Couples Counseling Therapists in East Lansing, MI
![Photo of S. Julian Dixon, PhD, LLP, Limited Licensed Psychologist](https://photos.psychologytoday.com/002cf9c3-0ace-478c-9231-51143613f3fc/1/320x400.jpeg)
S. Julian Dixon
Limited Licensed Psychologist, PhD, LLP
Verified Verified
East Lansing, MI 48823 (Online Only)
If you are seeking a doctoral-level psychologist with 34+ years experience, and expertise in working with ethnically, racially, culturally, and socio-economically diverse populations of young adults, adults, couples & families, experiencing difficult life-transition, career-vocational, mental health, emotional, religious / spiritual, psychological & behavioral issues, including grief, loss, depression, anxiety, relationship issues, or problems with decision-making, overthinking, self-esteem, and addictions. - please give me a call.
If you are seeking a doctoral-level psychologist with 34+ years experience, and expertise in working with ethnically, racially, culturally, and socio-economically diverse populations of young adults, adults, couples & families, experiencing difficult life-transition, career-vocational, mental health, emotional, religious / spiritual, psychological & behavioral issues, including grief, loss, depression, anxiety, relationship issues, or problems with decision-making, overthinking, self-esteem, and addictions. - please give me a call.
![Photo of Amy Campbell, MS, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/eb4947ca-8ab6-46af-a20a-74c144364d65/2/320x400.jpeg)
Amy Campbell
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
East Lansing, MI 48823 (Online Only)
Through virtual therapy, I help individuals and couples to create sustainable change, alleviate mental health distress, and enhance their relationships.
If you are interested in inquiring about care, please complete the contact form at my website, www.campbellmft.com
Through virtual therapy, I help individuals and couples to create sustainable change, alleviate mental health distress, and enhance their relationships.
If you are interested in inquiring about care, please complete the contact form at my website, www.campbellmft.com
![Photo of Mark Edward Hulbert, MA, LLP, Limited Licensed Psychologist](https://photos.psychologytoday.com/3c815746-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Mark Edward Hulbert
Limited Licensed Psychologist, MA, LLP
Not Verified Not Verified
1 Endorsed
East Lansing, MI 48823
I am a limited licensed psychologist and have been practicing for 21 years. My experience has been in diverse setting and populations. I have worked in both adult and adolescent psychiatric hospitals, residential treatment, intensive foster care and in private practice. I have also been a foster parent an adoptive parent. Specialties include: children and adolescents, post traumatic stress disorder, depression, anxiety, GLBTQ issues, foster care and adoption, grief and loss issues, self- esteem, autism spectrum disorder and helping people discover how to live life to their fullest potential. I work with all ages and treat individual, families and couples.
I am a limited licensed psychologist and have been practicing for 21 years. My experience has been in diverse setting and populations. I have worked in both adult and adolescent psychiatric hospitals, residential treatment, intensive foster care and in private practice. I have also been a foster parent an adoptive parent. Specialties include: children and adolescents, post traumatic stress disorder, depression, anxiety, GLBTQ issues, foster care and adoption, grief and loss issues, self- esteem, autism spectrum disorder and helping people discover how to live life to their fullest potential. I work with all ages and treat individual, families and couples.
![Photo of Sara B Dupuis, PhD, LP, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/51695463-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Sara B Dupuis
Marriage & Family Therapist, PhD, LP, LMFT
Verified Verified
5 Endorsed
East Lansing, MI 48823
Waitlist for new clients
Relationships play an important role in our everyday lives. When relationships get off track, it can be so overwhelming. As such, I work with individuals, couples, and families to help heal the hurts and the pain of relational dynamics as well as trauma.
Relationships play an important role in our everyday lives. When relationships get off track, it can be so overwhelming. As such, I work with individuals, couples, and families to help heal the hurts and the pain of relational dynamics as well as trauma.
![Photo of Travis Kapp, MA, Counselor](https://photos.psychologytoday.com/c3fc0690-a40f-403b-abce-c2ba7d229d82/3/320x400.jpeg)
While navigating through life we are often presented with struggles and challenges that may be difficult to resolve on our own and require guidance and support from someone to successfully push through these challenges with positive outcomes. As a therapist, this is where I come in; I intend to provide individuals (families and couples) a safe haven to explore and work through any area(s) of your life in which you desire to change and/or improve. It is of great importance to me that the client/therapist relationship is established upon openness, candid, with active communication on behalf of both, the client and the therapist.
While navigating through life we are often presented with struggles and challenges that may be difficult to resolve on our own and require guidance and support from someone to successfully push through these challenges with positive outcomes. As a therapist, this is where I come in; I intend to provide individuals (families and couples) a safe haven to explore and work through any area(s) of your life in which you desire to change and/or improve. It is of great importance to me that the client/therapist relationship is established upon openness, candid, with active communication on behalf of both, the client and the therapist.
![Photo of Taryn Heart - Relationship specialists, MA](https://photos.psychologytoday.com/e9214bda-adce-444b-9af7-93ddb1338eed/2/320x400.jpeg)
We can also help you find a new way to be in your family, with your kids, your parents, your partners and roommates in an ever-changing dynamic.
As an agency we have been supporting people via online sessions, with everything that falls “outside the box”. If you are encountering relationship problems, you may have found that it is easier to procrastinate rather than to seek the relationship advice and tools that you need. You may have even been waiting to seek consulting or coaching services for years. Meanwhile your relationship difficulties have only been getting worse. Our consulting services are designed to help you communicate better and make sustainable changes that will benefit you and your family throughout your lives to come back to loving one another.
We can also help you find a new way to be in your family, with your kids, your parents, your partners and roommates in an ever-changing dynamic.
As an agency we have been supporting people via online sessions, with everything that falls “outside the box”. If you are encountering relationship problems, you may have found that it is easier to procrastinate rather than to seek the relationship advice and tools that you need. You may have even been waiting to seek consulting or coaching services for years. Meanwhile your relationship difficulties have only been getting worse. Our consulting services are designed to help you communicate better and make sustainable changes that will benefit you and your family throughout your lives to come back to loving one another.
![Photo of Deena Agree, LMSW, EMDR, CCTP, CCATP, CGP, Clinical Social Work/Therapist](https://photos.psychologytoday.com/a553eee9-15f6-4f83-92f6-7b2ac840a23a/1/320x400.jpeg)
Deena Agree
Clinical Social Work/Therapist, LMSW, EMDR, CCTP, CCATP, CGP
Verified Verified
East Lansing, MI 48823
I work with individuals, couples, and families, dealing with issues such as anxiety, depression, self-esteem, identity, attachment, trauma and PTSD, grief and loss, women’s issues, LGBTQ+ challenges, and relationships.
I am a mature, older woman with a lifetime of experience that I draw on in my practice. I am an empathic, respectful, and careful listener. I also am a very active collaborator in the therapeutic process, sharing my insights when I think they will be helpful. I work eclectically, utilizing approaches to therapy that are trauma-informed, integrative, and experiential. I am trained in many different modalities, including Eye Movement Desensitization & Reprocessing (EMDR).
I work with individuals, couples, and families, dealing with issues such as anxiety, depression, self-esteem, identity, attachment, trauma and PTSD, grief and loss, women’s issues, LGBTQ+ challenges, and relationships.
I am a mature, older woman with a lifetime of experience that I draw on in my practice. I am an empathic, respectful, and careful listener. I also am a very active collaborator in the therapeutic process, sharing my insights when I think they will be helpful. I work eclectically, utilizing approaches to therapy that are trauma-informed, integrative, and experiential. I am trained in many different modalities, including Eye Movement Desensitization & Reprocessing (EMDR).
![Photo of Steven Rodriguez, LMSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/92f89aaf-ff63-4770-887d-04edb15e6413/1/320x400.jpeg)
I work with individuals, couples and families dealing with depression, anxiety, relationship issues, divorce, life transitions, self-esteem, career and school issues.
Hello! I’m so glad you are here! Uncertainty in our lives, feelings of depression, sadness, and heightened anxieties can leave us feeling overwhelmed and isolated. Life doesn't come with an instructional manual and we can feel hopeless and helpless in struggling to manage our emotions, relationships and careers. Having someone in your corner for support and judgement free therapeutic solutions can make all the difference. You don't have to do it alone.
I work with individuals, couples and families dealing with depression, anxiety, relationship issues, divorce, life transitions, self-esteem, career and school issues.
Hello! I’m so glad you are here! Uncertainty in our lives, feelings of depression, sadness, and heightened anxieties can leave us feeling overwhelmed and isolated. Life doesn't come with an instructional manual and we can feel hopeless and helpless in struggling to manage our emotions, relationships and careers. Having someone in your corner for support and judgement free therapeutic solutions can make all the difference. You don't have to do it alone.
![Photo of Rose (Shoshie) Fox-Long, LLMSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3cd5e47d-adce-4591-80b3-634441b5af4c/2/320x400.jpeg)
Rose (Shoshie) Fox-Long
Clinical Social Work/Therapist, LLMSW
Verified Verified
1 Endorsed
East Lansing, MI 48823
I see a variety of populations, all of which include: Children/youth/families counseling, couples, addiction/substance abuse, behavioral problems, adoption, brown children/youth/adults, grief, anxiety, depression, life stages/obstacles, stress, body image issues, eating disorders, and advocacy.
Hello! Within my first few years of college, I finally figured out what I wanted to do as a career. I realized I wanted to help people through their own life obstacles, trauma, life stages, and more! I want to help others with their mental health and make their world a better place. As I continue to learn and grow throughout my professional career, I want to work with a variety of populations and ages. To me, counseling is a journey of being honest with who you are and who you want to present to the world. I believe that it is an honor to be able to embark on this journey with you and to share unique experiences of ourselves.
I see a variety of populations, all of which include: Children/youth/families counseling, couples, addiction/substance abuse, behavioral problems, adoption, brown children/youth/adults, grief, anxiety, depression, life stages/obstacles, stress, body image issues, eating disorders, and advocacy.
Hello! Within my first few years of college, I finally figured out what I wanted to do as a career. I realized I wanted to help people through their own life obstacles, trauma, life stages, and more! I want to help others with their mental health and make their world a better place. As I continue to learn and grow throughout my professional career, I want to work with a variety of populations and ages. To me, counseling is a journey of being honest with who you are and who you want to present to the world. I believe that it is an honor to be able to embark on this journey with you and to share unique experiences of ourselves.
![Photo of Rosie Gollapalli, MA, LLMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/e52ad81d-b59e-46c2-a621-23a3f58fdb3f/2/320x400.jpeg)
Rosie Gollapalli
Marriage & Family Therapist, MA, LLMFT
Verified Verified
1 Endorsed
East Lansing, MI 48823
I am a limited license marriage and family therapist providing care for individuals, couples and families.
When people look at you, it looks like you have it all, but life feels painful. You are successful, driven, and dependable. You have worked so hard to create the life of your dreams, but it feels like life is falling apart. Your marriage maybe falling apart or your important relationships strained. Something has to change because living this way is not working. You have tried to follow the rules and do everything by the book. You have tried to keep everyone happy. Yet, it all feels lost. You can’t go on like this. This is not what you want for your life. You are at the end of your rope, and it’s time for a change.
I am a limited license marriage and family therapist providing care for individuals, couples and families.
When people look at you, it looks like you have it all, but life feels painful. You are successful, driven, and dependable. You have worked so hard to create the life of your dreams, but it feels like life is falling apart. Your marriage maybe falling apart or your important relationships strained. Something has to change because living this way is not working. You have tried to follow the rules and do everything by the book. You have tried to keep everyone happy. Yet, it all feels lost. You can’t go on like this. This is not what you want for your life. You are at the end of your rope, and it’s time for a change.
![Photo of Sarah Gonzalez, MS, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/edc16441-77b8-4880-8be9-5b446a917411/3/320x400.jpeg)
Sarah Gonzalez
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
East Lansing, MI 48823
My ideal clients are dealing with life. Transitions, trauma, relationships, or just dealing with the world...all of these things come without a manual of how to manage. I work with individuals in adolescence through adulthood dealing with a variety of issues such as trauma/PTSD, ADHD, anxiety, depression, and gender dysphoria. I meet with families struggling with poor communication and life transitions. I provide couples therapy to those struggling with communication, connection, boundaries, parenting, and exploring non-monogamy. I work with individuals and couples who identify as LGBTQIA+.
My ideal clients are dealing with life. Transitions, trauma, relationships, or just dealing with the world...all of these things come without a manual of how to manage. I work with individuals in adolescence through adulthood dealing with a variety of issues such as trauma/PTSD, ADHD, anxiety, depression, and gender dysphoria. I meet with families struggling with poor communication and life transitions. I provide couples therapy to those struggling with communication, connection, boundaries, parenting, and exploring non-monogamy. I work with individuals and couples who identify as LGBTQIA+.
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![Photo of Shanita Wade, MA, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/c43b33f4-1a3f-4a2e-9186-f5ea51a6f827/3/320x400.jpeg)
Shanita Wade
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
East Lansing, MI 48823 (Online Only)
Accepting telehealth clients! Therapy is a unique and personal experience. You don't have to meet a specific criteria to benefit from having support. Whether you’re struggling with emotional pain, relationship issues/drama, anxiety/depression or major life transitions at work or home; my mission is to make sure that you feel heard, empowered, and supported. You don't have to manage these challenges alone! No matter what issue, concern, or situation you’re experiencing you have the ability to grow, heal and change while you gain a better understanding of your thoughts or feelings navigating through your own life journey.
Accepting telehealth clients! Therapy is a unique and personal experience. You don't have to meet a specific criteria to benefit from having support. Whether you’re struggling with emotional pain, relationship issues/drama, anxiety/depression or major life transitions at work or home; my mission is to make sure that you feel heard, empowered, and supported. You don't have to manage these challenges alone! No matter what issue, concern, or situation you’re experiencing you have the ability to grow, heal and change while you gain a better understanding of your thoughts or feelings navigating through your own life journey.
![Photo of Philip Gamber, LMSW, ACSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3f776bb5-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Philip Gamber
Clinical Social Work/Therapist, LMSW, ACSW
Verified Verified
3 Endorsed
East Lansing, MI 48823
I work with couples.
I have been in private clinical practice for 22 years. I have specifically trained to work with children, adolescents, young adults and older adults. My time is spent fairly equally working with mental health and substance abuse issues. Likewise, I have chosen to not focus on one specific age group, finding it to be more satisfying to see various aged people. I spend the most time with young adults, from ages of 16-26. I enjoy working with couples; though challenging, I can often offer a safe place for them to listen to one another.
I work with couples.
I have been in private clinical practice for 22 years. I have specifically trained to work with children, adolescents, young adults and older adults. My time is spent fairly equally working with mental health and substance abuse issues. Likewise, I have chosen to not focus on one specific age group, finding it to be more satisfying to see various aged people. I spend the most time with young adults, from ages of 16-26. I enjoy working with couples; though challenging, I can often offer a safe place for them to listen to one another.
![Photo of Maureen Fabiano, MA, LLP, Limited Licensed Psychologist](https://photos.psychologytoday.com/14fed150-e7e2-4564-a3e4-b987adc42978/6/320x400.png)
Maureen Fabiano
Limited Licensed Psychologist, MA, LLP
Verified Verified
East Lansing, MI 48823
Waitlist for new clients
I would like the opportunity to join with you while you are facing challenging times, so you can have more of the life you want with less emotional discomfort and distress. I will provide a safe, nonjudgmental professional relationship. I will carefully listen, provide knowledgeable feedback, and collaboratively work with you toward your desired goal or goals. I have many years of therapy experience. I primarily work with individuals and some couples.
I would like the opportunity to join with you while you are facing challenging times, so you can have more of the life you want with less emotional discomfort and distress. I will provide a safe, nonjudgmental professional relationship. I will carefully listen, provide knowledgeable feedback, and collaboratively work with you toward your desired goal or goals. I have many years of therapy experience. I primarily work with individuals and some couples.
People are sometimes challenged by turbulent emotions, transitions, losses or chronic mood issues. The day to day experience of emotional distress or an underlying sense of uneasiness affect vitality and are difficult to endure over time. Verbal dialogue within a relationship designed for you to freely express yourself, explore feelings and discover unconscious factors impacting you describes the change process of psychotherapy. I have seen many individuals over the years not only have symptom relief but find new paths while shedding patterns of disabling emotions, thoughts and behavior.
People are sometimes challenged by turbulent emotions, transitions, losses or chronic mood issues. The day to day experience of emotional distress or an underlying sense of uneasiness affect vitality and are difficult to endure over time. Verbal dialogue within a relationship designed for you to freely express yourself, explore feelings and discover unconscious factors impacting you describes the change process of psychotherapy. I have seen many individuals over the years not only have symptom relief but find new paths while shedding patterns of disabling emotions, thoughts and behavior.
![Photo of Nancy Bernthal, PhD, Psychologist](https://photos.psychologytoday.com/3d3a40d1-46cd-11ea-a6ad-06142c356176/1/320x400.jpeg)
Individual adults, couples and families are an important part of my practice.
Welcome prospective clients! Are you or your child having trouble performing at work or school? Having personal or peer problems? Creating a comfortable setting for clients is of utmost importance to me. When clients feel safe, we are able to form an authentic relationship of trust that leads to creative and collaborative problem-solving. The intention of therapy is always a more productive, less stressful and peaceful life. Treatment strategies are person-centered and warm-hearted, tailored to each person's unique personality, development, needs and goals.
Individual adults, couples and families are an important part of my practice.
Welcome prospective clients! Are you or your child having trouble performing at work or school? Having personal or peer problems? Creating a comfortable setting for clients is of utmost importance to me. When clients feel safe, we are able to form an authentic relationship of trust that leads to creative and collaborative problem-solving. The intention of therapy is always a more productive, less stressful and peaceful life. Treatment strategies are person-centered and warm-hearted, tailored to each person's unique personality, development, needs and goals.
![Photo of Mei Bresnahan, LMSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/7be38b51-ad03-44b4-a9e3-aae294e38a38/3/320x400.jpeg)
Mei Bresnahan
Clinical Social Work/Therapist, LMSW
Verified Verified
2 Endorsed
East Lansing, MI 48823
In every therapeutic relationship, I strive to foster compassion, understanding, respect and collaboration.
Each person has a unique life experience; the challenges they face and strengths they draw from are wholly their own. My aim as a therapist is to help clients see things from a new perspective, and tap into their strengths and resilience to meet their goals. I see each client as a person, rather than a diagnosis, and try to meet them where they are at in life’s journey. Together, we collaborate to form a person-centered treatment plan that reflects the client’s needs and goals.
In every therapeutic relationship, I strive to foster compassion, understanding, respect and collaboration.
Each person has a unique life experience; the challenges they face and strengths they draw from are wholly their own. My aim as a therapist is to help clients see things from a new perspective, and tap into their strengths and resilience to meet their goals. I see each client as a person, rather than a diagnosis, and try to meet them where they are at in life’s journey. Together, we collaborate to form a person-centered treatment plan that reflects the client’s needs and goals.
![Photo of LooGen Seah-McCrea, MA, LPC, NCC, Licensed Professional Counselor](https://photos.psychologytoday.com/cc09e8ef-1462-4748-8f67-de26551ba2ab/2/320x400.jpeg)
LooGen Seah-McCrea
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
East Lansing, MI 48823
Waitlist for new clients
I enjoy working with adolescents and adults (both individuals and couples), helping them find relief from depression, anxiety, grief, life-stage transitions, as well as family and intimate relationship problems. I like helping my clients figure out how to reduce the impact of anxiety, stress, or depression on their lives and take steps to safeguard their mental health. It is a privilege to watch my clients grow and heal, investing in themselves as they work toward overcoming their environmental, psychological challenges and other problems that hold them back from leading more peaceful and fulfilling lives.
I enjoy working with adolescents and adults (both individuals and couples), helping them find relief from depression, anxiety, grief, life-stage transitions, as well as family and intimate relationship problems. I like helping my clients figure out how to reduce the impact of anxiety, stress, or depression on their lives and take steps to safeguard their mental health. It is a privilege to watch my clients grow and heal, investing in themselves as they work toward overcoming their environmental, psychological challenges and other problems that hold them back from leading more peaceful and fulfilling lives.
![Photo of Scott E Palazzolo, LMSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/51f6ea2d-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
In working with individuals, couples, and families, I use an integrated approach incorporating techniques and interventions from Internal Family Systems (IFS), Compassion Focused Therapy (CFT) Emotionally Focused Therapy (EFT), and Cognitive Behavioral Therapy (CBT).
Everyone's life is a journey and their path is their own, yet is not meant to be endured or navigated alone. I take a collaborative and compassionate approach to work with distressing experiences and being a fellow traveler as people find the resources within to help them sustain and enhance wellness.
In working with individuals, couples, and families, I use an integrated approach incorporating techniques and interventions from Internal Family Systems (IFS), Compassion Focused Therapy (CFT) Emotionally Focused Therapy (EFT), and Cognitive Behavioral Therapy (CBT).
Everyone's life is a journey and their path is their own, yet is not meant to be endured or navigated alone. I take a collaborative and compassionate approach to work with distressing experiences and being a fellow traveler as people find the resources within to help them sustain and enhance wellness.
![Photo of Beth A McWhorter, MA, LPC, Counselor](https://photos.psychologytoday.com/3cd1f874-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Beth A McWhorter
Counselor, MA, LPC
Verified Verified
1 Endorsed
East Lansing, MI 48823 (Online Only)
Communications coaching, assessment, diagnosis, depression, anxiety, Relationship issues.
(Primarily, practice hours are Mon-Thur afternoons). Life challenges us all. One in four adults experience a mental health issue over the course of life. With my considerable experience, I excel at assessment and diagnosis of mental health and substance abuse issues and challenges. My short-term therapy approach will help you start where you want to start and guide you in a nonjudgmental way toward your healthy self and finding your true and unique voice. Referrals as needed. I am very accepting and compassionate, but direct when necessary. Together we will move you toward wellness and wholeness.
Communications coaching, assessment, diagnosis, depression, anxiety, Relationship issues.
(Primarily, practice hours are Mon-Thur afternoons). Life challenges us all. One in four adults experience a mental health issue over the course of life. With my considerable experience, I excel at assessment and diagnosis of mental health and substance abuse issues and challenges. My short-term therapy approach will help you start where you want to start and guide you in a nonjudgmental way toward your healthy self and finding your true and unique voice. Referrals as needed. I am very accepting and compassionate, but direct when necessary. Together we will move you toward wellness and wholeness.
See more therapy options for East Lansing
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.