Couples Counseling Therapists in Richmond, VA

Photo of Indria Savoy-Johnson - Savoy Wellness Center LLC, LCSW, LICSW, LMHP, Clinical Social Work/Therapist
Savoy Wellness Center LLC
Clinical Social Work/Therapist, LCSW, LICSW, LMHP
Verified Verified
Richmond, VA 23221  (Online Only)
I incorporate much personality, humor in sessions, as I believe that establishing a healthy rapport is essential to the helping relationship and problem solving process.
Are you looking for an affordable therapist with a unique skill set that can help you deal with everyday life stressors? Are you feeling in a downward spiral? Challenged with relationship issues that are weighing you down and your supportive network? If so, you have come to the right place!
I incorporate much personality, humor in sessions, as I believe that establishing a healthy rapport is essential to the helping relationship and problem solving process.
Are you looking for an affordable therapist with a unique skill set that can help you deal with everyday life stressors? Are you feeling in a downward spiral? Challenged with relationship issues that are weighing you down and your supportive network? If so, you have come to the right place!
(240) 222-5924 View (240) 222-5924
Photo of Moriah Lett - Holistic Humans, LPC, LMHC, CPC, Licensed Professional Counselor
Holistic Humans
Licensed Professional Counselor, LPC, LMHC, CPC
Verified Verified
Richmond, VA 23223
Our services cater to individuals, couples, and families, addressing issues like anxiety, depression, trauma, and more.
Many of our clients come to us seeking a compassionate and integrative approach to mental health. They may be grappling with anxiety, depression, trauma, or life transitions and are looking for support to navigate these challenges. Their goals include finding peace, improving relationships, and developing resilience. They seek holistic care that addresses mind, body, and spirit, aiming for personal growth and lasting change. Whether it's through individual, couples, or group therapy, our clients desire a tailored approach that empowers them to thrive, and we offer that through our tailored holistic approach.
Our services cater to individuals, couples, and families, addressing issues like anxiety, depression, trauma, and more.
Many of our clients come to us seeking a compassionate and integrative approach to mental health. They may be grappling with anxiety, depression, trauma, or life transitions and are looking for support to navigate these challenges. Their goals include finding peace, improving relationships, and developing resilience. They seek holistic care that addresses mind, body, and spirit, aiming for personal growth and lasting change. Whether it's through individual, couples, or group therapy, our clients desire a tailored approach that empowers them to thrive, and we offer that through our tailored holistic approach.
(725) 999-4457 View (725) 999-4457
Photo of Tara Gallagher, LPC, Licensed Professional Counselor
Tara Gallagher
Licensed Professional Counselor, LPC
Verified Verified
Richmond, VA 23225  (Online Only)
I have been providing outpatient therapy to individuals, couples, and families since 2019; prior to that, I worked as an intensive in-home counselor and ABA therapist for ten years while I obtained my master's degree and completed my residency. As much as I enjoy seeing my clients in person, I have strengthened my ability to provide therapy virtually, applying various resources and maintaining a strong rapport through my non-judgmental and open-minded approach.
I have been providing outpatient therapy to individuals, couples, and families since 2019; prior to that, I worked as an intensive in-home counselor and ABA therapist for ten years while I obtained my master's degree and completed my residency. As much as I enjoy seeing my clients in person, I have strengthened my ability to provide therapy virtually, applying various resources and maintaining a strong rapport through my non-judgmental and open-minded approach.
(804) 492-8473 View (804) 492-8473
Photo of Stephen Barlow, LPC, Licensed Professional Counselor
Stephen Barlow
Licensed Professional Counselor, LPC
Verified Verified
4 Endorsed
Richmond, VA 23230
Couples facing relationship difficulties can expect a supportive space to explore patterns of interaction, communication challenges, and underlying emotional needs.
Hi! I'm a licensed therapist specializing in individual and couples therapy. With a deep understanding of the complexities of interpersonal dynamics, I am committed to creating a warm, judgment-free space where you can explore personal issues, build self-awareness, learn coping strategies, and discover a deeper understanding of your emotions and behaviors. Often, my clients are undergoing stress related to their identity, experiencing existential crises, or seeking personal growth and self-discovery. It's profoundly rewarding to witness my clients embark on a journey of self-exploration and emerge stronger and more resilient.
Couples facing relationship difficulties can expect a supportive space to explore patterns of interaction, communication challenges, and underlying emotional needs.
Hi! I'm a licensed therapist specializing in individual and couples therapy. With a deep understanding of the complexities of interpersonal dynamics, I am committed to creating a warm, judgment-free space where you can explore personal issues, build self-awareness, learn coping strategies, and discover a deeper understanding of your emotions and behaviors. Often, my clients are undergoing stress related to their identity, experiencing existential crises, or seeking personal growth and self-discovery. It's profoundly rewarding to witness my clients embark on a journey of self-exploration and emerge stronger and more resilient.
(804) 294-4176 View (804) 294-4176
Photo of Dr. Harold R. Mitchell, EdD, LPC, Licensed Professional Counselor
Dr. Harold R. Mitchell
Licensed Professional Counselor, EdD, LPC
Verified Verified
Richmond, VA 23220
I enjoy working with people wanting to find resolution from their anxiety and daily life stresses, depression, and relationship issues.
I provide a caring, empathic and nonjudgmental environment where you can explore your current life challenges, as well as address past issues that concern you. I look forward to working with you in your desire and search for more understanding and insight. My office is conveniently located in downtown Richmond.
I enjoy working with people wanting to find resolution from their anxiety and daily life stresses, depression, and relationship issues.
I provide a caring, empathic and nonjudgmental environment where you can explore your current life challenges, as well as address past issues that concern you. I look forward to working with you in your desire and search for more understanding and insight. My office is conveniently located in downtown Richmond.
(804) 767-4876 View (804) 767-4876
Photo of Correnthia W. Randolph, MEd, LPC-R
Correnthia W. Randolph
Resident in Counseling, MEd, LPC-R
Verified Verified
1 Endorsed
Richmond, VA 23235
Are you dealing with grief, trauma, parenting concerns, relationship problems, sexual dysfunction, or marital issues, such as unsettled disagreements, infidelity, or divorce? Maybe that spark seems to be missing. Have you tried therapy before, and it seemed not to work? Well, you need a therapist that you can connect with. Therapy success, in part, depends upon the relationship with your therapist. You need a therapist who specializes in the area of your concern. If you would like someone well-equipped to help you navigate life and you are willing to work for the change you need, I look forward to hearing from you.
Are you dealing with grief, trauma, parenting concerns, relationship problems, sexual dysfunction, or marital issues, such as unsettled disagreements, infidelity, or divorce? Maybe that spark seems to be missing. Have you tried therapy before, and it seemed not to work? Well, you need a therapist that you can connect with. Therapy success, in part, depends upon the relationship with your therapist. You need a therapist who specializes in the area of your concern. If you would like someone well-equipped to help you navigate life and you are willing to work for the change you need, I look forward to hearing from you.
(804) 589-5985 View (804) 589-5985
Photo of Marissa Momchilov, LPC, Licensed Professional Counselor
Marissa Momchilov
Licensed Professional Counselor, LPC
Verified Verified
2 Endorsed
Richmond, VA 23294
Imagine stepping into a space where your challenges with anxiety, self-esteem, or relationships are not just heard, but deeply understood. I'm here to support you with compassion, to empower you on a journey towards resilience. Your courage to seek change is the first inspiring step. Let's partner together, using your inherent strengths, to forge a path to the assertive and peaceful you. You're not alone; I'm with you, ready to celebrate your growth and light the way forward.
Imagine stepping into a space where your challenges with anxiety, self-esteem, or relationships are not just heard, but deeply understood. I'm here to support you with compassion, to empower you on a journey towards resilience. Your courage to seek change is the first inspiring step. Let's partner together, using your inherent strengths, to forge a path to the assertive and peaceful you. You're not alone; I'm with you, ready to celebrate your growth and light the way forward.
(804) 373-8344 View (804) 373-8344
Photo of Jonda Light, LCSW, Clinical Social Work/Therapist
Jonda Light
Clinical Social Work/Therapist, LCSW
Verified Verified
Richmond, VA 23235  (Online Only)
I am assertive in an empathetic and compassionate way that allows for a well-received working relationship.
Hi, I'm Jonda Light, a Licensed Clinical Social Worker. Clients see me when they are experiencing symptoms of anxiety, depression, and substance abuse. Trauma or are just looking for someone to help manage daily stressors and would like guidance to achieve their goals. I enjoy helping my clients obtain their goals utilizing different modalities that best suit their needs. I do not believe in a one-size-fits-all approach and work with both adolescents and adults.
I am assertive in an empathetic and compassionate way that allows for a well-received working relationship.
Hi, I'm Jonda Light, a Licensed Clinical Social Worker. Clients see me when they are experiencing symptoms of anxiety, depression, and substance abuse. Trauma or are just looking for someone to help manage daily stressors and would like guidance to achieve their goals. I enjoy helping my clients obtain their goals utilizing different modalities that best suit their needs. I do not believe in a one-size-fits-all approach and work with both adolescents and adults.
(323) 643-8569 View (323) 643-8569
Photo of Lauren Anderson - Eirene Counseling and Consulting, LLC, Licensed Professional Counselor
Eirene Counseling and Consulting, LLC
Licensed Professional Counselor
Verified Verified
4 Endorsed
Richmond, VA 23229
We treat children (6yo & up), teens through older adults who have difficulties with anxiety, depression, low self-esteem, managing stress, behavioral/emotion regulation issues, and relationship concerns.
Eirene simply means peace and reconciliation within yourself and with other people. How is your relationship with yourself? What about with other people? When those relationships are unbalanced it can look like repeating the same dysfunctional patterns no matter how hard you try. It can feel like you are stuck, unmotivated, frustrated and don't have the energy to make the changes you desire or not being sure of what changes you need to make to live a fuller, more complete life. You may also feel overwhelmed, anxiety filled, doubt in yourself and your abilities, anger/irritation, and setting impossible goals for yourself.
We treat children (6yo & up), teens through older adults who have difficulties with anxiety, depression, low self-esteem, managing stress, behavioral/emotion regulation issues, and relationship concerns.
Eirene simply means peace and reconciliation within yourself and with other people. How is your relationship with yourself? What about with other people? When those relationships are unbalanced it can look like repeating the same dysfunctional patterns no matter how hard you try. It can feel like you are stuck, unmotivated, frustrated and don't have the energy to make the changes you desire or not being sure of what changes you need to make to live a fuller, more complete life. You may also feel overwhelmed, anxiety filled, doubt in yourself and your abilities, anger/irritation, and setting impossible goals for yourself.
(804) 455-8035 View (804) 455-8035
Photo of Karen Hetherington, LPC , Licensed Professional Counselor
Karen Hetherington
Licensed Professional Counselor, LPC
Verified Verified
Richmond, VA 23235  (Online Only)
I believe a therapeutic relationship is the basis for successful therapy and it is vital to embark upon the process of change.
Karen Hetherington License No. 0701014022. Life can be challenging, but you don’t have to do it alone. As your counselor, I will walk alongside you, helping you. I believe counseling is a collaborative process, where we work together to improve your situation. I meet my clients exactly where they are and I’m here to support your journey, helping you build skills and strengthen healthy coping strategies. I create a supportive, safe, and non-judgmental space where my clients can express themselves freely.
I believe a therapeutic relationship is the basis for successful therapy and it is vital to embark upon the process of change.
Karen Hetherington License No. 0701014022. Life can be challenging, but you don’t have to do it alone. As your counselor, I will walk alongside you, helping you. I believe counseling is a collaborative process, where we work together to improve your situation. I meet my clients exactly where they are and I’m here to support your journey, helping you build skills and strengthen healthy coping strategies. I create a supportive, safe, and non-judgmental space where my clients can express themselves freely.
(323) 643-8569 View (323) 643-8569
Photo of Brandon Johnson, MHS, LGSW, Clinical Social Work/Therapist
Brandon Johnson
Clinical Social Work/Therapist, MHS, LGSW
Verified Verified
1 Endorsed
Richmond, VA 23225  (Online Only)
Feeling overwhelmed? If life has taken it's toll on your mental health its time to make a change. You need to view more than the negative side of yourself. On the inside, you're trying to remain determined, and accomplished, but in reality you feel incapable of living up to your potential and no matter how hard you try to change. I will help you get over that hump. You are the expert on your life and through a collaborative approach, we will walk together to through your concerns to help you feel empowered and able to take control of your life. I treat infertility concerns, marriage and relationship counseling and depression.
Feeling overwhelmed? If life has taken it's toll on your mental health its time to make a change. You need to view more than the negative side of yourself. On the inside, you're trying to remain determined, and accomplished, but in reality you feel incapable of living up to your potential and no matter how hard you try to change. I will help you get over that hump. You are the expert on your life and through a collaborative approach, we will walk together to through your concerns to help you feel empowered and able to take control of your life. I treat infertility concerns, marriage and relationship counseling and depression.
(804) 587-8342 View (804) 587-8342
Photo of Rashika N Wallace Lcsw, LCSW, Clinical Social Work/Therapist
Rashika N Wallace Lcsw
Clinical Social Work/Therapist, LCSW
Verified Verified
Richmond, VA 23230
Owner and clinician of Renewal Counseling & Consulting, LLC. I am a Licensed therapist who enjoys working with individuals, families, groups and couples. I have over 16 years counseling experience specializing in depression, anxiety, grief, and stress. I have a passion for working with young adult females. I treat the whole person, not their symptoms or circumstances in a safe and comfortable space. I specialize in depression, anxiety, grief and stress. I have a passion for working young adult females.
Owner and clinician of Renewal Counseling & Consulting, LLC. I am a Licensed therapist who enjoys working with individuals, families, groups and couples. I have over 16 years counseling experience specializing in depression, anxiety, grief, and stress. I have a passion for working with young adult females. I treat the whole person, not their symptoms or circumstances in a safe and comfortable space. I specialize in depression, anxiety, grief and stress. I have a passion for working young adult females.
(804) 681-7305 View (804) 681-7305
Photo of Felecia Wilson, LPC, CSAC, ACS, Licensed Professional Counselor
Felecia Wilson
Licensed Professional Counselor, LPC, CSAC, ACS
Verified Verified
3 Endorsed
Richmond, VA 23284
Waitlist for new clients
Do you feel stuck, unhappy or anxious, unsure about your decisions and unable to take action? Do you question who you are or the relationships around you? Do you need hope and healing? I can help. My intention is to understand your experience and work with you to develop a plan, addressing the issues you believe are important we establish what works. I have over 15 years experience in the behavioral health field working with adult, teens and families. I work one on one with individuals who are concerned about women's issues, stress, insecurities, anxiety/depression and relationships and couples addressing communication & conflict
Do you feel stuck, unhappy or anxious, unsure about your decisions and unable to take action? Do you question who you are or the relationships around you? Do you need hope and healing? I can help. My intention is to understand your experience and work with you to develop a plan, addressing the issues you believe are important we establish what works. I have over 15 years experience in the behavioral health field working with adult, teens and families. I work one on one with individuals who are concerned about women's issues, stress, insecurities, anxiety/depression and relationships and couples addressing communication & conflict
(804) 538-3779 View (804) 538-3779
Photo of Mike Keaveny, PsyD, Psychologist
Mike Keaveny
Psychologist, PsyD
Verified Verified
Richmond, VA 23219
I help people with a wide variety of issues, including depression, anxiety, relationship concerns, and trauma; however, I specialize in treating disordered eating and have experience working in all levels of care in this area.
I specializes in mindfulness and acceptance based therapies which are used to help my clients become more aware of their thoughts and emotions and to learn how to manage them in a way that creates a sense of peace and freedom. I try to balance processed based therapy with skills training in order to give space for insight development but also to teach practical tools for managing distress. With a strong emphasis on values clarification, I help clients discover what is truly meaningful in their lives and work together to find ways to make active, long lasting change.
I help people with a wide variety of issues, including depression, anxiety, relationship concerns, and trauma; however, I specialize in treating disordered eating and have experience working in all levels of care in this area.
I specializes in mindfulness and acceptance based therapies which are used to help my clients become more aware of their thoughts and emotions and to learn how to manage them in a way that creates a sense of peace and freedom. I try to balance processed based therapy with skills training in order to give space for insight development but also to teach practical tools for managing distress. With a strong emphasis on values clarification, I help clients discover what is truly meaningful in their lives and work together to find ways to make active, long lasting change.
(804) 587-8109 View (804) 587-8109
Photo of John H Weaver, LPC, LSATP, EMDR-C, CCTP, CAADC, Licensed Professional Counselor
John H Weaver
Licensed Professional Counselor, LPC, LSATP, EMDR-C, CCTP, CAADC
Verified Verified
1 Endorsed
Richmond, VA 23235
I believe that building a therapeutic relationship, rooted in trust and understanding of the issues, will allow you to develop coping skills; strengthen your resilience; and enhance your mental capacity to identify triggers and implement techniques to sustain change.
Life’s challenges may cause us to react and respond in many different ways. Our current situation may or may not be in our immediate control, but when we look at our life, long-term, it will be the decisions that we make today that set the course of the overall outcome. Experiencing depression, anxiety, grief, confusion, and frustration (to name a few) may be a part of that journey, but you do not have to go down that road alone. It's important to have a safe and confidential space to work through challenges, become more resilient, and come out on the other side with confidence and skills to manage the situations you face.
I believe that building a therapeutic relationship, rooted in trust and understanding of the issues, will allow you to develop coping skills; strengthen your resilience; and enhance your mental capacity to identify triggers and implement techniques to sustain change.
Life’s challenges may cause us to react and respond in many different ways. Our current situation may or may not be in our immediate control, but when we look at our life, long-term, it will be the decisions that we make today that set the course of the overall outcome. Experiencing depression, anxiety, grief, confusion, and frustration (to name a few) may be a part of that journey, but you do not have to go down that road alone. It's important to have a safe and confidential space to work through challenges, become more resilient, and come out on the other side with confidence and skills to manage the situations you face.
(804) 315-2893 View (804) 315-2893
Photo of Kathryn Wilder Schaaf, PhD, LCP, ABPP, Psychologist
Kathryn Wilder Schaaf
Psychologist, PhD, LCP, ABPP
Verified Verified
1 Endorsed
Richmond, VA 23226
As a Board Certified Clinical Psychologist, I work to develop collaborative, supportive relationships that facilitate the change process. It is an honor to be invited into the lives of people during vulnerable difficult times. I seek to help my clients with what matters most - living in the present, engaging in activities and relationships of value, and minimizing all that distracts. I work with individuals, couples and families and treat a wide range of presenting issues including: Relationship and Family Concerns; Stress and Life Dissatisfaction; Anxiety; Depression;Trauma; Recovery after Neurological Disorders
As a Board Certified Clinical Psychologist, I work to develop collaborative, supportive relationships that facilitate the change process. It is an honor to be invited into the lives of people during vulnerable difficult times. I seek to help my clients with what matters most - living in the present, engaging in activities and relationships of value, and minimizing all that distracts. I work with individuals, couples and families and treat a wide range of presenting issues including: Relationship and Family Concerns; Stress and Life Dissatisfaction; Anxiety; Depression;Trauma; Recovery after Neurological Disorders
(804) 375-5861 View (804) 375-5861
Photo of Adina Silvestri, EdD, LPC, Licensed Professional Counselor
Adina Silvestri
Licensed Professional Counselor, EdD, LPC
Verified Verified
1 Endorsed
Richmond, VA 23229
Hi, I'm Dr. Adina Silvestri, the founder at Life Cycles Counseling. I offer a variety of counseling services to help you achieve balance and authenticity. Services include Individual Counseling, Family Counseling, Couples Counseling, and Group Counseling. My practice style is spontaneous, creative and designed to fit your needs - which may be different each session. I have 20 years of experience helping individuals, children and families with a variety of needs, but I specialize in treating women with substance abuse issues and eating disorders. Please visit my website at www.adinasilvestri.com for more information.
Hi, I'm Dr. Adina Silvestri, the founder at Life Cycles Counseling. I offer a variety of counseling services to help you achieve balance and authenticity. Services include Individual Counseling, Family Counseling, Couples Counseling, and Group Counseling. My practice style is spontaneous, creative and designed to fit your needs - which may be different each session. I have 20 years of experience helping individuals, children and families with a variety of needs, but I specialize in treating women with substance abuse issues and eating disorders. Please visit my website at www.adinasilvestri.com for more information.
(804) 621-7126 View (804) 621-7126
Photo of Beth Montgomery, LMSW, MSW, MPH, Clinical Social Work/Therapist
Beth Montgomery
Clinical Social Work/Therapist, LMSW, MSW, MPH
Verified Verified
Richmond, VA 23221
I have experience working with mood disorders, self-harm, sexual abuse, trauma, substance abuse, relationship issues, grief, and other life challenges.
Hi, my name is Beth and thank you for visiting my page! My clinical practice focuses on individual, couples, and family therapy. Drawing from my rich life experiences. I employ a collaborative, strengths-based approach to helping clients uncover their strengths and assets that lead to healthy solutions.
I have experience working with mood disorders, self-harm, sexual abuse, trauma, substance abuse, relationship issues, grief, and other life challenges.
Hi, my name is Beth and thank you for visiting my page! My clinical practice focuses on individual, couples, and family therapy. Drawing from my rich life experiences. I employ a collaborative, strengths-based approach to helping clients uncover their strengths and assets that lead to healthy solutions.
(804) 735-1265 View (804) 735-1265
Photo of Nick Junes, LCSW, MDiv, Clinical Social Work/Therapist
Nick Junes
Clinical Social Work/Therapist, LCSW, MDiv
Verified Verified
1 Endorsed
Richmond, VA 23294
I work with career-oriented adults and couples who are seeking more enthusiasm, balance, and purpose in their lives.
You may feel overwhelmed, down, under appreciated, and stressed out, but through therapy with me we can together to get you feeling like yourself again. My goal is to help you gain insight, connect with others, embrace your life fully, and establish more peace in the present moment. My person-centered approach works well if you are in the midst of relationship difficulties, feeling anxious, or simply struggling with all that is going on in your life.
I work with career-oriented adults and couples who are seeking more enthusiasm, balance, and purpose in their lives.
You may feel overwhelmed, down, under appreciated, and stressed out, but through therapy with me we can together to get you feeling like yourself again. My goal is to help you gain insight, connect with others, embrace your life fully, and establish more peace in the present moment. My person-centered approach works well if you are in the midst of relationship difficulties, feeling anxious, or simply struggling with all that is going on in your life.
(804) 823-8935 View (804) 823-8935
Photo of Catherine Ferguson, LCSW, Clinical Social Work/Therapist
Catherine Ferguson
Clinical Social Work/Therapist, LCSW
Verified Verified
Richmond, VA 23226
I believe the relationship between therapist and client is essential to the success of our work--it is important that you have the right fit.
As a psychotherapist I work with adults (including young adults 18+) who are experiencing difficulties with relationships, anxiety, depression, work/school challenges, parenting issues, family conflicts, grief and loss, life transitions, or other problems that may get in the way of a more balanced, satisfying life. With each client, I seek to create an empathic, judgment-free space where you can explore your feelings, gain insight, and improve coping skills that can help to enhance your life and relationships. My approach is interpersonal and relational--working within a psychodynamic framework toward goals we will set together.
I believe the relationship between therapist and client is essential to the success of our work--it is important that you have the right fit.
As a psychotherapist I work with adults (including young adults 18+) who are experiencing difficulties with relationships, anxiety, depression, work/school challenges, parenting issues, family conflicts, grief and loss, life transitions, or other problems that may get in the way of a more balanced, satisfying life. With each client, I seek to create an empathic, judgment-free space where you can explore your feelings, gain insight, and improve coping skills that can help to enhance your life and relationships. My approach is interpersonal and relational--working within a psychodynamic framework toward goals we will set together.
(804) 835-6366 View (804) 835-6366
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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.