Couples Counseling Therapists in Saint Paul, MN

Photo of Amy M. Joyce, MA, LMFT, Marriage & Family Therapist
Amy M. Joyce
Marriage & Family Therapist, MA, LMFT
Verified Verified
10 Endorsed
Saint Paul, MN 55104
I work with couples and individuals offering Emotionally Focused Therapy (EFT), Somatic Experiencing (SE), and Expressive Therapies, in addition to traditional talk therapy.
Welcome to a place of support for those relationships most important to you. I offer therapy in a relational context which explores the interconnectedness between self and others. I believe this is vital to well living. When relationships are out of balance, disconnectedness can occur. By creating awareness, empowerment can be found and utilized for change. I invite you to better navigate yourself and your relations!
I work with couples and individuals offering Emotionally Focused Therapy (EFT), Somatic Experiencing (SE), and Expressive Therapies, in addition to traditional talk therapy.
Welcome to a place of support for those relationships most important to you. I offer therapy in a relational context which explores the interconnectedness between self and others. I believe this is vital to well living. When relationships are out of balance, disconnectedness can occur. By creating awareness, empowerment can be found and utilized for change. I invite you to better navigate yourself and your relations!
(612) 564-4332 View (612) 564-4332
Photo of Alyssa Maples, PhD, LMFT, Marriage & Family Therapist
Alyssa Maples
Marriage & Family Therapist, PhD, LMFT
Verified Verified
2 Endorsed
Saint Paul, MN 55114  (Online Only)
Our lives are filled with moments, experiences, and connections that influence where we are now and where we hope to be eventually. I have experience working with young adults, couples and people impacted by addiction, polyamorous relationships, and LGBTQ+. I specialize in working with individuals, couples and families who have experienced trauma. I am trained in evidence-based methods and my work is informed by attachment and family systems. My approach is thought-provoking, collaborative, and supportive, without shame or judgement.
Our lives are filled with moments, experiences, and connections that influence where we are now and where we hope to be eventually. I have experience working with young adults, couples and people impacted by addiction, polyamorous relationships, and LGBTQ+. I specialize in working with individuals, couples and families who have experienced trauma. I am trained in evidence-based methods and my work is informed by attachment and family systems. My approach is thought-provoking, collaborative, and supportive, without shame or judgement.
(651) 369-8285 View (651) 369-8285
Photo of Teresa Selah Riley, MDiv, LMFT, Marriage & Family Therapist
Teresa Selah Riley
Marriage & Family Therapist, MDiv, LMFT
Verified Verified
Saint Paul, MN 55116  (Online Only)
My specialties include addiction recovery, couples and marriage counseling, adolescent and young adult issues, low self-esteem, anxiety and depression, trauma, and anger management.
Looking for a therapist can be overwhelming, but it can also be an exciting opportunity for change. Perhaps you are seeking help overcoming feelings of anxiety or depression, or increasing connection and reducing conflict in a significant relationship in your life. Or maybe it's time to seek clarity about your past so that you can finally look forward towards a healthy, promising future. As a therapist with many years of counseling experience, I am deeply committed to offering an accepting, non-judgmental, and safe environment that can help you discover new possibilities for healing, positive change, and a better future.
My specialties include addiction recovery, couples and marriage counseling, adolescent and young adult issues, low self-esteem, anxiety and depression, trauma, and anger management.
Looking for a therapist can be overwhelming, but it can also be an exciting opportunity for change. Perhaps you are seeking help overcoming feelings of anxiety or depression, or increasing connection and reducing conflict in a significant relationship in your life. Or maybe it's time to seek clarity about your past so that you can finally look forward towards a healthy, promising future. As a therapist with many years of counseling experience, I am deeply committed to offering an accepting, non-judgmental, and safe environment that can help you discover new possibilities for healing, positive change, and a better future.
(651) 243-9794 View (651) 243-9794
Photo of Suzanne Rabuse, MA, LMFT, Marriage & Family Therapist
Suzanne Rabuse
Marriage & Family Therapist, MA, LMFT
Verified Verified
Saint Paul, MN 55105
I help couples, individuals and employees who want change to start today! Relationships go through ups and downs as does our work satisfaction, and our personal wellness can make a difference. If you want renewed hope and a better feeling in all your relationships and endeavors, I can help you regain everything you need to be happy again. You're not alone. You can recognize the source of your happiness, realign and get back on track. Rekindle your good feelings, enjoy life, and experience relationship success and personal satisfaction at home and work.
I help couples, individuals and employees who want change to start today! Relationships go through ups and downs as does our work satisfaction, and our personal wellness can make a difference. If you want renewed hope and a better feeling in all your relationships and endeavors, I can help you regain everything you need to be happy again. You're not alone. You can recognize the source of your happiness, realign and get back on track. Rekindle your good feelings, enjoy life, and experience relationship success and personal satisfaction at home and work.
(651) 314-1890 View (651) 314-1890
Photo of Patty Ostberg-Speiker, MA, LMFT, Marriage & Family Therapist
Patty Ostberg-Speiker
Marriage & Family Therapist, MA, LMFT
Verified Verified
5 Endorsed
Saint Paul, MN 55114
Current afternoon openings. I specialize in helping individuals and couples feel better to improve their relationships. Past hurts and experiences can cloud decision making in the present and relating to each other. Especially when it comes to stressors of daily responsibilities like marriage and parenting. Let’s work together using evidence-based techniques to stop your negative thoughts so you can make more positive mindset decisions. Triggers feel awful and there are proven remedies to help stop them. Together through therapy we can eliminate negative thoughts and memories that prevent you from being the best version of yourself.
Current afternoon openings. I specialize in helping individuals and couples feel better to improve their relationships. Past hurts and experiences can cloud decision making in the present and relating to each other. Especially when it comes to stressors of daily responsibilities like marriage and parenting. Let’s work together using evidence-based techniques to stop your negative thoughts so you can make more positive mindset decisions. Triggers feel awful and there are proven remedies to help stop them. Together through therapy we can eliminate negative thoughts and memories that prevent you from being the best version of yourself.
(651) 409-9107 View (651) 409-9107
Photo of Nique Belleville, MA, LPCC, RYT, Licensed Professional Counselor
Nique Belleville
Licensed Professional Counselor, MA, LPCC, RYT
Verified Verified
Saint Paul, MN 55104
I work with couples who experience lack of effective communication, struggle with sexual desire, and connection. I am a PREPARE/ENERICH facilitator and can facilitate pre-marital counseling. I work with youth and adolescents who currently or have experienced trauma, anxiety, and depression. I do ADHD coaching with adolescents, their parents, and adults. I work with the Queer community as I am an openly Queer therapist. I work with people of color as I identify as a person of color as well. I work with the Kink community and gender and sexual health issues.
I work with couples who experience lack of effective communication, struggle with sexual desire, and connection. I am a PREPARE/ENERICH facilitator and can facilitate pre-marital counseling. I work with youth and adolescents who currently or have experienced trauma, anxiety, and depression. I do ADHD coaching with adolescents, their parents, and adults. I work with the Queer community as I am an openly Queer therapist. I work with people of color as I identify as a person of color as well. I work with the Kink community and gender and sexual health issues.
(651) 240-1446 View (651) 240-1446
Photo of Jeff Hupf, MS, LMFT, Marriage & Family Therapist
Jeff Hupf
Marriage & Family Therapist, MS, LMFT
Verified Verified
Saint Paul, MN 55114
Couples who see me notice right away that Couples Counseling isn't run of the mill Mental Health therapy.
Therapists can't be good at everything. That's why I devote the vast majority of my practice to couples. Relationships are hard and we can find ourselves acting in ways that surprise even ourselves when things go wrong. So, you won't find me occupying the moral high ground, playing therapy tricks on you, or judging you. I'm marriage and relationship friendly, so I won't push you toward a crisis, a divorce or a break-up. As it is 50% of marriages end in divorce and upwards of 65% of second marriages end in a break-up, so if you have hopes and dreams for making things work, I'll be behind you 100%.
Couples who see me notice right away that Couples Counseling isn't run of the mill Mental Health therapy.
Therapists can't be good at everything. That's why I devote the vast majority of my practice to couples. Relationships are hard and we can find ourselves acting in ways that surprise even ourselves when things go wrong. So, you won't find me occupying the moral high ground, playing therapy tricks on you, or judging you. I'm marriage and relationship friendly, so I won't push you toward a crisis, a divorce or a break-up. As it is 50% of marriages end in divorce and upwards of 65% of second marriages end in a break-up, so if you have hopes and dreams for making things work, I'll be behind you 100%.
(651) 504-3464 View (651) 504-3464
Photo of Clifford J Buhl, PsyD, LP, Psychologist
Clifford J Buhl
Psychologist, PsyD, LP
Verified Verified
Saint Paul, MN 55114
Let me be a partner in finding what works for you.
I believe making active focused choices about how to cope with problems and reach your goals pays dividends. Some clients come to therapy to better make peace with their past so as not to continue old patterns. Others are seeking relief from stress and anxiety that the modern world seems to breed. Yet others are working on improving important relationships. Many clients are looking for answers to meaning and purpose that they have not yet resolved in their day-to-day life. What is it that you most want to work on?
Let me be a partner in finding what works for you.
I believe making active focused choices about how to cope with problems and reach your goals pays dividends. Some clients come to therapy to better make peace with their past so as not to continue old patterns. Others are seeking relief from stress and anxiety that the modern world seems to breed. Yet others are working on improving important relationships. Many clients are looking for answers to meaning and purpose that they have not yet resolved in their day-to-day life. What is it that you most want to work on?
(651) 372-8944 View (651) 372-8944
Photo of Martin J Schoen, PsyD, LP, Psychologist
Martin J Schoen
Psychologist, PsyD, LP
Verified Verified
Saint Paul, MN 55113
I'm a psychologist assisting people with a wide variety of problematic situations. I have 40 years in the field of mental health counseling and consulting. My practice consists of Telehealth & (limited) home visits during the afternoons and evenings, and consulting in the community in institutional settings. My 4 decades in mental health have taught me the importance of critical lifestyle practices and habits that make or break our mental health, and our overall well being. These include circadian health, sleep hygiene, and a healthy relationship with food, movement, and good ol' Mother Nature.
I'm a psychologist assisting people with a wide variety of problematic situations. I have 40 years in the field of mental health counseling and consulting. My practice consists of Telehealth & (limited) home visits during the afternoons and evenings, and consulting in the community in institutional settings. My 4 decades in mental health have taught me the importance of critical lifestyle practices and habits that make or break our mental health, and our overall well being. These include circadian health, sleep hygiene, and a healthy relationship with food, movement, and good ol' Mother Nature.
(651) 356-6244 View (651) 356-6244
Photo of Renae Ludwig, LPCC, Counselor
Renae Ludwig
Counselor, LPCC
Verified Verified
Saint Paul, MN 55106
I have doing therapy for more years than I care to say and have the wisdom of age and experience to go with it! I usually can get new clients in within 1-2 weeks and have late afternoon, evening and weekend appointments available. I see individuals, adults, couples and families. I specialize in helping those with depression, anxiety, ADHD, family conflict, relationship issues, job and career issues, trauma, sexual abuse, and stress. Renae Ludwig, MS, LPCC, LMHC
I have doing therapy for more years than I care to say and have the wisdom of age and experience to go with it! I usually can get new clients in within 1-2 weeks and have late afternoon, evening and weekend appointments available. I see individuals, adults, couples and families. I specialize in helping those with depression, anxiety, ADHD, family conflict, relationship issues, job and career issues, trauma, sexual abuse, and stress. Renae Ludwig, MS, LPCC, LMHC
(651) 758-7724 View (651) 758-7724
Photo of Dionne Trice, MA, LMFT, Marriage & Family Therapist
Dionne Trice
Marriage & Family Therapist, MA, LMFT
Verified Verified
Saint Paul, MN 55104
I work with individuals 14 +up, couples & families from a non-judgmental, affirming, & empowering environment were we can define & develop skills, support systems and narratives that become the building blocks for your next chapter in life.
As a therapist, I bring nearly 20 yrs working with domestic violence, 30 yrs of ministry, community activism, nearly 40 yrs of marriage & the tragic loss of a child. Through it, I've grown in my understanding of the impact of systems, trauma and loss on people. As an African American therapist I specialize in working with minority stress and other trauma related to being part of an marginalized group. My areas of focus include: grief & loss, depression, anxiety, trauma, interpersonal relationship issues, perinatal mental health, communication issues, Interpersonal Violence, spiritual abuse/trauma, and stress management.
I work with individuals 14 +up, couples & families from a non-judgmental, affirming, & empowering environment were we can define & develop skills, support systems and narratives that become the building blocks for your next chapter in life.
As a therapist, I bring nearly 20 yrs working with domestic violence, 30 yrs of ministry, community activism, nearly 40 yrs of marriage & the tragic loss of a child. Through it, I've grown in my understanding of the impact of systems, trauma and loss on people. As an African American therapist I specialize in working with minority stress and other trauma related to being part of an marginalized group. My areas of focus include: grief & loss, depression, anxiety, trauma, interpersonal relationship issues, perinatal mental health, communication issues, Interpersonal Violence, spiritual abuse/trauma, and stress management.
(651) 427-3243 View (651) 427-3243
Photo of Erin Morgan, PhD, LMFT, Marriage & Family Therapist
Erin Morgan
Marriage & Family Therapist, PhD, LMFT
Verified Verified
Saint Paul, MN 55114
Waitlist for new clients
I specialize in trauma treatment in couples, families, and individuals.
I work with people who want better relationships with others and better relationships with themselves. Couples, families, and individuals I see are bright, curious, motivated people who find their lives disrupted somehow - by the intrusion of traumatic experiences, life transitions, or persistent struggles with mental health that don't resolve on their own. I have a deep understanding of the unique therapy needs of therapists and doctors and their partners and families, and I enjoy working with folks anywhere on the gender and sexuality spectra. I also work with torture and war trauma survivors, refugees, and asylum seekers.
I specialize in trauma treatment in couples, families, and individuals.
I work with people who want better relationships with others and better relationships with themselves. Couples, families, and individuals I see are bright, curious, motivated people who find their lives disrupted somehow - by the intrusion of traumatic experiences, life transitions, or persistent struggles with mental health that don't resolve on their own. I have a deep understanding of the unique therapy needs of therapists and doctors and their partners and families, and I enjoy working with folks anywhere on the gender and sexuality spectra. I also work with torture and war trauma survivors, refugees, and asylum seekers.
(612) 294-9424 View (612) 294-9424
Photo of Brian Borre, MA, LMFT, LADC, Marriage & Family Therapist
Brian Borre
Marriage & Family Therapist, MA, LMFT, LADC
Verified Verified
Saint Paul, MN 55105  (Online Only)
I work with men that are having difficulty managing their alcohol use, couples struggling with communication, infidelity, and conflict. I also support individuals cope with anxiety, depression, loss, and complex trauma. Thank you for taking a moment to read further and consider reaching out to begin the process of change. Having worked at Hazelden Betty Ford Foundation with individuals and in the Family Program, as well as years helping couples reconnect in private practice; I have developed a unique skillset to help expedite healing and growth.
I work with men that are having difficulty managing their alcohol use, couples struggling with communication, infidelity, and conflict. I also support individuals cope with anxiety, depression, loss, and complex trauma. Thank you for taking a moment to read further and consider reaching out to begin the process of change. Having worked at Hazelden Betty Ford Foundation with individuals and in the Family Program, as well as years helping couples reconnect in private practice; I have developed a unique skillset to help expedite healing and growth.
(612) 260-5396 View (612) 260-5396
Photo of Lee Cunningham, MPS, LPCC, LADC, Counselor
Lee Cunningham
Counselor, MPS, LPCC, LADC
Verified Verified
1 Endorsed
Saint Paul, MN 55102
I provide a safe environment and relationship to help you explore your needs while supporting the changes you are wanting to make.
It is common to experience stress in everyday life. It may be a common pattern or something new. Therapy can help understand our stress better and empower us to make changes in helpful ways.
I provide a safe environment and relationship to help you explore your needs while supporting the changes you are wanting to make.
It is common to experience stress in everyday life. It may be a common pattern or something new. Therapy can help understand our stress better and empower us to make changes in helpful ways.
(612) 260-6982 View (612) 260-6982
Photo of Peter J Hoistad, LADC, Drug & Alcohol Counselor
Peter J Hoistad
Drug & Alcohol Counselor, LADC
Verified Verified
Saint Paul, MN 55104
I enjoy building a positive, supportive, therapeutic relationship, where individuals feel at ease to share what there struggling with, and are open to looking at situations and experiences from a different lens.
I have experience working with a very diverse set of individuals over the course of my career in the mental health field. Most individuals I work with struggle with issues that are considered dual diagnosis, or individuals that struggle with both mental health and substance use issues. I have experience working with all different ages, ethnicities, sexual orientation, mental health issues, and substance use preferences. I also come from a lens of years of lived experiences and being able to offer a lens of "coming out the other side." I provide an empathetic atmosphere that is goal orientated, and comes from an unbiased lens.
I enjoy building a positive, supportive, therapeutic relationship, where individuals feel at ease to share what there struggling with, and are open to looking at situations and experiences from a different lens.
I have experience working with a very diverse set of individuals over the course of my career in the mental health field. Most individuals I work with struggle with issues that are considered dual diagnosis, or individuals that struggle with both mental health and substance use issues. I have experience working with all different ages, ethnicities, sexual orientation, mental health issues, and substance use preferences. I also come from a lens of years of lived experiences and being able to offer a lens of "coming out the other side." I provide an empathetic atmosphere that is goal orientated, and comes from an unbiased lens.
(612) 800-6504 View (612) 800-6504
Photo of Josalin Brausen, Marriage & Family Therapist Intern
Josalin Brausen
Marriage & Family Therapist Intern
Verified Verified
Saint Paul, MN 55116
I have special interest in working with the following groups: LGBTQIA2S+ folks, young adults, couples, families, folks with non-traditional relationship structures such as ethnical non-monogamy, people who were adopted, those in the helping profession, those who have experienced religious trauma, and people wanting to work on sexual concerns.
Now accepting clients. I offer a sliding scale fee and take insurance, listed below. Available to see clients throughout the state of MN virtually and in office in St. Paul. I want to say, you are brave for being here! Pursuing therapy, being vulnerable, and putting valuable work into ourselves can feel intimidating. I hope to put you at ease and help make the process as enjoyable and helpful as possible, by fostering open and honest communication in a judgment free zone, where you can explore any topic that is important to you. You do not have to carry the weight of life alone!
I have special interest in working with the following groups: LGBTQIA2S+ folks, young adults, couples, families, folks with non-traditional relationship structures such as ethnical non-monogamy, people who were adopted, those in the helping profession, those who have experienced religious trauma, and people wanting to work on sexual concerns.
Now accepting clients. I offer a sliding scale fee and take insurance, listed below. Available to see clients throughout the state of MN virtually and in office in St. Paul. I want to say, you are brave for being here! Pursuing therapy, being vulnerable, and putting valuable work into ourselves can feel intimidating. I hope to put you at ease and help make the process as enjoyable and helpful as possible, by fostering open and honest communication in a judgment free zone, where you can explore any topic that is important to you. You do not have to carry the weight of life alone!
(651) 384-1720 View (651) 384-1720
Photo of Anusha Ramaswami, MSW, LGSW, MT-BC, Clinical Social Work/Therapist
Anusha Ramaswami
Clinical Social Work/Therapist, MSW, LGSW, MT-BC
Verified Verified
Saint Paul, MN 55102
I see youth (ages 12+), adults, couples, and families with concerns such as depression, anxiety, trauma, mood disorders, relationship issues, identity development, life transitions, and more.
Welcome—I’m so glad you’re here! Whatever issues you are experiencing, we will explore your unique struggle, try to make meaning of the challenges you face, and find strategies that help you heal. Our work together will be grounded in relationship, growth, curiosity, and care, as I believe these are the roots of healing and liberation for all people. We'll also take a look at the environment you find yourself in, investigate how you're showing up in relationships and community, and uncover new ways for you to tap into your empowered, resilient, and resourced self.
I see youth (ages 12+), adults, couples, and families with concerns such as depression, anxiety, trauma, mood disorders, relationship issues, identity development, life transitions, and more.
Welcome—I’m so glad you’re here! Whatever issues you are experiencing, we will explore your unique struggle, try to make meaning of the challenges you face, and find strategies that help you heal. Our work together will be grounded in relationship, growth, curiosity, and care, as I believe these are the roots of healing and liberation for all people. We'll also take a look at the environment you find yourself in, investigate how you're showing up in relationships and community, and uncover new ways for you to tap into your empowered, resilient, and resourced self.
(651) 349-5953 View (651) 349-5953
Photo of Rebecca A Stewart, MSW, LICSW, Clinical Social Work/Therapist
Rebecca A Stewart
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Saint Paul, MN 55116
Waitlist for new clients
I offer safe & supportive counseling for people struggling with anxiety, depression, identity, intimacy, or relationship problems, as well as people who are interested in changing unhealthy patterns through deeper self-knowledge.
Welcome. The desire to feel seen, heard, and understood is a universal and essential part of human wellness. In my work as a psychotherapist I try to help people understand, both emotionally & intellectually, the deeper roots of their difficulties & reignite their own natural gifts for growth, and resilience. I understand that coming to therapy can be difficult, & I strive to provide a warm, compassionate, & empathetic space for our work together. I am relational in my approach; this means I believe that how well I listen and connect with you matters.
I offer safe & supportive counseling for people struggling with anxiety, depression, identity, intimacy, or relationship problems, as well as people who are interested in changing unhealthy patterns through deeper self-knowledge.
Welcome. The desire to feel seen, heard, and understood is a universal and essential part of human wellness. In my work as a psychotherapist I try to help people understand, both emotionally & intellectually, the deeper roots of their difficulties & reignite their own natural gifts for growth, and resilience. I understand that coming to therapy can be difficult, & I strive to provide a warm, compassionate, & empathetic space for our work together. I am relational in my approach; this means I believe that how well I listen and connect with you matters.
(612) 260-9980 View (612) 260-9980
Photo of Jay Hunter, MA, LMFT, Marriage & Family Therapist
Jay Hunter
Marriage & Family Therapist, MA, LMFT
Verified Verified
Saint Paul, MN 55105
It's our reality that human beings struggle at times along the road of life. I have had the opportunity to work with individuals, couples and families get over and through these life obstacles. I have been honored and amazed to witness people conquer fears, addictions and harmful experiences that have left them tired and gasping on that road, and once again pick themselves up and journey onwards.
It's our reality that human beings struggle at times along the road of life. I have had the opportunity to work with individuals, couples and families get over and through these life obstacles. I have been honored and amazed to witness people conquer fears, addictions and harmful experiences that have left them tired and gasping on that road, and once again pick themselves up and journey onwards.
(651) 968-2500 View (651) 968-2500
Photo of Mariah Lord, MA, LAMFT, Marriage & Family Therapist Associate
Mariah Lord
Marriage & Family Therapist Associate, MA, LAMFT
Verified Verified
4 Endorsed
Saint Paul, MN 55114
Within my work with individuals, couples, and families, this process towards healing can be deeply vulnerable.
Whether this is the first time you're embarking on your therapy journey, or you're revisiting the search for a therapist who truly sees and understands you, this process can be so overwhelming. But you're taking this leap into therapy for a reason. Maybe you're feeling disconnected with yourself or those around you and you're ready to reimagine what your life could look like. Maybe you're ready to take the courageous step to begin healing from past emotional wounds that have been keeping you from living in the present. Maybe the weight of the world and its systemic injustices feels inescapable.
Within my work with individuals, couples, and families, this process towards healing can be deeply vulnerable.
Whether this is the first time you're embarking on your therapy journey, or you're revisiting the search for a therapist who truly sees and understands you, this process can be so overwhelming. But you're taking this leap into therapy for a reason. Maybe you're feeling disconnected with yourself or those around you and you're ready to reimagine what your life could look like. Maybe you're ready to take the courageous step to begin healing from past emotional wounds that have been keeping you from living in the present. Maybe the weight of the world and its systemic injustices feels inescapable.
(651) 615-3320 View (651) 615-3320
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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.