Couples Counseling Therapists in Baltimore, MD

Photo of Marc J Weinstein, PsyD, Psychologist
Marc J Weinstein
Psychologist, PsyD
Verified Verified
Baltimore, MD 21210
In my experience, a person who seeks therapy wants solutions that work. And since two heads are better than one, I believe an effective therapeutic alliance can help people attain the happiness and fulfillment they desire. When a safe and trusting environment is established, people can learn to value themselves, develop healthy relationships and heal from painful experiences. My therapy style is direct and active. I rely on honesty and authenticity in therapy to guide our collaborative efforts. Therapy can only be successful when the client and therapist have a good working relationship and the client participates fully.
In my experience, a person who seeks therapy wants solutions that work. And since two heads are better than one, I believe an effective therapeutic alliance can help people attain the happiness and fulfillment they desire. When a safe and trusting environment is established, people can learn to value themselves, develop healthy relationships and heal from painful experiences. My therapy style is direct and active. I rely on honesty and authenticity in therapy to guide our collaborative efforts. Therapy can only be successful when the client and therapist have a good working relationship and the client participates fully.
(410) 205-1022 View (410) 205-1022
Photo of Hanna Badalova, LCSW-C, Clinical Social Work/Therapist
Hanna Badalova
Clinical Social Work/Therapist, LCSW-C
Verified Verified
1 Endorsed
Baltimore, MD 21210
Not accepting new clients
{Not accepting clients at this time; please reach me via email after December 2023 as I anticipate more room in my schedule then}. I am a Baltimore-based psychotherapist treating individuals, couples and families for almost a decade. My expertise is in adjustment and trauma related disorders, mood disorders, and anxiety, particularly in adolescents and young adults. My empathic, creative approach allows me to pay close attention to the narratives and repeating patterns in my clients’ lives and to develop an individualized plan of action.
{Not accepting clients at this time; please reach me via email after December 2023 as I anticipate more room in my schedule then}. I am a Baltimore-based psychotherapist treating individuals, couples and families for almost a decade. My expertise is in adjustment and trauma related disorders, mood disorders, and anxiety, particularly in adolescents and young adults. My empathic, creative approach allows me to pay close attention to the narratives and repeating patterns in my clients’ lives and to develop an individualized plan of action.
(443) 552-7354 View (443) 552-7354
Photo of Jacinta Casey, LCSW-C, Clinical Social Work/Therapist
Jacinta Casey
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Baltimore, MD 21202
I work with those struggling with confidence/self-esteem/self-compassion, those interested in working on emotion identification and regulation, and those struggling with inattentiveness/focus difficulties. I help those who want to build up their coping skills toolkit. I am interested in working with those striving to identify and live aligned with their values and eager to engage in therapy. I am comfortable with people who might be the first generation willing to engage and trust the therapeutic relationship. I want to work with someone who wants to find balance and acceptance in a life of suffering and joy.
I work with those struggling with confidence/self-esteem/self-compassion, those interested in working on emotion identification and regulation, and those struggling with inattentiveness/focus difficulties. I help those who want to build up their coping skills toolkit. I am interested in working with those striving to identify and live aligned with their values and eager to engage in therapy. I am comfortable with people who might be the first generation willing to engage and trust the therapeutic relationship. I want to work with someone who wants to find balance and acceptance in a life of suffering and joy.
(240) 394-4289 View (240) 394-4289
Photo of Formka Johnson - Transform Your Mind, LLC, MSW, LCSW-C, Clinical Social Work/Therapist
Transform Your Mind, LLC
Clinical Social Work/Therapist, MSW, LCSW-C
Verified Verified
Baltimore, MD 21202
Here at Transform Your Mind we are here to build a trusting relationship with people who ready to live a healthy, happy, and productive life.
No one wakes up and says, bless me with a mental illness and negative thoughts. I know, having either or can make you feel isolated, embarrassed, and alone. Having a mental illness and/or negative thoughts are not uncommon, but can be scary if you are trying to deal with it by yourself.
Here at Transform Your Mind we are here to build a trusting relationship with people who ready to live a healthy, happy, and productive life.
No one wakes up and says, bless me with a mental illness and negative thoughts. I know, having either or can make you feel isolated, embarrassed, and alone. Having a mental illness and/or negative thoughts are not uncommon, but can be scary if you are trying to deal with it by yourself.
(667) 229-0438 View (667) 229-0438
Photo of Mark A Napolitano, MS, LCPC, Counselor
Mark A Napolitano
Counselor, MS, LCPC
Verified Verified
Baltimore, MD 21210
Do you miss the easy way you both would listen and understand each other? Would you like your communication to solve problems instead of start conflicts? When you reach out with a need is it answered? The focus of my practice is relationships, for couples, individuals, and families. Finding ourselves in recurring conflicts and stalemates at home can create a hopeless place, accompanied by feelings of anger, confusion, and loneliness. Through therapy, we can learn to communicate clearly, state our needs, and rebuild trust. Let's work together to unravel the stuck place you're in and rewrite the script for greater joy and connection.
Do you miss the easy way you both would listen and understand each other? Would you like your communication to solve problems instead of start conflicts? When you reach out with a need is it answered? The focus of my practice is relationships, for couples, individuals, and families. Finding ourselves in recurring conflicts and stalemates at home can create a hopeless place, accompanied by feelings of anger, confusion, and loneliness. Through therapy, we can learn to communicate clearly, state our needs, and rebuild trust. Let's work together to unravel the stuck place you're in and rewrite the script for greater joy and connection.
(410) 983-6398 View (410) 983-6398
Photo of Grace Myhill, MSW, Clinical Social Work/Therapist
Grace Myhill
Clinical Social Work/Therapist, MSW
Verified Verified
Baltimore, MD 21210
With extensive knowledge and experience working with neurodiverse couples, I offer relationship coaching for the unique issues that arise for couples in which one or both partners have Asperger's or autism. Coaching can be done individually, with a couple, or in groups.
With extensive knowledge and experience working with neurodiverse couples, I offer relationship coaching for the unique issues that arise for couples in which one or both partners have Asperger's or autism. Coaching can be done individually, with a couple, or in groups.
(617) 209-2583 View (617) 209-2583
Photo of Nicolle R Womack, LCPC, NCC, MBA
Nicolle R Womack
Licensed Clinical Professional Counselor, LCPC, NCC, MBA
Verified Verified
Baltimore, MD 21201  (Online Only)
I hold a firm belief that the cornerstone of effective counseling lies in the establishment of a robust, positive relationship between the client and the therapist.
As a licensed clinical mental health therapist authorized to practice in Maryland, I employ a diverse range of interventions aimed at assisting clients in redefining their problem-solving strategies, recognizing and managing their emotions, and acquiring tangible skills for mitigating stress and navigating conflicts. My professional journey spans multiple disciplines, enabling me to offer my services to individuals in private practice, outpatient mental health facilities, and correctional institutions.
I hold a firm belief that the cornerstone of effective counseling lies in the establishment of a robust, positive relationship between the client and the therapist.
As a licensed clinical mental health therapist authorized to practice in Maryland, I employ a diverse range of interventions aimed at assisting clients in redefining their problem-solving strategies, recognizing and managing their emotions, and acquiring tangible skills for mitigating stress and navigating conflicts. My professional journey spans multiple disciplines, enabling me to offer my services to individuals in private practice, outpatient mental health facilities, and correctional institutions.
(667) 285-8150 View (667) 285-8150
Photo of Leon Ginn, LPC, LCPC, MA, Licensed Professional Counselor
Leon Ginn
Licensed Professional Counselor, LPC, LCPC, MA
Verified Verified
1 Endorsed
Baltimore, MD 21211  (Online Only)
Life is difficult; making sense of challenges and choices can be complicated. Times of stress can tax every relationship, even the relationship with our self. As a Professional Counselor my goal is to create a relationship in which you can feel comfortable exploring your thoughts and emotions, assisting in discovering new opportunities for growth and change.
Life is difficult; making sense of challenges and choices can be complicated. Times of stress can tax every relationship, even the relationship with our self. As a Professional Counselor my goal is to create a relationship in which you can feel comfortable exploring your thoughts and emotions, assisting in discovering new opportunities for growth and change.
(240) 617-3430 View (240) 617-3430
Photo of Najja Edwards, LCSW-C, Clinical Social Work/Therapist
Najja Edwards
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Baltimore, MD 21202  (Online Only)
My ideal client is someone who is motivated, honest with themselves, willing to be vulnerable in the therapeutic relationship, and open to being gently challenged in order to reach their desired growth and change.
I am passionate about supporting and helping clients through anxiety and depressive symptoms, adjusting to life changes/transitions, managing stress, and challenges within interpersonal relationships.
My ideal client is someone who is motivated, honest with themselves, willing to be vulnerable in the therapeutic relationship, and open to being gently challenged in order to reach their desired growth and change.
I am passionate about supporting and helping clients through anxiety and depressive symptoms, adjusting to life changes/transitions, managing stress, and challenges within interpersonal relationships.
(443) 501-2842 View (443) 501-2842
Photo of Jennifer A. Pope - J.Pope & Associates, LLC, LCSW-C, Clinical Social Work/Therapist
J.Pope & Associates, LLC
Clinical Social Work/Therapist, LCSW-C
Verified Verified
1 Endorsed
Baltimore, MD 21202
We provide individual, group, and family therapy as well as couples counseling.
J. Pope & Associates, LLC was created to contribute to the betterment of mental health & wellness while improving the functioning of children, youth, adults and families. In addition, our services are tools used to effectively decrease the prevalence and incidence of mental illness, emotional disturbance, and social dysfunction. We strive to provide compassionate solution focused treatment to the inner city and surrounding areas by strengthening communities, building positive relationships, and promoting emotional wellness.
We provide individual, group, and family therapy as well as couples counseling.
J. Pope & Associates, LLC was created to contribute to the betterment of mental health & wellness while improving the functioning of children, youth, adults and families. In addition, our services are tools used to effectively decrease the prevalence and incidence of mental illness, emotional disturbance, and social dysfunction. We strive to provide compassionate solution focused treatment to the inner city and surrounding areas by strengthening communities, building positive relationships, and promoting emotional wellness.
(667) 288-0237 View (667) 288-0237
Photo of Dwight S Myers, LCSW-R, LCSW-C, Clinical Social Work/Therapist
Dwight S Myers
Clinical Social Work/Therapist, LCSW-R, LCSW-C
Verified Verified
Baltimore, MD 21230  (Online Only)
The therapist/client relationship is sacred; building on trust and safety to achieve desired goals through healing old wounds and providing hope for the future.
Feeling depressed, anxious and stressed? These feelings can impact our most important relationships. And, our most important relationships can activate theses feelings in us as well. Being able to talk with someone in a non-judgmental atmosphere can be helpful as we explore your thoughts and feelings in new way. Therapy can also help us to look more closely at the repetitious patterns in our feelings and behaviors and learn, though reflection, self discovery and insight, how to re-frame and rebuild our lives in a way that brings us joy and hope!
The therapist/client relationship is sacred; building on trust and safety to achieve desired goals through healing old wounds and providing hope for the future.
Feeling depressed, anxious and stressed? These feelings can impact our most important relationships. And, our most important relationships can activate theses feelings in us as well. Being able to talk with someone in a non-judgmental atmosphere can be helpful as we explore your thoughts and feelings in new way. Therapy can also help us to look more closely at the repetitious patterns in our feelings and behaviors and learn, though reflection, self discovery and insight, how to re-frame and rebuild our lives in a way that brings us joy and hope!
(585) 708-0023 View (585) 708-0023
Photo of Noah Alexander Veiga, LMSW, Clinical Social Work/Therapist
Noah Alexander Veiga
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Baltimore, MD 21224
I’ve been described as “analytical yet approachable,” and I find working with motivated individuals and couples who are seeking change in their life to be a pleasure.
We have the ability to reinvent ourselves at any given moment. In psychotherapy, that possibility is truly there, yet is something that takes work, and a well-nurtured belief in yourself. I’ve dedicated myself to understanding what it is to be human and to effectively treat emotional distress. And, I’ve seen a range of the difficulties people deal with in my work, but it seems that most folks are simply seeking authentic meaning and connection in some way, shape or form. It is an honor and privilege to do that work, building a vision of what true connection and meaning looks like for you, and how to bring that about, together.
I’ve been described as “analytical yet approachable,” and I find working with motivated individuals and couples who are seeking change in their life to be a pleasure.
We have the ability to reinvent ourselves at any given moment. In psychotherapy, that possibility is truly there, yet is something that takes work, and a well-nurtured belief in yourself. I’ve dedicated myself to understanding what it is to be human and to effectively treat emotional distress. And, I’ve seen a range of the difficulties people deal with in my work, but it seems that most folks are simply seeking authentic meaning and connection in some way, shape or form. It is an honor and privilege to do that work, building a vision of what true connection and meaning looks like for you, and how to bring that about, together.
(410) 701-3501 View (410) 701-3501
Photo of Nadia Williams - Nadia Williams LCPC, CST, MA, LCPC, CST, CSCT
Nadia Williams LCPC, CST
Licensed Clinical Professional Counselor, MA, LCPC, CST, CSCT
Verified Verified
Baltimore, MD 21224  (Online Only)
I am a Certified Sex Therapist and trained in treating a wide range of mental health issues including anxiety, sexual health issues, mood disorders, relationship problems, and life transitions.
In my practice, I believe in taking a friendly and non-judgmental manner with clients and view therapy as a collaboration. Seeking out a therapist can be a daunting task for anyone and I hope to make clients feel heard and comfortable by personalizing therapy to their needs. I utilize a variety of integrative therapeutic techniques ranging from cognitive behavioral, mindfulness, dialectical behavior therapy, and solution-focused to assist clients facing many difficulties within their lives.
I am a Certified Sex Therapist and trained in treating a wide range of mental health issues including anxiety, sexual health issues, mood disorders, relationship problems, and life transitions.
In my practice, I believe in taking a friendly and non-judgmental manner with clients and view therapy as a collaboration. Seeking out a therapist can be a daunting task for anyone and I hope to make clients feel heard and comfortable by personalizing therapy to their needs. I utilize a variety of integrative therapeutic techniques ranging from cognitive behavioral, mindfulness, dialectical behavior therapy, and solution-focused to assist clients facing many difficulties within their lives.
(443) 483-4192 View (443) 483-4192
Photo of Amanda Menke, LCSW-C, LICSW, Clinical Social Work/Therapist
Amanda Menke
Clinical Social Work/Therapist, LCSW-C, LICSW
Verified Verified
1 Endorsed
Baltimore, MD 21230  (Online Only)
Waitlist for new clients
I provide individual, couples, family and group therapy for individuals of all ages and Crisis Response.
Not currently able to accept new clients. I firmly believe in holistic wellness and cater my practice towards helping my clients to achieve their goals. Therapy is only effective when it meets your needs and caters towards you as your own unique self. Therapy is also an expenditure when it comes to time, money and energy. I work collaboratively with my clients to ensure you receive the quality care you deserve. When we combine our strengths, we can create a well-balanced therapeutic relationship.
I provide individual, couples, family and group therapy for individuals of all ages and Crisis Response.
Not currently able to accept new clients. I firmly believe in holistic wellness and cater my practice towards helping my clients to achieve their goals. Therapy is only effective when it meets your needs and caters towards you as your own unique self. Therapy is also an expenditure when it comes to time, money and energy. I work collaboratively with my clients to ensure you receive the quality care you deserve. When we combine our strengths, we can create a well-balanced therapeutic relationship.
(667) 217-2370 View (667) 217-2370
Photo of Romel Santiago, LCSW, CST, QS-CSW, Clinical Social Work/Therapist
Romel Santiago
Clinical Social Work/Therapist, LCSW, CST, QS-CSW
Verified Verified
1 Endorsed
Baltimore, MD 21230  (Online Only)
Romeos Sensation LLC provides Services in Florida and Maryland virtually. Through a structured interview and client engagement, Romel goes beyond the obvious, the presenting issue, to identify the root problem. Based on the outcome of the interview and clinical expertise, he proposes an individualized plan with goals that specifically target the problems with specific objectives and timelines for meeting those objectives. His extensive clinical background, training, and expertise have equipped him with skills critical to building and maintaining an effective and empathic relationship throughout the therapeutic process.
Romeos Sensation LLC provides Services in Florida and Maryland virtually. Through a structured interview and client engagement, Romel goes beyond the obvious, the presenting issue, to identify the root problem. Based on the outcome of the interview and clinical expertise, he proposes an individualized plan with goals that specifically target the problems with specific objectives and timelines for meeting those objectives. His extensive clinical background, training, and expertise have equipped him with skills critical to building and maintaining an effective and empathic relationship throughout the therapeutic process.
(240) 226-1612 View (240) 226-1612
Photo of 'mira' Mary Elizabeth Tessman, MA, LCPC, RYT-500, C-IAYT, Counselor
'mira' Mary Elizabeth Tessman
Counselor, MA, LCPC, RYT-500, C-IAYT
Verified Verified
Baltimore, MD 21209
My training in Mind-Body Medicine, IFS, CBT, Positive Psychology, Mindfulness-Based Stress Reduction, meditation and yoga therapy and work in private practice, clinics, schools, psychiatric wards has provided me with a diverse set of clinical skills that relieve symptoms of depression, anxiety, trauma, attentional challenges, grief, and relationship issues.
Beneath all of our disappointments, losses, and heartbreaks, we all want to be valued for who we are, accepted for how we feel, and respected for what we think. I will encourage you to cultivate present moment awareness and self-compassion for the painful difficulties, challenging life circumstances, and to the inner narrative that keeps you stuck in habitual patterns of reacting. While fear and doubt may obscure your perspective, we will work together to help you develop strength-based skills and capacities for moving through challenges. I will help you access your inner wisdom for cultivating trust, balance, clarity, & connection.
My training in Mind-Body Medicine, IFS, CBT, Positive Psychology, Mindfulness-Based Stress Reduction, meditation and yoga therapy and work in private practice, clinics, schools, psychiatric wards has provided me with a diverse set of clinical skills that relieve symptoms of depression, anxiety, trauma, attentional challenges, grief, and relationship issues.
Beneath all of our disappointments, losses, and heartbreaks, we all want to be valued for who we are, accepted for how we feel, and respected for what we think. I will encourage you to cultivate present moment awareness and self-compassion for the painful difficulties, challenging life circumstances, and to the inner narrative that keeps you stuck in habitual patterns of reacting. While fear and doubt may obscure your perspective, we will work together to help you develop strength-based skills and capacities for moving through challenges. I will help you access your inner wisdom for cultivating trust, balance, clarity, & connection.
(410) 881-0233 View (410) 881-0233
Photo of Joanne Epstein, LCSW, Clinical Social Work/Therapist
Joanne Epstein
Clinical Social Work/Therapist, LCSW
Verified Verified
Baltimore, MD 21209
With close to 20 years of clinical experience, I understand how to establish strong relationships with individuals, couples and families struggling with life's challenges, as am I.
I am an exceptional listener, mentor and guide who works with people dealing with depression, mood disorders, anxiety, and addiction. My practice is patient-centered: I am trained in a number of treatment modalities, but they can only be effective if an honest, trusting relationship is forged between me and my patient. Creating that relationship cannot be one-sided; it must be collaborative. My first order of business when meeting a new client is to begin developing trust on both sides. I ask questions. I listen. I offer honest feedback. I keep my mind and heart open.
With close to 20 years of clinical experience, I understand how to establish strong relationships with individuals, couples and families struggling with life's challenges, as am I.
I am an exceptional listener, mentor and guide who works with people dealing with depression, mood disorders, anxiety, and addiction. My practice is patient-centered: I am trained in a number of treatment modalities, but they can only be effective if an honest, trusting relationship is forged between me and my patient. Creating that relationship cannot be one-sided; it must be collaborative. My first order of business when meeting a new client is to begin developing trust on both sides. I ask questions. I listen. I offer honest feedback. I keep my mind and heart open.
(410) 919-4955 View (410) 919-4955
Photo of Darlena Austin, LCSW-C, Clinical Social Work/Therapist
Darlena Austin
Clinical Social Work/Therapist, LCSW-C
Verified Verified
14 Endorsed
Baltimore, MD 21214  (Online Only)
Not accepting new clients
I partner with women who are ready to love, live, and create from the truest version of themselves.
Is the life you're living not the life you imagined? Do you feel like you have given the best of yourself to others and wonder what's left for you? Does it feel like you are running out of time and you have yet to discover your purpose? Have you mastered the art of looking "all together" but inwardly it's taking everything you have to keep yourself together? Do you become angry, frustrated, sad, irritated when you think about your future? Are you feeling life has left you without options forcing you to settle for whatever comes your way? Have you stopped dreaming, imagining, and pursuing the once fiery passions of your heart?
I partner with women who are ready to love, live, and create from the truest version of themselves.
Is the life you're living not the life you imagined? Do you feel like you have given the best of yourself to others and wonder what's left for you? Does it feel like you are running out of time and you have yet to discover your purpose? Have you mastered the art of looking "all together" but inwardly it's taking everything you have to keep yourself together? Do you become angry, frustrated, sad, irritated when you think about your future? Are you feeling life has left you without options forcing you to settle for whatever comes your way? Have you stopped dreaming, imagining, and pursuing the once fiery passions of your heart?
(301) 844-6112 View (301) 844-6112
Photo of Bianca Johnson, NCC , LGPC , Counselor
Bianca Johnson
Counselor, NCC , LGPC
Verified Verified
Baltimore, MD 21202
I am a Licensed Graduate Professional Counselor (LGPC) with years of experience working with teens, couples, and adults who are struggling with anxiety, anger issues, parenting difficulties, depression, chronic stress, relationship issues, and pregnancy-related concerns. My ideal client is motivated to learn more about themselves, open to self-reflection, willing to engage in the therapeutic process, and committed to making positive changes in their lives. Additionally, they are motivated to work on their issues, have good communication skills, and are willing to be honest and vulnerable in the therapeutic relationship.
I am a Licensed Graduate Professional Counselor (LGPC) with years of experience working with teens, couples, and adults who are struggling with anxiety, anger issues, parenting difficulties, depression, chronic stress, relationship issues, and pregnancy-related concerns. My ideal client is motivated to learn more about themselves, open to self-reflection, willing to engage in the therapeutic process, and committed to making positive changes in their lives. Additionally, they are motivated to work on their issues, have good communication skills, and are willing to be honest and vulnerable in the therapeutic relationship.
(443) 512-2735 View (443) 512-2735
Photo of Rae Buchanan, LGPC, Counselor
Rae Buchanan
Counselor, LGPC
Verified Verified
2 Endorsed
Baltimore, MD 21201
Curiosity, empathy, and creativity are the main things I bring into our therapeutic relationship.
I am a creative, queer, neurodivergent therapist who is LGBTQIA+ affirming. Often my work is centered around identity, including the different parts of you that may be wounded, need cared for, and are calling out for growth. With a background rich in the performing arts, I am aware of the specific mental and emotional trauma and struggles that are often associated with creative work and love working with artist of all kinds. Additionally, I have experience working in university and healthcare settings, and hold deep empathy for the particular struggles encountered in these environments as well. Couples & individuals served!
Curiosity, empathy, and creativity are the main things I bring into our therapeutic relationship.
I am a creative, queer, neurodivergent therapist who is LGBTQIA+ affirming. Often my work is centered around identity, including the different parts of you that may be wounded, need cared for, and are calling out for growth. With a background rich in the performing arts, I am aware of the specific mental and emotional trauma and struggles that are often associated with creative work and love working with artist of all kinds. Additionally, I have experience working in university and healthcare settings, and hold deep empathy for the particular struggles encountered in these environments as well. Couples & individuals served!
(443) 348-0964 View (443) 348-0964
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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.