Couples Counseling Therapists in Columbia, MD

Photo of Marla Vannucci, PhD, Psychologist
Marla Vannucci
Psychologist, PhD
Verified Verified
8 Endorsed
Columbia, MD 21045  (Online Only)
I work with individuals and couples, using psychodynamic, cognitive-behavioral, and family systems therapies to find new approaches and solutions to problems that may have seemed insurmountable.
UPDATE: I currently have openings for new telehealth clients (MD, IL, and PSYPACT states). My practice consists of a small group of psychologists focused on helping clients make changes toward more fulfilling, connected, and healthier lives. Knowing it can be difficult to reach out for help, I create a caring, safe space in which we work collaboratively to foster healing and eliminate barriers to finding meaning and living life more fully. Therapy is a collaborative endeavor, and it is key to develop an effective and nurturing relationship in which we have a common understanding of the challenges you face.
I work with individuals and couples, using psychodynamic, cognitive-behavioral, and family systems therapies to find new approaches and solutions to problems that may have seemed insurmountable.
UPDATE: I currently have openings for new telehealth clients (MD, IL, and PSYPACT states). My practice consists of a small group of psychologists focused on helping clients make changes toward more fulfilling, connected, and healthier lives. Knowing it can be difficult to reach out for help, I create a caring, safe space in which we work collaboratively to foster healing and eliminate barriers to finding meaning and living life more fully. Therapy is a collaborative endeavor, and it is key to develop an effective and nurturing relationship in which we have a common understanding of the challenges you face.
(240) 201-9583 View (240) 201-9583
Photo of Sean Lare, LCSW-C, Clinical Social Work/Therapist
Sean Lare
Clinical Social Work/Therapist, LCSW-C
Verified Verified
2 Endorsed
Columbia, MD 21046
No matter what brings you or your family to therapy, working with a trans-affirming, trans-competent therapist who "gets it," who is knowledgeable in the challenges that transgender and non-binary individuals, couples, and families may face, and who is accepting and supportive of all people, makes the therapeutic relationship process easier.
Are you or someone you love questioning gender? Are you or someone you love needing support with your transition processes? Are you transgender or non-binary and have had challenges finding an affirming, trans-competent provider? I am a queer trans-man with years of experience working with children, teens, and adults who are transgender, gender diverse, or questioning their gender, and their family members. Whether you are seeking therapy related to your gender or not, and whatever challenges have brought you to therapy, I am here to listen and to help you reach your full potential.
No matter what brings you or your family to therapy, working with a trans-affirming, trans-competent therapist who "gets it," who is knowledgeable in the challenges that transgender and non-binary individuals, couples, and families may face, and who is accepting and supportive of all people, makes the therapeutic relationship process easier.
Are you or someone you love questioning gender? Are you or someone you love needing support with your transition processes? Are you transgender or non-binary and have had challenges finding an affirming, trans-competent provider? I am a queer trans-man with years of experience working with children, teens, and adults who are transgender, gender diverse, or questioning their gender, and their family members. Whether you are seeking therapy related to your gender or not, and whatever challenges have brought you to therapy, I am here to listen and to help you reach your full potential.
View
Photo of Omotayo Daniels, LCSW-C, LICSW, LCSW, Clinical Social Work/Therapist
Omotayo Daniels
Clinical Social Work/Therapist, LCSW-C, LICSW, LCSW
Verified Verified
Columbia, MD 21045
Waitlist for new clients
Do you need a safe space where you can be your authentic self? Are you feeling overwhelmed, or anxious? Are you struggling to deal with the loss of a loved one? Facing a difficult life change or decision? Are you struggling to connect to your partner? Do struggle to find your voice or to feel heard? Changes in life can be difficult to navigate. The good news is that you do not have to face them alone. I specialize in using a holistic approach to therapy. I use evidenced based techniques to provide support to individuals ages 10 and older dealing with challenges of: anxiety, grief, depression, self-esteem, anger, and trauma.
Do you need a safe space where you can be your authentic self? Are you feeling overwhelmed, or anxious? Are you struggling to deal with the loss of a loved one? Facing a difficult life change or decision? Are you struggling to connect to your partner? Do struggle to find your voice or to feel heard? Changes in life can be difficult to navigate. The good news is that you do not have to face them alone. I specialize in using a holistic approach to therapy. I use evidenced based techniques to provide support to individuals ages 10 and older dealing with challenges of: anxiety, grief, depression, self-esteem, anger, and trauma.
(301) 804-2169 View (301) 804-2169
Photo of Randall R Myers, PhD, LCSW-C, Clinical Social Work/Therapist
Randall R Myers
Clinical Social Work/Therapist, PhD, LCSW-C
Verified Verified
Columbia, MD 21046  (Online Only)
I have expertise working with couples, families, and individuals of all ages on a variety of issues such as anxiety, depression, and ADHD.
Glad you found me and I look forward to working with you! I enjoy working directly with people to allow a deeper connection on a personal level whether you're new to therapy or not. I actively engage honestly and authentically in the counseling and healing process, exploring and addressing issues directly as they arise. I allow time for deeper understanding as the counseling process unfolds. I have been a successful clinical social work therapist for many years, working with a wide range of both hearing and deaf people (I sign fluently) on individual, children, youth, couple, and family issues. I also supervise other clinicians.
I have expertise working with couples, families, and individuals of all ages on a variety of issues such as anxiety, depression, and ADHD.
Glad you found me and I look forward to working with you! I enjoy working directly with people to allow a deeper connection on a personal level whether you're new to therapy or not. I actively engage honestly and authentically in the counseling and healing process, exploring and addressing issues directly as they arise. I allow time for deeper understanding as the counseling process unfolds. I have been a successful clinical social work therapist for many years, working with a wide range of both hearing and deaf people (I sign fluently) on individual, children, youth, couple, and family issues. I also supervise other clinicians.
(301) 918-5780 View (301) 918-5780
Photo of Christine Highfill, LCPC, NCC
Christine Highfill
Licensed Clinical Professional Counselor, LCPC, NCC
Verified Verified
Columbia, MD 21045
I work with individuals, couples and families to set goals and create steps forward to health and happiness.
Does life feel overwhelming? Your stress is unmanageable. Your relationships need repair. It feels difficult to move forward, and you are struggling. The constant feeling of being overwhelmed leads to physical, emotional, and mental exhaustion. You want to make peace with a painful past. The burden of unmanaged stress affects every facet of your being, affecting your work, health, and relationships. You know something needs to change. Starting therapy is a brave and proactive step toward well-being. I am here to be present to you, to validate your thoughts and feelings with compassion. I will support your healing.
I work with individuals, couples and families to set goals and create steps forward to health and happiness.
Does life feel overwhelming? Your stress is unmanageable. Your relationships need repair. It feels difficult to move forward, and you are struggling. The constant feeling of being overwhelmed leads to physical, emotional, and mental exhaustion. You want to make peace with a painful past. The burden of unmanaged stress affects every facet of your being, affecting your work, health, and relationships. You know something needs to change. Starting therapy is a brave and proactive step toward well-being. I am here to be present to you, to validate your thoughts and feelings with compassion. I will support your healing.
(240) 201-2063 View (240) 201-2063
Photo of Jennifer M Jenkins At Live Free Therapy, LCPC, LPC, CAC-AD, C-DBT, Counselor
Jennifer M Jenkins At Live Free Therapy
Counselor, LCPC, LPC, CAC-AD, C-DBT
Verified Verified
1 Endorsed
Columbia, MD 21044  (Online Only)
Invest in your relationship with yourself.
I provide virtually services in MD and VA. I believe we all have a purpose! Sometimes it is hard for us to fulfill our purpose because of how we interpret what we go through in life. Life can be difficult, especially when you are navigating through life events that have become overwhelming. With a wealth of experience, diverse modalities, and a passion for helping clients discover their strengths, I believe in establishing rapport with clients by providing empathetic, culturally sensitive counseling as they confront the issues they’re dealing with.
Invest in your relationship with yourself.
I provide virtually services in MD and VA. I believe we all have a purpose! Sometimes it is hard for us to fulfill our purpose because of how we interpret what we go through in life. Life can be difficult, especially when you are navigating through life events that have become overwhelming. With a wealth of experience, diverse modalities, and a passion for helping clients discover their strengths, I believe in establishing rapport with clients by providing empathetic, culturally sensitive counseling as they confront the issues they’re dealing with.
(240) 512-1508 View (240) 512-1508
Photo of Sonya D Osborne, LGPC, NCC, Counselor
Sonya D Osborne
Counselor, LGPC, NCC
Verified Verified
1 Endorsed
Columbia, MD 21044  (Online Only)
Are you feeling anxious, depressed, or going through difficult life transitions? Are the stressors of life becoming too much to handle? It can be challenging to make sense of it all. I will help you to create positive outcomes and work towards a clearer path of wellbeing. We will work together collaboratively to gain a new perspective. I will partner with you to improve your coping skills and change negative thought patterns. We will work together to identify your strengths and create a new vision for your life.
Are you feeling anxious, depressed, or going through difficult life transitions? Are the stressors of life becoming too much to handle? It can be challenging to make sense of it all. I will help you to create positive outcomes and work towards a clearer path of wellbeing. We will work together collaboratively to gain a new perspective. I will partner with you to improve your coping skills and change negative thought patterns. We will work together to identify your strengths and create a new vision for your life.
(240) 201-9577 View (240) 201-9577
Photo of Nia Burley, LGPC, Counselor
Nia Burley
Counselor, LGPC
Verified Verified
Columbia, MD 21044
As a Licensed Graduate Professional Counselor in Maryland, I am here to help guide you through your mental health journey. Have you been feeling anxious, depressed, 'feeling stuck', not motivated, lack some confidence, self control, or wanting to explore and heal your childhood trauma or relationship trauma? I believe I am qualified with the education and personal experience to support you and walk with you through your journey.
As a Licensed Graduate Professional Counselor in Maryland, I am here to help guide you through your mental health journey. Have you been feeling anxious, depressed, 'feeling stuck', not motivated, lack some confidence, self control, or wanting to explore and heal your childhood trauma or relationship trauma? I believe I am qualified with the education and personal experience to support you and walk with you through your journey.
(240) 717-3804 View (240) 717-3804
Photo of Laurie Thorner, LCSW-C, LFYP, II, Clinical Social Work/Therapist
Laurie Thorner
Clinical Social Work/Therapist, LCSW-C, LFYP, II
Verified Verified
1 Endorsed
Columbia, MD 21044
Marital/couples counseling,and individual psychotherapy services offered for over 25 years, emphasizing an integrative approach to healing the mind, body, and spirit. I am a certified IMAGO relationship psychotherapist. Through a comprehensive interview and clinical assessment, conflicts, issues, and concerns may be identified, and treatment goals mutually determined. The psychotherapy treatment process should feel safe and respectful. Clients develop the trust necessary to learn and improve communication and establish effective coping skills. The psychotherapeutic relationship is a vehicle for life enhancement, allowing you to fulfill aspirations for personal growth, self-improvement, reduce stress and facilitate relationship growth and healing.
Marital/couples counseling,and individual psychotherapy services offered for over 25 years, emphasizing an integrative approach to healing the mind, body, and spirit. I am a certified IMAGO relationship psychotherapist. Through a comprehensive interview and clinical assessment, conflicts, issues, and concerns may be identified, and treatment goals mutually determined. The psychotherapy treatment process should feel safe and respectful. Clients develop the trust necessary to learn and improve communication and establish effective coping skills. The psychotherapeutic relationship is a vehicle for life enhancement, allowing you to fulfill aspirations for personal growth, self-improvement, reduce stress and facilitate relationship growth and healing.
(443) 840-9964 View (443) 840-9964
Photo of Tori-Lyn Mills, LCPC
Tori-Lyn Mills
Licensed Clinical Professional Counselor, LCPC
Verified Verified
Columbia, MD 21044  (Online Only)
Tori Mills is a Licensed Clinical Professional Counselor who has over 20 years of experience in mental health. She works as a clinical therapist providing a variety of mental health services to adolescents, adults, and couples, and she specializes in cognitive behavioral therapy, family therapy, depression, anxiety, grief and loss, parenting issues, codependency, and self-esteem. Tori partners with clients to increase self-awareness, cultivate empowerment, encourage positive change, and most importantly to work toward achieving the goals that clients set forth for themselves.
Tori Mills is a Licensed Clinical Professional Counselor who has over 20 years of experience in mental health. She works as a clinical therapist providing a variety of mental health services to adolescents, adults, and couples, and she specializes in cognitive behavioral therapy, family therapy, depression, anxiety, grief and loss, parenting issues, codependency, and self-esteem. Tori partners with clients to increase self-awareness, cultivate empowerment, encourage positive change, and most importantly to work toward achieving the goals that clients set forth for themselves.
(667) 200-0971 View (667) 200-0971
Photo of Rekha Mehrotra, MS, LCPC, Counselor
Rekha Mehrotra
Counselor, MS, LCPC
Verified Verified
3 Endorsed
Columbia, MD 21045
I have experience working with individuals, couples, multicultural , LGBTQ+ and polyamorous clients.
**Availability Tuesdays and Wednesdays daytime virtually** Are you feeling overwhelmed, stressed, anxious, or just stuck in your life? If you do, let me help. I tailor my sessions around each individual’s needs so that they can attain the personal growth they aspire. I utilize evidence-based techniques and customize sessions to include not just a client’s personal but also cultural, spiritual and religious elements.
I have experience working with individuals, couples, multicultural , LGBTQ+ and polyamorous clients.
**Availability Tuesdays and Wednesdays daytime virtually** Are you feeling overwhelmed, stressed, anxious, or just stuck in your life? If you do, let me help. I tailor my sessions around each individual’s needs so that they can attain the personal growth they aspire. I utilize evidence-based techniques and customize sessions to include not just a client’s personal but also cultural, spiritual and religious elements.
(410) 567-0091 View (410) 567-0091
Photo of Carol A. Levine, MS, LCPC, LLC
Carol A. Levine
Licensed Clinical Professional Counselor, MS, LCPC, LLC
Verified Verified
Columbia, MD 21044  (Online Only)
Together, we will explore your past to look at who loved you, who didn’t, and how your first caregivers shaped your current relationship patterns, choices and emotions.
Do you experience anxiety, including social fear and avoidance? Do you feel anxious in romantic relationships or just want to feel less worried and depressed? I get it! Does your angst leave you feeling empty, angry and irritable? Life can be absolutely overwhelming and actually scary, at times, especially when stress piles up and we’re trying to juggle a career, a marriage and parenting. Unhealed wounds and traumatic experiences from our past wreak havoc on our present and we don’t know how to repair the damage. But there are answers!
Together, we will explore your past to look at who loved you, who didn’t, and how your first caregivers shaped your current relationship patterns, choices and emotions.
Do you experience anxiety, including social fear and avoidance? Do you feel anxious in romantic relationships or just want to feel less worried and depressed? I get it! Does your angst leave you feeling empty, angry and irritable? Life can be absolutely overwhelming and actually scary, at times, especially when stress piles up and we’re trying to juggle a career, a marriage and parenting. Unhealed wounds and traumatic experiences from our past wreak havoc on our present and we don’t know how to repair the damage. But there are answers!
(240) 557-3739 View (240) 557-3739
Photo of Tenneh Johnson Kemah, LCSW-C, Clinical Social Work/Therapist
Tenneh Johnson Kemah
Clinical Social Work/Therapist, LCSW-C
Verified Verified
1 Endorsed
Columbia, MD 21046
When you are looking for a therapist, that decision often comes during times of crisis. This loss of balance and connection makes it hard to make decisions or trust anyone. But as you take this first step, I will honor your trust with a relationship that is free of judgement and focused on finding your foundation. Whether you are coping with trauma, depression, stress, anxiety, life transition, relationship or marital issues, we can work together to make things better. I bring to the table a deep knowledge of a diverse set of treatment methods that allow me to tailor your therapy uniquely to your personality, challenges and life.
When you are looking for a therapist, that decision often comes during times of crisis. This loss of balance and connection makes it hard to make decisions or trust anyone. But as you take this first step, I will honor your trust with a relationship that is free of judgement and focused on finding your foundation. Whether you are coping with trauma, depression, stress, anxiety, life transition, relationship or marital issues, we can work together to make things better. I bring to the table a deep knowledge of a diverse set of treatment methods that allow me to tailor your therapy uniquely to your personality, challenges and life.
(667) 200-0575 View (667) 200-0575
Photo of Elizabeth Venenga, LCPC
Elizabeth Venenga
Licensed Clinical Professional Counselor, LCPC
Verified Verified
Columbia, MD 21044  (Online Only)
My focus in the counseling relationship is on promoting growth and healing by exploring the role of individual identity, coping strategies, support systems, and trauma in your life. I hope to help you find meaning, achieve personal goals, engage in healthy relationships, and confront past hurtful or painful experiences. I use a client-centered approach to therapy while also incorporating aspects of CBT, DBT, and existential psychotherapy.
My focus in the counseling relationship is on promoting growth and healing by exploring the role of individual identity, coping strategies, support systems, and trauma in your life. I hope to help you find meaning, achieve personal goals, engage in healthy relationships, and confront past hurtful or painful experiences. I use a client-centered approach to therapy while also incorporating aspects of CBT, DBT, and existential psychotherapy.
(240) 213-9081 View (240) 213-9081
Photo of Irene Christin, LCPC, MS
Irene Christin
Licensed Clinical Professional Counselor, LCPC, MS
Verified Verified
Columbia, MD 21044  (Online Only)
I specialize in working mostly with children and families. Also, I see couples and individual adults. I offer help with managing high level of stress, anxiety, depression, and other mental health conditions. In my practice, I use an integrative approach that includes several evidence-based techniques. The foundation of my method is empathic understanding and unconditional positive regard. I am truly convinced that every person has the potential to grow and achieve positive life change.
I specialize in working mostly with children and families. Also, I see couples and individual adults. I offer help with managing high level of stress, anxiety, depression, and other mental health conditions. In my practice, I use an integrative approach that includes several evidence-based techniques. The foundation of my method is empathic understanding and unconditional positive regard. I am truly convinced that every person has the potential to grow and achieve positive life change.
(571) 471-9410 View (571) 471-9410
Photo of Dr. Lisa Goldman, PhD, MA, MGS, Psychologist
Dr. Lisa Goldman
Psychologist, PhD, MA, MGS
Verified Verified
Columbia, MD 21046  (Online Only)
Waitlist for new clients
If you are experiencing emotional pain from a past or current relationship, I provide a supportive, non-judgmental atmosphere in which you can gain insight and feel empowered to make positive life changes. As a Clinical Psychologist with over 30 years experience, I specialize in addressing a variety of relationship problems. In individual or couples therapy, we will explore ways of thinking and patterns of interaction that are no longer working for you. Therapy aims to promote healing and growth for individuals, and to enhance communication, connection and trust within one's relationships.
If you are experiencing emotional pain from a past or current relationship, I provide a supportive, non-judgmental atmosphere in which you can gain insight and feel empowered to make positive life changes. As a Clinical Psychologist with over 30 years experience, I specialize in addressing a variety of relationship problems. In individual or couples therapy, we will explore ways of thinking and patterns of interaction that are no longer working for you. Therapy aims to promote healing and growth for individuals, and to enhance communication, connection and trust within one's relationships.
(410) 928-7021 View (410) 928-7021
Photo of Edward J Ruiz, MA, LPC, NCC, LCPC, Counselor
Edward J Ruiz
Counselor, MA, LPC, NCC, LCPC
Verified Verified
Columbia, MD 21046  (Online Only)
I provide professional clinical counseling from a Christian worldview throughout Maryland and Connecticut. I address a variety of struggles such anxiety, depression, fear, anger, grief, loss and feelings of hopelessness. I help clients with trauma histories, and early attachment difficulties that keep them from forming meaningful and mutually edifying relationships with family or friends. Counseling can be somewhat nerve racking in the beginning, but I hope to offer a safe and trusting relationship to help think through and face the difficulties of life with the hope of Christ.
I provide professional clinical counseling from a Christian worldview throughout Maryland and Connecticut. I address a variety of struggles such anxiety, depression, fear, anger, grief, loss and feelings of hopelessness. I help clients with trauma histories, and early attachment difficulties that keep them from forming meaningful and mutually edifying relationships with family or friends. Counseling can be somewhat nerve racking in the beginning, but I hope to offer a safe and trusting relationship to help think through and face the difficulties of life with the hope of Christ.
(443) 892-7304 View (443) 892-7304
Photo of Olivia Yonga, LMSW, Clinical Social Work/Therapist
Olivia Yonga
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Columbia, MD 21046  (Online Only)
Hello! My name is Olivia and I am Christian and holistic therapist with Cultivating Unstoppable You, LLC. I specialize in helping couples strengthen their relationships through the use of Prepare-Enrich assessments and skills. My passion for helping couples build strong, healthy relationships allows me the opportunity to help many couples grow and develop through my work. I help couples with considering one another's thoughts and opinions and practicing vulnerability to connect in a different way than ever before.
Hello! My name is Olivia and I am Christian and holistic therapist with Cultivating Unstoppable You, LLC. I specialize in helping couples strengthen their relationships through the use of Prepare-Enrich assessments and skills. My passion for helping couples build strong, healthy relationships allows me the opportunity to help many couples grow and develop through my work. I help couples with considering one another's thoughts and opinions and practicing vulnerability to connect in a different way than ever before.
(443) 323-0563 View (443) 323-0563
Photo of Ray Rivers, MS, LCPC
Ray Rivers
Licensed Clinical Professional Counselor, MS, LCPC
Verified Verified
Columbia, MD 21046
My Relationship Rescue program is a game-changer! You know what's wrong: communication, connection, intimacy, resentment, walking-on-eggshells - we can master it ALL with real care and understanding, if you put in the work. We'll face and break through every issue - check out the testimonials, blog posts, and videos at www.rayriversbeyondtherapy.com - I have the tools, support, and inspiration you are looking for! Let's unleash the true power of your partnership, so your hearts can heal and your light can shine - let's break through to rock-solid love and connection for life! Isn't it finally time?
My Relationship Rescue program is a game-changer! You know what's wrong: communication, connection, intimacy, resentment, walking-on-eggshells - we can master it ALL with real care and understanding, if you put in the work. We'll face and break through every issue - check out the testimonials, blog posts, and videos at www.rayriversbeyondtherapy.com - I have the tools, support, and inspiration you are looking for! Let's unleash the true power of your partnership, so your hearts can heal and your light can shine - let's break through to rock-solid love and connection for life! Isn't it finally time?
(410) 927-5712 View (410) 927-5712
Photo of Daniel M Zimet, PhD, Psychologist
Daniel M Zimet
Psychologist, PhD
Verified Verified
1 Endorsed
Columbia, MD 21044
While more detail can be found on my website, I specialize in relationship and family therapy, as well as adolescents and young adults struggling to gain independence.
The decision to contact a therapist requires courage, self-awareness, and hope. Reaching out for help and guidance opens the door for growth, health, and a future of new possibilities. I respect and admire the decision you have made and wish you well on these first steps towards improving your life. My responsibility and pledge is a commitment to creating a safe environment that includes listening, compassion and support balanced with insightful feedback that provides outcome-oriented options to your issues. I see therapy as a collaborative dialogue.
While more detail can be found on my website, I specialize in relationship and family therapy, as well as adolescents and young adults struggling to gain independence.
The decision to contact a therapist requires courage, self-awareness, and hope. Reaching out for help and guidance opens the door for growth, health, and a future of new possibilities. I respect and admire the decision you have made and wish you well on these first steps towards improving your life. My responsibility and pledge is a commitment to creating a safe environment that includes listening, compassion and support balanced with insightful feedback that provides outcome-oriented options to your issues. I see therapy as a collaborative dialogue.
(443) 353-9996 View (443) 353-9996
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.