Couples Counseling Therapists in New York, NY
![Photo of Liz Lacy, LCSW, ACST, Clinical Social Work/Therapist](https://photos.psychologytoday.com/1ff2952e-65fc-4cf6-81ca-5d283656e19c/1/320x400.jpeg)
In Person and Telehealth. I am a Licensed Clinical Social Worker and an Advanced Schema Therapist, Trainer and Clinical Supervisor with over 18 years of post-graduate experience. I am also trained in Emotion Focused Couples Therapy. I provide therapy in a warm and accepting, yet challenging environment....Life does not have to be an endurance contest. Real, lasting change is possible.
In Person and Telehealth. I am a Licensed Clinical Social Worker and an Advanced Schema Therapist, Trainer and Clinical Supervisor with over 18 years of post-graduate experience. I am also trained in Emotion Focused Couples Therapy. I provide therapy in a warm and accepting, yet challenging environment....Life does not have to be an endurance contest. Real, lasting change is possible.
![Photo of Milena Boursiquot, NCC, LMHC, Counselor](https://photos.psychologytoday.com/b8355711-abfe-4df3-bca2-04050159dae5/1/320x400.jpeg)
Milena Boursiquot
Counselor, NCC, LMHC
Verified Verified
1 Endorsed
New York, NY 10038 (Online Only)
I've worked with individuals ranging from childhood to adulthood, who experienced anxiety , trauma, behavioral issues, depression, stress, relationship issues, self esteem challenges, low motivation, life transitions, communication within interpersonal relationships and in general and family conflict.
I am here to help you embark on a road of growth, transformation, gaining insight to live a healthier and higher quality of life. I believe it's essential for individuals to seek within themselves to better understand who they are. Let's work together to establish the proper tools you need to lead a good quality of life and reach a healthy mental well-being with confidence. My goal is to help you process emotions & personal challenges to reach individual healing and achieve a happier way of life.
I've worked with individuals ranging from childhood to adulthood, who experienced anxiety , trauma, behavioral issues, depression, stress, relationship issues, self esteem challenges, low motivation, life transitions, communication within interpersonal relationships and in general and family conflict.
I am here to help you embark on a road of growth, transformation, gaining insight to live a healthier and higher quality of life. I believe it's essential for individuals to seek within themselves to better understand who they are. Let's work together to establish the proper tools you need to lead a good quality of life and reach a healthy mental well-being with confidence. My goal is to help you process emotions & personal challenges to reach individual healing and achieve a happier way of life.
![Photo of Nivin Hamada, MHC-LP](https://photos.psychologytoday.com/0373a234-1346-4be4-a47d-6f5f8391dfee/2/320x400.jpeg)
My name is Nivin Hamada and I currently hold an LP in Mental Health Counseling and an additional certification in Trauma-Focused Therapy. I have been in practice for 7 years, with experience in individual, couples, family and group therapy. I incorporate various modalities into my practice drawing from Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), and Emotion-Focused Therapy (EFT). I collaborate with individuals, specifically younger and middle-aged adults, through life transitions and hardships using my multicultural perspective.
My name is Nivin Hamada and I currently hold an LP in Mental Health Counseling and an additional certification in Trauma-Focused Therapy. I have been in practice for 7 years, with experience in individual, couples, family and group therapy. I incorporate various modalities into my practice drawing from Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), and Emotion-Focused Therapy (EFT). I collaborate with individuals, specifically younger and middle-aged adults, through life transitions and hardships using my multicultural perspective.
![Photo of Tamara Thompson, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/bdb3a507-94da-48af-93ae-4fa8b23d8072/2/320x400.jpeg)
Are you ready? Ready to deepen your self-awareness, align with your life's purpose, and acquire the life you desire? If so, I invite you to immerse yourself on a journey inward, where you can heal and let go of what has been holding you back in order to create the life and relationship you deserve. A life aligned with who you are at your core. For those aspiring to understand themselves deeply, longing to experience connection and warmth in their closest relationships, and are willing to show up for the process, I believe we can do great "work" together. I believe in the power of intention, hope, and love. Ready? If so, let's begin!
Are you ready? Ready to deepen your self-awareness, align with your life's purpose, and acquire the life you desire? If so, I invite you to immerse yourself on a journey inward, where you can heal and let go of what has been holding you back in order to create the life and relationship you deserve. A life aligned with who you are at your core. For those aspiring to understand themselves deeply, longing to experience connection and warmth in their closest relationships, and are willing to show up for the process, I believe we can do great "work" together. I believe in the power of intention, hope, and love. Ready? If so, let's begin!
![Photo of Sally Miller, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/935461d8-95cb-47f2-b95e-d2e43f788f24/1/320x400.jpeg)
I blend techniques from the Top in our field from the Gottman Method, Emotionally Focused Therapy, Pragmatic Experiential Couples Therapy.
Are you missing appreciation? Does he stonewall? Does she not stop criticizing? Anxious and having trust issues? Do you feel a lack of sexual desire? Fighting over sexual frequency? I can help you stop the negative cycle. Feel love again. Feel intimate again. Trained explicitly as a marriage and family therapist, I am a highly trained and experienced couples therapist. I believe in a collaborative approach and skilled at creating tools to foster healthy connections between couples and families. Together, we repair your relationship by introducing new methods of communication to increase empathy and flexibility.
I blend techniques from the Top in our field from the Gottman Method, Emotionally Focused Therapy, Pragmatic Experiential Couples Therapy.
Are you missing appreciation? Does he stonewall? Does she not stop criticizing? Anxious and having trust issues? Do you feel a lack of sexual desire? Fighting over sexual frequency? I can help you stop the negative cycle. Feel love again. Feel intimate again. Trained explicitly as a marriage and family therapist, I am a highly trained and experienced couples therapist. I believe in a collaborative approach and skilled at creating tools to foster healthy connections between couples and families. Together, we repair your relationship by introducing new methods of communication to increase empathy and flexibility.
![Photo of Joel Sanchez - Joel Sanchez, LCSW, LCSW, MFA, Clinical Social Work/Therapist](https://photos.psychologytoday.com/fe41bf91-cf81-4330-a57c-fc96fe48e6fd/1/320x400.jpeg)
Joel Sanchez, LCSW
Clinical Social Work/Therapist, LCSW, MFA
Verified Verified
New York, NY 10025 (Online Only)
The lasting effects COVID-19 have created a long lasting crisis situation that is exacerbating depression, anxiety, feelings of fear and hopelessness, and triggering unhealthy regressive patterns and behaviors. It has placed stress on marriages, partnerships and families, and has left us feeling disconnected, frustrated and fearful. If you are in distress and need help to reestablish and maintain healthy connections with your partner(s), family, friends, work environment, or yourself, I am here to help.
The lasting effects COVID-19 have created a long lasting crisis situation that is exacerbating depression, anxiety, feelings of fear and hopelessness, and triggering unhealthy regressive patterns and behaviors. It has placed stress on marriages, partnerships and families, and has left us feeling disconnected, frustrated and fearful. If you are in distress and need help to reestablish and maintain healthy connections with your partner(s), family, friends, work environment, or yourself, I am here to help.
![Photo of Dr. Yedidya (Didi) Levy, PsyD, Psychologist](https://photos.psychologytoday.com/5ac4f468-c959-425d-b084-adf3c90aa7ec/1/320x400.jpeg)
Hello! I'm a clinician specializing in working with men and addressing men's issues. My work is devoted to understanding and supporting men experiencing problematic anger, emotional numbness, depression, anxiety, and relationship conflict. I offer an experience of therapy where clients develop insight into the origins of their present impasse, improve their relationships, and make positive changes in their lives. My approach is psychodynamic, but I also integrate CBT. I collaborate with my clients on a plan that not only addresses their immediate concerns but also equips them with insight and understanding for long-term well-being.
Hello! I'm a clinician specializing in working with men and addressing men's issues. My work is devoted to understanding and supporting men experiencing problematic anger, emotional numbness, depression, anxiety, and relationship conflict. I offer an experience of therapy where clients develop insight into the origins of their present impasse, improve their relationships, and make positive changes in their lives. My approach is psychodynamic, but I also integrate CBT. I collaborate with my clients on a plan that not only addresses their immediate concerns but also equips them with insight and understanding for long-term well-being.
![Photo of Kayle Koepke - The Sensual Alchemist | Kayle Koepke, LMHC, LMHC, Counselor](https://photos.psychologytoday.com/605346af-df70-46a3-a87f-a6cf165b0e0f/1/320x400.jpeg)
As a sex, love, and relationship therapist, I cater to a diverse range of clients seeking guidance and support in their intimate lives. I welcome individuals and couples navigating various relationship dynamics, whether exploring traditional partnerships, ENM, LGBTQ+ relationships, or seeking to deepen their understanding of intimacy. I serve clients who are eager to improve communication, reignite passion, overcome obstacles in their relationships, or explore their sexuality in a safe and non-judgmental space. My doors are open to those seeking to embrace their authentic selves, deepen their connections, and find fulfillment.
As a sex, love, and relationship therapist, I cater to a diverse range of clients seeking guidance and support in their intimate lives. I welcome individuals and couples navigating various relationship dynamics, whether exploring traditional partnerships, ENM, LGBTQ+ relationships, or seeking to deepen their understanding of intimacy. I serve clients who are eager to improve communication, reignite passion, overcome obstacles in their relationships, or explore their sexuality in a safe and non-judgmental space. My doors are open to those seeking to embrace their authentic selves, deepen their connections, and find fulfillment.
![Photo of Colleen Baker - Attune Psychotherapy, LCSW](https://photos.psychologytoday.com/cf17e2fa-3366-4f96-b05a-76939cb75ea1/1/320x400.png)
We recognize that a therapeutic relationship built with individualized care, mutual respect, and trust present the best opportunity to handle present challenges.
Attune Psychotherapy is an outpatient therapy practice that provides individualized care for a wide array of mental health needs. We proudly specialize in treating Anxiety, Mood, Eating, Substance Use Disorders, and are equipped to address a variety of other concerns and life stressors. Collectively, we are a dynamic group of experienced, driven, and relatable clinicians that utilize our own experiences and areas of expertise to meet clients exactly where they are in their process of healing, reflection, and self-acceptance.
We recognize that a therapeutic relationship built with individualized care, mutual respect, and trust present the best opportunity to handle present challenges.
Attune Psychotherapy is an outpatient therapy practice that provides individualized care for a wide array of mental health needs. We proudly specialize in treating Anxiety, Mood, Eating, Substance Use Disorders, and are equipped to address a variety of other concerns and life stressors. Collectively, we are a dynamic group of experienced, driven, and relatable clinicians that utilize our own experiences and areas of expertise to meet clients exactly where they are in their process of healing, reflection, and self-acceptance.
![Photo of Shannon Cruz-Herr, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/9404503c-9a28-4386-a31d-83638a338e58/1/320x400.png)
Shannon Cruz-Herr
Clinical Social Work/Therapist, LCSW
Verified Verified
5 Endorsed
New York, NY 10007
I bring a spirit of creativity to our work & believe a strong client/therapist relationship is key for change.
Life can be messy. Therapy can be a way to help you navigate the challenges and begin to understand why you may feel stuck or what might be causing your important relationships to suffer. Starting therapy can be both daunting and exciting, and finding the right therapist is key. Together, we will create a space of trust and connection. We will explore what feels most pressing for you right now, as well as look back at old patterns and early dynamics that may be holding you back from greater happiness and ease. My approach to therapy is collaborative, supportive, and non-judgmental.
I bring a spirit of creativity to our work & believe a strong client/therapist relationship is key for change.
Life can be messy. Therapy can be a way to help you navigate the challenges and begin to understand why you may feel stuck or what might be causing your important relationships to suffer. Starting therapy can be both daunting and exciting, and finding the right therapist is key. Together, we will create a space of trust and connection. We will explore what feels most pressing for you right now, as well as look back at old patterns and early dynamics that may be holding you back from greater happiness and ease. My approach to therapy is collaborative, supportive, and non-judgmental.
![Photo of Kulliki Keller, LMHC, Counselor](https://photos.psychologytoday.com/9b05b9d7-1b7c-46f0-a4fd-b03b80d65202/1/320x400.jpeg)
I believe that using evidence-based techniques in a compassionate therapeutic relationship is the key to successful treatment. My work with my clients is grounded in empathy and connection while helping individuals gain insight into their struggles. As your therapist, I will help you learn how to reduce the impact and influence of painful thoughts and feelings while taking action to build a life that is full and meaningful. You will also learn how to implement new techniques and skills and, ultimately, how to be your own therapist.
I believe that using evidence-based techniques in a compassionate therapeutic relationship is the key to successful treatment. My work with my clients is grounded in empathy and connection while helping individuals gain insight into their struggles. As your therapist, I will help you learn how to reduce the impact and influence of painful thoughts and feelings while taking action to build a life that is full and meaningful. You will also learn how to implement new techniques and skills and, ultimately, how to be your own therapist.
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![Photo of Lauren Osoria, LCSW](https://photos.psychologytoday.com/f04e0a25-d20c-4ee3-b22e-11ac69bcd516/1/320x400.jpeg)
Welcome! I'm a native, Bi-lingual (Spanish/English) Latinx therapist. I am intentional in curating a space in which you can show up as your authentic self. My approach is a combination of a laid-back style with implementation of tools and skills to help you work towards your goals. I work with adolescents and adults with an interest in investing in their growth and healing. My experience includes over seven years of working with folks with anxiety, depression, intimate partner violence, PTSD and complex trauma, romantic and family relationships, personality disorders, and adjustment to lifestyle changes.
Welcome! I'm a native, Bi-lingual (Spanish/English) Latinx therapist. I am intentional in curating a space in which you can show up as your authentic self. My approach is a combination of a laid-back style with implementation of tools and skills to help you work towards your goals. I work with adolescents and adults with an interest in investing in their growth and healing. My experience includes over seven years of working with folks with anxiety, depression, intimate partner violence, PTSD and complex trauma, romantic and family relationships, personality disorders, and adjustment to lifestyle changes.
![Photo of Steven Robert Howard, PhD, Psychologist](https://photos.psychologytoday.com/3c0ed4a5-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
I have over 35 years of experience treating self esteem, intimacy/relationship issues, anxiety, depression, sexual identity conflicts and stuttering. I work extensively with individual, couples, families and adolescents. Change or relief from symptoms occurs only when the patient feels a complete sense of trust and safety in their relationship with his/her therapist. I utilize a highly interactive, integrated approach of psychodynamic and cognitive therapy in a comfortable therapeutic setting to facilitate that sense of support and trust in a direct/honest relationship.
I have over 35 years of experience treating self esteem, intimacy/relationship issues, anxiety, depression, sexual identity conflicts and stuttering. I work extensively with individual, couples, families and adolescents. Change or relief from symptoms occurs only when the patient feels a complete sense of trust and safety in their relationship with his/her therapist. I utilize a highly interactive, integrated approach of psychodynamic and cognitive therapy in a comfortable therapeutic setting to facilitate that sense of support and trust in a direct/honest relationship.
![Photo of Karen Kaufman, PhD, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3cd99b75-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Among the most meaningful factors in a successful experience with therapy is the relationship.
I work with a wide range of age groups; young adults who are defining themselves, increasing autonomy, strengthening identities, often communicating through behavior; couples trying to improve communication styles or learning how to negotiate transitional periods in their relationships; older adults navigating life's challenges with resulting changes in roles. Clients of all ages may be dealing with relationship issues, poor confidence or self-esteem, loss, depression, anxiety and addictive problems, seeking to understand the sources of their discomfort rather than continue trying to avoid or outrun their problems.
Among the most meaningful factors in a successful experience with therapy is the relationship.
I work with a wide range of age groups; young adults who are defining themselves, increasing autonomy, strengthening identities, often communicating through behavior; couples trying to improve communication styles or learning how to negotiate transitional periods in their relationships; older adults navigating life's challenges with resulting changes in roles. Clients of all ages may be dealing with relationship issues, poor confidence or self-esteem, loss, depression, anxiety and addictive problems, seeking to understand the sources of their discomfort rather than continue trying to avoid or outrun their problems.
![Photo of Berenice Rosales-Nadel, LMHC, Counselor](https://photos.psychologytoday.com/486750f4-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Berenice Rosales, is Licensed Mental Health Counselor. Berenice's style of therapy is a wide range of art therapy, cognitive behavioral therapy (CBT), multisystemic family therapy (MFT), and dialectic behavior therapy (DBT). Berenice has experience working with an eclectic set of issues including, anxiety, generalized anxiety, depression, postpartum, grief and loss, adjustment disorder, woman issues, body image-based disorders, among others. She works with individuals, such as children, adolescents, young adults, adults and seniors. In addition, she has experience working with blending families, couples and marriage counseling.
Berenice Rosales, is Licensed Mental Health Counselor. Berenice's style of therapy is a wide range of art therapy, cognitive behavioral therapy (CBT), multisystemic family therapy (MFT), and dialectic behavior therapy (DBT). Berenice has experience working with an eclectic set of issues including, anxiety, generalized anxiety, depression, postpartum, grief and loss, adjustment disorder, woman issues, body image-based disorders, among others. She works with individuals, such as children, adolescents, young adults, adults and seniors. In addition, she has experience working with blending families, couples and marriage counseling.
![Photo of Michael Greenberg - OCD Associates, PhD, Psychologist](https://photos.psychologytoday.com/4dd4dabe-332b-432c-acf4-ae346453eeaa/1/320x400.jpeg)
Other search terms: HOCD, SO-OCD, sexual orientation OCD, ROCD, relationship OCD, POCD, harm OCD, intrusive thoughts, violent thoughts, retroactive jealousy, real event OCD; somatic OCD; BFRB, body-focused repetitive behaviors, trichotillomania, hair-pulling, skin-picking, excoriation; GAD, anxiety, panic, social anxiety, health anxiety, hypochondriasis.
We specialize in Rumination-Focused ERP for OCD and anxiety disorders. This approach focuses on treating compulsive rumination, and provides a highly systematic yet gentler approach to exposure therapy. RF-ERP can be helpful to patients who have not made significant progress in other types of treatment, including individuals with Pure O or Sensorimotor OCD.
Other search terms: HOCD, SO-OCD, sexual orientation OCD, ROCD, relationship OCD, POCD, harm OCD, intrusive thoughts, violent thoughts, retroactive jealousy, real event OCD; somatic OCD; BFRB, body-focused repetitive behaviors, trichotillomania, hair-pulling, skin-picking, excoriation; GAD, anxiety, panic, social anxiety, health anxiety, hypochondriasis.
We specialize in Rumination-Focused ERP for OCD and anxiety disorders. This approach focuses on treating compulsive rumination, and provides a highly systematic yet gentler approach to exposure therapy. RF-ERP can be helpful to patients who have not made significant progress in other types of treatment, including individuals with Pure O or Sensorimotor OCD.
![Photo of S. Aoife West, PhD, Psychologist](https://photos.psychologytoday.com/f28481cc-c775-4b69-8996-f13f469aee6e/1/320x400.jpeg)
I collaborate with my clients to help them find a better understanding of themselves. The process may include exploring how they have arrived at where they find themselves in life; how patterns in their relationships with the important people in their lives have developed and are sustained; how emotions and emotion-laden expectations may limit possibilities; how the therapeutic relationship can provide support, insight, improve coping skills and relationships with others, expand opportunities, improve performance, and increase satisfaction. Licensed in NY and CT, I also hold APIT to practice telepsychology in any PSYPACT state.
I collaborate with my clients to help them find a better understanding of themselves. The process may include exploring how they have arrived at where they find themselves in life; how patterns in their relationships with the important people in their lives have developed and are sustained; how emotions and emotion-laden expectations may limit possibilities; how the therapeutic relationship can provide support, insight, improve coping skills and relationships with others, expand opportunities, improve performance, and increase satisfaction. Licensed in NY and CT, I also hold APIT to practice telepsychology in any PSYPACT state.
![Photo of Arlene Neuman, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3a503f1b-f7ae-4428-8f57-8e6e64789a65/1/320x400.jpeg)
I am a licensed psychotherapist and have been in practice for over 25 years. My specialty is anxiety management, depression, self esteem issues,relationship difficulties, ( including marital, family, work and friendships). My work also includes working with individuals struggling with various addictions, life cycle transitions, disenchantment, and personal growth. Various approaches are used, depending on the problem presented. My style is interactive and direct . You you can expect clear and honest feedback. I am currently on the faculty of the National Institute of the Psychotherapies and have supervised and taught at various training programs and institutes in NYC.
I am a licensed psychotherapist and have been in practice for over 25 years. My specialty is anxiety management, depression, self esteem issues,relationship difficulties, ( including marital, family, work and friendships). My work also includes working with individuals struggling with various addictions, life cycle transitions, disenchantment, and personal growth. Various approaches are used, depending on the problem presented. My style is interactive and direct . You you can expect clear and honest feedback. I am currently on the faculty of the National Institute of the Psychotherapies and have supervised and taught at various training programs and institutes in NYC.
![Photo of Paola Alessio, LCSW, CBT, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3d41ee9b-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Paola Alessio
Clinical Social Work/Therapist, LCSW, CBT
Verified Verified
1 Endorsed
New York, NY 10023
I offer therapy for individuals, couples and elderly.
I approach therapy with the understanding that our mind and body are not separated but aspects of a unified whole. Our emotions and life history are held and manifest in the body and change begins when we acknowledge and work with our full being. Through a process that goes beyond talk, I help my clients bring attention to how their concerns effect how they breathe, feel, move, think and express themselves, as I support them in gradually exploring the underlying emotional terrain.
I offer therapy for individuals, couples and elderly.
I approach therapy with the understanding that our mind and body are not separated but aspects of a unified whole. Our emotions and life history are held and manifest in the body and change begins when we acknowledge and work with our full being. Through a process that goes beyond talk, I help my clients bring attention to how their concerns effect how they breathe, feel, move, think and express themselves, as I support them in gradually exploring the underlying emotional terrain.
![Photo of Patricia Kummel, JD, PhD, Psychologist](https://photos.psychologytoday.com/3be43228-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
I enjoy working with people who are motivated to understand and address their issues. Most people come in with relationship, family and/or work and career issues and many express feelings of depression, anxiety or "stuckness" about where they are in their lives. People exist within the context of their families, workplaces and friendships. I help them understand the roles they take up in relationships and how to make adjustments to improve the quality of their interactions and decision making processes. I use EMDR along with talk therapy and homework assignments, as appropriate.
I enjoy working with people who are motivated to understand and address their issues. Most people come in with relationship, family and/or work and career issues and many express feelings of depression, anxiety or "stuckness" about where they are in their lives. People exist within the context of their families, workplaces and friendships. I help them understand the roles they take up in relationships and how to make adjustments to improve the quality of their interactions and decision making processes. I use EMDR along with talk therapy and homework assignments, as appropriate.
See more therapy options for New York
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.