple relationships/ roles every day; our relationship to friends, family, our significant others, & co-workers/ teachers. Let's not forget the relationship to ourselves, one of the most important relationships we can have! Sometimes it is overwhelming trying to be the best that we can be. Sometimes we settle for just getting by. That is okay, to a point. However, when we do not feel like ourselves, or our relationships start changing, feeling stressed, or off track, to a point that it is influencing other parts of our lives that is where I can help.
![Photo of Lisa Bolumen, MA, NCC, LCMHC](https://photos.psychologytoday.com/7061ee75-9ef3-448a-81d4-5eaf6b377f39/2/320x400.jpeg)
Lisa Bolumen
Licensed Clinical Mental Health Counselor, MA, NCC, LCMHC
Verified Verified
1 Endorsed
Concord, NC 28027
Are you or a loved one feeling anxious, depressed, struggling in a relationship,...and you are in need of hope, encouragement, and direction? I consider it an honor to counsel children through adults as I get to share biblical truth as well as pray with those whom I counsel. For over 15 years, I served children, adolescents, parents, and adults as a licensed counselor. Through the truth of God's Word, the power of prayer, and the application of counseling techniques, hope and restoration are available for your heart, mind, and body. I am here, available, and I care.
Are you or a loved one feeling anxious, depressed, struggling in a relationship,...and you are in need of hope, encouragement, and direction? I consider it an honor to counsel children through adults as I get to share biblical truth as well as pray with those whom I counsel. For over 15 years, I served children, adolescents, parents, and adults as a licensed counselor. Through the truth of God's Word, the power of prayer, and the application of counseling techniques, hope and restoration are available for your heart, mind, and body. I am here, available, and I care.
See more therapy options for North Carolina
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.