Couples Counseling Therapists in Phoenix, AZ

Photo of Don Gudeman, MABC, CFTP, Pre-Licensed Professional
Don Gudeman
Pre-Licensed Professional, MABC, CFTP
Verified Verified
Phoenix, AZ 85029
Most of Don's clients are people who identify as Christians who are struggling with relationship issues, life transitions, or addictions while some of them may seek only spiritual guidance and practical application. They are generally seeking someone who is extremely knowledgeable, well educated, and experienced. These are generally people who are looking for someone they can trust and confide in without the fear of being judged. They usually want help navigating life in order to experience personal healing and growth without compromising their values.
Most of Don's clients are people who identify as Christians who are struggling with relationship issues, life transitions, or addictions while some of them may seek only spiritual guidance and practical application. They are generally seeking someone who is extremely knowledgeable, well educated, and experienced. These are generally people who are looking for someone they can trust and confide in without the fear of being judged. They usually want help navigating life in order to experience personal healing and growth without compromising their values.
(602) 833-5139 View (602) 833-5139
Photo of Mysti VanAken Rainwater, MA, LPC-S, Licensed Professional Counselor
Mysti VanAken Rainwater
Licensed Professional Counselor, MA, LPC-S
Verified Verified
2 Endorsed
Phoenix, AZ 85044
My clients get to experience a judgement free zone to discuss all the hard things... all the things partners argue about... sex, money, parenting, division of the workload and substance use... to name a few! I specialize in working with couples using a progressive approach and incorporating the Enneagram, MBTI and Love Languages to help couples and families find their way back to a kind, respectful, loving, healthy relationship. If you are struggling in your relationships, let's talk!
My clients get to experience a judgement free zone to discuss all the hard things... all the things partners argue about... sex, money, parenting, division of the workload and substance use... to name a few! I specialize in working with couples using a progressive approach and incorporating the Enneagram, MBTI and Love Languages to help couples and families find their way back to a kind, respectful, loving, healthy relationship. If you are struggling in your relationships, let's talk!
(520) 253-7654 View (520) 253-7654
Photo of Nicole Crist, LMSW, Clinical Social Work/Therapist
Nicole Crist
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Phoenix, AZ 85013
I specialize in supporting couples and individuals on their journey of healing from trauma, navigating challenges related to ADHD, personality dynamics, and complex relationships. I'm passionate about helping couples and individuals to discover their authentic selves and live a life in alignment with their core values. If you're grappling with emotional uncertainty or finding it difficult to connect with your feelings, or are constantly running into the same patterns and challenges, therapy offers a transformative path forward.
I specialize in supporting couples and individuals on their journey of healing from trauma, navigating challenges related to ADHD, personality dynamics, and complex relationships. I'm passionate about helping couples and individuals to discover their authentic selves and live a life in alignment with their core values. If you're grappling with emotional uncertainty or finding it difficult to connect with your feelings, or are constantly running into the same patterns and challenges, therapy offers a transformative path forward.
(602) 932-2762 View (602) 932-2762
Photo of Kris Keul, MA, LAC, Counselor
Kris Keul
Counselor, MA, LAC
Verified Verified
3 Endorsed
Phoenix, AZ 85018
Importantly, there is one crucial relationship that has a direct bearing on your mental health, and that is your relationship with yourself.
In over ten years of practice, I've noticed many people seek therapy for a few main reasons: A breakdown of trust and communication in intimate relationships; One's past experiences are negatively affecting present reality; Loneliness and disconnection; and a need for a sense of purpose. Of course, there are others, but the reasons I mention show up often. I attribute much of the distress I see in others to self-worth issues. Generally, worthiness is neither modeled nor nurtured in our culture.
Importantly, there is one crucial relationship that has a direct bearing on your mental health, and that is your relationship with yourself.
In over ten years of practice, I've noticed many people seek therapy for a few main reasons: A breakdown of trust and communication in intimate relationships; One's past experiences are negatively affecting present reality; Loneliness and disconnection; and a need for a sense of purpose. Of course, there are others, but the reasons I mention show up often. I attribute much of the distress I see in others to self-worth issues. Generally, worthiness is neither modeled nor nurtured in our culture.
(480) 800-0320 View (480) 800-0320
Photo of Courtney Denevi, BCBA, LBA, LMSW, Clinical Social Work/Therapist
Courtney Denevi
Clinical Social Work/Therapist, BCBA, LBA, LMSW
Verified Verified
1 Endorsed
Phoenix, AZ 85004
Empowering your mental health journey with an evidenced based approach. Are you seeking services for yourself, child, your relationship, or maybe a family member? Want to focus on increasing motivation, creativity, self esteem, confidence, or organizational skills? Then I’m your gal. With a diverse range of expertise, I specialize in Play therapy, behavioral therapy, art expression, Cognitive Behavioral Therapy (CBT), Solution focused therapy, Positive Psychology, and mindfulness techniques.
Empowering your mental health journey with an evidenced based approach. Are you seeking services for yourself, child, your relationship, or maybe a family member? Want to focus on increasing motivation, creativity, self esteem, confidence, or organizational skills? Then I’m your gal. With a diverse range of expertise, I specialize in Play therapy, behavioral therapy, art expression, Cognitive Behavioral Therapy (CBT), Solution focused therapy, Positive Psychology, and mindfulness techniques.
(602) 860-6647 View (602) 860-6647
Photo of Nick Caruso, LCSW, Clinical Social Work/Therapist
Nick Caruso
Clinical Social Work/Therapist, LCSW
Verified Verified
Phoenix, AZ 85012  (Online Only)
I am a licensed clinical social worker and a retired professor from Arizona State University where I taught counseling skills to graduate students for 23 years. I have provided counseling services to individuals, groups, couples and families for over 30 years. Throughout my journey some of my greatest inspiration and insights have come through my relationship with my wife and soul mate of over 40 years and our 3 now adult amazing children.To read more on my practice and experience please visit my web site at https:carusocounseling.wordpress.com which also contains my email address should you have further questions.
I am a licensed clinical social worker and a retired professor from Arizona State University where I taught counseling skills to graduate students for 23 years. I have provided counseling services to individuals, groups, couples and families for over 30 years. Throughout my journey some of my greatest inspiration and insights have come through my relationship with my wife and soul mate of over 40 years and our 3 now adult amazing children.To read more on my practice and experience please visit my web site at https:carusocounseling.wordpress.com which also contains my email address should you have further questions.
(623) 288-5427 View (623) 288-5427
Photo of Laura Taylor Greenwood, LCSW, MSW, Clinical Social Work/Therapist
Laura Taylor Greenwood
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
1 Endorsed
Phoenix, AZ 85018
Waitlist for new clients
**Unable to take new clients at this time. I have been practicing as a Licensed Clinical Social Worker since 2003. After high school I attended Chapman University and earned my Bachelor's in Psychology. Immediately after I went on to achieve my Master's in Social Work at the University of Southern California. Earlier experience centered around high-risk children, teens and families, as well as the seriously mentally ill (SMI) population. Since founding ACC in 2004, I have expanded my focus and training to work with youth, young adults, couples and families dealing with a myriad of mental health challenges and life transitions.
**Unable to take new clients at this time. I have been practicing as a Licensed Clinical Social Worker since 2003. After high school I attended Chapman University and earned my Bachelor's in Psychology. Immediately after I went on to achieve my Master's in Social Work at the University of Southern California. Earlier experience centered around high-risk children, teens and families, as well as the seriously mentally ill (SMI) population. Since founding ACC in 2004, I have expanded my focus and training to work with youth, young adults, couples and families dealing with a myriad of mental health challenges and life transitions.
(602) 900-9569 View (602) 900-9569
Photo of Na Palazza, MS , LPC, Licensed Professional Counselor
Na Palazza
Licensed Professional Counselor, MS , LPC
Verified Verified
Phoenix, AZ 85044
I have worked with clients of all demographics and have experience with intimacy issues, life transitions, couples counseling, co-dependency, women’s issues, PTSD, anxiety as well as struggles with shame and relational connection.
Life can be stressful and I believe we are designed to cope with things together not alone. Counseling can help navigate some of the many transitions we face on our journey. I love what I do and believe that together we can develop a strategy and treatment plan that is strength based to achieve your future goals!
I have worked with clients of all demographics and have experience with intimacy issues, life transitions, couples counseling, co-dependency, women’s issues, PTSD, anxiety as well as struggles with shame and relational connection.
Life can be stressful and I believe we are designed to cope with things together not alone. Counseling can help navigate some of the many transitions we face on our journey. I love what I do and believe that together we can develop a strategy and treatment plan that is strength based to achieve your future goals!
(520) 523-7678 View (520) 523-7678
Photo of Britt Brennan, MA, LMFT, Marriage & Family Therapist
Britt Brennan
Marriage & Family Therapist, MA, LMFT
Verified Verified
Phoenix, AZ 85044
I am a licensed Marriage and Family Therapist. I work with Individuals, Couples and Families; specializing in Marital/Couple and Family Therapy. I have post graduate training in Emotionally Focused Couple Therapy. I bring a genuine compassion and understanding to the therapeutic process that I believe supports optimal healing and growth. In addition to various relationship challenges and struggles, my clinical focus also includes working with: Separation/ Divorce/ Divorce Reaction within the individual/couple/family, Parenting/Co-parenting Issues, Blended Family Issues, Parent/Child Relationships, Children & Adolescents, Anxiety & Depression, and Self Esteem Issues.
I am a licensed Marriage and Family Therapist. I work with Individuals, Couples and Families; specializing in Marital/Couple and Family Therapy. I have post graduate training in Emotionally Focused Couple Therapy. I bring a genuine compassion and understanding to the therapeutic process that I believe supports optimal healing and growth. In addition to various relationship challenges and struggles, my clinical focus also includes working with: Separation/ Divorce/ Divorce Reaction within the individual/couple/family, Parenting/Co-parenting Issues, Blended Family Issues, Parent/Child Relationships, Children & Adolescents, Anxiety & Depression, and Self Esteem Issues.
(480) 269-9739 View (480) 269-9739
Photo of Katrina S Harrell, MS, LPC, Licensed Professional Counselor
Katrina S Harrell
Licensed Professional Counselor, MS, LPC
Verified Verified
4 Endorsed
Phoenix, AZ 85051
Waitlist for new clients
My goal at Wholeness 2 Peace Care Services is to offer a holistic approach that will help individuals, children, families and couples develop a purpose filled life.
Life happens. For some individuals there have been experiences that have changed your perspective and caused you to feel stuck, overwhelmed, even hopeless. I have experience working with children, teens, adults, families and couples. My specialty is helping clients learn to self-regulate emotions. I have extensive experience working with individuals and children who have experienced trauma, anxiety, depression, children that are bullied, struggle with self-esteem, live in high stress homes, are coping with a divorce or separation of parents or grief and loss.
My goal at Wholeness 2 Peace Care Services is to offer a holistic approach that will help individuals, children, families and couples develop a purpose filled life.
Life happens. For some individuals there have been experiences that have changed your perspective and caused you to feel stuck, overwhelmed, even hopeless. I have experience working with children, teens, adults, families and couples. My specialty is helping clients learn to self-regulate emotions. I have extensive experience working with individuals and children who have experienced trauma, anxiety, depression, children that are bullied, struggle with self-esteem, live in high stress homes, are coping with a divorce or separation of parents or grief and loss.
(623) 321-2937 View (623) 321-2937
Photo of Dr. Karen Ruskin, PsyD, LMFT, Marriage & Family Therapist
Dr. Karen Ruskin
Marriage & Family Therapist, PsyD, LMFT
Verified Verified
Phoenix, AZ 85028
As a Psychotherapist, LMFT, life/relationship/family/job coach, consultant, I'm compassionate & multidisciplinary using the best fit therapy style based on the unique needs of each client: CBT, IFS, solutions, mind-body connection, strategies/action steps, meditation, mindfulness, holistic, family systems, insight, narrative, direct, empowerment & more.
YOU deserve the best! Couple crisis (infidelity, intimacy, sexual, traditional, non-traditional, LS, conflict, communication, trust, deciding-stay or go, parenting, infertility)? As an expert in relational health, I offer a safe space to provide you with the solution-focused help you deserve. Marriage saving? Dating? Divorced? Be your best self? Men's or Women's issues? Young adult? Youth? Stress related body ailments? Anxiety? Trauma? Grief/Loss? Stuck? Hi, I'm Dr. Karen & I get it! I'm a nationally renowned leader in mental and relational wellness providing individual, couple & family counseling for ANY challenge & TV contributor.
As a Psychotherapist, LMFT, life/relationship/family/job coach, consultant, I'm compassionate & multidisciplinary using the best fit therapy style based on the unique needs of each client: CBT, IFS, solutions, mind-body connection, strategies/action steps, meditation, mindfulness, holistic, family systems, insight, narrative, direct, empowerment & more.
YOU deserve the best! Couple crisis (infidelity, intimacy, sexual, traditional, non-traditional, LS, conflict, communication, trust, deciding-stay or go, parenting, infertility)? As an expert in relational health, I offer a safe space to provide you with the solution-focused help you deserve. Marriage saving? Dating? Divorced? Be your best self? Men's or Women's issues? Young adult? Youth? Stress related body ailments? Anxiety? Trauma? Grief/Loss? Stuck? Hi, I'm Dr. Karen & I get it! I'm a nationally renowned leader in mental and relational wellness providing individual, couple & family counseling for ANY challenge & TV contributor.
(781) 241-7837 View (781) 241-7837
Photo of Mike Rehm, MA, LPC, Licensed Professional Counselor
Mike Rehm
Licensed Professional Counselor, MA, LPC
Verified Verified
Phoenix, AZ 85018
I am privileged to meet with individuals/couples who are impacted by less-than-nurturing relationships and environments leading to challenges in relating to self and others. Expertise: working with couples, trauma and abuse. Training includes EFT (emotionally focused therapy for couples) and EMDR (eye movement desensitization and reprocessing).
I am privileged to meet with individuals/couples who are impacted by less-than-nurturing relationships and environments leading to challenges in relating to self and others. Expertise: working with couples, trauma and abuse. Training includes EFT (emotionally focused therapy for couples) and EMDR (eye movement desensitization and reprocessing).
(602) 483-6292 View (602) 483-6292
Photo of Candy Blomgren, MS, LPC, Licensed Professional Counselor
Candy Blomgren
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Phoenix, AZ 85028
Accepting new clients! Evening and weekend availability! As we mature and enter new stages of life, unique challenges may arise, and we may need specific, relatable guidance from someone with lived experience. I have a passion for working with adults who may be struggling with various life transitions, shifts in mood, or relationship issues. If you feel that life has become overwhelming, or you’re having difficulty adjusting to life’s many changes, or you’re experiencing depression and anxiety with trying to manage it all, I can help!
Accepting new clients! Evening and weekend availability! As we mature and enter new stages of life, unique challenges may arise, and we may need specific, relatable guidance from someone with lived experience. I have a passion for working with adults who may be struggling with various life transitions, shifts in mood, or relationship issues. If you feel that life has become overwhelming, or you’re having difficulty adjusting to life’s many changes, or you’re experiencing depression and anxiety with trying to manage it all, I can help!
(602) 878-4597 View (602) 878-4597
Photo of Diana E Edwards, PhD, Psychologist
Diana E Edwards
Psychologist, PhD
Verified Verified
Phoenix, AZ 85016  (Online Only)
Telepsychology. EMDR Certified. CBT Skilled. I have 30+ years experience in helping individuals and couples achieve goals, overcome stress and lead happier lives. I will provide a free 10-minute phone consultation to help you determine whether or not we are a good fit. I build on your basic strengths while providing tools so you can achieve your goals. I team up with you to get results, short-term to mid-range in time, while quickly getting to the root causes. My approach is gentle but direct including laughter where appropriate, looking at the whole person: physically, emotionally, intellectually and spiritually.
Telepsychology. EMDR Certified. CBT Skilled. I have 30+ years experience in helping individuals and couples achieve goals, overcome stress and lead happier lives. I will provide a free 10-minute phone consultation to help you determine whether or not we are a good fit. I build on your basic strengths while providing tools so you can achieve your goals. I team up with you to get results, short-term to mid-range in time, while quickly getting to the root causes. My approach is gentle but direct including laughter where appropriate, looking at the whole person: physically, emotionally, intellectually and spiritually.
(602) 892-1380 View (602) 892-1380
Photo of Lilian Borges - Lilian Borges PLLC, MA, LPC, Counselor
Lilian Borges PLLC
Counselor, MA, LPC
Verified Verified
Phoenix, AZ 85016
I offer PACT, Psychobiological Approach to Couples Therapy, Level 3 for couples issues, specially cross-cultural marriages.
After 30 years of experience doing therapy in the US and other countries, I have several tools in my toolbox. I use a variety of approaches and techniques such as hypnosis, cognitive therapy, PACT, emotionally focused therapy, mindfulness, among others. I have been very interested in how to help couples to have better relationships: how their past affect their relationship and how they can let go of their past and create the life, and relationship they want for themselves.
I offer PACT, Psychobiological Approach to Couples Therapy, Level 3 for couples issues, specially cross-cultural marriages.
After 30 years of experience doing therapy in the US and other countries, I have several tools in my toolbox. I use a variety of approaches and techniques such as hypnosis, cognitive therapy, PACT, emotionally focused therapy, mindfulness, among others. I have been very interested in how to help couples to have better relationships: how their past affect their relationship and how they can let go of their past and create the life, and relationship they want for themselves.
(480) 409-2407 View (480) 409-2407
Photo of Nancy Flanagan, LCSW, Clinical Social Work/Therapist
Nancy Flanagan
Clinical Social Work/Therapist, LCSW
Verified Verified
Phoenix, AZ 85012  (Online Only)
Hello, my name is Nancy Christine Flanagan. I’ve practiced as a therapist in Arizona since 2010. I use a client centered approach and several therapy models, depending on your needs. I create a safe, accepting, and trusting relationship with my clients to help them heal, grow, and find happiness within. I also believe that the answers are within and therapy can help you to uncover them.
Hello, my name is Nancy Christine Flanagan. I’ve practiced as a therapist in Arizona since 2010. I use a client centered approach and several therapy models, depending on your needs. I create a safe, accepting, and trusting relationship with my clients to help them heal, grow, and find happiness within. I also believe that the answers are within and therapy can help you to uncover them.
(623) 304-4986 View (623) 304-4986
Photo of Alexis Faison, MC, LAC, NCC, Counselor
Alexis Faison
Counselor, MC, LAC, NCC
Verified Verified
Phoenix, AZ 85003  (Online Only)
 I am passionate about serving diverse populations and focusing on the therapeutic relationship while providing telehealth services.
Welcome! My name is Alexis Faison, and I would love to support you through this season of your life. Are you seeking support as you navigate daily life stressors? Are you ready to change and transform your life? Do you desire to live more authentically? Are you interested in developing coping skills to manage stress/anxiety/depression? If any of this resonates, you’ve come to the right place.
 I am passionate about serving diverse populations and focusing on the therapeutic relationship while providing telehealth services.
Welcome! My name is Alexis Faison, and I would love to support you through this season of your life. Are you seeking support as you navigate daily life stressors? Are you ready to change and transform your life? Do you desire to live more authentically? Are you interested in developing coping skills to manage stress/anxiety/depression? If any of this resonates, you’ve come to the right place.
(520) 412-2631 View (520) 412-2631
Photo of Jeremy Scataglini, MAS, LAMFT, Marriage & Family Therapist Associate
Jeremy Scataglini
Marriage & Family Therapist Associate, MAS, LAMFT
Verified Verified
3 Endorsed
Phoenix, AZ 85013
Weekend/evening appointments available. So much pain and stress many of us deal with daily stems from disconnection in relationships with our partner, family, or even the relationship to ourselves. I work with clients from all walks of life, with an emphasis on couples and individuals who are experiencing feelings of rejection, shame, and worthlessness in relationships. If you feel that being yourself is never good enough, if you are struggling to express your needs, beliefs, or feelings, or if there’s a relationship issue you can't seem to resolve, I want to work with you to achieve a lasting sense of relief.
Weekend/evening appointments available. So much pain and stress many of us deal with daily stems from disconnection in relationships with our partner, family, or even the relationship to ourselves. I work with clients from all walks of life, with an emphasis on couples and individuals who are experiencing feelings of rejection, shame, and worthlessness in relationships. If you feel that being yourself is never good enough, if you are struggling to express your needs, beliefs, or feelings, or if there’s a relationship issue you can't seem to resolve, I want to work with you to achieve a lasting sense of relief.
(480) 462-0904 View (480) 462-0904
Photo of Adrienne Kronholm, MS, LMFT, Marriage & Family Therapist
Adrienne Kronholm
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Phoenix, AZ 85012
I am a Licensed Marriage and Family Therapist with 25 years experience providing adult individuals and couples therapy. The therapy modalities I employ include emotionally focused couples therapy, cognitive behavioral, family systems, narrative therapy, and supportive and educational interventions. My therapeutic style has been described as warm, collaborative, nonjudgmental, and interactive. It is my goal to help people reconnect with a sense of hope and possibility. I welcome any questions you may have about me or my practice.
I am a Licensed Marriage and Family Therapist with 25 years experience providing adult individuals and couples therapy. The therapy modalities I employ include emotionally focused couples therapy, cognitive behavioral, family systems, narrative therapy, and supportive and educational interventions. My therapeutic style has been described as warm, collaborative, nonjudgmental, and interactive. It is my goal to help people reconnect with a sense of hope and possibility. I welcome any questions you may have about me or my practice.
(602) 908-2128 View (602) 908-2128
Photo of Katharina Von Rhau, LCSW, MSW, Clinical Social Work/Therapist
Katharina Von Rhau
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
Phoenix, AZ 85018
I LIKE TO FOCUS IN / ON WHAT YOU ARE EXPERIENCING IN YOUR RELATIONSHIP LIFE, WORK LIFE AND INNER FEELINGS AND THOUGHTS. TO FOCUS IN / ON EXPERIENCE IS TO BECOME AWARE OF YOUR EXPERIENCE IN DETAIL, IN GREAT DETAIL SO YOU CAN FIND A GROUND. TO BE IN YOUR GROUND IS TO BE CONTENT. I WORK WITH COUPLES, INDIVIDUALS, GAYS AND LESBIANS. SPANISH SPEAKING PROVIDED. I HAVE HAD 35 YEARS EXPERIENCE AS A THERAPIST AND TRAINED THERAPISTS TO DO GESTALT THERAPY FOR 30 YEARS. PLEASE VISIT MY WEBSITE AT HTTP://PHOENIXWOMENSCOUNSELING.COM
I LIKE TO FOCUS IN / ON WHAT YOU ARE EXPERIENCING IN YOUR RELATIONSHIP LIFE, WORK LIFE AND INNER FEELINGS AND THOUGHTS. TO FOCUS IN / ON EXPERIENCE IS TO BECOME AWARE OF YOUR EXPERIENCE IN DETAIL, IN GREAT DETAIL SO YOU CAN FIND A GROUND. TO BE IN YOUR GROUND IS TO BE CONTENT. I WORK WITH COUPLES, INDIVIDUALS, GAYS AND LESBIANS. SPANISH SPEAKING PROVIDED. I HAVE HAD 35 YEARS EXPERIENCE AS A THERAPIST AND TRAINED THERAPISTS TO DO GESTALT THERAPY FOR 30 YEARS. PLEASE VISIT MY WEBSITE AT HTTP://PHOENIXWOMENSCOUNSELING.COM
(602) 508-9018 View (602) 508-9018
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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.