Couples Counseling Therapists in Honolulu, HI

Photo of Chris The Counselor Gettman - Self Help Hawaii, LLC, MA, MFT, Marriage & Family Therapist
Self Help Hawaii, LLC
Marriage & Family Therapist, MA, MFT
Verified Verified
2 Endorsed
Honolulu, HI 96815
Waitlist for new clients
Aloha-Welcome to Self Help Hawaii, LLC. We hope you feel our Aloha. Our growing ohana of selfless therapists, life coaches, spiritual and/or Christian counselors, are happy to help at your pace. In these times, we offer sliding-scale support to you, your loved ones, couples and families. We focus on solutions and enjoy helping our clients gain a helpful perspective that allows the problem solving process to take root. Self Help Hawaii,LLC reminds us all of the resources within and around us. You are never alone. Let's talk story. That's the first step.
Aloha-Welcome to Self Help Hawaii, LLC. We hope you feel our Aloha. Our growing ohana of selfless therapists, life coaches, spiritual and/or Christian counselors, are happy to help at your pace. In these times, we offer sliding-scale support to you, your loved ones, couples and families. We focus on solutions and enjoy helping our clients gain a helpful perspective that allows the problem solving process to take root. Self Help Hawaii,LLC reminds us all of the resources within and around us. You are never alone. Let's talk story. That's the first step.
(808) 793-5633 View (808) 793-5633
Photo of Joanne Bautista, PsyD, Psychologist
Joanne Bautista
Psychologist, PsyD
Verified Verified
Honolulu, HI 96814
Waitlist for new clients
I have enjoyed over 20 years of working with a diverse range of clients of all ages, addressing multiple needs in various settings. While creating a safe and supportive environment, my work with clients is collaborative; assisting clients to feel empowered and inspired to face challenges and embrace change, helping clients define their meaning of recovery, and developing goals specific to clients' needs. Areas of focus include: Life transitions such as marriage, family planning, new career, retirement, death; relationship issues, military family challenges, trauma, anxiety and mood disorders.
I have enjoyed over 20 years of working with a diverse range of clients of all ages, addressing multiple needs in various settings. While creating a safe and supportive environment, my work with clients is collaborative; assisting clients to feel empowered and inspired to face challenges and embrace change, helping clients define their meaning of recovery, and developing goals specific to clients' needs. Areas of focus include: Life transitions such as marriage, family planning, new career, retirement, death; relationship issues, military family challenges, trauma, anxiety and mood disorders.
(808) 518-4864 View (808) 518-4864
Photo of Ruth Davis - Ruth Davis MFT LLC, MFT, CSAC, ICADC, Marriage & Family Therapist
Ruth Davis MFT LLC
Marriage & Family Therapist, MFT, CSAC, ICADC
Verified Verified
1 Endorsed
Honolulu, HI 96817  (Online Only)
Aloha! I am a bilingual (Tagalog & English) Licensed Marriage and Family Therapist in Honolulu with over 8 years of experience. My experience involves working with individuals with mild to severe and persistent mental illness (Major Depressive Disorder, Bipolar Disorder, Schizophrenia,PTSD, and Substance Abuse). I have also worked with individuals with a wide range of issues including anxiety, stress related to work , and relationship issues.
Aloha! I am a bilingual (Tagalog & English) Licensed Marriage and Family Therapist in Honolulu with over 8 years of experience. My experience involves working with individuals with mild to severe and persistent mental illness (Major Depressive Disorder, Bipolar Disorder, Schizophrenia,PTSD, and Substance Abuse). I have also worked with individuals with a wide range of issues including anxiety, stress related to work , and relationship issues.
(808) 219-0781 View (808) 219-0781
Photo of Elizabeth Anderson, MA, LMFT, MBSR, Therapy, Teacher, Marriage & Family Therapist
Elizabeth Anderson
Marriage & Family Therapist, MA, LMFT, MBSR, Therapy, Teacher
Verified Verified
Honolulu, HI 96815
Mindfulness therapy, CBT, DBT, hypnotherapy, and Somatic Therapy, has helped individuals, couples, and family members to release unwanted thoughts, manage stress, address life challenges and achieve more balance in one's life.
Aloha, I welcome your call or email. I am a licensed Marriage and Family therapist and have been working with clients for over 20 years in the field of mind & body wellness, Clinical Hypnotherapy, CBT, DBT, Wellness Counseling and Mindfulness. The combination of blended talk therapy, with other healing modalities provide additional resources for my clients and patients. Somatic therapy, Timeline Therapy, Mindfulness Therapy, incorporated with traditional therapy help you to release anxiety, stress or unwanted thoughts and reset your intentions to live mindfully and stay present. I work with individuals, couples, and famiIies.
Mindfulness therapy, CBT, DBT, hypnotherapy, and Somatic Therapy, has helped individuals, couples, and family members to release unwanted thoughts, manage stress, address life challenges and achieve more balance in one's life.
Aloha, I welcome your call or email. I am a licensed Marriage and Family therapist and have been working with clients for over 20 years in the field of mind & body wellness, Clinical Hypnotherapy, CBT, DBT, Wellness Counseling and Mindfulness. The combination of blended talk therapy, with other healing modalities provide additional resources for my clients and patients. Somatic therapy, Timeline Therapy, Mindfulness Therapy, incorporated with traditional therapy help you to release anxiety, stress or unwanted thoughts and reset your intentions to live mindfully and stay present. I work with individuals, couples, and famiIies.
(808) 207-9804 View (808) 207-9804
Photo of Kristine Altwies, MA, LMFT, Marriage & Family Therapist
Kristine Altwies
Marriage & Family Therapist, MA, LMFT
Verified Verified
Honolulu, HI 96826
Whether you are feeling a little bit off your game or deeply stuck, by seeking help you're on the right path. I work to provide a safe, supportive, and calming space. For 30 years I worked in adoption and family coaching. I am experienced in trauma, parenting, infertility, gender/ sexuality/racial identity and relationship building. I use a variety of interventions, and work with clients to set goals to plan for successful outcomes. I am eager to learn about my clients, and to figure out how best to help. Thank you for taking this step!
Whether you are feeling a little bit off your game or deeply stuck, by seeking help you're on the right path. I work to provide a safe, supportive, and calming space. For 30 years I worked in adoption and family coaching. I am experienced in trauma, parenting, infertility, gender/ sexuality/racial identity and relationship building. I use a variety of interventions, and work with clients to set goals to plan for successful outcomes. I am eager to learn about my clients, and to figure out how best to help. Thank you for taking this step!
(808) 204-4582 View (808) 204-4582
Photo of Krzystof Chin, MA, LMFT, MAMFT, Marriage & Family Therapist
Krzystof Chin
Marriage & Family Therapist, MA, LMFT, MAMFT
Verified Verified
Honolulu, HI 96814  (Online Only)
As a marriage and family therapist, I provide therapeutic services to a range of clients, from those struggling with intimate partner conflict to navigating the obstacles of co-parenting. I approach each individual, couple, or family with compassion and excel to establish a caring, collaborative and welcoming environment with consideration for one's cultural background, sexual orientation, and life experiences.
As a marriage and family therapist, I provide therapeutic services to a range of clients, from those struggling with intimate partner conflict to navigating the obstacles of co-parenting. I approach each individual, couple, or family with compassion and excel to establish a caring, collaborative and welcoming environment with consideration for one's cultural background, sexual orientation, and life experiences.
(808) 207-8410 View (808) 207-8410
Photo of Elizabeth 'liz' Kong, MA, LMFT, RPT-S, LSC, RSP, Marriage & Family Therapist
Elizabeth 'liz' Kong
Marriage & Family Therapist, MA, LMFT, RPT-S, LSC, RSP
Verified Verified
Honolulu, HI 96813
I provide psychotherapy services to children, adults and couples. I specialize in Child Centered Play Therapy (age 4+) usingvarious modalities ( puppets, clay and art materials). Due to demand for my services, I only accept referrals from physicians or psychologists or insurance care managers at this time. Referrals can be faxed (808) 892-3683 for review by my office to determine if it is appropriate. I do not accept court referrals for child custody or divorce cases or sibling therapy as my office is only open part time
I provide psychotherapy services to children, adults and couples. I specialize in Child Centered Play Therapy (age 4+) usingvarious modalities ( puppets, clay and art materials). Due to demand for my services, I only accept referrals from physicians or psychologists or insurance care managers at this time. Referrals can be faxed (808) 892-3683 for review by my office to determine if it is appropriate. I do not accept court referrals for child custody or divorce cases or sibling therapy as my office is only open part time
(808) 638-3786 View (808) 638-3786
Photo of Scott Keoni Ginoza, MS, LMHC, NCC, Counselor
Scott Keoni Ginoza
Counselor, MS, LMHC, NCC
Verified Verified
Honolulu, HI 96816  (Online Only)
Life has challenges and therapy can help to develop healthier stategies to meet these challenges. I will work with you to develop strategies to strengthen your, marriage, family, and self. If your Christian faith is important to you, I enjoy including the principles of Christianity in therapy. I also have completed much of the Gottman Method of couples counseling.
Life has challenges and therapy can help to develop healthier stategies to meet these challenges. I will work with you to develop strategies to strengthen your, marriage, family, and self. If your Christian faith is important to you, I enjoy including the principles of Christianity in therapy. I also have completed much of the Gottman Method of couples counseling.
(808) 419-3205 View (808) 419-3205
Photo of Carlyn A Tamura - Carlyn A Tamura, Psy D, Psy, D, Psychologist
Carlyn A Tamura, Psy D
Psychologist, Psy, D
Verified Verified
Honolulu, HI 96814  (Online Only)
I also work with adult individuals and couples.
I am a clinical psychologist who specializes in working with teens and their families in both "teen individual: and family therapy. I help to alleviate the trials of school problems and disruptive behaviors. I help the teen and the parents to explore different options to address the unique process of becoming a young adult I also aid couples who are struggling infertility issues to help navigate the emotional rollercoaster of the infertility experience.
I also work with adult individuals and couples.
I am a clinical psychologist who specializes in working with teens and their families in both "teen individual: and family therapy. I help to alleviate the trials of school problems and disruptive behaviors. I help the teen and the parents to explore different options to address the unique process of becoming a young adult I also aid couples who are struggling infertility issues to help navigate the emotional rollercoaster of the infertility experience.
(808) 202-2655 View (808) 202-2655
Photo of Kainoa Kaneakua, PsyD, LMFT, Marriage & Family Therapist
Kainoa Kaneakua
Marriage & Family Therapist, PsyD, LMFT
Verified Verified
2 Endorsed
Honolulu, HI 96813  (Online Only)
I work with a wide range of emotional and behavioral issues including life transitions, depression, anxiety, grief, loss, cultural identity, trauma, and relationship distress.
Due to my schedule, it is best to click on the Email Me link to setup our initial contact. Sometimes life delivers challenging moments for us or we feel stuck in a negative cycle. We struggle through issues, whether brought on by our own choices or by the choices of others. I strive to provide an emotionally safe environment where you can explore those issues and challenges. Collaboratively we discover your core needs and ways to unblock whatever might be keeping you from your potential. Change can be difficult and challenging. I will work with you in an empathetic, compassionate, and supportive way to navigate this process.
I work with a wide range of emotional and behavioral issues including life transitions, depression, anxiety, grief, loss, cultural identity, trauma, and relationship distress.
Due to my schedule, it is best to click on the Email Me link to setup our initial contact. Sometimes life delivers challenging moments for us or we feel stuck in a negative cycle. We struggle through issues, whether brought on by our own choices or by the choices of others. I strive to provide an emotionally safe environment where you can explore those issues and challenges. Collaboratively we discover your core needs and ways to unblock whatever might be keeping you from your potential. Change can be difficult and challenging. I will work with you in an empathetic, compassionate, and supportive way to navigate this process.
(808) 419-7336 View (808) 419-7336
Photo of Lyle Herman, PsyD, Psychologist
Lyle Herman
Psychologist, PsyD
Verified Verified
Honolulu, HI 96816  (Online Only)
Aloha! I hope to assist you to gain insight into your relationship with yourself and others so that you can realize your full potential in life. Whether the focus is on your feelings, thoughts, dreams, behavioral patterns or some other aspect of your self, I'd like to help you live more fully and reach your goals by recognizing and adjusting patterns and becoming more in tune with the mana (power) within you. I hope that you will trust me and the therapeutic process to help you see opportunities in your challenges.
Aloha! I hope to assist you to gain insight into your relationship with yourself and others so that you can realize your full potential in life. Whether the focus is on your feelings, thoughts, dreams, behavioral patterns or some other aspect of your self, I'd like to help you live more fully and reach your goals by recognizing and adjusting patterns and becoming more in tune with the mana (power) within you. I hope that you will trust me and the therapeutic process to help you see opportunities in your challenges.
(808) 545-4585 View (808) 545-4585
Photo of Britt Young - Xplor Counseling, MA, LMFT, Marriage & Family Therapist
Britt Young - Xplor Counseling
Marriage & Family Therapist, MA, LMFT
Verified Verified
3 Endorsed
Honolulu, HI 96821
Not accepting new clients
I work with clients on a range of issues, many of which have their roots in anxiety, depression, or relationship distress.
If you're reading this, you've already taken the hardest step toward feeling better - reaching out for help. That's why it's so important my clients feel understood, heard, and supported. I use a collaborative, compassionate, yet direct approach to help my clients gain insight into patterns that may have them feeling "stuck" in place. Among other techniques, I use evidence-based approaches, such as Cognitive-Behavioral Therapy and Emotionally Focused Therapy, so you can make the long-term behavior changes that will put you on the right track.
I work with clients on a range of issues, many of which have their roots in anxiety, depression, or relationship distress.
If you're reading this, you've already taken the hardest step toward feeling better - reaching out for help. That's why it's so important my clients feel understood, heard, and supported. I use a collaborative, compassionate, yet direct approach to help my clients gain insight into patterns that may have them feeling "stuck" in place. Among other techniques, I use evidence-based approaches, such as Cognitive-Behavioral Therapy and Emotionally Focused Therapy, so you can make the long-term behavior changes that will put you on the right track.
(808) 427-0694 View (808) 427-0694
Photo of Jina Uyeda, MA, LMFT, CSAC, Marriage & Family Therapist
Jina Uyeda
Marriage & Family Therapist, MA, LMFT, CSAC
Verified Verified
1 Endorsed
Honolulu, HI 96814  (Online Only)
Waitlist for new clients
I am wholistic, systems based, Licensed Marriage and Family therapist and Certified Substance Abuse Counselor. I am fluent in Korean. I provide Substance Abuse Assessments and early intervention education. I work with families, couples, individuals and children. I have experience working with trauma, depression, dual diagnosis, children with autism, ADHD, and ADD.I have training in play therapy, EMDR, Gottman methods and mindfulness based treatment modalities. I have also worked as a domestic violence advocate for the Navy and worked with military families.
I am wholistic, systems based, Licensed Marriage and Family therapist and Certified Substance Abuse Counselor. I am fluent in Korean. I provide Substance Abuse Assessments and early intervention education. I work with families, couples, individuals and children. I have experience working with trauma, depression, dual diagnosis, children with autism, ADHD, and ADD.I have training in play therapy, EMDR, Gottman methods and mindfulness based treatment modalities. I have also worked as a domestic violence advocate for the Navy and worked with military families.
(808) 425-9811 View (808) 425-9811
Photo of Joni A Fujii, MA, LMFT, Marriage & Family Therapist
Joni A Fujii
Marriage & Family Therapist, MA, LMFT
Verified Verified
9 Endorsed
Honolulu, HI 96813
THANKS FOR YOUR INTEREST, AT THIS TIME I'M NOT TAKING SELF-REFERRALS. I believe therapy is about authentic relationship. A genuine connection. A "corrective" relationship, balancing empathy, attunement, and validation of experience with compassionate confrontation. I come from a place of wanting the best for you and wanting to help you reach your potential. Engaging in therapy can mean stretching, digging, looking at hard things. It's not always easy to jump in. But therapy itself can be a "corrective experience" where someone is coming alongside you as a witness to your pain, your story, someone who really wants to understand you.
THANKS FOR YOUR INTEREST, AT THIS TIME I'M NOT TAKING SELF-REFERRALS. I believe therapy is about authentic relationship. A genuine connection. A "corrective" relationship, balancing empathy, attunement, and validation of experience with compassionate confrontation. I come from a place of wanting the best for you and wanting to help you reach your potential. Engaging in therapy can mean stretching, digging, looking at hard things. It's not always easy to jump in. But therapy itself can be a "corrective experience" where someone is coming alongside you as a witness to your pain, your story, someone who really wants to understand you.
(808) 518-3842 View (808) 518-3842
Photo of Evelyne Raposo - Holistic Psych Center, PsyD, Psychologist
Holistic Psych Center
Psychologist, PsyD
Verified Verified
Honolulu, HI 96821
Our journey together will include an open minded relationship that embraces and honors differences, culturally sensitive, with a caring and yet serious commitment to obtain a successful plan.
A holistic approach to mental health will bring you lasting transformation! If you are seeking new strategies on how to change by processing and neutralizing past traumas, shutting off old negative self-talk, transmuting depressive thinking, guilt, shame, anxiety and any limited thinking that has blocked you from your desired goals, we look forward to connecting with you. In a safe earthy environment, we provide you with multiple tools for your desired change. Our ultimate goal is to empower you with vibrant health, inner peace and success! We are committed to L.I.F.E. - Living Integrated & Full of Energy!
Our journey together will include an open minded relationship that embraces and honors differences, culturally sensitive, with a caring and yet serious commitment to obtain a successful plan.
A holistic approach to mental health will bring you lasting transformation! If you are seeking new strategies on how to change by processing and neutralizing past traumas, shutting off old negative self-talk, transmuting depressive thinking, guilt, shame, anxiety and any limited thinking that has blocked you from your desired goals, we look forward to connecting with you. In a safe earthy environment, we provide you with multiple tools for your desired change. Our ultimate goal is to empower you with vibrant health, inner peace and success! We are committed to L.I.F.E. - Living Integrated & Full of Energy!
(808) 755-2688 View (808) 755-2688
Photo of Nikki Moravec, MA, PsyD, Psychologist
Nikki Moravec
Psychologist, MA, PsyD
Verified Verified
Honolulu, HI 96813
Not accepting new clients
My counseling experiences include community crisis work with youth and adults, facilitating groups in treating eating difficulties, couples counseling, and individual work with a range of concerns including trauma, depression, anxiety, and relationship challenges.
I truly believe that each individual has the wisdom to heal. My approach is warm and collaborative, working with each client to cultivate awareness, move toward wholeness, and create the change they want to see in their lives. I strive to establish a safe space where you can share your story, develop a deeper understanding of your feelings, thoughts, patterns, strengths, and challenges.
My counseling experiences include community crisis work with youth and adults, facilitating groups in treating eating difficulties, couples counseling, and individual work with a range of concerns including trauma, depression, anxiety, and relationship challenges.
I truly believe that each individual has the wisdom to heal. My approach is warm and collaborative, working with each client to cultivate awareness, move toward wholeness, and create the change they want to see in their lives. I strive to establish a safe space where you can share your story, develop a deeper understanding of your feelings, thoughts, patterns, strengths, and challenges.
(808) 419-7285 View (808) 419-7285
Photo of Reina Adams - Reina Adams- Clarity Counseling and Wellness, Marriage & Family Therapist
Reina Adams- Clarity Counseling and Wellness
Marriage & Family Therapist
Verified Verified
1 Endorsed
Honolulu, HI 96816
Currently accepting new clients via telehealth and in-person! I believe the most important relationship you will ever have is the relationship you have with yourself. My goal for therapy is to help you get clear on who you are, what you want in life, and how to get there. I am here to support you in developing the skills and tools you need to achieve a life that feels safe, healthy, and fulfilling.
Currently accepting new clients via telehealth and in-person! I believe the most important relationship you will ever have is the relationship you have with yourself. My goal for therapy is to help you get clear on who you are, what you want in life, and how to get there. I am here to support you in developing the skills and tools you need to achieve a life that feels safe, healthy, and fulfilling.
View
Photo of Christine Hernandez - Pacific Shores Psychology, LLC, PsyD, Psychologist
Pacific Shores Psychology, LLC
Psychologist, PsyD
Verified Verified
3 Endorsed
Honolulu, HI 96814
Collaboration with you is a priority, as the therapeutic relationship is vital to the change process.
Aloha, I am a clinical Psychologist specializing in culturally responsive, evidence-based care for those struggling with obsessive-compulsive disorder (OCD) , anxiety, phobia, trauma, and depression. I have extensive training and experience in evidenced-based therapies, such as Cognitive Processing Therapy (CPT), Cognitive Behavioral Therapy (CBT), Exposure and Response Prevention Therapy (ERP), and Mindfulness-Based Cognitive Therapy(MCBT). I was trained in ERP at the UCLA (OCD) Adult Intensive Treatment Program and focus my work on helping adults and young adults struggling with OCD and related anxiety spectrum disorders.
Collaboration with you is a priority, as the therapeutic relationship is vital to the change process.
Aloha, I am a clinical Psychologist specializing in culturally responsive, evidence-based care for those struggling with obsessive-compulsive disorder (OCD) , anxiety, phobia, trauma, and depression. I have extensive training and experience in evidenced-based therapies, such as Cognitive Processing Therapy (CPT), Cognitive Behavioral Therapy (CBT), Exposure and Response Prevention Therapy (ERP), and Mindfulness-Based Cognitive Therapy(MCBT). I was trained in ERP at the UCLA (OCD) Adult Intensive Treatment Program and focus my work on helping adults and young adults struggling with OCD and related anxiety spectrum disorders.
(808) 556-7124 View (808) 556-7124
Photo of Thelma (Angel) Heath - Mana Pono Holomua, MCMFT, Marriage & Family Therapist Intern
Mana Pono Holomua
Marriage & Family Therapist Intern, MCMFT
Verified Verified
Honolulu, HI 96818
I imagine my ideal client one who is ready to make changes of his or her life. Would be open minded about changes because change is a signed of putting away the old ways and imbrace the new you. Whatever your issues are, whatever your needs we will collaborate, build rapport, and create goals that are tailored to your needs and personal preference. What makes me unique is that I will never give up on you, your struggle is my struggle, and your happiness is my reward. I would love to work with individuals and couples. Every session creates professional meaningful relationship and change. I respect your union and individuality.
I imagine my ideal client one who is ready to make changes of his or her life. Would be open minded about changes because change is a signed of putting away the old ways and imbrace the new you. Whatever your issues are, whatever your needs we will collaborate, build rapport, and create goals that are tailored to your needs and personal preference. What makes me unique is that I will never give up on you, your struggle is my struggle, and your happiness is my reward. I would love to work with individuals and couples. Every session creates professional meaningful relationship and change. I respect your union and individuality.
(808) 435-4885 View (808) 435-4885
Photo of Jason Kuttner, LMHC, CADCIII, Counselor
Jason Kuttner
Counselor, LMHC, CADCIII
Verified Verified
Honolulu, HI 96819  (Online Only)
The counselor-client relationship is one of the most important factors affecting therapeutic success.
Hello. I'm a therapist with 20 years of experience helping adults and adolescents with grief, trauma, mental health, problematic substance use, behavioral addictions, and many other concerns. I use a harm reduction approach to substance use. I am open-minded and non-judgmental, and LGBTQ+ allied. I primarily meet with clients using the HMSA online care platform, and can also accommodate other Telehealth options.
The counselor-client relationship is one of the most important factors affecting therapeutic success.
Hello. I'm a therapist with 20 years of experience helping adults and adolescents with grief, trauma, mental health, problematic substance use, behavioral addictions, and many other concerns. I use a harm reduction approach to substance use. I am open-minded and non-judgmental, and LGBTQ+ allied. I primarily meet with clients using the HMSA online care platform, and can also accommodate other Telehealth options.
(808) 468-6230 View (808) 468-6230
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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.