Couples Counseling Therapists in Northwest, Portland, OR

Photo of Rinny Newell, Marriage & Family Therapist Intern
Rinny Newell
Marriage & Family Therapist Intern
Verified Verified
1 Endorsed
Northwest, Portland, OR 97209  (Online Only)
Hi, I'm Rinny (she/they)! I am currently working with couples and non-traditional relationships on a wide range of issues including improving healthy communication, sex therapy, intimacy discrepancies, infidelity, identity exploration, systemic racism and marginalization, trauma, abuse, grief, gender affirming services, and polyamory/ENM. From my perspective, identity work is heavily relational, therefore, I bring this approach into my work as I seek to better understand who you are and who you hope to become within and outside of your relationships.
Hi, I'm Rinny (she/they)! I am currently working with couples and non-traditional relationships on a wide range of issues including improving healthy communication, sex therapy, intimacy discrepancies, infidelity, identity exploration, systemic racism and marginalization, trauma, abuse, grief, gender affirming services, and polyamory/ENM. From my perspective, identity work is heavily relational, therefore, I bring this approach into my work as I seek to better understand who you are and who you hope to become within and outside of your relationships.
(971) 299-6506 View (971) 299-6506
Photo of Quill Hogan, Marriage & Family Therapist Intern
Quill Hogan
Marriage & Family Therapist Intern
Verified Verified
1 Endorsed
Northwest, Portland, OR 97209
My approach as a therapist is to assist you in creating a felt sense of internal connectedness and strength, as well as connectedness to others, and to help reauthor narratives that help you feel embodied and authentic. I work primarily with queer, trans, neurodivergent, and non-monogamous individuals and couples. My work often focuses on healing trauma, gender identity exploration, navigating the intricacies of polycules or exploring non-monogamy, finding empowerment/healing through sex therapy, and how to find space for joy and connection while living under systems of oppression.
My approach as a therapist is to assist you in creating a felt sense of internal connectedness and strength, as well as connectedness to others, and to help reauthor narratives that help you feel embodied and authentic. I work primarily with queer, trans, neurodivergent, and non-monogamous individuals and couples. My work often focuses on healing trauma, gender identity exploration, navigating the intricacies of polycules or exploring non-monogamy, finding empowerment/healing through sex therapy, and how to find space for joy and connection while living under systems of oppression.
(971) 306-4554 View (971) 306-4554
Photo of Josh Wilson, MA, LMFTA, Marriage & Family Therapist Associate
Josh Wilson
Marriage & Family Therapist Associate, MA, LMFTA
Verified Verified
2 Endorsed
Northwest, Portland, OR 97209
Finding the right fit in a therapist is essential to forging a healing relationship.
I provide emotionally-focused therapy for couples, families, and adult individuals. My experience, humor, patience, and insight will help you to identify new plot lines in your story, reaffirm your sense of purpose, and strengthen bonds between you and your loved ones. I can help couples increase connection and intimacy; heal from betrayals; and enhance communication. I support my individual clients experiencing depression, anxiety, grief, and midlife transitions through an emotionally-focused and psychodynamic framework. I also love working with families to help parents and adolescents through life's most challenging transitions.
Finding the right fit in a therapist is essential to forging a healing relationship.
I provide emotionally-focused therapy for couples, families, and adult individuals. My experience, humor, patience, and insight will help you to identify new plot lines in your story, reaffirm your sense of purpose, and strengthen bonds between you and your loved ones. I can help couples increase connection and intimacy; heal from betrayals; and enhance communication. I support my individual clients experiencing depression, anxiety, grief, and midlife transitions through an emotionally-focused and psychodynamic framework. I also love working with families to help parents and adolescents through life's most challenging transitions.
(971) 328-3317 View (971) 328-3317
Photo of Riah Sorn-Ampai, Marriage & Family Therapist Intern
Riah Sorn-Ampai
Marriage & Family Therapist Intern
Verified Verified
1 Endorsed
Northwest, Portland, OR 97209  (Online Only)
I enjoy working with multicultural/multiethnic individuals, couples, and young adults who are looking for support regarding identity development, communication issues, cultural and multicultural issues, migration and acculturation.
As our identities grow and shift as we move through life, it can be overwhelming to try and navigate those changes alone– especially when we feel like we're "supposed" to act, feel, or be a certain way. Those pressures may come from narratives that we’ve internalized from others, whether that be from our families, our peers, or society at large. My aim is to create a warm, collaborative, and affirming space where we can explore and bring awareness to the stories that make up your life narrative: celebrating the stories that honor your experiences and gently deconstructing the narratives that no longer serve you.
I enjoy working with multicultural/multiethnic individuals, couples, and young adults who are looking for support regarding identity development, communication issues, cultural and multicultural issues, migration and acculturation.
As our identities grow and shift as we move through life, it can be overwhelming to try and navigate those changes alone– especially when we feel like we're "supposed" to act, feel, or be a certain way. Those pressures may come from narratives that we’ve internalized from others, whether that be from our families, our peers, or society at large. My aim is to create a warm, collaborative, and affirming space where we can explore and bring awareness to the stories that make up your life narrative: celebrating the stories that honor your experiences and gently deconstructing the narratives that no longer serve you.
(971) 298-3521 View (971) 298-3521
Photo of Saba Spencer, Marriage & Family Therapist Intern
Saba Spencer
Marriage & Family Therapist Intern
Verified Verified
2 Endorsed
Northwest, Portland, OR 97209  (Online Only)
As a relational therapist, I deeply believe in the transformative power of community and connection. I focus on helping individuals and couples explore their identity, express their emotions, and transform their relationships. In a world that often dictates how we should be, I offer a space where you are invited to explore and embrace who you truly are. We will work together to identify and navigate the barriers that hinder your growth, empowering you to make meaningful changes and fully embrace all aspects of yourself and your relationships.
As a relational therapist, I deeply believe in the transformative power of community and connection. I focus on helping individuals and couples explore their identity, express their emotions, and transform their relationships. In a world that often dictates how we should be, I offer a space where you are invited to explore and embrace who you truly are. We will work together to identify and navigate the barriers that hinder your growth, empowering you to make meaningful changes and fully embrace all aspects of yourself and your relationships.
(971) 365-3564 View (971) 365-3564
Photo of Dan Bernard, LPC, Licensed Professional Counselor
Dan Bernard
Licensed Professional Counselor, LPC
Verified Verified
Northwest, Portland, OR 97209  (Online Only)
Please take a moment to explore my website and learn more about my fees, hours and the individual and  couples counseling services that I provide virtually for Oregon residents.
I have been counseling individuals and couples for over 25 years, providing therapy for: rebuilding trust and intimacy, anger management, conflict resolution and recovery work around sex or porn addiction.
Please take a moment to explore my website and learn more about my fees, hours and the individual and  couples counseling services that I provide virtually for Oregon residents.
I have been counseling individuals and couples for over 25 years, providing therapy for: rebuilding trust and intimacy, anger management, conflict resolution and recovery work around sex or porn addiction.
(503) 406-3600 View (503) 406-3600
Photo of Aaron L Good, MS, CRC, LPC, CCC, Licensed Professional Counselor
Aaron L Good
Licensed Professional Counselor, MS, CRC, LPC, CCC
Verified Verified
3 Endorsed
Northwest, Portland, OR 97205  (Online Only)
Are you looking to deepen intimacy in your relationship, overcome conflict, or simply communicate better? We can work as a team to find what's working in your relationship and build on that while overcoming the barriers to satisfaction.
I provide mental health and career counseling to individuals and couples dealing with life's challenges. Do you want to understand more about yourself, about your identity, about the way the patterns you've learned in the past might no longer be serving you? Do you deal with the challenges of depression, anxiety, guilt, past trauma, and grief or loss? Come on in and we can explore all of it in a supportive environment.
Are you looking to deepen intimacy in your relationship, overcome conflict, or simply communicate better? We can work as a team to find what's working in your relationship and build on that while overcoming the barriers to satisfaction.
I provide mental health and career counseling to individuals and couples dealing with life's challenges. Do you want to understand more about yourself, about your identity, about the way the patterns you've learned in the past might no longer be serving you? Do you deal with the challenges of depression, anxiety, guilt, past trauma, and grief or loss? Come on in and we can explore all of it in a supportive environment.
(503) 743-0629 View (503) 743-0629
Photo of Daniel Menely, LMHC, Licensed Professional Counselor
Daniel Menely
Licensed Professional Counselor, LMHC
Verified Verified
Northwest, Portland, OR 97210
I counsel professionals and creatives, especially those navigating career and relationship challenges.
As your therapist, I provide a warm and supportive space where you can talk freely without being judged. I won't just sit there – instead, I'll ask questions, offer suggestions, and reflect on what you share. Together, we'll work on dealing with the things that are bothering you in your everyday life, be it challenges with relationships, work, or family. Whether our work is one-on-one, with you two as a couple, my clients gain valuable insights and practical tools to get unstuck and move forward. Imagine leaving each session feeling understood, empowered, and equipped to navigate life with confidence.
I counsel professionals and creatives, especially those navigating career and relationship challenges.
As your therapist, I provide a warm and supportive space where you can talk freely without being judged. I won't just sit there – instead, I'll ask questions, offer suggestions, and reflect on what you share. Together, we'll work on dealing with the things that are bothering you in your everyday life, be it challenges with relationships, work, or family. Whether our work is one-on-one, with you two as a couple, my clients gain valuable insights and practical tools to get unstuck and move forward. Imagine leaving each session feeling understood, empowered, and equipped to navigate life with confidence.
(503) 379-0306 View (503) 379-0306
Photo of Kathleen M Butler, MSW, LCSW, Clinical Social Work/Therapist
Kathleen M Butler
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Northwest, Portland, OR 97209
You may be seeking greater self understanding and clarity, confidence and spontaneity, life and relationship satisfaction.
The quality of the client/therapist relationship is key for a successful therapeutic process. I follow a relational psychodynamic approach based upon your unique strengths and challenges. As a therapist, I am here to walk beside you in your healing journey, providing support and tools best suited to your individual goals. My philosophy is holistic, and I recognize and work with connections between the physical, emotional, intellectual, social, and spiritual aspects of experience. I am influenced by the work of Carl Jung, who explored the importance of symbolic meaning and bringing unconscious motivations into awareness.
You may be seeking greater self understanding and clarity, confidence and spontaneity, life and relationship satisfaction.
The quality of the client/therapist relationship is key for a successful therapeutic process. I follow a relational psychodynamic approach based upon your unique strengths and challenges. As a therapist, I am here to walk beside you in your healing journey, providing support and tools best suited to your individual goals. My philosophy is holistic, and I recognize and work with connections between the physical, emotional, intellectual, social, and spiritual aspects of experience. I am influenced by the work of Carl Jung, who explored the importance of symbolic meaning and bringing unconscious motivations into awareness.
(971) 316-4566 View (971) 316-4566
Photo of Annette R Rankin, LMFT, Marriage & Family Therapist
Annette R Rankin
Marriage & Family Therapist, LMFT
Verified Verified
Northwest, Portland, OR 97236
Areas of focus for me are trauma recovery, habits of self-sabotage in relationships or at work, depression associated with chronic pain, depression, anxiety and grief associated with custody and divorce struggles, couples who want to improve their communication, and issues surrounding phase of life transitions.
I've had many years of experience providing therapy for individuals recovering from trauma,individuals who had developed habits of self-sabotage in relationships or at work for various reasons. Other areas of focus include depression associated with chronic pain, depression, anxiety and grief associated with custody and divorce struggles, couples who want to improve the way in which they communicate and partner, and issues surrounding phase of life transitions.
Areas of focus for me are trauma recovery, habits of self-sabotage in relationships or at work, depression associated with chronic pain, depression, anxiety and grief associated with custody and divorce struggles, couples who want to improve their communication, and issues surrounding phase of life transitions.
I've had many years of experience providing therapy for individuals recovering from trauma,individuals who had developed habits of self-sabotage in relationships or at work for various reasons. Other areas of focus include depression associated with chronic pain, depression, anxiety and grief associated with custody and divorce struggles, couples who want to improve the way in which they communicate and partner, and issues surrounding phase of life transitions.
(415) 298-2479 View (415) 298-2479
Photo of Catherine Palmer, MS, LPC, LMHC, MFT, Licensed Professional Counselor
Catherine Palmer
Licensed Professional Counselor, MS, LPC, LMHC, MFT
Verified Verified
2 Endorsed
Northwest, Portland, OR 97209  (Online Only)
In couples therapy, I can help break dysfunctional cycles and replace old, worn-out ways of interacting with more intentional and loving ones.
I can help you rewire your brain and improve your life. Is your life, or your relationship, not quite where you want it to be? Are you feeling stuck or misunderstood? Are you struggling with anxiety, codependency, depression, PTSD, or grief? Do you feel as if your past trauma is negatively impacting your current life? If so, I can help. As an expert in individual and couple counseling, I’m deeply passionate about helping people improve their relationships, enhance their emotional well-being, break free of anxiety and depression, discover their strengths, and re-empower their lives.
In couples therapy, I can help break dysfunctional cycles and replace old, worn-out ways of interacting with more intentional and loving ones.
I can help you rewire your brain and improve your life. Is your life, or your relationship, not quite where you want it to be? Are you feeling stuck or misunderstood? Are you struggling with anxiety, codependency, depression, PTSD, or grief? Do you feel as if your past trauma is negatively impacting your current life? If so, I can help. As an expert in individual and couple counseling, I’m deeply passionate about helping people improve their relationships, enhance their emotional well-being, break free of anxiety and depression, discover their strengths, and re-empower their lives.
(971) 290-1657 View (971) 290-1657
Photo of Stephen Scherr - Stephen Scherr Ph.D., PhD, Psychologist
Stephen Scherr Ph.D.
Psychologist, PhD
Verified Verified
Northwest, Portland, OR 97210
Psychotherapy: I work with individuals couples and families in psychotherapy.
People come to see me because they are experiencing psychological distress and/or interpersonal difficulties. The in-depth look at these issues not only leads to symptom relief but to longterm change of dysfunctional and painful (sometimes unconscious) ways we may perceive and judge ourselves and to recognize and build on strengths. I enjoy being a psychotherapist in part because it is satisfying and exciting to see people become more insightful, effective and confident in each of the important areas of their lives. I have been doing this work for 35+ years and plan to continue for many years.
Psychotherapy: I work with individuals couples and families in psychotherapy.
People come to see me because they are experiencing psychological distress and/or interpersonal difficulties. The in-depth look at these issues not only leads to symptom relief but to longterm change of dysfunctional and painful (sometimes unconscious) ways we may perceive and judge ourselves and to recognize and build on strengths. I enjoy being a psychotherapist in part because it is satisfying and exciting to see people become more insightful, effective and confident in each of the important areas of their lives. I have been doing this work for 35+ years and plan to continue for many years.
(503) 400-7204 View (503) 400-7204
Photo of Sarah Hoagland, MA, LPC, Licensed Professional Counselor
Sarah Hoagland
Licensed Professional Counselor, MA, LPC
Verified Verified
Northwest, Portland, OR 97205
I utilize the therapeutic relationship to listen deeply to your story and help you find new meaning in life.
Do you struggle to make lasting changes in your life? Do you suffer from relationship difficulties, job dissatisfaction or low self-esteem? Do you repeat the same negative patterns? If so, I believe I can help. I am trained to help you make the changes you want to see in your life. I will help you get to the root of your problems, not simply treat your symptoms. This happens best in the safety of a trusted therapeutic relationship where we will work collaboratively to help you discover your authentic feelings, make a deeper connection to yourself and others, and reap greater satisfaction from your life.
I utilize the therapeutic relationship to listen deeply to your story and help you find new meaning in life.
Do you struggle to make lasting changes in your life? Do you suffer from relationship difficulties, job dissatisfaction or low self-esteem? Do you repeat the same negative patterns? If so, I believe I can help. I am trained to help you make the changes you want to see in your life. I will help you get to the root of your problems, not simply treat your symptoms. This happens best in the safety of a trusted therapeutic relationship where we will work collaboratively to help you discover your authentic feelings, make a deeper connection to yourself and others, and reap greater satisfaction from your life.
(503) 610-5526 View (503) 610-5526
Photo of Marley Dagner, LPC, MA, Licensed Professional Counselor
Marley Dagner
Licensed Professional Counselor, LPC, MA
Verified Verified
2 Endorsed
Northwest, Portland, OR 97296  (Online Only)
Waitlist for new clients
Life is not simple. It can be really challenging to navigate, especially on our own. I work with clients all across Oregon to help them heal from abusive relationships, toxic family dynamics, narcissistic parents, partners, bosses, and/or religious groups. I offer therapy focused on self-rebuilding, relationship struggles, developing healthy boundaries, and discovering your healthier way to move forward as your most authentic self. I am committed to creating the opportunity for you to have a non-judgmental, trauma-informed, inclusive & affirming space to empower your life.
Life is not simple. It can be really challenging to navigate, especially on our own. I work with clients all across Oregon to help them heal from abusive relationships, toxic family dynamics, narcissistic parents, partners, bosses, and/or religious groups. I offer therapy focused on self-rebuilding, relationship struggles, developing healthy boundaries, and discovering your healthier way to move forward as your most authentic self. I am committed to creating the opportunity for you to have a non-judgmental, trauma-informed, inclusive & affirming space to empower your life.
(458) 214-8719 x100 View (458) 214-8719 x100
Photo of Kate Hernandez, Pre-Licensed Professional
Kate Hernandez
Pre-Licensed Professional
Verified Verified
1 Endorsed
Northwest, Portland, OR 97209
I bring genuine empathy, curiosity, and hope into my relationship with clients so they may feel understood and valued.
I want to welcome individuals from all walks of life. I want to bring awareness that the challenges we encounter could impact us in harmful ways, but it can also be an opportunity for us to rise. Resiliency means you have experienced, you feel, and you hurt, and it can be hard to process. Life gets messy and tangly, and you are not alone, there is beauty in your healing journey because is unique. I want the opportunity to be able to support anyone who might feel like they are alone, do not know what step to take next or not knowing how to ask for help.
I bring genuine empathy, curiosity, and hope into my relationship with clients so they may feel understood and valued.
I want to welcome individuals from all walks of life. I want to bring awareness that the challenges we encounter could impact us in harmful ways, but it can also be an opportunity for us to rise. Resiliency means you have experienced, you feel, and you hurt, and it can be hard to process. Life gets messy and tangly, and you are not alone, there is beauty in your healing journey because is unique. I want the opportunity to be able to support anyone who might feel like they are alone, do not know what step to take next or not knowing how to ask for help.
(971) 247-9813 View (971) 247-9813
Photo of Kevin Krage - Courageous Couples Counseling , LMFT, Marriage & Family Therapist
Courageous Couples Counseling
Marriage & Family Therapist, LMFT
Verified Verified
4 Endorsed
Northwest, Portland, OR 97205
You and your partner have been working so hard to figure things out on your own.
Everything is easier when you feel confident that your partner is in your corner. Sharing the weight of your struggles and amplifying life's joys are what make a couple worth all the work. Our greatest emotional wounds come from our relationships, and our romantic relationships hold the most healing capacity for not only our collective healing but our individual healing as well. If you're looking for better communication, repairing trust, or throwing out the rulebook and creating your own new paradigm, Courageous Couples Counseling is here to help.
You and your partner have been working so hard to figure things out on your own.
Everything is easier when you feel confident that your partner is in your corner. Sharing the weight of your struggles and amplifying life's joys are what make a couple worth all the work. Our greatest emotional wounds come from our relationships, and our romantic relationships hold the most healing capacity for not only our collective healing but our individual healing as well. If you're looking for better communication, repairing trust, or throwing out the rulebook and creating your own new paradigm, Courageous Couples Counseling is here to help.
(971) 414-2825 View (971) 414-2825
Photo of Jeff Whritenour, PsyD, Psychologist
Jeff Whritenour
Psychologist, PsyD
Verified Verified
Northwest, Portland, OR 97209
Working together in a safe relationship, you'll discover how quickly you can find greater health by bringing curiosity and love to all aspects of your being.
I assist adults and couples with psycho-spiritual practices, relationships, parenting, life transitions, anxiety/depression, and loss. My practice is oriented toward psychological and spiritual integration. Through a combination of mindfulness, somatic and systems therapies, clients develop deeper relationship with all aspects of themself. Together, we'll help you access more Love and appreciation for parts of yourself you may judge harshly; and look for guidance from the Wisdom that you already embody.
Working together in a safe relationship, you'll discover how quickly you can find greater health by bringing curiosity and love to all aspects of your being.
I assist adults and couples with psycho-spiritual practices, relationships, parenting, life transitions, anxiety/depression, and loss. My practice is oriented toward psychological and spiritual integration. Through a combination of mindfulness, somatic and systems therapies, clients develop deeper relationship with all aspects of themself. Together, we'll help you access more Love and appreciation for parts of yourself you may judge harshly; and look for guidance from the Wisdom that you already embody.
(503) 567-4975 View (503) 567-4975
Photo of Graham Sterling, MA, NCC, LPC, Licensed Professional Counselor
Graham Sterling
Licensed Professional Counselor, MA, NCC, LPC
Verified Verified
Northwest, Portland, OR 97210
I work with individuals, couples and families.
It is my philosophy that each of us are on a path that encompasses understanding who we are in relation to our surroundings. Answers are found through interpersonal connections and within ourselves. It is my job to offer a safe, supportive space and the skilled assistance that allows you to discover your strengths and the tools necessary to overcome life's hurdles.
I work with individuals, couples and families.
It is my philosophy that each of us are on a path that encompasses understanding who we are in relation to our surroundings. Answers are found through interpersonal connections and within ourselves. It is my job to offer a safe, supportive space and the skilled assistance that allows you to discover your strengths and the tools necessary to overcome life's hurdles.
(503) 980-1413 View (503) 980-1413
Photo of Vy Tran, Pre-Licensed Professional
Vy Tran
Pre-Licensed Professional
Verified Verified
1 Endorsed
Northwest, Portland, OR 97209  (Online Only)
The thought of therapy can be confusing and maybe even a little intimidating. That’s why the root of therapy lies in the relationship between the client and therapist! No framework can replace the importance of a safe and collaborative relationship between a client and therapist. Together, we’ll foster an environment where you can rediscover your resilience, process your lived experiences, and work towards your goals. My true passion is working with couples and families as they navigate life’s challenges together. I specialize in supporting interracial and multicultural couples with communication and multicultural issues.
The thought of therapy can be confusing and maybe even a little intimidating. That’s why the root of therapy lies in the relationship between the client and therapist! No framework can replace the importance of a safe and collaborative relationship between a client and therapist. Together, we’ll foster an environment where you can rediscover your resilience, process your lived experiences, and work towards your goals. My true passion is working with couples and families as they navigate life’s challenges together. I specialize in supporting interracial and multicultural couples with communication and multicultural issues.
(971) 286-5042 View (971) 286-5042
Photo of Robin Lieberman, MSW, LCSW, Clinical Social Work/Therapist
Robin Lieberman
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Northwest, Portland, OR 97205
More recently, I have combined my life-long passion for painting with my enthusiasm for the healing power of the psychotherapeutic relationship.
I have been practicing psychotherapy in Portland, Oregon for over thirty years. Initially trained as a child and family therapist in the psychodynamic tradition at the University of Michigan, I have since continued to broaden and deepen my experience and skills through further training in and study of Gestalt therapy theory, contemporary psychoanalysis, Collaborative Couple Therapy, anthroposophy, and hatha yoga. Please feel free to check my website for more information on everything I offer.
More recently, I have combined my life-long passion for painting with my enthusiasm for the healing power of the psychotherapeutic relationship.
I have been practicing psychotherapy in Portland, Oregon for over thirty years. Initially trained as a child and family therapist in the psychodynamic tradition at the University of Michigan, I have since continued to broaden and deepen my experience and skills through further training in and study of Gestalt therapy theory, contemporary psychoanalysis, Collaborative Couple Therapy, anthroposophy, and hatha yoga. Please feel free to check my website for more information on everything I offer.
(503) 683-7067 View (503) 683-7067
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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.