Couples Counseling Therapists in Elkins Park, PA

Photo of Robert Kravis, PsyD, Psychologist
Robert Kravis
Psychologist, PsyD
Verified Verified
Elkins Park, PA 19027
I believe that most personal problems have developed over time and need careful and systematic exploration in order to be understood and modified. This calls for a conjoint effort in which both therapist and client collaborate to expand understanding. In my practice this occurs as a trusting, meaningful relationship develops, making it possible for me to develop a thorough understanding which I can then share with my client. I believe that symptoms are indications of underlying issues of which most people are only partially aware. As the therapy brings there issues into conscious awareness they can be effectively addressed.
I believe that most personal problems have developed over time and need careful and systematic exploration in order to be understood and modified. This calls for a conjoint effort in which both therapist and client collaborate to expand understanding. In my practice this occurs as a trusting, meaningful relationship develops, making it possible for me to develop a thorough understanding which I can then share with my client. I believe that symptoms are indications of underlying issues of which most people are only partially aware. As the therapy brings there issues into conscious awareness they can be effectively addressed.
(215) 600-4703 View (215) 600-4703
Photo of Mary E May, MFT
Mary E May
MFT
Verified Verified
Elkins Park, PA 19027  (Online Only)
In my practice it has been key to identify what values and beliefs that guide an individual in their everyday decisions and actions. Then identify their goals for sufficiency for their ideal therapeutic path and journey. Collectively, the relationship is formed to clearly address from a coaching perspective utilizing interventions that are wholistic yet specific to the individual receiving therapeutic services. My clinical and therapeutic style has been effective in impacting children, adolescents, young adults, individual, woman concerns, and couples in their marital journey.
In my practice it has been key to identify what values and beliefs that guide an individual in their everyday decisions and actions. Then identify their goals for sufficiency for their ideal therapeutic path and journey. Collectively, the relationship is formed to clearly address from a coaching perspective utilizing interventions that are wholistic yet specific to the individual receiving therapeutic services. My clinical and therapeutic style has been effective in impacting children, adolescents, young adults, individual, woman concerns, and couples in their marital journey.
(267) 354-4494 View (267) 354-4494
Photo of Mark David Seltzer, BA, JD, ESQ, ACC, CGP
Mark David Seltzer
BA, JD, ESQ, ACC, CGP
Verified Verified
Elkins Park, PA 19027
I provide Gestalt Coaching with support, counseling, guidance, consultation & safe emotional help to facilitate change. I coach to the person that knows you best...YOU. I serve those going through difficult life transition issues or in the legal system including divorce, family break up, estate disputes, child custody, litigation, bankruptcy, financial upheaval, job & career adjustment, the changes & turmoil that arise in life, business & relationship rupture. I provide the needed focus, support & guidance to address, manage & overcome these difficult problems. We explore your values, goals & vision to create action and change.
I provide Gestalt Coaching with support, counseling, guidance, consultation & safe emotional help to facilitate change. I coach to the person that knows you best...YOU. I serve those going through difficult life transition issues or in the legal system including divorce, family break up, estate disputes, child custody, litigation, bankruptcy, financial upheaval, job & career adjustment, the changes & turmoil that arise in life, business & relationship rupture. I provide the needed focus, support & guidance to address, manage & overcome these difficult problems. We explore your values, goals & vision to create action and change.
(267) 310-0778 View (267) 310-0778
Photo of Polly Hill O'Keefe, LCSW, Clinical Social Work/Therapist
Polly Hill O'Keefe
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Elkins Park, PA 19027  (Online Only)
I specialize in working with individuals with depression, anxiety, relationship conflicts, loss/grief, serious illness, sexuality or identity issues.
For more than 35 years, I have helped clients develop healthy, growth-inducing insights, face life's most difficult challenges more successfully, and enjoy life's most wondrous moments more fully.
I specialize in working with individuals with depression, anxiety, relationship conflicts, loss/grief, serious illness, sexuality or identity issues.
For more than 35 years, I have helped clients develop healthy, growth-inducing insights, face life's most difficult challenges more successfully, and enjoy life's most wondrous moments more fully.
(267) 257-4759 View (267) 257-4759
Photo of Loretta Eberle, MA, LPC, Licensed Professional Counselor
Loretta Eberle
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Elkins Park, PA 19027  (Online Only)
We will accomplish this by developing a therapeutic relationship that allows you to feel safe and welcomed to explore your emotions and gain insight into the relationship between your thoughts, emotions, and actions.
I successfully work with adults, adolescents, children, and families by using evidence-based techniques such as Cognitive Behavioral (CBT), Mindfulness, Trauma-Focused Cognitive Behavioral (TF-CBT), and Eco-Systemic Family (ESFT) therapies. I implement these techniques by personalizing them to your specific therapeutic journey so that you and your family can learn the skills needed to persevere over depression, anxiety, and trauma while also mastering interventions that can aid you in improving your communication and social skills.
We will accomplish this by developing a therapeutic relationship that allows you to feel safe and welcomed to explore your emotions and gain insight into the relationship between your thoughts, emotions, and actions.
I successfully work with adults, adolescents, children, and families by using evidence-based techniques such as Cognitive Behavioral (CBT), Mindfulness, Trauma-Focused Cognitive Behavioral (TF-CBT), and Eco-Systemic Family (ESFT) therapies. I implement these techniques by personalizing them to your specific therapeutic journey so that you and your family can learn the skills needed to persevere over depression, anxiety, and trauma while also mastering interventions that can aid you in improving your communication and social skills.
(267) 733-6060 x701 View (267) 733-6060 x701
Photo of Barbara Eve Breitman, LCSW, DMin, Clinical Social Work/Therapist
Barbara Eve Breitman
Clinical Social Work/Therapist, LCSW, DMin
Verified Verified
Elkins Park, PA 19027
There are times when we know we need a thoughtful, compassionate and skillful listener to help us sort things out. I have helped many people move through life transitions and losses with resilience; resolve relationship problems and discern new directions for work, school and creative expression.
There are times when we know we need a thoughtful, compassionate and skillful listener to help us sort things out. I have helped many people move through life transitions and losses with resilience; resolve relationship problems and discern new directions for work, school and creative expression.
(215) 600-4723 View (215) 600-4723
Photo of Laurel J Buxbaum, PsyD, Psychologist
Laurel J Buxbaum
Psychologist, PsyD
Verified Verified
Elkins Park, PA 19027  (Online Only)
As a dedicated and experienced psychologist, I offer compassionate support for a range of challenges. I have particular expertise in addressing health-related concerns and stress, whether related to personal medical issues or those of a family member. More broadly, my practice focuses on anxiety, depression, relationship issues, life transitions, work-related stress, and family conflicts. While I find great fulfillment working with college-age and young adults, I am passionate about providing guidance and support to individuals of all ages. My goal is to help you navigate your struggles and achieve a healthier, more balanced life.
As a dedicated and experienced psychologist, I offer compassionate support for a range of challenges. I have particular expertise in addressing health-related concerns and stress, whether related to personal medical issues or those of a family member. More broadly, my practice focuses on anxiety, depression, relationship issues, life transitions, work-related stress, and family conflicts. While I find great fulfillment working with college-age and young adults, I am passionate about providing guidance and support to individuals of all ages. My goal is to help you navigate your struggles and achieve a healthier, more balanced life.
(267) 458-2576 View (267) 458-2576
Photo of Jessica B Covitz, MSW, LCSW, Clinical Social Work/Therapist
Jessica B Covitz
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Elkins Park, PA 19027  (Online Only)
I also work with couples, families, parents, and also with pregnant and post-partum moms.
Sometimes we look around and life is not the way we want it to be: full of disappointment, stress, sadness or loss. Sometimes we need help finding our way. In my practice, I seek to create a compassionate, supportive space for collaborative exploration, growth and positive change. I create a place where you can be seen and acknowledged, and you can give words to feelings and experiences, to discover greater understanding and self- awareness. When we understand our patterns of behaviors and feelings, we can free ourselves of the unwanted burdens that weigh us down, and live more fully and happily in the present.
I also work with couples, families, parents, and also with pregnant and post-partum moms.
Sometimes we look around and life is not the way we want it to be: full of disappointment, stress, sadness or loss. Sometimes we need help finding our way. In my practice, I seek to create a compassionate, supportive space for collaborative exploration, growth and positive change. I create a place where you can be seen and acknowledged, and you can give words to feelings and experiences, to discover greater understanding and self- awareness. When we understand our patterns of behaviors and feelings, we can free ourselves of the unwanted burdens that weigh us down, and live more fully and happily in the present.
(215) 740-7681 View (215) 740-7681
Photo of Marsha J Friedman, PhD, Psychologist
Marsha J Friedman
Psychologist, PhD
Verified Verified
Elkins Park, PA 19027
I work with individuals and couples over 18 years old, with particular experience with college students and young adults navigating identity issues, relationships and life choices.
The challenges of recent years and their unique stresses and isolation may have increased the feeling that no one understands the difficult world that you carry around inside. Seeking therapy is an important decision that may mean you are ready to grow and change and understand more fully the roadblocks that get in the way of living the life you want for yourself. You are seeking an experienced, empathic and trusted professional who will come to learn your inner landscape along with you and will support and guide you as you make the changes you seek. Together we will work toward your creating a more joyful and meaningful life.
I work with individuals and couples over 18 years old, with particular experience with college students and young adults navigating identity issues, relationships and life choices.
The challenges of recent years and their unique stresses and isolation may have increased the feeling that no one understands the difficult world that you carry around inside. Seeking therapy is an important decision that may mean you are ready to grow and change and understand more fully the roadblocks that get in the way of living the life you want for yourself. You are seeking an experienced, empathic and trusted professional who will come to learn your inner landscape along with you and will support and guide you as you make the changes you seek. Together we will work toward your creating a more joyful and meaningful life.
(215) 240-1305 View (215) 240-1305
Photo of Johanna Bos, LCSW , CASAC, Clinical Social Work/Therapist
Johanna Bos
Clinical Social Work/Therapist, LCSW , CASAC
Verified Verified
1 Endorsed
Elkins Park, PA 19027  (Online Only)
My approach begins with meeting a client where they are currently and creating a relationship of trust and alliance to help them achieve their goals and remove barriers in their lives.
For the past twenty five years I have been working with clients from various backgrounds and presenting issues as a licensed therapist in both private and agency settings. I am a native New Yorker, and find my background as a non-judgmental, open minded, and compassionate person has aided in the treatment I offer. I believe in collaborative, client led therapy, largely utilizing a psychodynamic approach. I have extensive experience working with the LGBTQ2+ community, treating sexual issues, familial/ partner conflicts, depression, substance misuse, and trauma.
My approach begins with meeting a client where they are currently and creating a relationship of trust and alliance to help them achieve their goals and remove barriers in their lives.
For the past twenty five years I have been working with clients from various backgrounds and presenting issues as a licensed therapist in both private and agency settings. I am a native New Yorker, and find my background as a non-judgmental, open minded, and compassionate person has aided in the treatment I offer. I believe in collaborative, client led therapy, largely utilizing a psychodynamic approach. I have extensive experience working with the LGBTQ2+ community, treating sexual issues, familial/ partner conflicts, depression, substance misuse, and trauma.
(917) 822-1468 View (917) 822-1468
Photo of Linda Hershman - Couples and Family Wellness Center, LMFT, Marriage & Family Therapist
Couples and Family Wellness Center
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Elkins Park, PA 19027
So whether you are looking for help for yourself, your teen or tween, or your relationship, call to discuss the right fit for your specific concerns.
Are your partner, parents or children driving you crazy? Our counselors can show you how to enjoy the best of your family while learning to let go of the parts that interfere with your happiness. If you struggle with anxiety, depression, or make the same self-defeating relationship mistakes repeatedly, we'd like to work with you to break these cycles and enjoy life. Are you a first responder or veteran? Talk therapy won't help. We provide evidence-based EMDR. You deserve a counselor with the training and experience to help resolve the problems that bring you to therapy, heal old wounds and deepen the bonds you already share.
So whether you are looking for help for yourself, your teen or tween, or your relationship, call to discuss the right fit for your specific concerns.
Are your partner, parents or children driving you crazy? Our counselors can show you how to enjoy the best of your family while learning to let go of the parts that interfere with your happiness. If you struggle with anxiety, depression, or make the same self-defeating relationship mistakes repeatedly, we'd like to work with you to break these cycles and enjoy life. Are you a first responder or veteran? Talk therapy won't help. We provide evidence-based EMDR. You deserve a counselor with the training and experience to help resolve the problems that bring you to therapy, heal old wounds and deepen the bonds you already share.
(484) 739-1145 View (484) 739-1145
Photo of Doris Ferleger, PhD, MFA, Psychologist
Doris Ferleger
Psychologist, PhD, MFA
Verified Verified
Elkins Park, PA 19027
COUPLES THERAPY I believe the most satisfying and happy relationships are based on mutual respect, kindness, trust, vulnerability without fear of blame/shame, deep listening, commitment to knowing oneself.
INDIVIDUAL THERAPY With compassion and understanding gained from over 38 years of professional experience, and over fifteen years studying compassion and mindfulness-based healing approaches, I provide empathetic support, deep listening and insight, constructive feedback, and effective coping and communication skills to help clients address current life challenges and long-standing inner and outer conflicts.
COUPLES THERAPY I believe the most satisfying and happy relationships are based on mutual respect, kindness, trust, vulnerability without fear of blame/shame, deep listening, commitment to knowing oneself.
INDIVIDUAL THERAPY With compassion and understanding gained from over 38 years of professional experience, and over fifteen years studying compassion and mindfulness-based healing approaches, I provide empathetic support, deep listening and insight, constructive feedback, and effective coping and communication skills to help clients address current life challenges and long-standing inner and outer conflicts.
(267) 710-9033 View (267) 710-9033
Photo of Joanne Fleisher, MSS, LCSW, Clinical Social Work/Therapist
Joanne Fleisher
Clinical Social Work/Therapist, MSS, LCSW
Verified Verified
Elkins Park, PA 19027
I work with individuals and couples facing life transitions, loss, anxiety, depression, and relationship problems.
Whether you are coming to therapy for the first time or have therapy experience, I welcome you to my practice. I tailor the therapy experience to meet your needs, drawing from a variety of treatment approaches. Together, we focus on building your strengths and recognizing your inherent wisdom as pathways for healing and growth. My practice is informed by mindfulness meditation, which I have studied as a practitioner and instructor. I encourage clients who are interested in this approach to develop mindfulness techniques that will help them to overcome anxiety, depression and other life challenges.
I work with individuals and couples facing life transitions, loss, anxiety, depression, and relationship problems.
Whether you are coming to therapy for the first time or have therapy experience, I welcome you to my practice. I tailor the therapy experience to meet your needs, drawing from a variety of treatment approaches. Together, we focus on building your strengths and recognizing your inherent wisdom as pathways for healing and growth. My practice is informed by mindfulness meditation, which I have studied as a practitioner and instructor. I encourage clients who are interested in this approach to develop mindfulness techniques that will help them to overcome anxiety, depression and other life challenges.
(215) 515-0412 View (215) 515-0412
Photo of Daniel A. Schwarz - Daniel A Schwarz and Associates, PhD, Psychologist
Daniel A Schwarz and Associates
Psychologist, PhD
Verified Verified
Elkins Park, PA 19027
Dr. DANIEL SCHWARZ is a Ph.D. Licensed Psychologist in private practice for over 30 years. He specializes in working with children who have learning challenges, Attention Deficit Hyperactivity Disorder (ADHD) and other behavioral problems. He provides family therapy, parent training and couples therapy. Dr. Schwarz consults with schools and clients' physicians to help coordinate treatment. He is fluent in Spanish and is unique in his ability to be culturally sensitive to his clients needs. Dr. Schwarz provides psychological evaluations for Immigration Issues and Waivers. Dr. Schwarz has three experienced providers in his practice.
Dr. DANIEL SCHWARZ is a Ph.D. Licensed Psychologist in private practice for over 30 years. He specializes in working with children who have learning challenges, Attention Deficit Hyperactivity Disorder (ADHD) and other behavioral problems. He provides family therapy, parent training and couples therapy. Dr. Schwarz consults with schools and clients' physicians to help coordinate treatment. He is fluent in Spanish and is unique in his ability to be culturally sensitive to his clients needs. Dr. Schwarz provides psychological evaluations for Immigration Issues and Waivers. Dr. Schwarz has three experienced providers in his practice.
(215) 646-3695 View (215) 646-3695
Photo of Brian Swope, LMFT, Marriage & Family Therapist
Brian Swope
Marriage & Family Therapist, LMFT
Verified Verified
3 Endorsed
Elkins Park, PA 19027
As an attachment and relationship therapist - we will curiously look back and into family, culture, race, religion, sexuality, etc.
I believe that everyone has their potential already within them. Because of this, therapy is a place to discover what is possible and to provide the structure, tools, and outside perspective to more consistently bring your authentic self into your everyday. As we grow, we find that the ways we’ve seen and known ourselves no longer work for us, and the people around us change the dynamics in which we operate. Whether it is big life changes and self image issues to sexuality and relationship challenges, we have to take responsibility for our part and direct our effort to the areas where we have influence and control.
As an attachment and relationship therapist - we will curiously look back and into family, culture, race, religion, sexuality, etc.
I believe that everyone has their potential already within them. Because of this, therapy is a place to discover what is possible and to provide the structure, tools, and outside perspective to more consistently bring your authentic self into your everyday. As we grow, we find that the ways we’ve seen and known ourselves no longer work for us, and the people around us change the dynamics in which we operate. Whether it is big life changes and self image issues to sexuality and relationship challenges, we have to take responsibility for our part and direct our effort to the areas where we have influence and control.
(215) 764-5469 View (215) 764-5469
Photo of Ryan Wiggon, MA, MFT
Ryan Wiggon
MA, MFT
Verified Verified
Elkins Park, PA 19027
Ryan’s specialties include counseling/psychotherapy for emotional and relationship problems in children and adults.
Ryan is a marriage and family therapist who offers individual therapy, couples counseling and family counseling for children, adolescents and adults. With degrees from both Millersville University and Walden University, Ryan has worked in a myriad of treatment setting, most notably and recently working in chronically disadvantaged neighborhoods.
Ryan’s specialties include counseling/psychotherapy for emotional and relationship problems in children and adults.
Ryan is a marriage and family therapist who offers individual therapy, couples counseling and family counseling for children, adolescents and adults. With degrees from both Millersville University and Walden University, Ryan has worked in a myriad of treatment setting, most notably and recently working in chronically disadvantaged neighborhoods.
(267) 415-1284 View (267) 415-1284
Photo of Cathy Jacobsen, MSW, LCSW, Clinical Social Work/Therapist
Cathy Jacobsen
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Elkins Park, PA 19027  (Online Only)
Change occurs in the context of a relationship, not in isolation.
An experienced clinician and Grief and Loss Educator, I'm devoted to helping clients manage life's challenges while uncovering their unique strengths and resources. I work with a broad range of issues-trauma, anxiety (OCD, Panic) depression, relationships. Grief over the loss of a loved one is an area of special interest. Grief is traumatic and transformative. There is no ‘cure’ for grief. No timeline. You tell yourself that time will heal the wound, yet every day opens it anew. I am your guide, the journey is yours. You will leave our first session feeling understood, more hopeful and with at least one new coping skill in hand.
Change occurs in the context of a relationship, not in isolation.
An experienced clinician and Grief and Loss Educator, I'm devoted to helping clients manage life's challenges while uncovering their unique strengths and resources. I work with a broad range of issues-trauma, anxiety (OCD, Panic) depression, relationships. Grief over the loss of a loved one is an area of special interest. Grief is traumatic and transformative. There is no ‘cure’ for grief. No timeline. You tell yourself that time will heal the wound, yet every day opens it anew. I am your guide, the journey is yours. You will leave our first session feeling understood, more hopeful and with at least one new coping skill in hand.
(267) 435-3727 View (267) 435-3727
Photo of Linda Ruthen, M Ed, MSS, LCSW, Clinical Social Work/Therapist
Linda Ruthen
Clinical Social Work/Therapist, M Ed, MSS, LCSW
Verified Verified
2 Endorsed
Elkins Park, PA 19027  (Online Only)
Are you feeling stuck, lost, or worried about your future? I work with people who are struggling with grief and other life transitions who yearn for a new beginning. My ideal client is someone who views their life through a spiritual perspective. I also provide Clinical Supervision to LSWs seeking their LCSW and credentialed LCSWs. My areas of specialty include grief and loss, relationship concerns, Adult Children of Alcoholics , self-esteem , giftedness in adults, relationship issues and life transitions. I also assist those who are working on career issues and those striving to be their authentic selves.
Are you feeling stuck, lost, or worried about your future? I work with people who are struggling with grief and other life transitions who yearn for a new beginning. My ideal client is someone who views their life through a spiritual perspective. I also provide Clinical Supervision to LSWs seeking their LCSW and credentialed LCSWs. My areas of specialty include grief and loss, relationship concerns, Adult Children of Alcoholics , self-esteem , giftedness in adults, relationship issues and life transitions. I also assist those who are working on career issues and those striving to be their authentic selves.
(267) 337-7461 View (267) 337-7461
Photo of Diana Snyder, LMFT, Marriage & Family Therapist
Diana Snyder
Marriage & Family Therapist, LMFT
Verified Verified
3 Endorsed
Elkins Park, PA 19027
Waitlist for new clients
I am skilled in strengthening those connections and addressing our unmet needs in my work with individuals, couples, and families.
As a licensed Marriage & Family Therapist, I deeply understand that our relationships mean everything: to our family, our partners, our friends, and ourselves. When we are unhappy and suffering, our needs are not being met in a fundamental way. My vision for successful therapy is allowing the space and time to explore those needs. As a therapist who uses systems theory, I might explore the different ‘parts’ of a person's experience with themselves and others in Individual and Family Therapy. In Couples Therapy, I pull from the Gottman Method as well as EFT to strengthen and heal relationships with fantastic and practical tools.
I am skilled in strengthening those connections and addressing our unmet needs in my work with individuals, couples, and families.
As a licensed Marriage & Family Therapist, I deeply understand that our relationships mean everything: to our family, our partners, our friends, and ourselves. When we are unhappy and suffering, our needs are not being met in a fundamental way. My vision for successful therapy is allowing the space and time to explore those needs. As a therapist who uses systems theory, I might explore the different ‘parts’ of a person's experience with themselves and others in Individual and Family Therapy. In Couples Therapy, I pull from the Gottman Method as well as EFT to strengthen and heal relationships with fantastic and practical tools.
(215) 398-6151 View (215) 398-6151
Photo of Karen Rivera-Seda, MFT
Karen Rivera-Seda
MFT
Verified Verified
Elkins Park, PA 19027
Karen is passionate about working with adolescents, couples and families struggling with behavioral and relationships issues.
Karen is a marriage and family therapist with 10+ years experience working with children, adolescents, and adults. Karen has a unique base of clinical experience and offers individual, couples, family and group counseling. Karen has significant experience and advanced clinical training treating varying degrees of psychological trauma.
Karen is passionate about working with adolescents, couples and families struggling with behavioral and relationships issues.
Karen is a marriage and family therapist with 10+ years experience working with children, adolescents, and adults. Karen has a unique base of clinical experience and offers individual, couples, family and group counseling. Karen has significant experience and advanced clinical training treating varying degrees of psychological trauma.
(267) 627-6089 View (267) 627-6089
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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.