Couples Counseling Therapists in Virginia Beach City County, VA

Photo of Lisa Gibbs, Licensed Professional Counselor
Lisa Gibbs
Licensed Professional Counselor
Verified Verified
Virginia Beach, VA 23464  (Online Only)
My name is Lisa Gibbs, and my personal mission is to provide, protect, and treat others with love and respect and to positively inspire their desire to believe in self. I put an emphasis on building a positive and trusting relationship with each client by providing a safe therapeutic environment in which clients are able to process their feelings and disappointments and ultimately rebuild what is broken.
My name is Lisa Gibbs, and my personal mission is to provide, protect, and treat others with love and respect and to positively inspire their desire to believe in self. I put an emphasis on building a positive and trusting relationship with each client by providing a safe therapeutic environment in which clients are able to process their feelings and disappointments and ultimately rebuild what is broken.
(866) 738-3081 View (866) 738-3081
Photo of Kate Burleson, MSEd
Kate Burleson
Resident in Counseling, MSEd
Verified Verified
I specialize in LGBTQIA+ affirmative care and sexuality counseling, integrate principles from the Health at Every Size framework, and draw from Gottman Method Couples Therapy.
My goal is to provide a safe, collaborative space for you to explore your concerns, process life experiences, challenge unhelpful behaviors and thought patterns, and learn healthy coping skills. Together, we can work toward a life aligned with your values. I offer culturally alert, trauma-informed, and strengths-based counseling for adults, adolescents, and couples through an existential, developmental, and social justice lens. I utilize ACT, CBT, DBT, EMDR, emotion-focused therapy, and holistic approaches in creating a treatment plan personalized to your goals and have experience leading mindfulness and meditation exercises.
I specialize in LGBTQIA+ affirmative care and sexuality counseling, integrate principles from the Health at Every Size framework, and draw from Gottman Method Couples Therapy.
My goal is to provide a safe, collaborative space for you to explore your concerns, process life experiences, challenge unhelpful behaviors and thought patterns, and learn healthy coping skills. Together, we can work toward a life aligned with your values. I offer culturally alert, trauma-informed, and strengths-based counseling for adults, adolescents, and couples through an existential, developmental, and social justice lens. I utilize ACT, CBT, DBT, EMDR, emotion-focused therapy, and holistic approaches in creating a treatment plan personalized to your goals and have experience leading mindfulness and meditation exercises.
(757) 856-6151 View (757) 856-6151
Photo of Jordan Kitchens, LCSW, Clinical Social Work/Therapist
Jordan Kitchens
Clinical Social Work/Therapist, LCSW
Verified Verified
Virginia Beach, VA 23452  (Online Only)
Having a non-judgmental and experienced partner creates a supportive environment where confidence and self-esteem grow.
Does it seem like, no matter how much you try to get ahead in life, it never seems enough? Has life become a dull, task list of “things” you need to accomplish? Do you feel like you need to make changes in your life, but don’t know what direction to go? I’ve been there many times and made decisions that felt like they didn’t help, or worse, made things harder. As someone who has benefited from my own therapy, I know how crucial it is having an empathetic and caring person to walk with you as you contemplate the myriad choices to solving problems.
Having a non-judgmental and experienced partner creates a supportive environment where confidence and self-esteem grow.
Does it seem like, no matter how much you try to get ahead in life, it never seems enough? Has life become a dull, task list of “things” you need to accomplish? Do you feel like you need to make changes in your life, but don’t know what direction to go? I’ve been there many times and made decisions that felt like they didn’t help, or worse, made things harder. As someone who has benefited from my own therapy, I know how crucial it is having an empathetic and caring person to walk with you as you contemplate the myriad choices to solving problems.
(757) 982-2491 View (757) 982-2491
Photo of Ivis Dinorah Alvarez, MA, Pre-Licensed Professional
Ivis Dinorah Alvarez
Pre-Licensed Professional, MA
Verified Verified
1 Endorsed
Initially, I aim to work together to form a mutually desirable relationship and focus our counseling sessions on setting goals, which we will continue to assess throughout the counseling process.
Hi, first, thank you for visiting my page. Let me tell you about myself; I have worked in the mental health field for 25 years. I love helping people and am an excellent listener. I will treat you with love, empathy, and understanding. My special interests include children, at-risk youth, family counseling, relationship concerns, parenting concerns, women's issues, developmental transitions, adjustment disorders, depression, anxiety, spirituality, career issues, communication, intimacy, attachment, and self-esteem difficulties.
Initially, I aim to work together to form a mutually desirable relationship and focus our counseling sessions on setting goals, which we will continue to assess throughout the counseling process.
Hi, first, thank you for visiting my page. Let me tell you about myself; I have worked in the mental health field for 25 years. I love helping people and am an excellent listener. I will treat you with love, empathy, and understanding. My special interests include children, at-risk youth, family counseling, relationship concerns, parenting concerns, women's issues, developmental transitions, adjustment disorders, depression, anxiety, spirituality, career issues, communication, intimacy, attachment, and self-esteem difficulties.
(757) 210-7050 View (757) 210-7050
Photo of Beverly Morgan-Fullilove, LCSW, Clinical Social Work/Therapist
Beverly Morgan-Fullilove
Clinical Social Work/Therapist, LCSW
Verified Verified
Whether you're grappling with complex relationship dynamics or enduring cycles of anxiety and depression, I'm here to provide support and guidance every step of the way.
Hello, I'm Beverly Morgan-Fullilove, a seasoned licensed clinical social worker with more than four decades of dedicated practice. My focus is on aiding individuals who find themselves frequently overwhelmed, equipping them with distress tolerance techniques and stress management skills. Together, we'll collaboratively devise strategies tailored to help you navigate your emotional landscape effectively. Adopting a holistic approach, we'll address the interconnected needs of your mind, body, and spirit.
Whether you're grappling with complex relationship dynamics or enduring cycles of anxiety and depression, I'm here to provide support and guidance every step of the way.
Hello, I'm Beverly Morgan-Fullilove, a seasoned licensed clinical social worker with more than four decades of dedicated practice. My focus is on aiding individuals who find themselves frequently overwhelmed, equipping them with distress tolerance techniques and stress management skills. Together, we'll collaboratively devise strategies tailored to help you navigate your emotional landscape effectively. Adopting a holistic approach, we'll address the interconnected needs of your mind, body, and spirit.
(757) 330-4560 View (757) 330-4560
Photo of Christopher Wallace, Licensed Professional Counselor
Christopher Wallace
Licensed Professional Counselor
Verified Verified
Virginia Beach, VA 23464  (Online Only)
Hello, I'm a Licensed Clinical Social Worker with over 12 years of clinical experience in helping client's achieve their therapeutic goals. My specialties include, but are not limited to: Depression, Anxiety Disorders, Trauma, Mood Disorders, Marriage/ Relationship Issues, Interpersonal Dynamics, Grief & Loss, Anger Management, Conflict Resolution, Personality Disorders and Obsessive Compulsive Disorder. I believe that empathy, respect, and compassion are the cornerstones of the helping process and therapeutic relationship. I am passionate about helping others and I am committed to assisting you in meeting your treatment goals.
Hello, I'm a Licensed Clinical Social Worker with over 12 years of clinical experience in helping client's achieve their therapeutic goals. My specialties include, but are not limited to: Depression, Anxiety Disorders, Trauma, Mood Disorders, Marriage/ Relationship Issues, Interpersonal Dynamics, Grief & Loss, Anger Management, Conflict Resolution, Personality Disorders and Obsessive Compulsive Disorder. I believe that empathy, respect, and compassion are the cornerstones of the helping process and therapeutic relationship. I am passionate about helping others and I am committed to assisting you in meeting your treatment goals.
(757) 703-3090 View (757) 703-3090
Photo of Darlene Anderson, Licensed Professional Counselor
Darlene Anderson
Licensed Professional Counselor
Verified Verified
Virginia Beach, VA 23464  (Online Only)
Taking the steps to improve one's life and/or relationship requires courage, change, and commitment.
I am a licensed professional counselor in the state of Virginia, a licensed clinical mental health counselor in the state of North Carolina, and a nationally recognized board certified counselor. I have over 30 years of experience working with teens, adults, couples, and families in various settings such as community mental health facilities, schools, hospitals, detention centers, and private practice. I graduated with a bachelors degree from Purdue University, West Lafayette, Indiana, a masters degree in counseling from the University of the District of Columbia, and a doctorate degree in social work from Morgan State University in
Taking the steps to improve one's life and/or relationship requires courage, change, and commitment.
I am a licensed professional counselor in the state of Virginia, a licensed clinical mental health counselor in the state of North Carolina, and a nationally recognized board certified counselor. I have over 30 years of experience working with teens, adults, couples, and families in various settings such as community mental health facilities, schools, hospitals, detention centers, and private practice. I graduated with a bachelors degree from Purdue University, West Lafayette, Indiana, a masters degree in counseling from the University of the District of Columbia, and a doctorate degree in social work from Morgan State University in
(757) 517-8406 View (757) 517-8406
Photo of Jeff Whitfield, MA, LPC, Licensed Professional Counselor
Jeff Whitfield
Licensed Professional Counselor, MA, LPC
Verified Verified
I really enjoy working with individuals and couples to help you gain true, healthy intimacy in your most important relationships.
I have been a counselor and life coach for over 30 years with a wide range of experience. I work with adults, adolescents, and families within the full gamut of counseling issues, ranging from relational issues to drug and alcohol addiction to symptom management. I have a Master of Arts degree in Marriage and Family Counseling along with a minor in biblical theology. I have lived and worked in Texas, Virginia, and North Carolina, as well as England and Ireland. While I do have a Christian worldview and values that will be sprinkled into conversation, I welcome all comers and will meet you where you are.
I really enjoy working with individuals and couples to help you gain true, healthy intimacy in your most important relationships.
I have been a counselor and life coach for over 30 years with a wide range of experience. I work with adults, adolescents, and families within the full gamut of counseling issues, ranging from relational issues to drug and alcohol addiction to symptom management. I have a Master of Arts degree in Marriage and Family Counseling along with a minor in biblical theology. I have lived and worked in Texas, Virginia, and North Carolina, as well as England and Ireland. While I do have a Christian worldview and values that will be sprinkled into conversation, I welcome all comers and will meet you where you are.
(757) 863-2879 View (757) 863-2879
Photo of Tyrone Obaseki, MDiv, MA, LPC-S, LCDC, Licensed Professional Counselor
Tyrone Obaseki
Licensed Professional Counselor, MDiv, MA, LPC-S, LCDC
Verified Verified
Welcome to Transformative Counseling & Wellness Solutions! We believe in renewing the mind and dealing with the total person! Healing starts with being transparent, and opening up about your life’s journey to your therapist, who responds with compassion, empathy, and wisdom. Our therapeutic relationship can be the building block and the catalyst towards your new life! We provide affordable counseling, traditional & wellness services. If you want to journey beyond life's obstacles, don't hesitate to call. Together we will navigate your path towards freedom, success, and happiness.
Welcome to Transformative Counseling & Wellness Solutions! We believe in renewing the mind and dealing with the total person! Healing starts with being transparent, and opening up about your life’s journey to your therapist, who responds with compassion, empathy, and wisdom. Our therapeutic relationship can be the building block and the catalyst towards your new life! We provide affordable counseling, traditional & wellness services. If you want to journey beyond life's obstacles, don't hesitate to call. Together we will navigate your path towards freedom, success, and happiness.
(757) 982-2542 View (757) 982-2542
Photo of Jane Lujan, LPC, CCTP, Licensed Professional Counselor
Jane Lujan
Licensed Professional Counselor, LPC, CCTP
Verified Verified
5 Endorsed
My focal areas of therapy are Neurofeedback, Eye Movement Desensitization and Reprocessing - EMDR, and Trauma. I seek to help those who are struggling with personal, family, school, or work conflicts. As a proud Army veteran with over twenty years of experience, I have worked with diverse populations and complex issues. Whether you suffer from traumatic experience(s), abuse, or any number of battles that have left you feeling anxious, angry, ashamed, depressed, or with sleep issues, let me walk alongside you and build a therapeutic relationship.
My focal areas of therapy are Neurofeedback, Eye Movement Desensitization and Reprocessing - EMDR, and Trauma. I seek to help those who are struggling with personal, family, school, or work conflicts. As a proud Army veteran with over twenty years of experience, I have worked with diverse populations and complex issues. Whether you suffer from traumatic experience(s), abuse, or any number of battles that have left you feeling anxious, angry, ashamed, depressed, or with sleep issues, let me walk alongside you and build a therapeutic relationship.
(757) 267-4653 View (757) 267-4653
Photo of Lauren Malpass, MSEd
Lauren Malpass
Resident in Counseling, MSEd
Verified Verified
Whether you're grappling with past traumas, navigating relationship concerns, or seeking to overcome life’s many challenges, I'm here to walk alongside you every step of the way.
Hello! I’m Lauren Malpass, a dedicated resident counselor committed to tailoring counseling services to suit your unique needs. Whether you're an individual, a couple, or a family, I provide empathetic and compassionate therapy across all age groups right here in Hampton Roads, VA. I draw from a range of therapeutic approaches including person-centered, attachment theory, and family systems theory.
Whether you're grappling with past traumas, navigating relationship concerns, or seeking to overcome life’s many challenges, I'm here to walk alongside you every step of the way.
Hello! I’m Lauren Malpass, a dedicated resident counselor committed to tailoring counseling services to suit your unique needs. Whether you're an individual, a couple, or a family, I provide empathetic and compassionate therapy across all age groups right here in Hampton Roads, VA. I draw from a range of therapeutic approaches including person-centered, attachment theory, and family systems theory.
(757) 801-2425 View (757) 801-2425
Photo of Stephanie Arnold, Pre-Licensed Professional
Stephanie Arnold
Pre-Licensed Professional
Verified Verified
3 Endorsed
Waitlist for new clients
I believe that a therapeutic relationship of mutual respect is key to fostering a space for growth where you will feel heard, accepted, and valued.
I believe you are capable of meaningful change and growth in your life. You don't have to figure it all out by yourself. My practice is focused on helping people understand and live a life that is in alignment with their values, learn how to trust themselves, and ultimately thrive even amongst difficult circumstances throughout their life. I help people overcome struggles with anxiety, body image and disordered eating, self-esteem, and perfectionism. Together we will challenge and reframe negative beliefs, address unhelpful thought patterns, and ultimately move you towards a life of empowerment and greater alignment with your goals.
I believe that a therapeutic relationship of mutual respect is key to fostering a space for growth where you will feel heard, accepted, and valued.
I believe you are capable of meaningful change and growth in your life. You don't have to figure it all out by yourself. My practice is focused on helping people understand and live a life that is in alignment with their values, learn how to trust themselves, and ultimately thrive even amongst difficult circumstances throughout their life. I help people overcome struggles with anxiety, body image and disordered eating, self-esteem, and perfectionism. Together we will challenge and reframe negative beliefs, address unhelpful thought patterns, and ultimately move you towards a life of empowerment and greater alignment with your goals.
(757) 780-1432 View (757) 780-1432
Photo of Gary Rotfus, LCSW, Clinical Social Work/Therapist
Gary Rotfus
Clinical Social Work/Therapist, LCSW
Verified Verified
I am a Licensed Clinical Social Worker and operate an independent outpatient practice centrally located in Virginia Beach, Va. With over 25 years of experience, I have an appreciation for how difficult it can be to get started in therapy, as well as the potential for change that individuals and families possess. My orientation is focused on seeing an individual within the context of family, work, and community. I emphasize problem solving as well promotion of a healthy lifestyle to enhance emotional health. I work with individuals, families, and couples dealing with conflicts at home or at the workplace.
I am a Licensed Clinical Social Worker and operate an independent outpatient practice centrally located in Virginia Beach, Va. With over 25 years of experience, I have an appreciation for how difficult it can be to get started in therapy, as well as the potential for change that individuals and families possess. My orientation is focused on seeing an individual within the context of family, work, and community. I emphasize problem solving as well promotion of a healthy lifestyle to enhance emotional health. I work with individuals, families, and couples dealing with conflicts at home or at the workplace.
(757) 414-7903 View (757) 414-7903
Photo of John McAnulty, LPC, Licensed Professional Counselor
John McAnulty
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Virginia Beach, VA 23454  (Online Only)
My goal is to establish a warm and caring relationship with you, helping to build on your strengths and collaborate effectively to meet your goals and live the meaningful life you value and desire.
I’m John McAnulty, a Licensed Professional Counselor (LPC), Nationally Certified Counselor (NCC), Internationally Certified Alcohol/Drug Counselor (ICADC), and a Certified Grief Recovery Specialist (CGRS) in Virginia. With 20 years of experience, I partner with adults and couples seeking help with depression, anxiety, life transitions, men’s and women’s issues, grief, loss, bereavement, relationship challenges, and issues specific to healthcare professionals.
My goal is to establish a warm and caring relationship with you, helping to build on your strengths and collaborate effectively to meet your goals and live the meaningful life you value and desire.
I’m John McAnulty, a Licensed Professional Counselor (LPC), Nationally Certified Counselor (NCC), Internationally Certified Alcohol/Drug Counselor (ICADC), and a Certified Grief Recovery Specialist (CGRS) in Virginia. With 20 years of experience, I partner with adults and couples seeking help with depression, anxiety, life transitions, men’s and women’s issues, grief, loss, bereavement, relationship challenges, and issues specific to healthcare professionals.
(757) 571-8319 View (757) 571-8319
Photo of Anita Bailey - Heart and Soul Child and Family Services,PLLC, LPC, Licensed Professional Counselor
Heart and Soul Child and Family Services,PLLC
Licensed Professional Counselor, LPC
Verified Verified
Heart and Soul-Child and Family Services works with the effects of depression, anxiety, trauma, low self esteem, relationship issues, life stressors or the overwhelming feelings that come with your child's behavior? We work with you or your children to address behavioral and mental health concerns.
Heart and Soul-Child and Family Services works with the effects of depression, anxiety, trauma, low self esteem, relationship issues, life stressors or the overwhelming feelings that come with your child's behavior? We work with you or your children to address behavioral and mental health concerns.
(757) 210-7432 View (757) 210-7432
Photo of Derrick Paramore, MA, Pre-Licensed Professional
Derrick Paramore
Pre-Licensed Professional, MA
Verified Verified
1 Endorsed
I am Derrick Paramore and serve children, adolescents, and adults who struggle with challenges of self-esteem, depression, anxiety, anger management, adjustments, and relationship issues. I take a different approach in helping individuals and believe that wellness such as nutrition and exercise complimented by therapy helps improve mental health. Utilizing approaches of Person-Centered, Cognitive-Behavioral, Solution-Focused, Motivational Interviewing, EMDR, REBT, and Play Therapy allow individuals to think about their actions, reduce negative thoughts, and improve the renewing of their mind.
I am Derrick Paramore and serve children, adolescents, and adults who struggle with challenges of self-esteem, depression, anxiety, anger management, adjustments, and relationship issues. I take a different approach in helping individuals and believe that wellness such as nutrition and exercise complimented by therapy helps improve mental health. Utilizing approaches of Person-Centered, Cognitive-Behavioral, Solution-Focused, Motivational Interviewing, EMDR, REBT, and Play Therapy allow individuals to think about their actions, reduce negative thoughts, and improve the renewing of their mind.
(757) 210-6457 View (757) 210-6457
Photo of Patty Smith, LPC, LMFT, CSAT, CAC, Marriage & Family Therapist
Patty Smith
Marriage & Family Therapist, LPC, LMFT, CSAT, CAC
Verified Verified
1 Endorsed
I have been working as a therapist for 40 years and have been in private practice for 18 years. I treat adults with a wide range of mental health problems, to include mood disorders, anxiety, addiction, couples therapy, and PTSD. My training has been in specific treatment methods such as EMDR, hypnosis, cognitive behavioral therapy, and psychodrama. My credentials are: Licensed Professional Therapist, Licensed Marriage and Family Therapist, Certified Sex Addiction Therapist, and Certified Substance Abuse Counselor. I believe my most effective therapy tool is relationship building.
I have been working as a therapist for 40 years and have been in private practice for 18 years. I treat adults with a wide range of mental health problems, to include mood disorders, anxiety, addiction, couples therapy, and PTSD. My training has been in specific treatment methods such as EMDR, hypnosis, cognitive behavioral therapy, and psychodrama. My credentials are: Licensed Professional Therapist, Licensed Marriage and Family Therapist, Certified Sex Addiction Therapist, and Certified Substance Abuse Counselor. I believe my most effective therapy tool is relationship building.
(757) 982-8458 View (757) 982-8458
Photo of Tasha Combs, MSW, Pre-Licensed Professional
Tasha Combs
Pre-Licensed Professional, MSW
Verified Verified
Life can be tough, but so are you. Let's work together to overcome any obstacle that you may be battling. Together in a safe and welcoming environment we can work on discovering solutions to your challenges while enjoying the journey of healing. Seeking therapy takes a lot of strength and it is something to be proud of. As a therapist, I will partner with you to turn your life toward your desired direction. Regardless if you are suffering from trauma, grief, life's stressors, relationship conflict, depression, or anxiety, I will work with you to thrive and live a meaningful life to your fullest potential.
Life can be tough, but so are you. Let's work together to overcome any obstacle that you may be battling. Together in a safe and welcoming environment we can work on discovering solutions to your challenges while enjoying the journey of healing. Seeking therapy takes a lot of strength and it is something to be proud of. As a therapist, I will partner with you to turn your life toward your desired direction. Regardless if you are suffering from trauma, grief, life's stressors, relationship conflict, depression, or anxiety, I will work with you to thrive and live a meaningful life to your fullest potential.
(757) 654-4846 View (757) 654-4846
Photo of Scott Debb, EdD, MA, LPC, Licensed Professional Counselor
Scott Debb
Licensed Professional Counselor, EdD, MA, LPC
Verified Verified
Virginia Beach, VA 23456  (Online Only)
I am an Adlerian counselor, helping people better understand the connections between their thoughts, feelings, behaviors, and motivations using a person-centered approach that is both positively oriented and realistic. I tend to work mostly with people experiencing symptoms of depression, anxiety, and addiction, which often shows up as frustration, anger, isolation, low self-esteem, relationship difficulties, and overall loss of pleasure in life. I am also available to provide clinical supervision for students in LPC residency.
I am an Adlerian counselor, helping people better understand the connections between their thoughts, feelings, behaviors, and motivations using a person-centered approach that is both positively oriented and realistic. I tend to work mostly with people experiencing symptoms of depression, anxiety, and addiction, which often shows up as frustration, anger, isolation, low self-esteem, relationship difficulties, and overall loss of pleasure in life. I am also available to provide clinical supervision for students in LPC residency.
(757) 330-4378 View (757) 330-4378
Photo of Richard Michael Swaine - Providence Counseling, MA, LPC, Counselor
Providence Counseling
Counselor, MA, LPC
Verified Verified
Virginia Beach, VA 23454  (Online Only)
I have been a licensed professional counselor for over a decade, working with adolescents and adults in both inpatient and outpatient settings. I work with clients dealing with anxiety, depression, trauma recovery, mood disorders, relationship issues, and codependency. I focus on cognitive behavioral therapy and solution-focused therapy to develop coping skills to help you move successfully to a full and happy life. I can help you develop mindfulness practices and tools to enhance your recovery.
I have been a licensed professional counselor for over a decade, working with adolescents and adults in both inpatient and outpatient settings. I work with clients dealing with anxiety, depression, trauma recovery, mood disorders, relationship issues, and codependency. I focus on cognitive behavioral therapy and solution-focused therapy to develop coping skills to help you move successfully to a full and happy life. I can help you develop mindfulness practices and tools to enhance your recovery.
(757) 300-0859 View (757) 300-0859
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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.