Couples Counseling Therapists in North Carolina

Photo of Anna Costa, MA, LCMHC, NCC, Counselor
Anna Costa
Counselor, MA, LCMHC, NCC
Verified Verified
Winston Salem, NC 27101  (Online Only)
Thank you for considering working with me as your counselor. I work individually and in groups with adolescents, adults, couples and families. I approach counseling from a person-centered theoretical background, meaning I believe that each person has within themselves the tools to grow, change, heal and improve. It is my goal to help individuals access those personal resources and grow in their personal self-efficacy. Self-awareness and self-efficacy, while goals in the counseling relationship, are difficult to achieve and will take time, energy, and client engagement. Clients will feel that they are able to face life's challenges.
Thank you for considering working with me as your counselor. I work individually and in groups with adolescents, adults, couples and families. I approach counseling from a person-centered theoretical background, meaning I believe that each person has within themselves the tools to grow, change, heal and improve. It is my goal to help individuals access those personal resources and grow in their personal self-efficacy. Self-awareness and self-efficacy, while goals in the counseling relationship, are difficult to achieve and will take time, energy, and client engagement. Clients will feel that they are able to face life's challenges.
(336) 559-4108 View (336) 559-4108
Photo of Trinity Perini, MSW, LCSWA
Trinity Perini
LCSW Associate, MSW, LCSWA
Verified Verified
1 Endorsed
Raleigh, NC 27609
I believe in honoring the fullness of our shared humanity through therapy, as it is a space where you are entitled to a trusting relationship grounded in compassion, authenticity, visibility, and patience.
Living with chronic illness (interstitial cystitis) and pain, I’m intimately aware of the toll it takes on the body, mind, and spirit— how it’s woven into the fabric of all aspects of living, how it has a tendency to keep us tethered to fear, hopelessness, and isolation. I believe in validating the reality of what is chronic and pervasive. I also believe it is possible to soften the grasp these diagnoses have on our lives. As a woman, I’m passionate about supporting those with conditions that are far too often invalidated and overlooked, such as IC, ENDO, & PCOS. Building community offers something solid to be tethered to.
I believe in honoring the fullness of our shared humanity through therapy, as it is a space where you are entitled to a trusting relationship grounded in compassion, authenticity, visibility, and patience.
Living with chronic illness (interstitial cystitis) and pain, I’m intimately aware of the toll it takes on the body, mind, and spirit— how it’s woven into the fabric of all aspects of living, how it has a tendency to keep us tethered to fear, hopelessness, and isolation. I believe in validating the reality of what is chronic and pervasive. I also believe it is possible to soften the grasp these diagnoses have on our lives. As a woman, I’m passionate about supporting those with conditions that are far too often invalidated and overlooked, such as IC, ENDO, & PCOS. Building community offers something solid to be tethered to.
(984) 202-8630 View (984) 202-8630
Photo of Sharon Wilkening - Cambrio Counseling, LCMHC, LCAS, CCS, Licensed Professional Counselor
Cambrio Counseling
Licensed Professional Counselor, LCMHC, LCAS, CCS
Verified Verified
Raleigh, NC 27615
Treating ages 5 and up, we are specialized in Couples/Families OCD, anxiety, depression, trauma, substance use disorder, eating disorders, families, and couples.
ACCEPTING NEW CLIENTS (Couples, Families and Children) Everyone struggles at some point in time in their lives. Acknowledging this to another person can be incredibly difficult yet, freeing. True strength is in recognizing our faults (because we all have them.....yes we do) and working to change them. That is why we say the healthiest people are sitting in our office. The healthiest people are those who can acknowledge that they can't do it alone. Sometimes we need to trust in other people to guide us and give us perspective. It can be a challenge to open up to friends and loved ones for fear of judgement or rejection.
Treating ages 5 and up, we are specialized in Couples/Families OCD, anxiety, depression, trauma, substance use disorder, eating disorders, families, and couples.
ACCEPTING NEW CLIENTS (Couples, Families and Children) Everyone struggles at some point in time in their lives. Acknowledging this to another person can be incredibly difficult yet, freeing. True strength is in recognizing our faults (because we all have them.....yes we do) and working to change them. That is why we say the healthiest people are sitting in our office. The healthiest people are those who can acknowledge that they can't do it alone. Sometimes we need to trust in other people to guide us and give us perspective. It can be a challenge to open up to friends and loved ones for fear of judgement or rejection.
(984) 208-2720 View (984) 208-2720
Photo of Judith Grich, MSW, LCSW, C-ATOD, Clinical Social Work/Therapist
Judith Grich
Clinical Social Work/Therapist, MSW, LCSW, C-ATOD
Verified Verified
Raleigh, NC 27604
I work with adults and older teenagers dealing with depression, anxiety, grief, addictions, trauma, relationship and family issues.
This I know to be true: Your future, how you perceive the world, how you feel about yourself and your behavior toward your family and friends is very much up to YOU. With courage, honesty, some hard work and a bit of help you can: Change Your Thoughts, Change Your Feelings, Change Your Life.
I work with adults and older teenagers dealing with depression, anxiety, grief, addictions, trauma, relationship and family issues.
This I know to be true: Your future, how you perceive the world, how you feel about yourself and your behavior toward your family and friends is very much up to YOU. With courage, honesty, some hard work and a bit of help you can: Change Your Thoughts, Change Your Feelings, Change Your Life.
(631) 813-4580 View (631) 813-4580
Photo of Tanielle LA Brown, LCMHCS, NCC, BC-TMH, RRT, Licensed Professional Counselor
Tanielle LA Brown
Licensed Professional Counselor, LCMHCS, NCC, BC-TMH, RRT
Verified Verified
1 Endorsed
Raleigh, NC 27615  (Online Only)
My ideal client seeks transformative therapy, valuing empathy and holistic approaches. They often deal with anxiety, depression, self-esteem, and relationship challenges. Their needs include emotional support, empowerment, and personal growth. Their goals are emotional wellness, self-discovery, improved relationships, and career success. They seek therapy to lead a purposeful, fulfilling life free from limitations and past traumas. I'm dedicated to providing guidance and innovative methods to help them achieve these goals.
My ideal client seeks transformative therapy, valuing empathy and holistic approaches. They often deal with anxiety, depression, self-esteem, and relationship challenges. Their needs include emotional support, empowerment, and personal growth. Their goals are emotional wellness, self-discovery, improved relationships, and career success. They seek therapy to lead a purposeful, fulfilling life free from limitations and past traumas. I'm dedicated to providing guidance and innovative methods to help them achieve these goals.
(984) 206-3505 View (984) 206-3505
Photo of Teri B Hipp, MA, LCMHC, RYT, Licensed Professional Counselor
Teri B Hipp
Licensed Professional Counselor, MA, LCMHC, RYT
Verified Verified
Charlotte, NC 28277
I provide therapy for couples who are unwilling to endure relationships that have lost an emotional connection.
I help clients recognize that they do not have to be victims of their circumstances or history. Sometimes we are faced with painful circumstances. Sometimes even everyday life begins to feel overwhelming. The unfortunate reality is that we cannot always control what happens in our lives. We can, however, choose how we respond to the difficult things that occur. I believe that all of us have the ability to grow and to make positive, lasting change in our lives. My role as therapist is to help facilitate this process.
I provide therapy for couples who are unwilling to endure relationships that have lost an emotional connection.
I help clients recognize that they do not have to be victims of their circumstances or history. Sometimes we are faced with painful circumstances. Sometimes even everyday life begins to feel overwhelming. The unfortunate reality is that we cannot always control what happens in our lives. We can, however, choose how we respond to the difficult things that occur. I believe that all of us have the ability to grow and to make positive, lasting change in our lives. My role as therapist is to help facilitate this process.
(704) 703-8150 View (704) 703-8150
Photo of Kimberly M Spader, MSW, LCSW, Clinical Social Work/Therapist
Kimberly M Spader
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
Wilmington, NC 28403
Currently accepting new clients. I am always humbled to be a part of someone's mental health care journey. I enjoy working with folks who are navigating all of life's issues, including recovery from trauma, high anxiety, depression and relationship issues. My practice is goal oriented and intended to support you with making the changes you want to make in order to show up as your most authentic and happy self.
Currently accepting new clients. I am always humbled to be a part of someone's mental health care journey. I enjoy working with folks who are navigating all of life's issues, including recovery from trauma, high anxiety, depression and relationship issues. My practice is goal oriented and intended to support you with making the changes you want to make in order to show up as your most authentic and happy self.
(910) 518-5045 View (910) 518-5045
Photo of Emily Swank, LCSW, Clinical Social Work/Therapist
Emily Swank
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Wilmington, NC 28403
I am skilled in working with children, adolescents, adults, couples, and families.
Hi! I'm glad you found my page. Whether you define your present need as big or small, I am here to help you and look forward to taking this journey with you. Together we can work to develop or rebuild the skills necessary to improve or cope with life's present stressors. Before we dive in, I spend the first sessions really getting to know you and uncovering what you hope to gain by coming to therapy. We will take the next steps at your pace in a safe, empathetic space.
I am skilled in working with children, adolescents, adults, couples, and families.
Hi! I'm glad you found my page. Whether you define your present need as big or small, I am here to help you and look forward to taking this journey with you. Together we can work to develop or rebuild the skills necessary to improve or cope with life's present stressors. Before we dive in, I spend the first sessions really getting to know you and uncovering what you hope to gain by coming to therapy. We will take the next steps at your pace in a safe, empathetic space.
(910) 507-1847 View (910) 507-1847
Photo of Pamela Parker - Compass House Counseling Center, PhD, MS, LMFT, Marriage & Family Therapist
Compass House Counseling Center
Marriage & Family Therapist, PhD, MS, LMFT
Verified Verified
Sanford, NC 27330
I have been a Licensed Marriage and Family therapist since 1991. As a therapist, I provide marriage and family therapy services to individuals, couples, children, teenagers and families by evaluating and treating mental and emotional health problems within the context of human relationships. I have also coordinated and supervised family therapy services program for both residential and after care participants in an adolescent drug treatment facility. I am committed to promoting optimal health and well being for my clients.
I have been a Licensed Marriage and Family therapist since 1991. As a therapist, I provide marriage and family therapy services to individuals, couples, children, teenagers and families by evaluating and treating mental and emotional health problems within the context of human relationships. I have also coordinated and supervised family therapy services program for both residential and after care participants in an adolescent drug treatment facility. I am committed to promoting optimal health and well being for my clients.
(919) 948-7116 View (919) 948-7116
Photo of Frank Overton, ThM, NCLCMHC, NCLMFT, Counselor
Frank Overton
Counselor, ThM, NCLCMHC, NCLMFT
Verified Verified
Hillsborough, NC 27278  (Online Only)
How about an emotional psychological spiritual and neurological reattunement? I'm working in IFS and RLT therapy for my personal growth and have some perspectives and insights that rise out of my work on myself and in my relationship that I have found helpful and helpful to my clients.
Hi Thanks for taking a look at my profile- Reach out if it seems we might be able to work together in a way that would be helpful to you...I'm working only via telehealth which reduces your commute time. My clients tend to be working on being awake and aware of and attuned to and stressed by the complexity of our culture today. I work with issues of alternative sexuality, gender dysphoria, relationships in all forms including relationships that are kink friendly and/or poly. I come from an eclectic training background but use RLT and IFS more often than other modalities.
How about an emotional psychological spiritual and neurological reattunement? I'm working in IFS and RLT therapy for my personal growth and have some perspectives and insights that rise out of my work on myself and in my relationship that I have found helpful and helpful to my clients.
Hi Thanks for taking a look at my profile- Reach out if it seems we might be able to work together in a way that would be helpful to you...I'm working only via telehealth which reduces your commute time. My clients tend to be working on being awake and aware of and attuned to and stressed by the complexity of our culture today. I work with issues of alternative sexuality, gender dysphoria, relationships in all forms including relationships that are kink friendly and/or poly. I come from an eclectic training background but use RLT and IFS more often than other modalities.
(919) 443-6303 View (919) 443-6303
Photo of Dr. D'Angelo Lewis, PhD, LCSWA, Clinical Social Work/Therapist
Dr. D'Angelo Lewis
Clinical Social Work/Therapist, PhD, LCSWA
Verified Verified
1 Endorsed
Greensboro, NC 27407
Do you feel overwhelmed? Do you wish that you could change the past? Are you anxious about things on the horizon? Do you need help moving forward because you simply feel stuck? Are you a parent whose child is dealing with issues that they either won't share or that you struggle to help them with? For over eight years I've helped people experience a better quality of life that answered yes to one or all of these questions. My passions are assisting parents with expanding their coping repertoire, helping couples and families hear each other, and assisting children in finding their voices after traumatic events.
Do you feel overwhelmed? Do you wish that you could change the past? Are you anxious about things on the horizon? Do you need help moving forward because you simply feel stuck? Are you a parent whose child is dealing with issues that they either won't share or that you struggle to help them with? For over eight years I've helped people experience a better quality of life that answered yes to one or all of these questions. My passions are assisting parents with expanding their coping repertoire, helping couples and families hear each other, and assisting children in finding their voices after traumatic events.
(336) 975-5787 View (336) 975-5787
Photo of Jennifer Rose Burroff-Smith, MSW, LCSWA
Jennifer Rose Burroff-Smith
LCSW Associate, MSW, LCSWA
Verified Verified
1 Endorsed
Salisbury, NC 28144
This might encompass getting married or divorced, providing care for a partner or relative, mastering and coping with a new diagnosis, changing jobs or careers, embracing aging, overcoming mid-life uncertainty, and managing the loss of a loved one.
I take pride in providing a personalized and unique approach based on each client's specific needs. I don't believe in a one-size-fits-all option when it comes to providing therapy. My goal is to create a relaxed, customized experience for clients based on their individual needs and the challenges they are facing.
This might encompass getting married or divorced, providing care for a partner or relative, mastering and coping with a new diagnosis, changing jobs or careers, embracing aging, overcoming mid-life uncertainty, and managing the loss of a loved one.
I take pride in providing a personalized and unique approach based on each client's specific needs. I don't believe in a one-size-fits-all option when it comes to providing therapy. My goal is to create a relaxed, customized experience for clients based on their individual needs and the challenges they are facing.
(980) 600-3973 View (980) 600-3973
Photo of Terence Hunt - Ellie Mental Health-Winston Salem, LCMHCS, LCAS, Counselor
Ellie Mental Health-Winston Salem
Counselor, LCMHCS, LCAS
Verified Verified
Winston Salem, NC 27103
Our experienced therapists offer individual therapy, couples counseling, and family therapy tailored to your unique needs.
Ellie Mental Health in Winston Salem, NC isn’t your average therapy clinic. We’ve created a comfy, judgment-free zone where you can be authentic, get real about where you’re at in your mental health, and receive the compassionate care you deserve. We strive to break down treatment barriers and provide you with customized counseling services that meet your therapy needs.
Our experienced therapists offer individual therapy, couples counseling, and family therapy tailored to your unique needs.
Ellie Mental Health in Winston Salem, NC isn’t your average therapy clinic. We’ve created a comfy, judgment-free zone where you can be authentic, get real about where you’re at in your mental health, and receive the compassionate care you deserve. We strive to break down treatment barriers and provide you with customized counseling services that meet your therapy needs.
(336) 395-5316 View (336) 395-5316
Photo of L. JoAnn Mullinix, MA, LMFT, Marriage & Family Therapist
L. JoAnn Mullinix
Marriage & Family Therapist, MA, LMFT
Verified Verified
Charlotte, NC 28269
I specialize in working with couples, children, intimacy/sexuality, and spiritual exploration.
At Sanctuary Counseling Group, we believe in creating therapeutic relationships with our clients that promote the healing of heart, mind, and soul. Therapy is a Sacred Space. As a systemic therapist, I welcome individuals, couples, children, and family systems into the room. I believe in creating a non-judgmental and open context that will often draw from Emotionally Focused Therapy, Acceptance and Commitment Therapy, Experiential Therapy, and Mindfulness-based strategies. I received my Master of Arts degree in Marriage and Family Therapy from Pfeiffer University and was selected as the Student of the Year by the faculty.
I specialize in working with couples, children, intimacy/sexuality, and spiritual exploration.
At Sanctuary Counseling Group, we believe in creating therapeutic relationships with our clients that promote the healing of heart, mind, and soul. Therapy is a Sacred Space. As a systemic therapist, I welcome individuals, couples, children, and family systems into the room. I believe in creating a non-judgmental and open context that will often draw from Emotionally Focused Therapy, Acceptance and Commitment Therapy, Experiential Therapy, and Mindfulness-based strategies. I received my Master of Arts degree in Marriage and Family Therapy from Pfeiffer University and was selected as the Student of the Year by the faculty.
(980) 326-5034 View (980) 326-5034
Photo of Mary T Skinner-Vance, LCSW, LCMHC
Mary T Skinner-Vance
Licensed Clinical Mental Health Counselor, LCSW, LCMHC
Verified Verified
New Bern, NC 28560
I have over 22 years of experience working with couples and trauma survivors.
Resiliency is a word that gets thrown around a lot. But what does it really mean? For most of us it is about recovering quickly from adversity and learning new skills to keep moving forward. Resiliency is the key to better social, physical, mental, and emotional well-being. It is also the result of positive relationships; optimistic realism; self-compassion; healthy coping skills; emotional intelligence; and finding meaning and purpose in life. Therapy is one tool for building resiliency and getting you to where you want to be.
I have over 22 years of experience working with couples and trauma survivors.
Resiliency is a word that gets thrown around a lot. But what does it really mean? For most of us it is about recovering quickly from adversity and learning new skills to keep moving forward. Resiliency is the key to better social, physical, mental, and emotional well-being. It is also the result of positive relationships; optimistic realism; self-compassion; healthy coping skills; emotional intelligence; and finding meaning and purpose in life. Therapy is one tool for building resiliency and getting you to where you want to be.
(252) 486-5708 View (252) 486-5708
Photo of Steve Blahitka, MA, LMFT-A, LCAS-R, Marriage & Family Therapist Associate
Steve Blahitka
Marriage & Family Therapist Associate, MA, LMFT-A, LCAS-R
Verified Verified
1 Endorsed
Charlotte, NC 28273
Perhaps an unhealthy relationship has left you feeling broken but yearning to reconnect.
Have you been thinking that maybe it would be easier if you just weren't here anymore? It's awful, isn't it? Well, if you are going through hell... keep going. You made it this far. And even though it may seem like things will never get better, I'm here to listen, validate, and help you find a way out.
Perhaps an unhealthy relationship has left you feeling broken but yearning to reconnect.
Have you been thinking that maybe it would be easier if you just weren't here anymore? It's awful, isn't it? Well, if you are going through hell... keep going. You made it this far. And even though it may seem like things will never get better, I'm here to listen, validate, and help you find a way out.
(704) 742-2690 View (704) 742-2690
Photo of Kristin Mignogna, LCMHC-A, Counselor
Kristin Mignogna
Counselor, LCMHC-A
Verified Verified
Asheville, NC 28801
I work with adults of all ages, across various cultures, ethnicities, religions, romantic/sexual relationship styles, and sexual & gender identities.
I am a Licensed Clinical Mental Health Counseling Associate who strives to create a space of trust and safety in which clients can heal, progress, and develop self-compassion. I have experience helping clients with a broad range of presenting concerns, with an educational focus on trauma. I cater my therapeutic techniques to each individual client's needs, drawing most heavily from Person-Centered (approaching clients as equal collaborators, with empathy and non-judgement), Cognitive-Behavioral Therapy (focusing on thought patterns), and Gestalt Therapy (focusing on emotional and somatic experiences).
I work with adults of all ages, across various cultures, ethnicities, religions, romantic/sexual relationship styles, and sexual & gender identities.
I am a Licensed Clinical Mental Health Counseling Associate who strives to create a space of trust and safety in which clients can heal, progress, and develop self-compassion. I have experience helping clients with a broad range of presenting concerns, with an educational focus on trauma. I cater my therapeutic techniques to each individual client's needs, drawing most heavily from Person-Centered (approaching clients as equal collaborators, with empathy and non-judgement), Cognitive-Behavioral Therapy (focusing on thought patterns), and Gestalt Therapy (focusing on emotional and somatic experiences).
(828) 457-7143 View (828) 457-7143
Photo of Chudney Drew, MA, LCMHC, NCC
Chudney Drew
Licensed Clinical Mental Health Counselor, MA, LCMHC, NCC
Verified Verified
1 Endorsed
Weddington, NC 28104
I work with couples and families to restore safety to their relationship, marriage, or family.
I provide a safe space for you to feel seen and heard. My greatest passion is bringing growth and healing to my clients and helping them gain a greater sense of awareness without guilt, judgement, or shame. I guide and empower clients to live authentically, challenge old beliefs, and sort through their emotional baggage to heal from past pain. I am an advocate for self-healing. It is my joy as a Therapist to walk with individuals in their healing and change journey. Connecting through conversation is a great first start as you begin your counseling journey. Take that leap of faith and call me today!
I work with couples and families to restore safety to their relationship, marriage, or family.
I provide a safe space for you to feel seen and heard. My greatest passion is bringing growth and healing to my clients and helping them gain a greater sense of awareness without guilt, judgement, or shame. I guide and empower clients to live authentically, challenge old beliefs, and sort through their emotional baggage to heal from past pain. I am an advocate for self-healing. It is my joy as a Therapist to walk with individuals in their healing and change journey. Connecting through conversation is a great first start as you begin your counseling journey. Take that leap of faith and call me today!
(704) 800-0913 View (704) 800-0913
Photo of Amick Boone, MA, LMFTA, Marriage & Family Therapist Associate
Amick Boone
Marriage & Family Therapist Associate, MA, LMFTA
Verified Verified
4 Endorsed
Durham, NC 27707
I respect your unique subjectivity and encourage exploring the relationship between you and me as part of the therapeutic process.
Offering multiple discounted sliding scale slots to those who can't afford my rate. Educated, licensed, and in clinical practice since 2018 in the Bay Area, CA, I'm a licensed therapist (LMFTA) who recently moved my practice to Durham. Primarily trained in Gestalt therapy, as an integral therapist I also pull from IFS, Emotionally-Focused Therapy (EFT) for couples, and other somatic, experiential, mindfulness-based modalities. Anxiety, depression, chronic illness, infertility, loss, explorations of identity, communication issues, deepening intimacy, and building trust are a few of the challenges that bring clients to me.
I respect your unique subjectivity and encourage exploring the relationship between you and me as part of the therapeutic process.
Offering multiple discounted sliding scale slots to those who can't afford my rate. Educated, licensed, and in clinical practice since 2018 in the Bay Area, CA, I'm a licensed therapist (LMFTA) who recently moved my practice to Durham. Primarily trained in Gestalt therapy, as an integral therapist I also pull from IFS, Emotionally-Focused Therapy (EFT) for couples, and other somatic, experiential, mindfulness-based modalities. Anxiety, depression, chronic illness, infertility, loss, explorations of identity, communication issues, deepening intimacy, and building trust are a few of the challenges that bring clients to me.
(919) 666-6798 View (919) 666-6798
Photo of Daniel Shawn Ayers, LCSW, Clinical Social Work/Therapist
Daniel Shawn Ayers
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Raleigh, NC 27614
Dedicated and accomplished behavioral health professional with 25 years of experience devoted to working with adults, children and families in a variety of settings. Specialize in working with Veterans, current Service members and families, couples and adults. Expertise in dealing with trauma related disorders, anxiety, depression, and relational distress.
Dedicated and accomplished behavioral health professional with 25 years of experience devoted to working with adults, children and families in a variety of settings. Specialize in working with Veterans, current Service members and families, couples and adults. Expertise in dealing with trauma related disorders, anxiety, depression, and relational distress.
(919) 849-3620 View (919) 849-3620
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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.