Couples Counseling Therapists in Nashville, TN

Photo of Katherine Hofstetter, LMFT, Marriage & Family Therapist
Katherine Hofstetter
Marriage & Family Therapist, LMFT
Verified Verified
Nashville, TN 37205
My current practice areas include: relationship issues, self-esteem, marital / couple distress, premarital counseling, anxiety and depression, adoption and attachment parenting and counseling.
Our own human flourishing can feel out of reach at times especially amidst personal suffering, mental illness, loss, and disappointment. My hope is to provide a safe haven amidst a life which can often feel overwhelming - a place where we can focus on processing and growth. We will build on your strengths and relationships to help you reach your personal and relational goals and dreams.
My current practice areas include: relationship issues, self-esteem, marital / couple distress, premarital counseling, anxiety and depression, adoption and attachment parenting and counseling.
Our own human flourishing can feel out of reach at times especially amidst personal suffering, mental illness, loss, and disappointment. My hope is to provide a safe haven amidst a life which can often feel overwhelming - a place where we can focus on processing and growth. We will build on your strengths and relationships to help you reach your personal and relational goals and dreams.
(615) 489-4151 View (615) 489-4151
Photo of Landrew Sevel, PhD, PSYPACT, Psychologist
Landrew Sevel
Psychologist, PhD, PSYPACT
Verified Verified
1 Endorsed
Nashville, TN 37216
Waitlist for new clients
I am passionate about working with diverse gender and sexual identities, expansive relationship structures, and performing artists.
There is beauty in the complexity of our lives, and often difficulty too. Sometimes, our inner resources and life's challenges don't align, leaving us feeling stuck, overwhelmed, or unskilled. My goals is to help you to find more freedom, ease, and wholeness in these moments. I am skilled in working with experiences of complex trauma and chronic pain/illness, depression, anxiety/panic. I am experienced in working with members of the LGBTQIA+ and ENM communities, neurodivergent folks, and those whose lives question social norms. My approach emphasizes gentleness, mutuality, creativity, and awareness from an anti-oppressive lens.
I am passionate about working with diverse gender and sexual identities, expansive relationship structures, and performing artists.
There is beauty in the complexity of our lives, and often difficulty too. Sometimes, our inner resources and life's challenges don't align, leaving us feeling stuck, overwhelmed, or unskilled. My goals is to help you to find more freedom, ease, and wholeness in these moments. I am skilled in working with experiences of complex trauma and chronic pain/illness, depression, anxiety/panic. I am experienced in working with members of the LGBTQIA+ and ENM communities, neurodivergent folks, and those whose lives question social norms. My approach emphasizes gentleness, mutuality, creativity, and awareness from an anti-oppressive lens.
(615) 488-8796 View (615) 488-8796
Photo of Mary Ann Sokolowski, LPC-MHS, M Ed, Counselor
Mary Ann Sokolowski
Counselor, LPC-MHS, M Ed
Verified Verified
14 Endorsed
Nashville, TN 37203
I work as my authentic self, growing a genuine relationship in order to enable healing.
You simply must take care of yourself. Make yourself a priority. Because... In today's society we are constantly connected, pulled to work more, do more, guilt-fully pulled away from things we love to do, from family and friends- losing sight of who you are. I work innovatively to find the right balance of support and motivation to decrease your anxiety, stress or depression and to increase trust in yourself, your decisions, and to find more of what you want out of life. I work to align who you are with who you want to be, and to find a sense of comfort in the chaos of life.
I work as my authentic self, growing a genuine relationship in order to enable healing.
You simply must take care of yourself. Make yourself a priority. Because... In today's society we are constantly connected, pulled to work more, do more, guilt-fully pulled away from things we love to do, from family and friends- losing sight of who you are. I work innovatively to find the right balance of support and motivation to decrease your anxiety, stress or depression and to increase trust in yourself, your decisions, and to find more of what you want out of life. I work to align who you are with who you want to be, and to find a sense of comfort in the chaos of life.
(615) 682-9072 View (615) 682-9072
Photo of Hannah Schonewill, LMSW
Hannah Schonewill
Licensed Master Social Worker, LMSW
Verified Verified
Nashville, TN 37204
Hi, I'm Hannah! I consider it an honor to offer compassion and support to individuals experiencing transition or hardship. When working with me, you can expect to be welcomed into a non-judgmental and empathetic space. Building a relationship of trust is my first priority so that you can feel the freedom to be transparent as you take steps toward understanding and healing. I am committed to safely processing your past while creating a toolbox of coping skills that you can pull from for years to come.
Hi, I'm Hannah! I consider it an honor to offer compassion and support to individuals experiencing transition or hardship. When working with me, you can expect to be welcomed into a non-judgmental and empathetic space. Building a relationship of trust is my first priority so that you can feel the freedom to be transparent as you take steps toward understanding and healing. I am committed to safely processing your past while creating a toolbox of coping skills that you can pull from for years to come.
(629) 299-2428 View (629) 299-2428
Photo of Mark Diddens - Mark Diddens, LMSW, LMSW, Clinical Social Work/Therapist
Mark Diddens, LMSW
Clinical Social Work/Therapist, LMSW
Verified Verified
Nashville, TN 37215
I work with clients to promote positive change by establishing a therapeutic relationship built on trust, to encourage openness and honesty.
I treat clients who seek to gain a deeper understanding of themselves and how they relate to the world around them. Learn skills to help you build a life that aligns with your core values. Master relationships, and begin to flourish toward your personal and professional goals. I use a client-centered, strengths-based approach, to help clients realize their full potential, and to learn how to overcome stress and anxiety.
I work with clients to promote positive change by establishing a therapeutic relationship built on trust, to encourage openness and honesty.
I treat clients who seek to gain a deeper understanding of themselves and how they relate to the world around them. Learn skills to help you build a life that aligns with your core values. Master relationships, and begin to flourish toward your personal and professional goals. I use a client-centered, strengths-based approach, to help clients realize their full potential, and to learn how to overcome stress and anxiety.
(615) 434-8534 View (615) 434-8534
Photo of Richard Cowan, LPC, MEd, MTS, NCC, Licensed Professional Counselor
Richard Cowan
Licensed Professional Counselor, LPC, MEd, MTS, NCC
Verified Verified
5 Endorsed
Nashville, TN 37204
My areas of skill and experience include helping couples restore love and connection in their relationship and coaching men who are seeking to establish more meaningful personal and professional relationships.
My work as a therapist is based on a conviction that our choices and relationship patterns are fueled by our need to experience wholeness and heal the brokenness of our past. This concept lies at the core of attachment theory and is a powerful tool for helping us understand why we struggle with others and with our own internal critic. In my therapeutic work, I leverage aspects of Imago, Solution-focused, and Internal Family theories to help clients progress towards deeper and more meaningful connections with themselves and others.
My areas of skill and experience include helping couples restore love and connection in their relationship and coaching men who are seeking to establish more meaningful personal and professional relationships.
My work as a therapist is based on a conviction that our choices and relationship patterns are fueled by our need to experience wholeness and heal the brokenness of our past. This concept lies at the core of attachment theory and is a powerful tool for helping us understand why we struggle with others and with our own internal critic. In my therapeutic work, I leverage aspects of Imago, Solution-focused, and Internal Family theories to help clients progress towards deeper and more meaningful connections with themselves and others.
(615) 560-7743 View (615) 560-7743
Photo of Stephanie Bashirian, LMFT, Marriage & Family Therapist
Stephanie Bashirian
Marriage & Family Therapist, LMFT
Verified Verified
13 Endorsed
Nashville, TN 37212
My goal as your therapist is to create a relationship that you can use for your own growth. While I only practice evidence-based treatments informed by the latest research, I don’t believe in a one-size-fits-all approach. Therapy is an art as much as a science, one that is meant to honor your unique story and specific goals. Together we will explore your inner world and identify the beliefs and patterns that are keeping you from experiencing your life in the healthiest, most fulfilling, and most meaningful ways.
My goal as your therapist is to create a relationship that you can use for your own growth. While I only practice evidence-based treatments informed by the latest research, I don’t believe in a one-size-fits-all approach. Therapy is an art as much as a science, one that is meant to honor your unique story and specific goals. Together we will explore your inner world and identify the beliefs and patterns that are keeping you from experiencing your life in the healthiest, most fulfilling, and most meaningful ways.
(615) 455-2490 View (615) 455-2490
Photo of Elizabeth Porter - Entertainment Health Services, LPC, MHSP, Licensed Professional Counselor
Entertainment Health Services
Licensed Professional Counselor, LPC, MHSP
Verified Verified
Nashville, TN 37209
Entertainment Health Services specializes in counseling creatives in the Nashville area, focusing on the compounding pressures of balancing life with stress specific to the entertainment industry. Some areas of practice include; relationship problems, relief from depression, anxiety, grief and loss, effective communication skills, conflict resolution, substance abuse, family therapy, maintaining creativity, and time management.
Entertainment Health Services specializes in counseling creatives in the Nashville area, focusing on the compounding pressures of balancing life with stress specific to the entertainment industry. Some areas of practice include; relationship problems, relief from depression, anxiety, grief and loss, effective communication skills, conflict resolution, substance abuse, family therapy, maintaining creativity, and time management.
(615) 454-9852 View (615) 454-9852
Photo of Jenn MacMaster, LCSW, CSAT, Clinical Social Work/Therapist
Jenn MacMaster
Clinical Social Work/Therapist, LCSW, CSAT
Verified Verified
5 Endorsed
Nashville, TN 37203
Together, within the safety of this relationship, we will realize your goals.
"Pain is inevitable. Suffering is optional." Haruki Murakami. I will hold a safe space for you to process life and its inevitable pains--change, loss, grief, and trauma. I will join you without judgement: where you are, as you are. Our time together will be collaborative and supportive—a partnership. You will gain an experience of trust and of personal power. You will be equipped with tools and skills relative to the goals that you establish, enabling you to thrive independently. Relationships, "stuckness", trauma, etc. will be addressed and resolved. Together, we will manifest your inherent creativity, purpose, and joy.
Together, within the safety of this relationship, we will realize your goals.
"Pain is inevitable. Suffering is optional." Haruki Murakami. I will hold a safe space for you to process life and its inevitable pains--change, loss, grief, and trauma. I will join you without judgement: where you are, as you are. Our time together will be collaborative and supportive—a partnership. You will gain an experience of trust and of personal power. You will be equipped with tools and skills relative to the goals that you establish, enabling you to thrive independently. Relationships, "stuckness", trauma, etc. will be addressed and resolved. Together, we will manifest your inherent creativity, purpose, and joy.
(615) 645-2640 View (615) 645-2640
Photo of Rebecca R Walker, LMFT, Marriage & Family Therapist
Rebecca R Walker
Marriage & Family Therapist, LMFT
Verified Verified
3 Endorsed
Nashville, TN 37212
I also have a heart for working with individuals and couples who have a child/children with special needs.
I believe that therapy is a unique opportunity to have a safe and empathic place to share one's story. It is a privilege for me to journey alongside others as they discover who they are in the midst of that story. I approach therapy in an eclectic manner, and have experience in a variety of therapeutic issues. I work with both individuals and couples interested in seeking treatment for depression, anxiety, relational distress, conflict resolution, and personal growth.
I also have a heart for working with individuals and couples who have a child/children with special needs.
I believe that therapy is a unique opportunity to have a safe and empathic place to share one's story. It is a privilege for me to journey alongside others as they discover who they are in the midst of that story. I approach therapy in an eclectic manner, and have experience in a variety of therapeutic issues. I work with both individuals and couples interested in seeking treatment for depression, anxiety, relational distress, conflict resolution, and personal growth.
(615) 450-6533 View (615) 450-6533
Photo of Trent Hughes, PhD, LPC, MHSP, Licensed Professional Counselor
Trent Hughes
Licensed Professional Counselor, PhD, LPC, MHSP
Verified Verified
2 Endorsed
Nashville, TN 37203
Feeling frustrated and confused about being in the same place, again! Life was going along smoothly and then, out of nowhere life feels punishing. Barely sleeping, anxious/depressed, feeling angry, sad, and confused because even the time at home feels miserable. Your relationship is struggling, and you can’t wait to get away for the day but you also know that when you aren’t distracted, the anxious and depressed feelings are still overwhelming no matter where you go. There is still part of you that knows the past is interfering with your ability to find peace. Life can be good but you can’t seem to figure out how to get there.
Feeling frustrated and confused about being in the same place, again! Life was going along smoothly and then, out of nowhere life feels punishing. Barely sleeping, anxious/depressed, feeling angry, sad, and confused because even the time at home feels miserable. Your relationship is struggling, and you can’t wait to get away for the day but you also know that when you aren’t distracted, the anxious and depressed feelings are still overwhelming no matter where you go. There is still part of you that knows the past is interfering with your ability to find peace. Life can be good but you can’t seem to figure out how to get there.
(615) 592-2904 View (615) 592-2904
Photo of Adam Kohlan, TLMFT, MMFT, BBA, Pre-Licensed Professional
Adam Kohlan
Pre-Licensed Professional, TLMFT, MMFT, BBA
Verified Verified
1 Endorsed
Nashville, TN 37203
My interests include depression, anxiety, obsessive compulsive disorder (OCD), complex trauma, couples therapy, marital distress, and life transitions.
Are you feeling alone, overwhelmed, or just lost in life? Does the pain you're experiencing feel constant and unremitting? This is a trying time, but there is a way through this turmoil; an opportunity for change. I work with individuals and couples who want a thorough therapy experience that is growth-oriented. Our relationships, our thinking, and our behaviors (and how they all work together) are key and are the focus of my work. I'm an authentic and compassionate guide that can help you create meaningful, long-lasting changes in your life. You can expect me to listen and engage with your process to get you where you want to be.
My interests include depression, anxiety, obsessive compulsive disorder (OCD), complex trauma, couples therapy, marital distress, and life transitions.
Are you feeling alone, overwhelmed, or just lost in life? Does the pain you're experiencing feel constant and unremitting? This is a trying time, but there is a way through this turmoil; an opportunity for change. I work with individuals and couples who want a thorough therapy experience that is growth-oriented. Our relationships, our thinking, and our behaviors (and how they all work together) are key and are the focus of my work. I'm an authentic and compassionate guide that can help you create meaningful, long-lasting changes in your life. You can expect me to listen and engage with your process to get you where you want to be.
(615) 235-6045 View (615) 235-6045
Photo of Dr. Dwight A. Hughes, DMin, MDiv, LMFT, Marriage & Family Therapist
Dr. Dwight A. Hughes
Marriage & Family Therapist, DMin, MDiv, LMFT
Verified Verified
Nashville, TN 37203  (Online Only)
Couples, have you grown apart, longing for a deeper connection that's not in sight? Do you occasionally question if your partner really is there for you? Are you feeling controlled and unappreciated despite all you do? If so, there is hope.The gift of therapy coupled with your unique way of caring for yourself, (mind, body, spirit) can radically shift your dynamic. Those planning to marry can explore hot topics and hone tools to avoid common intimacy pitfalls before the marital journey begins.
Couples, have you grown apart, longing for a deeper connection that's not in sight? Do you occasionally question if your partner really is there for you? Are you feeling controlled and unappreciated despite all you do? If so, there is hope.The gift of therapy coupled with your unique way of caring for yourself, (mind, body, spirit) can radically shift your dynamic. Those planning to marry can explore hot topics and hone tools to avoid common intimacy pitfalls before the marital journey begins.
(615) 716-0379 View (615) 716-0379
Photo of Alice Sanderlin, PhD, LPC, MHSP, S, Licensed Professional Counselor
Alice Sanderlin
Licensed Professional Counselor, PhD, LPC, MHSP, S
Verified Verified
3 Endorsed
Nashville, TN 37212
I partner with you to explore areas of your life that seem to be stuck.
Relationship conflict can feel frustrating and hopeless. I help individuals stop having the same argument and avoid repeating negative patterns. In my practice I work with individuals, couples, and families needing crisis support to address conflict, rebuild trust, and gain tools for improving communication and connection. Specifically, I work with people who are experiencing life transitions, experiencing loss or grieving, struggling with anxiety, depression, addiction, and relationship wounds.
I partner with you to explore areas of your life that seem to be stuck.
Relationship conflict can feel frustrating and hopeless. I help individuals stop having the same argument and avoid repeating negative patterns. In my practice I work with individuals, couples, and families needing crisis support to address conflict, rebuild trust, and gain tools for improving communication and connection. Specifically, I work with people who are experiencing life transitions, experiencing loss or grieving, struggling with anxiety, depression, addiction, and relationship wounds.
(615) 502-1626 View (615) 502-1626
Photo of Paige Holliman, MEd, MTS, LPC, MHSP, Counselor
Paige Holliman
Counselor, MEd, MTS, LPC, MHSP
Verified Verified
Nashville, TN 37204
My work is psychodynamically oriented, which means that I am interested in how early life and family of origin issues impact current life relationships and events. I work with both individuals and couples. I also work with people of color. I have a general practice that includes people dealing with depression, anxiety, relationship problems, low self-esteem, trauma, work related stress, sexual identity, gender identity, religious issues, etc.
My work is psychodynamically oriented, which means that I am interested in how early life and family of origin issues impact current life relationships and events. I work with both individuals and couples. I also work with people of color. I have a general practice that includes people dealing with depression, anxiety, relationship problems, low self-esteem, trauma, work related stress, sexual identity, gender identity, religious issues, etc.
(615) 745-1211 View (615) 745-1211
Photo of Debbie A. Freeman, MS, LMFT, Marriage & Family Therapist
Debbie A. Freeman
Marriage & Family Therapist, MS, LMFT
Verified Verified
8 Endorsed
Nashville, TN 37243  (Online Only)
I am passionate about helping you with relationship issues, anxiety, depression, trauma, infertility, grief, life transitions or anything challenging you.
Hello and welcome! I am a Licensed Marriage and Family Therapist with over 26 years of experience. As a former Director of Clinical Services and current adjunct professor, I have trained hundreds of upcoming therapists in both the science as well as the art of providing quality, enriching therapy. I am dedicated to helping you to "process" through your challenges allowing you to build healthier relationships and having a successful life. The hardest step is getting started, so feel free to reach out and we can have a conversation. Because of my experience I will be able to zero in on what you need and the best path forward.
I am passionate about helping you with relationship issues, anxiety, depression, trauma, infertility, grief, life transitions or anything challenging you.
Hello and welcome! I am a Licensed Marriage and Family Therapist with over 26 years of experience. As a former Director of Clinical Services and current adjunct professor, I have trained hundreds of upcoming therapists in both the science as well as the art of providing quality, enriching therapy. I am dedicated to helping you to "process" through your challenges allowing you to build healthier relationships and having a successful life. The hardest step is getting started, so feel free to reach out and we can have a conversation. Because of my experience I will be able to zero in on what you need and the best path forward.
(424) 543-8473 View (424) 543-8473
Photo of Katelyn Mase, NCC, Pre-Licensed Professional
Katelyn Mase
Pre-Licensed Professional, NCC
Verified Verified
2 Endorsed
Nashville, TN 37205
I work with individuals and partnerships who are neurodivergent (ASD, ADHD) those in “alternative” relationship structures (LGBTQIA+, ENM, poly, open, swinging, kink), those who have experienced trauma, struggle with depression or anxiety, are hoping to do some self-exploration (sexual, gender, career, religious, etc.), or are looking for a change. Because every person is unique, your needs and desires will also be unique. I approach my work through a trauma-informed lens, using evidence-based practices that find a balance between thinking and feeling and emphasize the importance of connection, experience and safety.
I work with individuals and partnerships who are neurodivergent (ASD, ADHD) those in “alternative” relationship structures (LGBTQIA+, ENM, poly, open, swinging, kink), those who have experienced trauma, struggle with depression or anxiety, are hoping to do some self-exploration (sexual, gender, career, religious, etc.), or are looking for a change. Because every person is unique, your needs and desires will also be unique. I approach my work through a trauma-informed lens, using evidence-based practices that find a balance between thinking and feeling and emphasize the importance of connection, experience and safety.
(615) 808-7792 View (615) 808-7792
Photo of Dr. Layla J. Bonner, PhD, LMFT, NCC, Marriage & Family Therapist
Dr. Layla J. Bonner
Marriage & Family Therapist, PhD, LMFT, NCC
Verified Verified
Nashville, TN 37203  (Online Only)
I enjoy helping premarital couples identify their strengths and areas of growth.
I work best with clients who have a deep desire to be seen, heard, and known. I want to know your heart, your fears, your shame, and your pain. I want to know how past hurts and trauma affect your everyday life today.
I enjoy helping premarital couples identify their strengths and areas of growth.
I work best with clients who have a deep desire to be seen, heard, and known. I want to know your heart, your fears, your shame, and your pain. I want to know how past hurts and trauma affect your everyday life today.
(615) 908-3841 View (615) 908-3841
Photo of Sandra Habib Aziz, MMFT, Pre-Licensed Professional
Sandra Habib Aziz
Pre-Licensed Professional, MMFT
Verified Verified
1 Endorsed
Nashville, TN 37218
Whether you’re looking for individual or couples therapy - I’m ready!.
BIPOC therapist - couples therapy and individual therapy. I come from a multicultural and bilingual background. I’m particularly interested in working with marginalized populations. Clients like you scroll profiles to find a therapist that might get them. At least a little. You need help in the major things of life (relationships, transitions, hardships). When you look for a therapist, you need someone that knows what it’s like to be a person of color. That gives some safety and reassurance. In order to really open up - you have to find the right fit.
Whether you’re looking for individual or couples therapy - I’m ready!.
BIPOC therapist - couples therapy and individual therapy. I come from a multicultural and bilingual background. I’m particularly interested in working with marginalized populations. Clients like you scroll profiles to find a therapist that might get them. At least a little. You need help in the major things of life (relationships, transitions, hardships). When you look for a therapist, you need someone that knows what it’s like to be a person of color. That gives some safety and reassurance. In order to really open up - you have to find the right fit.
(615) 326-6402 View (615) 326-6402
Photo of Ellie M. H. Nashville West - Ellie Mental Health-Nashville West
Ellie Mental Health-Nashville West
Verified Verified
1 Endorsed
Nashville, TN 37209
Ellie Mental Health strives to bridge the gap in mental health services and provide quality care for each and every client. Our goal is to have a therapist that is a great fit for you and every other person that walks through our door. We are passionate about providing services rooted in creativity, compassion, authenticity, humor, determination and acceptance. Ellie therapists provide services to individuals, couples, and families. Our therapists are in-network with many of the major insurance providers, offering more affordable therapy services to our local community. We offer in-person and Telehealth sessions to best suit your needs. Many of our clients come to see us to learn how to cope with anxiety, depression, PTSD, neurodivergent disorders (OCD, ADHD, Autism), personality disorders, as well processing through the day-to-day frustrations we all experience. We have clinicians that are trained in EMDR, Brainspotting, DBT, CBT, and play therapy. We work with children, teens, and adults alike. We want you to not just survive, but actually thrive. That starts with finding a therapist you can vibe with!
Ellie Mental Health strives to bridge the gap in mental health services and provide quality care for each and every client. Our goal is to have a therapist that is a great fit for you and every other person that walks through our door. We are passionate about providing services rooted in creativity, compassion, authenticity, humor, determination and acceptance. Ellie therapists provide services to individuals, couples, and families. Our therapists are in-network with many of the major insurance providers, offering more affordable therapy services to our local community. We offer in-person and Telehealth sessions to best suit your needs. Many of our clients come to see us to learn how to cope with anxiety, depression, PTSD, neurodivergent disorders (OCD, ADHD, Autism), personality disorders, as well processing through the day-to-day frustrations we all experience. We have clinicians that are trained in EMDR, Brainspotting, DBT, CBT, and play therapy. We work with children, teens, and adults alike. We want you to not just survive, but actually thrive. That starts with finding a therapist you can vibe with!
(629) 225-1680 View (629) 225-1680
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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.