Photo of Jennifer Spencer, LICSW, Clinical Social Work/Therapist
Jennifer Spencer
Clinical Social Work/Therapist, LICSW
Verified Verified
Inchelium, WA 99138  (Online Only)
Goals should be created together in the therapeutic relationship to determine how best to help you get to where you would like to see yourself.
My name is Jennifer Spencer, MSW, LICSW, LCSW and I’m licensed in both Washington and Colorado. I offer fifteen years of professional experience in the helping profession. The modalities I prefer are client-centered, strengths-based, psychoanalytic, talk therapy, attachment-based, and mindfulness skills. My experience is working primarily with adults. My focus populations include women issues, queer issues, seniors with health conditions, veterans, PTSD, men’s issues, domestic violence in hetero and same-sex relationships, trauma, depression, anxiety, bipolar, suicidal ideation, personality disorders, codependency, and narcissism.
Goals should be created together in the therapeutic relationship to determine how best to help you get to where you would like to see yourself.
My name is Jennifer Spencer, MSW, LICSW, LCSW and I’m licensed in both Washington and Colorado. I offer fifteen years of professional experience in the helping profession. The modalities I prefer are client-centered, strengths-based, psychoanalytic, talk therapy, attachment-based, and mindfulness skills. My experience is working primarily with adults. My focus populations include women issues, queer issues, seniors with health conditions, veterans, PTSD, men’s issues, domestic violence in hetero and same-sex relationships, trauma, depression, anxiety, bipolar, suicidal ideation, personality disorders, codependency, and narcissism.
(509) 479-1368 View (509) 479-1368
Roots on the Road
Social Worker Associate, MSW, LICSWA
Verified Verified
Republic, WA 99166
My practice motto is: “We build by rebuilding”. By this I mean that one deserves a sense of security and stability in their life and sometimes it takes a “rebuild” in certain areas to achieve those aspects of security and stability. I look forward to learning more about how I can support you in this journey. I am an Associate Licensed Clinical Social Worker, specializing in Perinatal/Maternal Mental Health and Family Systems Supports. My work focuses on guiding you through your psycho-social & emotional discomfort to include depression and life’s challenges you may face.
My practice motto is: “We build by rebuilding”. By this I mean that one deserves a sense of security and stability in their life and sometimes it takes a “rebuild” in certain areas to achieve those aspects of security and stability. I look forward to learning more about how I can support you in this journey. I am an Associate Licensed Clinical Social Worker, specializing in Perinatal/Maternal Mental Health and Family Systems Supports. My work focuses on guiding you through your psycho-social & emotional discomfort to include depression and life’s challenges you may face.
(509) 519-1476 View (509) 519-1476

Online Therapists

Photo of Kristina Valdivia - Thrive Today Therapy, PLLC, LMFTA, Marriage & Family Therapist
Thrive Today Therapy, PLLC
Marriage & Family Therapist, LMFTA
Verified Verified
Spokane, WA 99201  (Online Only)
I have experience working with individuals, families, and couples.
Hello, my approach to counseling is simple, you are the expert in your life, and I am here to assist you in your journey. My priority is to create a warm, inviting, and understanding environment while assisting you in learning how to recognize and break patterns of behavior, while working through the past to connect you to your most authentic self. This is a judgement free zone, where you are allowed to express yourself openly and honestly.
I have experience working with individuals, families, and couples.
Hello, my approach to counseling is simple, you are the expert in your life, and I am here to assist you in your journey. My priority is to create a warm, inviting, and understanding environment while assisting you in learning how to recognize and break patterns of behavior, while working through the past to connect you to your most authentic self. This is a judgement free zone, where you are allowed to express yourself openly and honestly.
(509) 685-3185 View (509) 685-3185
Photo of Claire Roman, LMHC
Claire Roman
Mental Health Counselor, LMHC
Verified Verified
1 Endorsed
I hope to join you in your journey of self-exploration and partner with you to increase your understanding and acceptance of yourself, learn to effectively communicate your needs, and deepen your relationship with yourself and others.
I am passionate about relational and trauma healing and hold a trauma-informed, attachment- centered lens when working with individuals or families. In therapy, I aim to help clients identify, understand, and heal emotional wounds. As I get to know you and your needs more, I integrate techniques from several counseling theories to best support your therapeutic goals. My eclectic approach includes CBT, EFT, IFS, play therapy and attachment theory. I have specialized experience working with children and families in the foster and adoption system.
I hope to join you in your journey of self-exploration and partner with you to increase your understanding and acceptance of yourself, learn to effectively communicate your needs, and deepen your relationship with yourself and others.
I am passionate about relational and trauma healing and hold a trauma-informed, attachment- centered lens when working with individuals or families. In therapy, I aim to help clients identify, understand, and heal emotional wounds. As I get to know you and your needs more, I integrate techniques from several counseling theories to best support your therapeutic goals. My eclectic approach includes CBT, EFT, IFS, play therapy and attachment theory. I have specialized experience working with children and families in the foster and adoption system.
(509) 287-4559 x07 View (509) 287-4559 x07
Photo of Cynthia R Smith, Pre-Licensed Professional
Cynthia R Smith
Pre-Licensed Professional
Verified Verified
Spokane, WA 99201  (Online Only)
With over eight years of experience, I support individuals, families, and couples, empowering them to unlock potential and achieve growth.
My ideal client is a diligent individual who often excels in their career but struggles with life transitions, work-related stress, or interpersonal relationships. They seek to balance professional achievement and personal satisfaction, aiming to improve communication skills, manage anxiety, and cultivate robust coping strategies. In a confidential and supportive therapeutic environment, they desire to explore their emotions, behaviors, and underlying motivations, gain clarity, and formulate effective strategies to navigate life's challenges. Driven by a desire for comprehensive growth, they are ready to engage in therapy.
With over eight years of experience, I support individuals, families, and couples, empowering them to unlock potential and achieve growth.
My ideal client is a diligent individual who often excels in their career but struggles with life transitions, work-related stress, or interpersonal relationships. They seek to balance professional achievement and personal satisfaction, aiming to improve communication skills, manage anxiety, and cultivate robust coping strategies. In a confidential and supportive therapeutic environment, they desire to explore their emotions, behaviors, and underlying motivations, gain clarity, and formulate effective strategies to navigate life's challenges. Driven by a desire for comprehensive growth, they are ready to engage in therapy.
(509) 512-0433 View (509) 512-0433
Photo of Adreanna McCall, LMFTA, Marriage & Family Therapist Associate
Adreanna McCall
Marriage & Family Therapist Associate, LMFTA
Verified Verified
1 Endorsed
Spokane, WA 99202
Adreanna works with individuals, couples, and families using evidenced based practices. She enjoys meeting people from all walks of life. She has had experience working with people who struggle with depression, anxiety, relationship trauma, sexual trauma, PTSD, parent-child dyads, blended families, and lifespan development challenges.
Adreanna works with individuals, couples, and families using evidenced based practices. She enjoys meeting people from all walks of life. She has had experience working with people who struggle with depression, anxiety, relationship trauma, sexual trauma, PTSD, parent-child dyads, blended families, and lifespan development challenges.
(509) 732-9110 View (509) 732-9110
Photo of Gerry Presar, MS, LMFT, Marriage & Family Therapist
Gerry Presar
Marriage & Family Therapist, MS, LMFT
Verified Verified
Spokane, WA 99208
My work with couples and families is centered on relationship, communication, and parenting issues.
With so many choices, how do you choose the right therapist for you? You need someone with not only the professional skills to help you, but a style that fits who you are. I bring both my strengths as a therapist as well as a lifetime of personal and professional experience in different realms. I leverage my real-world background together with my marriage and family therapy expertise to help you understand and address your real-world issues in a practical way that focuses on results.
My work with couples and families is centered on relationship, communication, and parenting issues.
With so many choices, how do you choose the right therapist for you? You need someone with not only the professional skills to help you, but a style that fits who you are. I bring both my strengths as a therapist as well as a lifetime of personal and professional experience in different realms. I leverage my real-world background together with my marriage and family therapy expertise to help you understand and address your real-world issues in a practical way that focuses on results.
(425) 610-8887 View (425) 610-8887
Photo of Lori Eastep, MSW, LICSW, Clinical Social Work/Therapist
Lori Eastep
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Spokane, WA 99201
Waitlist for new clients
I partner with individuals and families in their healing process to uncover true potential and discover a life worth celebrating. While we cannot change difficult situations of the past, we can work together to better understand and resolve challenges in your life. I view people as experts in their own lives and am honored to walk with those seeking help through paths of trauma, grief, discovery, healing and restoration.
I partner with individuals and families in their healing process to uncover true potential and discover a life worth celebrating. While we cannot change difficult situations of the past, we can work together to better understand and resolve challenges in your life. I view people as experts in their own lives and am honored to walk with those seeking help through paths of trauma, grief, discovery, healing and restoration.
(509) 424-5081 View (509) 424-5081
Photo of Elizabeth Saviteer - Resolved Counseling, MS, LMHC, CN, Counselor
Resolved Counseling
Counselor, MS, LMHC, CN
Verified Verified
1 Endorsed
Spokane, WA 99201
We offer individual and couples counseling in a warm, accepting, gentle atmosphere to teach you the skills you need to change your thoughts, and change your life.
Did you know that depression, anxiety and relationship problems are caused by distorted, negative thoughts? That critical voice in your head is a liar. The good news is we have over 50 distinct tools to share with you to defeat those thoughts and replace them with true thoughts. And when you learn to crush a negative thought your negative emotions will evaporate and you can feel acceptance, peace and even joy. This takes work and ongoing practice, even when you don’t feel like it. But if you’re ready to roll up your sleeves and tackle your problems, we will be there to support, encourage and teach you how to do it.
We offer individual and couples counseling in a warm, accepting, gentle atmosphere to teach you the skills you need to change your thoughts, and change your life.
Did you know that depression, anxiety and relationship problems are caused by distorted, negative thoughts? That critical voice in your head is a liar. The good news is we have over 50 distinct tools to share with you to defeat those thoughts and replace them with true thoughts. And when you learn to crush a negative thought your negative emotions will evaporate and you can feel acceptance, peace and even joy. This takes work and ongoing practice, even when you don’t feel like it. But if you’re ready to roll up your sleeves and tackle your problems, we will be there to support, encourage and teach you how to do it.
(509) 204-8914 View (509) 204-8914
Photo of Carrie Killinger, MA, LMFT, Marriage & Family Therapist
Carrie Killinger
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Spokane, WA 99218
Waitlist for new clients
I offer individual and couples counseling specializing in sexual trauma and the impact it has on relationships.
Thank you for considering me as a safe and trusted person to walk alongside you in your journey. I am here for you, to create a judgment free space for personal exploration and growth. Working together we can build strength to face painful truths that are hurting you and your relationship. We can work to give you freedom to see yourself and find the happiness you deserve.
I offer individual and couples counseling specializing in sexual trauma and the impact it has on relationships.
Thank you for considering me as a safe and trusted person to walk alongside you in your journey. I am here for you, to create a judgment free space for personal exploration and growth. Working together we can build strength to face painful truths that are hurting you and your relationship. We can work to give you freedom to see yourself and find the happiness you deserve.
(509) 359-9732 View (509) 359-9732
Photo of Zita L Nickeson, PhD, LMHC, LCPC, CST, CSE, Counselor
Zita L Nickeson
Counselor, PhD, LMHC, LCPC, CST, CSE
Verified Verified
1 Endorsed
Spokane, WA 99205  (Online Only)
Waitlist for new clients
Having worked with Adolescents, Individuals, Families & Couples for over 20 years around the country, I utilize a variety of therapeutic techniques and enjoy working with people from all walks of life, experiencing a variety of stressors.
I provide caring, compassionate & open-minded counseling to individuals, couples & families; specializing in Sex Therapy, relational/marital counseling, LGBTQ+ issues & adolescent/family communication & Multiracial/Multicultural counseling. Counseling can be a difficult process & my goal is to help you through that process in the most comfortable & successful way, as it is a lasting investment in an improved sense of self & life. I pride myself on creating & maintaining an open, honest & non-judgemental environment, allowing & supporting personal growth in all areas of your life. As a LMHC, Certified Sex Therapist & KINK Knowledgeable Professional, I enjoy providing therapy & advocacy for those I counsel.
Having worked with Adolescents, Individuals, Families & Couples for over 20 years around the country, I utilize a variety of therapeutic techniques and enjoy working with people from all walks of life, experiencing a variety of stressors.
I provide caring, compassionate & open-minded counseling to individuals, couples & families; specializing in Sex Therapy, relational/marital counseling, LGBTQ+ issues & adolescent/family communication & Multiracial/Multicultural counseling. Counseling can be a difficult process & my goal is to help you through that process in the most comfortable & successful way, as it is a lasting investment in an improved sense of self & life. I pride myself on creating & maintaining an open, honest & non-judgemental environment, allowing & supporting personal growth in all areas of your life. As a LMHC, Certified Sex Therapist & KINK Knowledgeable Professional, I enjoy providing therapy & advocacy for those I counsel.
(509) 850-0941 View (509) 850-0941
Photo of Monica Whitlock, PhD, LMFT, Marriage & Family Therapist
Monica Whitlock
Marriage & Family Therapist, PhD, LMFT
Verified Verified
Spokane, WA 99218
I am trained in Emotionally Focused Therapy and use this method to help clients re-learn how to protect the connection between them and to relate authentically with each other, even after enduring crises in the relationship.
I specialize in couple and family therapy, and in working with college students. I also work with individuals experiencing professional burnout, depression, anxiety, and life transitions. My style is authentic and practical. I work collaboratively with you to help you gain clarity, perhaps think differently, and ultimately improve your quality of life. I use clinical methods informed by neuroscience that bring about symptom resolution and coherence.
I am trained in Emotionally Focused Therapy and use this method to help clients re-learn how to protect the connection between them and to relate authentically with each other, even after enduring crises in the relationship.
I specialize in couple and family therapy, and in working with college students. I also work with individuals experiencing professional burnout, depression, anxiety, and life transitions. My style is authentic and practical. I work collaboratively with you to help you gain clarity, perhaps think differently, and ultimately improve your quality of life. I use clinical methods informed by neuroscience that bring about symptom resolution and coherence.
(619) 505-0441 View (619) 505-0441
Photo of Olin J Bittner, PsyD, Psychologist
Olin J Bittner
Psychologist, PsyD
Verified Verified
Spokane, WA 99201
My clients tend to be teenagers and adults (aged 18-60+) experiencing anxiety, depression, performance-related stress and/or relationship problems.
People may seek out psychological help for any number of reasons. Whatever the concern, working with me will help to gain clarity around the patterns of feelings, thoughts and behaviors associated with the concern, as well as the context in which they tend to emerge. Once we are able to more readily identify our emotions and needs, it becomes easier then to identify and/or create pathways increasingly suited to meeting these needs, and, ultimately, reaching the goals most energizing, enriching and meaningful to us.
My clients tend to be teenagers and adults (aged 18-60+) experiencing anxiety, depression, performance-related stress and/or relationship problems.
People may seek out psychological help for any number of reasons. Whatever the concern, working with me will help to gain clarity around the patterns of feelings, thoughts and behaviors associated with the concern, as well as the context in which they tend to emerge. Once we are able to more readily identify our emotions and needs, it becomes easier then to identify and/or create pathways increasingly suited to meeting these needs, and, ultimately, reaching the goals most energizing, enriching and meaningful to us.
(206) 203-8938 View (206) 203-8938
Photo of Hanna Emerson, LMHCA, Pre-Licensed Professional
Hanna Emerson
Pre-Licensed Professional, LMHCA
Verified Verified
2 Endorsed
Spokane, WA 99201  (Online Only)
Immediate Availability! Relationships can be complicated. My goal is to help you build the skills to unlock more fulfilling connections with those you care about. Our work together will focus on helping you explore thoughts, emotions, patterns, memories, and limiting belief systems that may be impacting your relationships, even your relationship with yourself. Join me for individual, couples/polycules, or family sessions.
Immediate Availability! Relationships can be complicated. My goal is to help you build the skills to unlock more fulfilling connections with those you care about. Our work together will focus on helping you explore thoughts, emotions, patterns, memories, and limiting belief systems that may be impacting your relationships, even your relationship with yourself. Join me for individual, couples/polycules, or family sessions.
(509) 550-7691 View (509) 550-7691
Photo of Jason McAllister - Wellness Encompassed, Counselor
Wellness Encompassed
Counselor
Verified Verified
We strongly believe in building a trusting, respectful and compassionate relationship with our clients.
Here at Wellness Encompassed we believe in treating the human and not the symptom. We see the client as an individual on a path that we embark on together, where we walk along side them, to support, advocate, and to provide guidance to as we meet them with compassion and understanding. We work with our clients to meet their needs and connect them to our community partners if requested, such as nutritional counseling, medication management, physical therapy, chiropractic care and even massage therapy. We believe we grow as a community the more we support one another in the spirit of compassion.
We strongly believe in building a trusting, respectful and compassionate relationship with our clients.
Here at Wellness Encompassed we believe in treating the human and not the symptom. We see the client as an individual on a path that we embark on together, where we walk along side them, to support, advocate, and to provide guidance to as we meet them with compassion and understanding. We work with our clients to meet their needs and connect them to our community partners if requested, such as nutritional counseling, medication management, physical therapy, chiropractic care and even massage therapy. We believe we grow as a community the more we support one another in the spirit of compassion.
(509) 519-1641 View (509) 519-1641
Photo of Allison Rene Sande, Allison, Sande, LMHC
Allison Rene Sande
Mental Health Counselor, Allison, Sande, LMHC
Verified Verified
Spokane, WA 99218  (Online Only)
Experienced therapist with seven years dedicated to evidence-based practices and passionate about collaborating with individuals, families, and couples to achieve their goals. Expertise in utilizing research-backed methods to foster growth and healing. Skilled in group facilitation and fostering sisterhood, with a strong commitment to providing a supportive container for those in distress. Known for empathetically co-laboring with clients to uncover and leverage their innate strengths and solutions. what an honor it is to accompany individuals on their journey to realizing and living in their ultimate truth.
Experienced therapist with seven years dedicated to evidence-based practices and passionate about collaborating with individuals, families, and couples to achieve their goals. Expertise in utilizing research-backed methods to foster growth and healing. Skilled in group facilitation and fostering sisterhood, with a strong commitment to providing a supportive container for those in distress. Known for empathetically co-laboring with clients to uncover and leverage their innate strengths and solutions. what an honor it is to accompany individuals on their journey to realizing and living in their ultimate truth.
(425) 332-1175 View (425) 332-1175
Photo of Lindsey J Pepperoni, Marriage & Family Therapist Associate
Lindsey J Pepperoni
Marriage & Family Therapist Associate
Verified Verified
12 Endorsed
Spokane, WA 99201
I am particularly passionate about working with individuals and couples who are struggling with anxiety, depression, identity or other lifecycle transitions, issues around sexuality, faith transitions, and/or grief and loss, among other issues.
I am here for anyone who is struggling, looking for support, help, or personal exploration. My goal is to provide a safe space and an outside perspective with which to collaborate and problem solve. I identify as queer, and I am LGBTQIA+ affirming. I work with people of all identities, genders, and relationship configurations. I recognize that each client is unique and therefore approach my work using a client-centered, strengths-based model to personalize treatment. Additionally, I am a sex therapist which makes me a great fit for people who wish to explore issues around physical intimacy, shame, or other areas of sexual health.
I am particularly passionate about working with individuals and couples who are struggling with anxiety, depression, identity or other lifecycle transitions, issues around sexuality, faith transitions, and/or grief and loss, among other issues.
I am here for anyone who is struggling, looking for support, help, or personal exploration. My goal is to provide a safe space and an outside perspective with which to collaborate and problem solve. I identify as queer, and I am LGBTQIA+ affirming. I work with people of all identities, genders, and relationship configurations. I recognize that each client is unique and therefore approach my work using a client-centered, strengths-based model to personalize treatment. Additionally, I am a sex therapist which makes me a great fit for people who wish to explore issues around physical intimacy, shame, or other areas of sexual health.
(206) 207-7242 View (206) 207-7242
Photo of Emily Fisher, MA, LMFTA, Marriage & Family Therapist Associate
Emily Fisher
Marriage & Family Therapist Associate, MA, LMFTA
Verified Verified
2 Endorsed
Spokane, WA 99218
I am trained in Emotion Focused Therapy, specializing in couples therapy.
Are you experiencing difficulties within your relationship? Are you a loved one of a family member struggling with substance abuse and trying to find your place? I work with individuals and couples looking for a place to grow individually or to connect more in their relationships. I help my clients identify negative patterns, aiming to foster a relationship to help them feel less alone, lost, or frustrated with their current issues. My work is highly attachment-based, a framework that focuses on the impact of early relationships on an individual's emotional and psychological well-being and how that shows up in the present.
I am trained in Emotion Focused Therapy, specializing in couples therapy.
Are you experiencing difficulties within your relationship? Are you a loved one of a family member struggling with substance abuse and trying to find your place? I work with individuals and couples looking for a place to grow individually or to connect more in their relationships. I help my clients identify negative patterns, aiming to foster a relationship to help them feel less alone, lost, or frustrated with their current issues. My work is highly attachment-based, a framework that focuses on the impact of early relationships on an individual's emotional and psychological well-being and how that shows up in the present.
(509) 408-3374 View (509) 408-3374
Photo of Steve Lewis, MA, LMFTA, LMHCA, Marriage & Family Therapist Associate
Steve Lewis
Marriage & Family Therapist Associate, MA, LMFTA, LMHCA
Verified Verified
1 Endorsed
Spokane, WA 99202
Across the prairies of our country when a storm is approaching, cattle can be seen running away, which only elongates their discomfort. Buffalo on the other hand, can be seen turning and charging into the storm. As a result they reduce their duration of suffering and make it to clear skies sooner. My goal is to connect with individuals and couples who are navigating the storms of life and help them become the best versions of themselves. I utilize a warm and casual style that facilitates an environment of trust and support, allowing clients space to build effective skills and develop resiliency for the inevitable storms ahead.
Across the prairies of our country when a storm is approaching, cattle can be seen running away, which only elongates their discomfort. Buffalo on the other hand, can be seen turning and charging into the storm. As a result they reduce their duration of suffering and make it to clear skies sooner. My goal is to connect with individuals and couples who are navigating the storms of life and help them become the best versions of themselves. I utilize a warm and casual style that facilitates an environment of trust and support, allowing clients space to build effective skills and develop resiliency for the inevitable storms ahead.
(509) 740-4052 View (509) 740-4052
Photo of Mehvash Ali - WA Mental Health, PhD, Psychologist
WA Mental Health
Psychologist, PhD
Verified Verified
Spokane, WA 99201  (Online Only)
I offer virtual therapy for clients residing in WA state. I specialize in working with anxiety disorders, depression, trauma, narcissistic abuse, grief, stress management, and relationship issues. If you feel stuck in your current situation and don’t find joy in life, I can help you connect to your inner strengths and resilience and live an authentic, meaningful, and balanced life. I strive to create a safe, judgement free space to explore patterns of thoughts and behaviors that are of concern to the client. Together we identify the most appropriate goals for therapy to improve your current quality of life.
I offer virtual therapy for clients residing in WA state. I specialize in working with anxiety disorders, depression, trauma, narcissistic abuse, grief, stress management, and relationship issues. If you feel stuck in your current situation and don’t find joy in life, I can help you connect to your inner strengths and resilience and live an authentic, meaningful, and balanced life. I strive to create a safe, judgement free space to explore patterns of thoughts and behaviors that are of concern to the client. Together we identify the most appropriate goals for therapy to improve your current quality of life.
(509) 258-5449 View (509) 258-5449

See more therapy options for Ferry County

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.