Couples Counseling Therapists in Washington, DC

Photo of Brittany Bordonaro, LICSW, Clinical Social Work/Therapist
Brittany Bordonaro
Clinical Social Work/Therapist, LICSW
Verified Verified
Washington, DC 20003  (Online Only)
Bordonaro approaches every therapeutic relationship with trust, openness and respect.
Ms. Bordonaro works with clients who have issues with relationships, anxiety, depression, stress management, self-esteem, work related issues, and trauma. Her clients can expect to feel supported through out the therapeutic process. Her clients report gaining valuable insight, skills, and symptom relief from working with her.
Bordonaro approaches every therapeutic relationship with trust, openness and respect.
Ms. Bordonaro works with clients who have issues with relationships, anxiety, depression, stress management, self-esteem, work related issues, and trauma. Her clients can expect to feel supported through out the therapeutic process. Her clients report gaining valuable insight, skills, and symptom relief from working with her.
(888) 836-4718 View (888) 836-4718
Photo of Jeremy Steglitz, PhD, Psychologist
Jeremy Steglitz
Psychologist, PhD
Verified Verified
Washington, DC 20036
I’m a Yale- and Northwestern-trained clinical psychologist with over 12 years of experience providing therapy to individuals and couples, both in person and online. I have a full-time practice in northern Va, and I’m a member of the Washington Baltimore Center for Psychoanalysis and the American Psychological Association. Several times a year, I provide seminars to training therapists at Mount Sinai Health System in New York City and the Washington DC Veterans Affairs Medical Center, both places where I’ve previously trained. I’ve also completed specialized training in couples therapy at The Gottman Institute.
I’m a Yale- and Northwestern-trained clinical psychologist with over 12 years of experience providing therapy to individuals and couples, both in person and online. I have a full-time practice in northern Va, and I’m a member of the Washington Baltimore Center for Psychoanalysis and the American Psychological Association. Several times a year, I provide seminars to training therapists at Mount Sinai Health System in New York City and the Washington DC Veterans Affairs Medical Center, both places where I’ve previously trained. I’ve also completed specialized training in couples therapy at The Gottman Institute.
(202) 998-4864 View (202) 998-4864
Photo of Tyler A. Pietz, PhD, Psychological Associate
Tyler A. Pietz
Psychological Associate, PhD
Verified Verified
Washington, DC 20036
Welcome to my practice. I offer counseling and psychotherapy services to individuals, couples, and groups in Washington, DC as a licensed Psychology Associate. In my practice I work as a generalist and have experience with a wide range of concerns and issues including the stress of daily life, relationships, depression, anxiety, life adjustments, and living with ADHD. I work with adults from all backgrounds including college students, young professionals, and LGBTQ identifying individuals.
Welcome to my practice. I offer counseling and psychotherapy services to individuals, couples, and groups in Washington, DC as a licensed Psychology Associate. In my practice I work as a generalist and have experience with a wide range of concerns and issues including the stress of daily life, relationships, depression, anxiety, life adjustments, and living with ADHD. I work with adults from all backgrounds including college students, young professionals, and LGBTQ identifying individuals.
(202) 915-3892 View (202) 915-3892
Photo of Kevin Letsinger, Clinical Social Work/Therapist
Kevin Letsinger
Clinical Social Work/Therapist
Verified Verified
Washington, DC 20011  (Online Only)
I have worked with survivors of sexual assault, stalking, and intimate partner violence, addressing symptoms of depression and anxiety.
I am a Licensed Independent Clinical Social Worker in the District of Columbia with certifications in Cognitive Behavioral Therapy (CBT), Mindfulness-Based CBT, and Motivational Interviewing. I also often practice Dialectical Behavior Therapy (DBT) with my clients, and have found the supplemental exercises to be very beneficial. My approach is client-centered and trauma-informed as I meet you where you are and assess how I can best support you. I graduated in 2012 with my master's degree in Social Work and have been a practicing social worker for the past 10 years.
I have worked with survivors of sexual assault, stalking, and intimate partner violence, addressing symptoms of depression and anxiety.
I am a Licensed Independent Clinical Social Worker in the District of Columbia with certifications in Cognitive Behavioral Therapy (CBT), Mindfulness-Based CBT, and Motivational Interviewing. I also often practice Dialectical Behavior Therapy (DBT) with my clients, and have found the supplemental exercises to be very beneficial. My approach is client-centered and trauma-informed as I meet you where you are and assess how I can best support you. I graduated in 2012 with my master's degree in Social Work and have been a practicing social worker for the past 10 years.
(855) 459-2189 View (855) 459-2189
Photo of Renana Brooks, PhD, Psychologist
Renana Brooks
Psychologist, PhD
Verified Verified
Washington, DC 20008
Our Relationship Therapy provides a tailored blend of techniques that transform the way couples support each other.
Clients with a strong desire to fix their relationships in the most profound ways fit well with my practice .This is true even if you don’t know what is wrong or your partner disagrees about what the problem is. The change is not just communication patterns but also underlying intense emotional distress or explosive patterns of expression. We address complaints such as lack of sex or affection or emotional withdrawal.We stop couples from divorce and fix communication problems by training partners how to best be supportive and to understand underlying psychological messages unwittingly communicated between partners.
Our Relationship Therapy provides a tailored blend of techniques that transform the way couples support each other.
Clients with a strong desire to fix their relationships in the most profound ways fit well with my practice .This is true even if you don’t know what is wrong or your partner disagrees about what the problem is. The change is not just communication patterns but also underlying intense emotional distress or explosive patterns of expression. We address complaints such as lack of sex or affection or emotional withdrawal.We stop couples from divorce and fix communication problems by training partners how to best be supportive and to understand underlying psychological messages unwittingly communicated between partners.
(703) 420-7312 View (703) 420-7312
Photo of Tina Wright - Akoma Modalities to Better Behavioral Health LLC, LICSW, LCSW, Clinical Social Work/Therapist
Akoma Modalities to Better Behavioral Health LLC
Clinical Social Work/Therapist, LICSW, LCSW
Verified Verified
Washington, DC 20006  (Online Only)
I incorporate a non-judgmental approach in developing a positive client / therapist relationship, while partnering with and assisting the client in identifying effective solutions to issues the client experiences.
We hold the key to all the answers we need on our journeys to self - actualization. In this day and time of fast-paced, quick stimulation and fixes gratification, we miss those opportunities to slow down and really listen to the our "spirit", our "gut instincts", the signs and signals our own body send to us to alert us when we are "out of balance" mentally and emotionally. As a result, we become clouded with doubts, mixed-messages, insecurity, etc. Right now, what is needed are those specific tools and strategies - just for you, in order to life to the fullest! Right Now! Let me help you in your journey to be the best you.
I incorporate a non-judgmental approach in developing a positive client / therapist relationship, while partnering with and assisting the client in identifying effective solutions to issues the client experiences.
We hold the key to all the answers we need on our journeys to self - actualization. In this day and time of fast-paced, quick stimulation and fixes gratification, we miss those opportunities to slow down and really listen to the our "spirit", our "gut instincts", the signs and signals our own body send to us to alert us when we are "out of balance" mentally and emotionally. As a result, we become clouded with doubts, mixed-messages, insecurity, etc. Right now, what is needed are those specific tools and strategies - just for you, in order to life to the fullest! Right Now! Let me help you in your journey to be the best you.
(703) 420-1117 View (703) 420-1117
Photo of Pavel Snejnevski, PhD, Psychologist
Pavel Snejnevski
Psychologist, PhD
Verified Verified
Washington, DC 20007
In my practice I routinely see Children, Adolescents and their families, Couples, Adults, and Elderly.
I have more than 25 years of experience in Clinical Psychology divided between both sides of the Atlantic. My professional and personal experience helps me relate to the culturally diverse and globally minded population of the Washington Metropolitan Area. Over the years, after graduating from a mostly research oriented graduate program in Psychology, I pursued intensive training in Psychodynamic Psychotherapy, Psychodrama, Group and Family Psychotherapy, and Psychoanalysis. I am certain that Psychodynamic Psychotherapy and Psychoanalysis, correctly applied, can lead to the most dramatic and long lasting changes in patient's lives.
In my practice I routinely see Children, Adolescents and their families, Couples, Adults, and Elderly.
I have more than 25 years of experience in Clinical Psychology divided between both sides of the Atlantic. My professional and personal experience helps me relate to the culturally diverse and globally minded population of the Washington Metropolitan Area. Over the years, after graduating from a mostly research oriented graduate program in Psychology, I pursued intensive training in Psychodynamic Psychotherapy, Psychodrama, Group and Family Psychotherapy, and Psychoanalysis. I am certain that Psychodynamic Psychotherapy and Psychoanalysis, correctly applied, can lead to the most dramatic and long lasting changes in patient's lives.
(202) 803-8438 View (202) 803-8438
Photo of Margie Stohner, LICSW, Clinical Social Work/Therapist
Margie Stohner
Clinical Social Work/Therapist, LICSW
Verified Verified
Washington, DC 20008
With over 50 years of psychotherapy experience, I specialize in anxiety management, relationship issues, depression, medical illness-related concerns and chronic insomnia.
With over 50 years of psychotherapy experience, I specialize in anxiety management, relationship issues, depression, medical illness-related concerns and chronic insomnia.
(202) 656-4943 View (202) 656-4943
Photo of Oz Ezkibel, MA, LPC, Licensed Professional Counselor
Oz Ezkibel
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Washington, DC 20036
In  Couples Therapy, I have Completed Level 1 Gottman Method Training, and also implement Emotion-Focused Therapy.
As a Latino Queer Therapist, I have learned that understanding the intersections of my identities and how I show up in multiple spaces has been imperative to my personal growth and my understanding of belonging.  Growing up, I always felt othered and often times unwanted. Therapy for me is about learning to understand our inner dialogues, validate our emotional experiences, and effect change in a way that is consistent with our desired narrative.  
In  Couples Therapy, I have Completed Level 1 Gottman Method Training, and also implement Emotion-Focused Therapy.
As a Latino Queer Therapist, I have learned that understanding the intersections of my identities and how I show up in multiple spaces has been imperative to my personal growth and my understanding of belonging.  Growing up, I always felt othered and often times unwanted. Therapy for me is about learning to understand our inner dialogues, validate our emotional experiences, and effect change in a way that is consistent with our desired narrative.  
(202) 968-1053 View (202) 968-1053
Photo of Ozlem Yazar, MSW, LGSW, ADS, Clinical Social Work/Therapist
Ozlem Yazar
Clinical Social Work/Therapist, MSW, LGSW, ADS
Verified Verified
2 Endorsed
Washington, DC 20016
I work with individuals, couples, families, and groups.
In psychotherapy, the therapist and client commit to work together to facilitate change. My goal is to provide a safe and nonjudgmental space as we focus on issues such as depression, anxiety, stress, adjustment, sexual identity/LGBTQ concerns, and traditional/non-traditional relationships. My approach to therapy is both holistic and mindful. I view the client as a whole, focusing on the need to bring the mind, body, and spirit into harmony while each element plays a role in healing and the creation of change.
I work with individuals, couples, families, and groups.
In psychotherapy, the therapist and client commit to work together to facilitate change. My goal is to provide a safe and nonjudgmental space as we focus on issues such as depression, anxiety, stress, adjustment, sexual identity/LGBTQ concerns, and traditional/non-traditional relationships. My approach to therapy is both holistic and mindful. I view the client as a whole, focusing on the need to bring the mind, body, and spirit into harmony while each element plays a role in healing and the creation of change.
(202) 838-4312 View (202) 838-4312
Photo of Afiya Mangum Mbilishaka, PhD, Psychologist
Afiya Mangum Mbilishaka
Psychologist, PhD
Verified Verified
1 Endorsed
Washington, DC 20036  (Online Only)
As a hairstylist and psychologist, I have developed culturally sensitive approaches to address coping with hair loss, hair dissatisfaction, and healthy transitioning, by focusing on the relationship between hair care and self-care.
Feeling out of balance? Do things seem out of order in your life? Everyone needs a supportive space to process challenges of daily life and figure out how to cope with stress. I am dedicated to meeting the individual needs of each and every client, by developing a healthy relationship together and being an active listener to each client's unique story. My therapeutic approach is anchored in an integration of understanding how your past experiences have impacted your present situations, the healing aspects of telling your narrative, and finding solutions through a culturally meaningful lens.
As a hairstylist and psychologist, I have developed culturally sensitive approaches to address coping with hair loss, hair dissatisfaction, and healthy transitioning, by focusing on the relationship between hair care and self-care.
Feeling out of balance? Do things seem out of order in your life? Everyone needs a supportive space to process challenges of daily life and figure out how to cope with stress. I am dedicated to meeting the individual needs of each and every client, by developing a healthy relationship together and being an active listener to each client's unique story. My therapeutic approach is anchored in an integration of understanding how your past experiences have impacted your present situations, the healing aspects of telling your narrative, and finding solutions through a culturally meaningful lens.
(202) 601-4838 View (202) 601-4838
Photo of Ernest Wallwork, PhD, Licensed Psychoanalyst
Ernest Wallwork
Licensed Psychoanalyst, PhD
Verified Verified
Washington, DC 20008
I see patients suffering from anxiety, depression, self-destructive patterns, relationship issues, sexual difficulties, identity, adjustment problems in psychotherapy, psychoanalysis, and couple's counseling. My aim is to relieve mental distress and interpersonal conflict by deepening self-understanding and self-control. After 36 years in practice, my clinical experience is broad and deep. My reputation and publications on relational, religious and ethical topics sometimes attracts patients with these difficulties. A graduate of Harvard University (MBA,PhD) and Washington Psychoanalytic Institute, I practice in Washington, DC.
I see patients suffering from anxiety, depression, self-destructive patterns, relationship issues, sexual difficulties, identity, adjustment problems in psychotherapy, psychoanalysis, and couple's counseling. My aim is to relieve mental distress and interpersonal conflict by deepening self-understanding and self-control. After 36 years in practice, my clinical experience is broad and deep. My reputation and publications on relational, religious and ethical topics sometimes attracts patients with these difficulties. A graduate of Harvard University (MBA,PhD) and Washington Psychoanalytic Institute, I practice in Washington, DC.
(202) 759-7949 View (202) 759-7949
Photo of Susan Segal, LCSW, Clinical Social Work/Therapist
Susan Segal
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Washington, DC 20036
I obtained this credential 13 years ago because so many of the individuals and couples I was working with had sexual issues which were llnked to emotional issues.
I am a Licensed Clinical Social Worker and work with adults in individual therapy, group therapy, couples therapy, and sex therapy for 30 plus years. My patients are single, married, divorced, remarried, straight, gay, queer and range from young adult to older adults.
I obtained this credential 13 years ago because so many of the individuals and couples I was working with had sexual issues which were llnked to emotional issues.
I am a Licensed Clinical Social Worker and work with adults in individual therapy, group therapy, couples therapy, and sex therapy for 30 plus years. My patients are single, married, divorced, remarried, straight, gay, queer and range from young adult to older adults.
(202) 800-1427 View (202) 800-1427
Photo of Natalie X Korytnyk, PhD, Psychologist
Natalie X Korytnyk
Psychologist, PhD
Verified Verified
Washington, DC 20037
Are you feeling frustrated, stuck, or unhappy in your work life or relationships? Is there a deep loneliness with no one to talk to or really understand? Psychotherapy can help and heal. With over 30 years experience, I work by creating a safe, nurturing and understanding therapeutic relationship. My approach is to actively listen and work collaboratively on gaining a deeper understanding of the feelings, internal struggles, obstacles, the impact of earlier life experiences, as well as repeating patterns of behavior that may be underlying symptoms and the root cause of difficulties.
Are you feeling frustrated, stuck, or unhappy in your work life or relationships? Is there a deep loneliness with no one to talk to or really understand? Psychotherapy can help and heal. With over 30 years experience, I work by creating a safe, nurturing and understanding therapeutic relationship. My approach is to actively listen and work collaboratively on gaining a deeper understanding of the feelings, internal struggles, obstacles, the impact of earlier life experiences, as well as repeating patterns of behavior that may be underlying symptoms and the root cause of difficulties.
(202) 681-2924 View (202) 681-2924
Photo of Andrea Yudell, MSW, LICSW, LCSW-C, Clinical Social Work/Therapist
Andrea Yudell
Clinical Social Work/Therapist, MSW, LICSW, LCSW-C
Verified Verified
Washington, DC 20036
There are times that you might feel stuck in patterns that make life feel unsatisfying and empty. Maybe you feel depressed, anxious or in chronic pain. You may be negotiating a relationship or trying to adjust to a new job. Psychotherapy allows you the space to understand how your past and present intersect and what gets in the way of living life to your fullest while also helping you to tap into your inner resources. My approach is collaborative, thus giving you the space to reflect carefully. I work with you to develop better coping skills and help you to understand & manage complex feelings of anxiety or sadness.
There are times that you might feel stuck in patterns that make life feel unsatisfying and empty. Maybe you feel depressed, anxious or in chronic pain. You may be negotiating a relationship or trying to adjust to a new job. Psychotherapy allows you the space to understand how your past and present intersect and what gets in the way of living life to your fullest while also helping you to tap into your inner resources. My approach is collaborative, thus giving you the space to reflect carefully. I work with you to develop better coping skills and help you to understand & manage complex feelings of anxiety or sadness.
(202) 759-7471 View (202) 759-7471
Photo of Ruth Wittersgreen, PhD, Psychologist
Ruth Wittersgreen
Psychologist, PhD
Verified Verified
1 Endorsed
Washington, DC 20007
My specialty areas include: working through trauma, grief, attachment loss, physical health difficulties, relationship/couple's therapy to help people find and maintain satisfying emotionally and sexually intimate relationships, and working with people with bipolar, depression, & anxiety.
I've been providing psychotherapy for over twenty-five years. I am passionate about this work and have helped many people change their lives for the better. I believe in a person's ability to make their life as full and rich as they want it to be. Therapy can help you get what you need and want in your relationships, work, and other areas of life. I am easy to talk to and bring a lot of warmth and caring to therapy. I sometimes use innovative approaches including walking in nature with clients, hypnotherapy, pet therapy, and writing/art therapy.
My specialty areas include: working through trauma, grief, attachment loss, physical health difficulties, relationship/couple's therapy to help people find and maintain satisfying emotionally and sexually intimate relationships, and working with people with bipolar, depression, & anxiety.
I've been providing psychotherapy for over twenty-five years. I am passionate about this work and have helped many people change their lives for the better. I believe in a person's ability to make their life as full and rich as they want it to be. Therapy can help you get what you need and want in your relationships, work, and other areas of life. I am easy to talk to and bring a lot of warmth and caring to therapy. I sometimes use innovative approaches including walking in nature with clients, hypnotherapy, pet therapy, and writing/art therapy.
(202) 670-2900 View (202) 670-2900
Photo of Ethan Mereish, PhD, MA, Psychologist
Ethan Mereish
Psychologist, PhD, MA
Verified Verified
4 Endorsed
Washington, DC 20036  (Online Only)
I provide teletherapy services to individual clients and couples.
It's courageous and wonderful that you are interested in starting therapy. As a psychologist, my goal is to provide you with a compassionate and empowering therapeutic experience to help you improve your mental health, reach your goals, and achieve your potential. I see therapy as a place for you to gain insights about your personal patterns, process difficult experiences, overcome obstacles, and improve your relationships.
I provide teletherapy services to individual clients and couples.
It's courageous and wonderful that you are interested in starting therapy. As a psychologist, my goal is to provide you with a compassionate and empowering therapeutic experience to help you improve your mental health, reach your goals, and achieve your potential. I see therapy as a place for you to gain insights about your personal patterns, process difficult experiences, overcome obstacles, and improve your relationships.
(202) 831-8978 View (202) 831-8978
Photo of Frances Rekrut, MA, PhD, Psychologist
Frances Rekrut
Psychologist, MA, PhD
Verified Verified
11 Endorsed
Washington, DC 20036
I provide individual and couples therapy to clients located in DC, Maryland, and Virginia.
Compassionate therapy has the power to help people reflect, grow, and change. Using a warm and engaging approach, I collaborate with clients to develop treatment strategies that work based on research-based techniques. I specialize in working with clients struggling with relationship issues, OCD, grief and loss, and difficult life transitions, including changes in roles or identity.
I provide individual and couples therapy to clients located in DC, Maryland, and Virginia.
Compassionate therapy has the power to help people reflect, grow, and change. Using a warm and engaging approach, I collaborate with clients to develop treatment strategies that work based on research-based techniques. I specialize in working with clients struggling with relationship issues, OCD, grief and loss, and difficult life transitions, including changes in roles or identity.
(202) 759-7878 View (202) 759-7878
Photo of Kuno R Bachbauer, LMFT, Marriage & Family Therapist
Kuno R Bachbauer
Marriage & Family Therapist, LMFT
Verified Verified
Washington, DC 20016
I invite you to be my client on a rewarding journey of self-discovery, self-empowerment, and personal transformation! (Individual, couples, and group sessions available.
Most people who come to see me express a deep longing to be fully met and valued as a unique person. They also wish to find their aliveness! My passion is to create a space for a complete integration of mind, body, emotions, intention, and spirituality. I work with your deepest issues, while also encouraging you to cultivate your innate strengths and a sense of personal greatness! Holistic psychotherapy also integrates the body - when appropriate! I use Core Energetics and other body psychotherapy modalities and integrate the latest neuroscience to help you find increased self-confidence, self-awareness, balance, meaning, pleas joy.
I invite you to be my client on a rewarding journey of self-discovery, self-empowerment, and personal transformation! (Individual, couples, and group sessions available.
Most people who come to see me express a deep longing to be fully met and valued as a unique person. They also wish to find their aliveness! My passion is to create a space for a complete integration of mind, body, emotions, intention, and spirituality. I work with your deepest issues, while also encouraging you to cultivate your innate strengths and a sense of personal greatness! Holistic psychotherapy also integrates the body - when appropriate! I use Core Energetics and other body psychotherapy modalities and integrate the latest neuroscience to help you find increased self-confidence, self-awareness, balance, meaning, pleas joy.
(240) 266-3308 View (240) 266-3308
Photo of Katherine Maestre Caro, MA, LPC, Licensed Professional Counselor
Katherine Maestre Caro
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Washington, DC 20006
In couples therapy, a corrective experience is provided that counterbalances the force of emotional trauma, opening a path to compassion, responsibility, and forgiveness.
I didn't want to hurt you and never stopped loving you; isn't that enough?.../ Continuing the relationship is overwhelming, but I can't abandon my children.../ It's a relief not to have to keep lying. Can we keep going?.../ The money from our future disappeared, and you invested without my approval and betrayed me.../ My mother passed, and you were not there for me; your work was more important.../ These are the conflicts you are probably facing struggling. Now, I would like to help you whether to leave or stay. Part of you wants to trust again, but another is afraid that your partner's change will be temporary and you will be hurt.
In couples therapy, a corrective experience is provided that counterbalances the force of emotional trauma, opening a path to compassion, responsibility, and forgiveness.
I didn't want to hurt you and never stopped loving you; isn't that enough?.../ Continuing the relationship is overwhelming, but I can't abandon my children.../ It's a relief not to have to keep lying. Can we keep going?.../ The money from our future disappeared, and you invested without my approval and betrayed me.../ My mother passed, and you were not there for me; your work was more important.../ These are the conflicts you are probably facing struggling. Now, I would like to help you whether to leave or stay. Part of you wants to trust again, but another is afraid that your partner's change will be temporary and you will be hurt.
(202) 866-4039 View (202) 866-4039
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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.