Photo of James Michael Seehof, MS, LMFT, LCPC, Marriage & Family Therapist
James Michael Seehof
Marriage & Family Therapist, MS, LMFT, LCPC
Verified Verified
Eastsound, WA 98245
Services include individual, couples and family counseling, groups, workshops and plant medicine integration.
James Michael Seehof attained a Masters Degree in Psychology and was a licensed psychotherapist with a private practice in Idaho for 15 years. He is now practicing in the state of Washington on Orcas Island at the Healing Arts Center in Eastsound. He is currently licensed as an LMFT in the state of Washington and an LCPC and LMFT in the state of Idaho. He is comfortable working with diverse clients and respects their individuality. He tailors his technique to the needs of his clients, comfortable listening and exploring as well as discussing strategies needed to create change or solidify boundaries.
Services include individual, couples and family counseling, groups, workshops and plant medicine integration.
James Michael Seehof attained a Masters Degree in Psychology and was a licensed psychotherapist with a private practice in Idaho for 15 years. He is now practicing in the state of Washington on Orcas Island at the Healing Arts Center in Eastsound. He is currently licensed as an LMFT in the state of Washington and an LCPC and LMFT in the state of Idaho. He is comfortable working with diverse clients and respects their individuality. He tailors his technique to the needs of his clients, comfortable listening and exploring as well as discussing strategies needed to create change or solidify boundaries.
(360) 506-6326 View (360) 506-6326
Photo of Rose Carmen Blair, MS, LMHC, Counselor
Rose Carmen Blair
Counselor, MS, LMHC
Verified Verified
Eastsound, WA 98245  (Online Only)
As humans we are beautifully flawed. We all go through periods of instability, overwhelm, anxiety, depression, shame, and excessive stress, colored by our own unique life experiences. Sometimes we can manage on our own, and sometimes we need help. Perhaps you are feeling a sense of disconnect that is difficult to describe. Do you desire a sense of connection, healing, and empowerment? I am here to listen deeply, offer you some new tools, and introduce fresh perspectives.
As humans we are beautifully flawed. We all go through periods of instability, overwhelm, anxiety, depression, shame, and excessive stress, colored by our own unique life experiences. Sometimes we can manage on our own, and sometimes we need help. Perhaps you are feeling a sense of disconnect that is difficult to describe. Do you desire a sense of connection, healing, and empowerment? I am here to listen deeply, offer you some new tools, and introduce fresh perspectives.
(360) 234-3262 View (360) 234-3262

Online Therapists

Photo of Thomas Beck, PhD
Thomas Beck
Mental Health Counselor, PhD
Verified Verified
Seattle, WA 98103  (Online Only)
In this time of unprecedented loss and stress due to COVID-19 and other world events such as accelerating climate change, I can help you deal with anxiety and depression. My orientation is transpersonal as I see physical and emotional issues as doorways to transformation and spiritual awakening. In my psychotherapy practice, people have achieved new levels of personal freedom and self-esteem. Together, we can enrich your quality of life and enhance your creativity. Integrative healing encompasses body, mind & spirit. We all deserve to be happy in our bodies and our lives. I work also with couples to resolve relationship issues.
In this time of unprecedented loss and stress due to COVID-19 and other world events such as accelerating climate change, I can help you deal with anxiety and depression. My orientation is transpersonal as I see physical and emotional issues as doorways to transformation and spiritual awakening. In my psychotherapy practice, people have achieved new levels of personal freedom and self-esteem. Together, we can enrich your quality of life and enhance your creativity. Integrative healing encompasses body, mind & spirit. We all deserve to be happy in our bodies and our lives. I work also with couples to resolve relationship issues.
(206) 260-0681 View (206) 260-0681
Photo of Drue Larson, MA-ABS, CC, ACHt, Counselor
Drue Larson
Counselor, MA-ABS, CC, ACHt
Verified Verified
Edmonds, WA 98020
Enhance your communication and relationship skills.
Take your next step. Experience what Counseling and Hypnotherapy can do for you. Life often demands more than we are able to handle on our own. Although we do our best, we may reach a point where we feel emotionally overwhelmed, spiritually adrift; stuck in the past, afraid of the future; unable to resolve our issues or move forward in life. If this sounds familiar, recognizing this is the first step. Reaching out for help starts your journey toward healing and creating the life you desire.
Enhance your communication and relationship skills.
Take your next step. Experience what Counseling and Hypnotherapy can do for you. Life often demands more than we are able to handle on our own. Although we do our best, we may reach a point where we feel emotionally overwhelmed, spiritually adrift; stuck in the past, afraid of the future; unable to resolve our issues or move forward in life. If this sounds familiar, recognizing this is the first step. Reaching out for help starts your journey toward healing and creating the life you desire.
(425) 406-3843 View (425) 406-3843
Photo of Heidi Stauber, MA, LMFT, Marriage & Family Therapist
Heidi Stauber
Marriage & Family Therapist, MA, LMFT
Verified Verified
6 Endorsed
Bothell, WA 98011
I work with individuals, couples, children, youth and families. My approach comes from a humanistic and systemic perspective, situating each individual's experiences within the context of family relationships and societal and cultural influences. I am particularly sensitive to the ways each individual's identity in regards to gender, age, race and ethnicity, sexual orientation, class background, disability, and country of origin influences the messages they receive from society and the way they think and feel about themselves. I prioritize attuning and collaborating with each client and utilize playful and embodied approaches
I work with individuals, couples, children, youth and families. My approach comes from a humanistic and systemic perspective, situating each individual's experiences within the context of family relationships and societal and cultural influences. I am particularly sensitive to the ways each individual's identity in regards to gender, age, race and ethnicity, sexual orientation, class background, disability, and country of origin influences the messages they receive from society and the way they think and feel about themselves. I prioritize attuning and collaborating with each client and utilize playful and embodied approaches
(206) 429-8747 View (206) 429-8747
Photo of Ash Anthony, MA, LMFT, Marriage & Family Therapist
Ash Anthony
Marriage & Family Therapist, MA, LMFT
Verified Verified
9 Endorsed
Seattle, WA 98134
Waitlist for new clients
I offer short and long term trauma-informed therapies like EMDR, Somatic therapy, Hakomi, Psychedelic Therapy Preparation and Integration, IFS, couples + relational therapy.
Welcome fellow human! It takes courage and self-compassion to seek support. Even if you struggle with not feeling good enough or accepting parts of yourself, you care enough about YOU to ask for help navigating your present circumstances. Life can be hard! We are constantly challenged every day to show up in the midst of great difficulty. Perhaps you are experiencing relationship issues, struggling with addiction, loneliness, emotional challenges, life transitions, old wounds, seeking personal growth, or experiencing struggles in your family. I am here to walk alongside you as you shift into new ways of being with your truth.
I offer short and long term trauma-informed therapies like EMDR, Somatic therapy, Hakomi, Psychedelic Therapy Preparation and Integration, IFS, couples + relational therapy.
Welcome fellow human! It takes courage and self-compassion to seek support. Even if you struggle with not feeling good enough or accepting parts of yourself, you care enough about YOU to ask for help navigating your present circumstances. Life can be hard! We are constantly challenged every day to show up in the midst of great difficulty. Perhaps you are experiencing relationship issues, struggling with addiction, loneliness, emotional challenges, life transitions, old wounds, seeking personal growth, or experiencing struggles in your family. I am here to walk alongside you as you shift into new ways of being with your truth.
(206) 472-1461 View (206) 472-1461
Photo of Karen MacQuivey, MSW, LICSW, Clinical Social Work/Therapist
Karen MacQuivey
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Seattle, WA 98115
Waitlist for new clients
Are you longing for a deeply connected relationship, a sense of personal direction and enlivenment? Perhaps you struggle with parenting concerns or ways to balance a busy life? I can offer spirited, steady guidance as you build clarity, motivation and momentum. Learn to develop and trust your intuitive wisdom...Become an excellent communicator...Practice new skills that enhance your capacity to find joy and chase your dreams. I want to hear your story...a new day is closer than you think.
Are you longing for a deeply connected relationship, a sense of personal direction and enlivenment? Perhaps you struggle with parenting concerns or ways to balance a busy life? I can offer spirited, steady guidance as you build clarity, motivation and momentum. Learn to develop and trust your intuitive wisdom...Become an excellent communicator...Practice new skills that enhance your capacity to find joy and chase your dreams. I want to hear your story...a new day is closer than you think.
(206) 535-1867 View (206) 535-1867
Photo of Sierra Osmers, MA, Marriage & Family Therapist Associate
Sierra Osmers
Marriage & Family Therapist Associate, MA
Verified Verified
Seattle, WA 98109
My purpose is to help individuals, couples, and families overcome adversity in their lives and relationships. I use a solution-focused approach to understand each person’s unique set of values, and direction. Together, we will strengthen and heal your relationships with yourself, and the people important to you. We will find meaning out of your past experiences, and use this to create a change for your future. To identify what is truly important to you.
My purpose is to help individuals, couples, and families overcome adversity in their lives and relationships. I use a solution-focused approach to understand each person’s unique set of values, and direction. Together, we will strengthen and heal your relationships with yourself, and the people important to you. We will find meaning out of your past experiences, and use this to create a change for your future. To identify what is truly important to you.
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Photo of Jessa White, LMCHA, MA, RYT, Counselor
Jessa White
Counselor, LMCHA, MA, RYT
Verified Verified
Seattle, WA 98119
Research shows that the relationship between the client and therapist is the highest indicator of success.
Monday at 4:00pm available in person or online- Thursday at 3:00 in person or online ———-I’ve found that therapy is most powerful when there is a combination of traditional western methodology and eastern philosophy practices. Together, we’ll discuss who you are. I’ll form questions that provide insight into your systems, and patterns. We’ll discuss family of origin. Time and time again. We’ll talk about diet; we’ll talk about love. We’ll discuss death. Together we’ll uncover aspects of your human experience and award you the opportunity to look further inward.
Research shows that the relationship between the client and therapist is the highest indicator of success.
Monday at 4:00pm available in person or online- Thursday at 3:00 in person or online ———-I’ve found that therapy is most powerful when there is a combination of traditional western methodology and eastern philosophy practices. Together, we’ll discuss who you are. I’ll form questions that provide insight into your systems, and patterns. We’ll discuss family of origin. Time and time again. We’ll talk about diet; we’ll talk about love. We’ll discuss death. Together we’ll uncover aspects of your human experience and award you the opportunity to look further inward.
(206) 761-0670 View (206) 761-0670
Photo of Christine Havens - Christine Havens, MA, LMHC, Counselor
Christine Havens
Counselor, MA, LMHC
Verified Verified
Bainbridge Island, WA 98110  (Online Only)
For 29 years, I've worked with clients to support healing around trauma, marriage/partnering, sexuality, grief, depression/anxiety, addictions. Using Somatic Experiencing, family of origin, meditation/movement work, Emotionally Focused Couples Therapy and Internal Family Systems, I work with clients to help them develop a deeper sense of self, to face life's inevitable challenges with clarity and resources. Clients can repair their marriages/partnerships. Emphasized is the capacity to stay emotionally present, to attune, differentiate, have healthy boundaries, practice dual awareness and have clarity about attachment issues.
For 29 years, I've worked with clients to support healing around trauma, marriage/partnering, sexuality, grief, depression/anxiety, addictions. Using Somatic Experiencing, family of origin, meditation/movement work, Emotionally Focused Couples Therapy and Internal Family Systems, I work with clients to help them develop a deeper sense of self, to face life's inevitable challenges with clarity and resources. Clients can repair their marriages/partnerships. Emphasized is the capacity to stay emotionally present, to attune, differentiate, have healthy boundaries, practice dual awareness and have clarity about attachment issues.
(206) 759-7147 View (206) 759-7147
Photo of Amanda H Abou-Zaki, MA, LMHC, Counselor
Amanda H Abou-Zaki
Counselor, MA, LMHC
Verified Verified
3 Endorsed
Kirkland, WA 98033
I work with individuals and couples using an integration of my EMDR, existential and holistic background.
Life is unpredictable with many ups and downs. No matter how much we want life to move in a linear fashion it often goes unplanned causing us to feel off balance. I believe therapy is a safe place to begin your own personal journey and learning to be present in your life. It allows you to rediscover who you are. Therapy is different for every individual and/or couple. I have an EMDR, existential & integrative approach to helping clients create healthy, fulfilling and rewarding lives. I integrate therapeutic styles depending on the best fit for client and situation.
I work with individuals and couples using an integration of my EMDR, existential and holistic background.
Life is unpredictable with many ups and downs. No matter how much we want life to move in a linear fashion it often goes unplanned causing us to feel off balance. I believe therapy is a safe place to begin your own personal journey and learning to be present in your life. It allows you to rediscover who you are. Therapy is different for every individual and/or couple. I have an EMDR, existential & integrative approach to helping clients create healthy, fulfilling and rewarding lives. I integrate therapeutic styles depending on the best fit for client and situation.
(425) 217-1348 View (425) 217-1348
Photo of Natasha Nelina - Heart to Heart Counseling, MA, MSW, LCSW, LICSW, Clinical Social Work/Therapist
Heart to Heart Counseling
Clinical Social Work/Therapist, MA, MSW, LCSW, LICSW
Verified Verified
Tacoma, WA 98403
Are you in transition? Feeling lost, anxious, hopeless? Did you or your relationship lose direction and spark? My commitment is to support you and help you develop better relationships with yourself and others.
I believe that each person holds a unique essence and recipe for happiness within. Feeling confused about the direction of your life, "stuck" in the same patterns, same "mistakes" even though you "know better"? You are not alone. It happens because we can't just think our way out of patterns, blocks, and imprints of trauma. My clients report significant, tangible improvements in the quality of their lives and relationships. While the time it takes for changes to take hold varies, all clients report feeling better after the very first session. Sessions are non-intimidating, compassionate, supportive, and inspiring.
Are you in transition? Feeling lost, anxious, hopeless? Did you or your relationship lose direction and spark? My commitment is to support you and help you develop better relationships with yourself and others.
I believe that each person holds a unique essence and recipe for happiness within. Feeling confused about the direction of your life, "stuck" in the same patterns, same "mistakes" even though you "know better"? You are not alone. It happens because we can't just think our way out of patterns, blocks, and imprints of trauma. My clients report significant, tangible improvements in the quality of their lives and relationships. While the time it takes for changes to take hold varies, all clients report feeling better after the very first session. Sessions are non-intimidating, compassionate, supportive, and inspiring.
(206) 504-3044 View (206) 504-3044
Photo of Randy Marinez, MS, LMHC, Counselor
Randy Marinez
Counselor, MS, LMHC
Verified Verified
Seattle, WA 98104
I have been counseling since 1981 and opened my private practice in 1988. I have expertise in working with individuals around their history of sexual victimization, people healing from trauma and LGBTQ life issues. I also specialize in working with couples whether poly, open, heterosexual and/or gay. Included within my expertise is the breadth of issues surrounding sexuality and attachment. I also specialize in helping people become aware of and channel their emotions in a healthy way. Moreover, people who are grappling with existential issues, developmental transitions or life changes find meaning in working with me as well.
I have been counseling since 1981 and opened my private practice in 1988. I have expertise in working with individuals around their history of sexual victimization, people healing from trauma and LGBTQ life issues. I also specialize in working with couples whether poly, open, heterosexual and/or gay. Included within my expertise is the breadth of issues surrounding sexuality and attachment. I also specialize in helping people become aware of and channel their emotions in a healthy way. Moreover, people who are grappling with existential issues, developmental transitions or life changes find meaning in working with me as well.
(206) 745-5831 View (206) 745-5831
Photo of Janette Brown, LMFT, Marriage & Family Therapist
Janette Brown
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Seattle, WA 98104  (Online Only)
Welcome. In your search for assistance, experience & effectiveness matter. With 50 years practice, mine is a motivational, well-researched method & interactive style. Respecting what is already working, we will focus both on what is going well in your life and where you would catalyze your efforts for desired change. The goals may vary; but sharpening perception, connecting more deeply with self & friends, and adjusting old messages that interrupt optimal living are usually involved. I have counseled clients since ‘74, 33 of those years in Seattle, mainly with couples & women who are attracted to a holistic, humanist approach.
Welcome. In your search for assistance, experience & effectiveness matter. With 50 years practice, mine is a motivational, well-researched method & interactive style. Respecting what is already working, we will focus both on what is going well in your life and where you would catalyze your efforts for desired change. The goals may vary; but sharpening perception, connecting more deeply with self & friends, and adjusting old messages that interrupt optimal living are usually involved. I have counseled clients since ‘74, 33 of those years in Seattle, mainly with couples & women who are attracted to a holistic, humanist approach.
(206) 524-3645 View (206) 524-3645
Photo of Robert Espiau, LMHC, Counselor
Robert Espiau
Counselor, LMHC
Verified Verified
3 Endorsed
Kirkland, WA 98033
I have over 30 years experience, and can help you to resolve panic attacks, anxiety, complex trauma, religious trauma and/or sexual abuse; I also work with couples counseling, Military and Combat-related PTSD, sexual addictions, nightmares, sexual abuse, and depression. I also have a strong background in cross-cultural psychology, having lived in 7 countries and studied the nature of consciousness as a monastic for six years; this has given me a diverse and complex perspective on life and people. I currently live in Vietnam and the US.
I have over 30 years experience, and can help you to resolve panic attacks, anxiety, complex trauma, religious trauma and/or sexual abuse; I also work with couples counseling, Military and Combat-related PTSD, sexual addictions, nightmares, sexual abuse, and depression. I also have a strong background in cross-cultural psychology, having lived in 7 countries and studied the nature of consciousness as a monastic for six years; this has given me a diverse and complex perspective on life and people. I currently live in Vietnam and the US.
(206) 875-2731 x125339 View (206) 875-2731 x125339
Photo of Janiece Anjali Pllc, MEd, MA, LMHC, LPC
Janiece Anjali Pllc
Mental Health Counselor, MEd, MA, LMHC, LPC
Verified Verified
1 Endorsed
Bothell, WA 98021
Waitlist for new clients
I meet each client with profound respect, offering evidence-based, trauma-informed, depth, mindful, narrative, and solution-focused approaches to our collaborative relationship.
Seeking counseling is a responsible way to take care of what matters most. As Toni Morrison told us, "It's good when you've got a woman who is a friend of your mind." I welcome diverse clients navigating many situations and specialize in recovery and post-traumatic growth from narcissistic abuse, misuse, and relational or social trauma. I also focus on loss, grief, anxiety, depression, adjustments to changes, life stages, and the promises and pitfalls of pursuing an authentic creative life.
I meet each client with profound respect, offering evidence-based, trauma-informed, depth, mindful, narrative, and solution-focused approaches to our collaborative relationship.
Seeking counseling is a responsible way to take care of what matters most. As Toni Morrison told us, "It's good when you've got a woman who is a friend of your mind." I welcome diverse clients navigating many situations and specialize in recovery and post-traumatic growth from narcissistic abuse, misuse, and relational or social trauma. I also focus on loss, grief, anxiety, depression, adjustments to changes, life stages, and the promises and pitfalls of pursuing an authentic creative life.
(425) 615-7529 View (425) 615-7529
Photo of Bridget R Bailey, MA, MBA, LMHCA, Counselor
Bridget R Bailey
Counselor, MA, MBA, LMHCA
Verified Verified
1 Endorsed
Seattle, WA 98112
I deeply believe that healing is possible and have dedicated my life to this. I see each client as an individual and will work with you to identify your specific wants, needs, and goals for our work together. Whether you are dealing with deep trauma, family problems, relationship issues, depression, anxiety, stress, burnout, grief, or a spiritual crisis, I offer compassionate, effective, and evidence-based treatment that you can access from your own home. As a therapist, I use compassion, curiosity, humor, and authenticity to create a safe and warm therapeutic environment that allows for personal discovery, growth, and healing.
I deeply believe that healing is possible and have dedicated my life to this. I see each client as an individual and will work with you to identify your specific wants, needs, and goals for our work together. Whether you are dealing with deep trauma, family problems, relationship issues, depression, anxiety, stress, burnout, grief, or a spiritual crisis, I offer compassionate, effective, and evidence-based treatment that you can access from your own home. As a therapist, I use compassion, curiosity, humor, and authenticity to create a safe and warm therapeutic environment that allows for personal discovery, growth, and healing.
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Photo of Vanessa Newell, MA, LMFT, Marriage & Family Therapist
Vanessa Newell
Marriage & Family Therapist, MA, LMFT
Verified Verified
11 Endorsed
Seattle, WA 98119  (Online Only)
Feeling stuck? Maybe you are burnt out, feeling overwhelmed with anxiety or grief, and your relationships are suffering. I help people in their 20's and 30's deal with the major transitions of this time of life: shifting family dynamics, partner relationships, health crises, and the scramble to actualize an authentic and meaningful life. Sometimes we think we should be able to figure it out on our own, or that our problems aren’t as bad as they could be - and we find ourselves hesitant to take the next step. If you are brave enough to give yourself the gift of support, I will meet your vulnerability with compassion and curiosity.
Feeling stuck? Maybe you are burnt out, feeling overwhelmed with anxiety or grief, and your relationships are suffering. I help people in their 20's and 30's deal with the major transitions of this time of life: shifting family dynamics, partner relationships, health crises, and the scramble to actualize an authentic and meaningful life. Sometimes we think we should be able to figure it out on our own, or that our problems aren’t as bad as they could be - and we find ourselves hesitant to take the next step. If you are brave enough to give yourself the gift of support, I will meet your vulnerability with compassion and curiosity.
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Photo of Carole Milan Danis, LICSW, Clinical Social Work/Therapist
Carole Milan Danis
Clinical Social Work/Therapist, LICSW
Verified Verified
Seattle, WA 98133
I believe each of us is capable of changing, growing and rising above emotional pain. I invite you to participate in this process, not only to gain relief from your distress, but also to create a life that you truly enjoy. In an atmosphere of hope and support, I will help you move beyond the emotional and psychological barriers that keep you stuck in self-defeating beliefs and behaviors. Likely outcomes are reduction of emotional distress, the ability to act on your own behalf and to engage more fully in life. My clients are women, men, young adults and couples.
I believe each of us is capable of changing, growing and rising above emotional pain. I invite you to participate in this process, not only to gain relief from your distress, but also to create a life that you truly enjoy. In an atmosphere of hope and support, I will help you move beyond the emotional and psychological barriers that keep you stuck in self-defeating beliefs and behaviors. Likely outcomes are reduction of emotional distress, the ability to act on your own behalf and to engage more fully in life. My clients are women, men, young adults and couples.
(206) 633-0101 View (206) 633-0101
Photo of Jessica Tartaro, PhD
Jessica Tartaro
PhD
Verified Verified
Chimacum, WA 98325  (Online Only)
Are you tired of feeling lonely or dissatisfied in your relationships? Do you ever wonder if you just weren't "cut out" for love despite wishing desperately for it? As an Intimacy Coach, I specialize in teaching individuals and couples how to cultivate deep, satisfying and authentic relationships. Together, step-by-step, we will examine what gets in the way of vulnerability so that you can finally get close to others. As a team we will work to shift your fear of getting hurt into the courage to open. You will learn how to get your words to match what's really true on the inside.
Are you tired of feeling lonely or dissatisfied in your relationships? Do you ever wonder if you just weren't "cut out" for love despite wishing desperately for it? As an Intimacy Coach, I specialize in teaching individuals and couples how to cultivate deep, satisfying and authentic relationships. Together, step-by-step, we will examine what gets in the way of vulnerability so that you can finally get close to others. As a team we will work to shift your fear of getting hurt into the courage to open. You will learn how to get your words to match what's really true on the inside.
(360) 583-5963 View (360) 583-5963

See more therapy options for Eastsound

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.