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More Therapists Nearby

Photo of Sarah Philbrick-Djerfi @ Psychotherapy for You in Winchester, ON
Sarah Philbrick-Djerfi @ Psychotherapy for You
MSW, RSW
Verified Verified
1 Endorsed
Cornwall, ON K6J  (Online Only)
​ Includes Treatment for but not limited to: Anxiety, Depression, Stress, Relationship Issues, Life Changes, Trauma, Anger Management, PTSD, Trauma, Complex Mental Health Individual, Couples,.
I hold a Master's Degree in Social Work from Dalhousie University and a Bachelor of Social Work Degree from the University of Victoria. I am registered with the Ontario College of Social Workers and Social Service Workers. I have over seven years experience providing support to individuals, couples, and families through challenging times. I have experienced a number of challenging situations and events in my own life that have helped to shape me into an empathic and caring professional. I understand that trauma can be experienced in many different ways and am committed to providing a safe, caring, non-judgmental space to support you
​ Includes Treatment for but not limited to: Anxiety, Depression, Stress, Relationship Issues, Life Changes, Trauma, Anger Management, PTSD, Trauma, Complex Mental Health Individual, Couples,.
I hold a Master's Degree in Social Work from Dalhousie University and a Bachelor of Social Work Degree from the University of Victoria. I am registered with the Ontario College of Social Workers and Social Service Workers. I have over seven years experience providing support to individuals, couples, and families through challenging times. I have experienced a number of challenging situations and events in my own life that have helped to shape me into an empathic and caring professional. I understand that trauma can be experienced in many different ways and am committed to providing a safe, caring, non-judgmental space to support you
(249) 496-1934 View (249) 496-1934
Photo of Jennifer Gaudreau Registered Psychotherapist, Counsellor in Winchester, ON
Jennifer Gaudreau Registered Psychotherapist
Counsellor, MEd, RP, CCC
Verified Verified
Cornwall, ON K6H
My specialties include trauma, anxiety, depression and those involving domestic violence, separation, grief, criminal injuries, workplace issues, relationship/family, legal problems, post partum, stress, parenting, LGBTTQ+.
Are you looking to feel better? Sometimes the journey to healing can feel overwhelming and a lot like an unsolved puzzle. I am a seasoned Therapist with over 25 years of offering Mental Health and Addictions experience. If you want more awareness about yourself, your struggles and understanding, clarity and emotional peace, then psychotherapy may be what you need. Do you suspect there past events may be holding you back from enjoying your life today? Please call me for initial consultation. Mental Wellness can be found. I work with unique people looking for solutions incl. adults, youth, couples and families, groups public events
My specialties include trauma, anxiety, depression and those involving domestic violence, separation, grief, criminal injuries, workplace issues, relationship/family, legal problems, post partum, stress, parenting, LGBTTQ+.
Are you looking to feel better? Sometimes the journey to healing can feel overwhelming and a lot like an unsolved puzzle. I am a seasoned Therapist with over 25 years of offering Mental Health and Addictions experience. If you want more awareness about yourself, your struggles and understanding, clarity and emotional peace, then psychotherapy may be what you need. Do you suspect there past events may be holding you back from enjoying your life today? Please call me for initial consultation. Mental Wellness can be found. I work with unique people looking for solutions incl. adults, youth, couples and families, groups public events
(613) 704-0703 View (613) 704-0703
Photo of Ataraxia Counselling Cornwall, Registered Psychotherapist (Qualifying) in Winchester, ON
Ataraxia Counselling Cornwall
Registered Psychotherapist (Qualifying), MACP, BAPsych
Verified Verified
Cornwall, ON K6H
I am a registered psychotherapist (qualifying) and I work with both couples and individuals who struggle with various inter/intrapersonal issues. I see my clients, not as a diagnosis, but as individuals with complex life stories who require a treatment plan designed with their specific needs and experiences in mind. If you are struggling with your mental health and are looking for someone to turn to as you begin your journey, reach out today. Together, we can work towards improving your current and future life satisfaction.
I am a registered psychotherapist (qualifying) and I work with both couples and individuals who struggle with various inter/intrapersonal issues. I see my clients, not as a diagnosis, but as individuals with complex life stories who require a treatment plan designed with their specific needs and experiences in mind. If you are struggling with your mental health and are looking for someone to turn to as you begin your journey, reach out today. Together, we can work towards improving your current and future life satisfaction.
(343) 305-1744 View (343) 305-1744
Photo of Sheila Tallon, Registered Social Worker in Winchester, ON
Sheila Tallon
Registered Social Worker, BSW, MSW, RSW
Verified Verified
Cornwall, ON K6J
I’m a registered Social Worker M.S.W., R.S.W. For over 20 years, I’ve been providing counselling to children, youth, adults and families of different cultural and socioeconomic backgrounds. Working with these populations has shown me that when individuals feel safe, respected, heard and appreciated for who they are, they respond to life challenges with creativity and resilience. My practice is guided by these core values. I take great care to create an ambiance where a genuine human connection takes place.
I’m a registered Social Worker M.S.W., R.S.W. For over 20 years, I’ve been providing counselling to children, youth, adults and families of different cultural and socioeconomic backgrounds. Working with these populations has shown me that when individuals feel safe, respected, heard and appreciated for who they are, they respond to life challenges with creativity and resilience. My practice is guided by these core values. I take great care to create an ambiance where a genuine human connection takes place.
(343) 312-9965 View (343) 312-9965
Photo of New Mindset Therapy & Yoga, Registered Social Worker in Winchester, ON
New Mindset Therapy & Yoga
Registered Social Worker, BSW, RSW, EMDR
Verified Verified
Cornwall, ON K6H
Do you struggle with feeling irritable, distant or cut off from others, avoid social activities have difficulty concentrating or inability to function in your profession or personal relationships? Do you have difficulty saying no without feeling guilty, or trying to live up to unrealistic expectations? Now more than ever, professionals in our community are feeling tired and forgotten. Since the beginning of the pandemic; individuals like you. We believe that professionals should be provided with consistent and quality therapy to be able to live a more peaceful and fulfilling life.
Do you struggle with feeling irritable, distant or cut off from others, avoid social activities have difficulty concentrating or inability to function in your profession or personal relationships? Do you have difficulty saying no without feeling guilty, or trying to live up to unrealistic expectations? Now more than ever, professionals in our community are feeling tired and forgotten. Since the beginning of the pandemic; individuals like you. We believe that professionals should be provided with consistent and quality therapy to be able to live a more peaceful and fulfilling life.
(343) 304-6131 View (343) 304-6131

Online Therapists

Photo of Michelle Aziz, Registered Social Worker in Winchester, ON
Michelle Aziz
Registered Social Worker, SSW, BSW, MSW, RSW
Verified Verified
Kemptville, ON K0G
At Unwavering Hope, we offer specialized therapeutic support in individual, relationship/couple counselling as well as premarital/marital tune-ups.
As a registered Social Worker, Psychotherapist and Clinical Director, I strive to deliver compassionate and empathetic support in working with the client in finding their inner strength and abilities and expanding on those for success. I believe every individual is capable to succeed and breakthrough their past current and future challenges/struggles, whatever they might be. With the focus of the client as the expert and the clinician as supportive expert, you will have the opportunity to be guided through your own strengths and abilities in moving forward and finding happiness/success through the life course.
At Unwavering Hope, we offer specialized therapeutic support in individual, relationship/couple counselling as well as premarital/marital tune-ups.
As a registered Social Worker, Psychotherapist and Clinical Director, I strive to deliver compassionate and empathetic support in working with the client in finding their inner strength and abilities and expanding on those for success. I believe every individual is capable to succeed and breakthrough their past current and future challenges/struggles, whatever they might be. With the focus of the client as the expert and the clinician as supportive expert, you will have the opportunity to be guided through your own strengths and abilities in moving forward and finding happiness/success through the life course.
(613) 703-0662 View (613) 703-0662
Photo of Brahm Solomon, Psychologist in Winchester, ON
Brahm Solomon
Psychologist, PhD, CPsych
Verified Verified
Ottawa, ON K2P
I offer assessment, therapy, and consultation services to adults and couples contending with a range of challenges related to adjustment to significant life events and transitions, anxiety, depression, end-of-life considerations, grief and loss, interpersonal difficulties, post-traumatic stress, and treatment adherence. While I emphasize an experiential (i.e., emotion-focused, mindfulness-based) approach to therapy, integrated within interpersonal and systems frameworks, I am also able to draw on cognitive-behavioural techniques.
I offer assessment, therapy, and consultation services to adults and couples contending with a range of challenges related to adjustment to significant life events and transitions, anxiety, depression, end-of-life considerations, grief and loss, interpersonal difficulties, post-traumatic stress, and treatment adherence. While I emphasize an experiential (i.e., emotion-focused, mindfulness-based) approach to therapy, integrated within interpersonal and systems frameworks, I am also able to draw on cognitive-behavioural techniques.
(343) 306-1552 View (343) 306-1552
Photo of Alice Susannah Lurie, Registered Psychotherapist in Winchester, ON
Alice Susannah Lurie
Registered Psychotherapist, Alice Lurie, RP
Verified Verified
4 Endorsed
Ottawa, ON K2P  (Online Only)
I work with clients who are dealing with anxiety, stress, depression and grief, anger, emotional regulation, and career and workplace difficulties. I work with couples from first families and stepfamilies.
I work with clients who are dealing with anxiety, stress, depression and grief, anger, emotional regulation, and career and workplace difficulties. I work with couples from first families and stepfamilies.
(613) 907-1418 View (613) 907-1418
Photo of Jennifer Williams, Registered Social Worker in Winchester, ON
Jennifer Williams
Registered Social Worker, BA, MSW
Verified Verified
Ottawa, ON K1Y
I enjoy working with clients who are experiencing a difficult life transition, a mental health struggle such as anxiety or depression or who want to heal from past trauma. I enjoy working collaboratively with clients to develop treatment goals for personal growth, and to help individuals live a more authentic life. Evidence-based individual therapy can increase self-awareness, resiliency and overall happiness. I work with couples experiencing turbulence in their relationship, to recover from infidelity, to recreate that spark or improve communication. I also specialize in family therapy and work with children and youth.
I enjoy working with clients who are experiencing a difficult life transition, a mental health struggle such as anxiety or depression or who want to heal from past trauma. I enjoy working collaboratively with clients to develop treatment goals for personal growth, and to help individuals live a more authentic life. Evidence-based individual therapy can increase self-awareness, resiliency and overall happiness. I work with couples experiencing turbulence in their relationship, to recover from infidelity, to recreate that spark or improve communication. I also specialize in family therapy and work with children and youth.
(343) 312-7422 View (343) 312-7422
Photo of Kelly Savage Msw Phd. in Winchester, ON
Kelly Savage Msw Phd.
PhD, MSW, BA, CYC
Verified Verified
Kanata, ON K2K
Welcome to my practice! I am both a clinical therapist and a forensic therapist. In my clinical practice I help people work through issues such as depression, anxiety, ADHD, PTSD, and other challenges. In my forensic practice I specialize in high conflict separation and divorce, focusing on the best interests of the child. I work with children ages 2-18, adults, couples and families. I also have extensive experience and training working with Military and Law Enforcement. For additional information, you can find me on YouTube under Kelly Savage parental alienation.
Welcome to my practice! I am both a clinical therapist and a forensic therapist. In my clinical practice I help people work through issues such as depression, anxiety, ADHD, PTSD, and other challenges. In my forensic practice I specialize in high conflict separation and divorce, focusing on the best interests of the child. I work with children ages 2-18, adults, couples and families. I also have extensive experience and training working with Military and Law Enforcement. For additional information, you can find me on YouTube under Kelly Savage parental alienation.
(613) 704-5571 View (613) 704-5571
Photo of Mike Melles, Registered Psychotherapist in Winchester, ON
Mike Melles
Registered Psychotherapist, MEd, BSc, RP
Verified Verified
1 Endorsed
Kingston, ON K7K
Sometimes people get stuck. Individuals and couples come to me for counselling to talk about a variety of problems - things like conflict in relationships, anxiety, depression, overwhelming stress, abuse, grief, vocational crisis, or anger. A counselling relationship helps people to move from understanding issues to co-creating solutions - solutions that shrink and manage problems. I use an integrative approach, drawing on different counselling methods depending on what works best for the client, including practices from cognitive-behavioural therapy (CBT), narrative therapy, and solution-based therapy. I can help you to move through difficult times with courage, accountability, and positive resolve.
Sometimes people get stuck. Individuals and couples come to me for counselling to talk about a variety of problems - things like conflict in relationships, anxiety, depression, overwhelming stress, abuse, grief, vocational crisis, or anger. A counselling relationship helps people to move from understanding issues to co-creating solutions - solutions that shrink and manage problems. I use an integrative approach, drawing on different counselling methods depending on what works best for the client, including practices from cognitive-behavioural therapy (CBT), narrative therapy, and solution-based therapy. I can help you to move through difficult times with courage, accountability, and positive resolve.
(613) 801-6657 View (613) 801-6657
Photo of Alyssa Malizia, Registered Psychotherapist in Winchester, ON
Alyssa Malizia
Registered Psychotherapist, MEd, RP
Verified Verified
11 Endorsed
Ottawa, ON K2E
Waitlist for new clients
I provide a caring and safe environment for my clients, valuing the process of getting to understand them on a deeper level. Therapy will be both emotionally explorative and solution-focused each session, allowing the client to learn about one’s thoughts and feelings, as well as develop coping skills in order to reduce negative symptoms. I have gathered experience working with teens, adults, and couples, with a special interest in Dialectical Behavioural Therapy, individual therapy for anxiety, depression, mood disorders, self-harm and trauma, as well as couples therapy focusing on relational, marital and/or sexual difficulties.
I provide a caring and safe environment for my clients, valuing the process of getting to understand them on a deeper level. Therapy will be both emotionally explorative and solution-focused each session, allowing the client to learn about one’s thoughts and feelings, as well as develop coping skills in order to reduce negative symptoms. I have gathered experience working with teens, adults, and couples, with a special interest in Dialectical Behavioural Therapy, individual therapy for anxiety, depression, mood disorders, self-harm and trauma, as well as couples therapy focusing on relational, marital and/or sexual difficulties.
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Photo of Amarylis Serrano Juárez, Registered Psychotherapist in Winchester, ON
Amarylis Serrano Juárez
Registered Psychotherapist, MA, RP, CCC
Verified Verified
13 Endorsed
Ottawa, ON K1S  (Online Only)
As an individual, couples and family therapist specializing in trauma, I use body-oriented therapy to help release trauma symptoms.
Life's challenges can leave us feeling anxious and disconnected from the fulfilling life we desire. Has your life become too overwhelming and stressful to manage alone? Whether it's navigating relationships, anxiety, depression, grief, or trauma, therapy can be a transformative journey toward reclaiming your sense of self. As a trauma-informed therapist and Cuban immigrant, I specialize in working with diverse populations, including newcomers to Canada and BIPOC individuals. Let's create a treatment plan together that honours your unique goals, in a space where your preferred language is respected and cultural humility is paramount.
As an individual, couples and family therapist specializing in trauma, I use body-oriented therapy to help release trauma symptoms.
Life's challenges can leave us feeling anxious and disconnected from the fulfilling life we desire. Has your life become too overwhelming and stressful to manage alone? Whether it's navigating relationships, anxiety, depression, grief, or trauma, therapy can be a transformative journey toward reclaiming your sense of self. As a trauma-informed therapist and Cuban immigrant, I specialize in working with diverse populations, including newcomers to Canada and BIPOC individuals. Let's create a treatment plan together that honours your unique goals, in a space where your preferred language is respected and cultural humility is paramount.
(343) 306-0373 View (343) 306-0373
Photo of Joy Tabakman, Registered Social Worker in Winchester, ON
Joy Tabakman
Registered Social Worker, MSW, RSW
Verified Verified
Ottawa, ON K2P
"I AM CURRENTLY ACCEPTING new CLIENTS" My direct number is 613-294-6592. My vocation and passion is to assist couples, individuals and families to use the challenges they experience as an opportunity for growth. The goal in therapy is to explore the root causes of adversity and success so there is mindfulness regarding clear goal setting; this will contribute to balance and harmony in your life. Over the past 29 years my personal life and work with clients have taught me that we are all challenged by trust and emotional intimacy issues. I am passionate about empowering others to design vibrant relationships and lives.
"I AM CURRENTLY ACCEPTING new CLIENTS" My direct number is 613-294-6592. My vocation and passion is to assist couples, individuals and families to use the challenges they experience as an opportunity for growth. The goal in therapy is to explore the root causes of adversity and success so there is mindfulness regarding clear goal setting; this will contribute to balance and harmony in your life. Over the past 29 years my personal life and work with clients have taught me that we are all challenged by trust and emotional intimacy issues. I am passionate about empowering others to design vibrant relationships and lives.
(343) 312-9805 View (343) 312-9805
Photo of Elizabeth Anne Reynolds, Registered Psychotherapist in Winchester, ON
Elizabeth Anne Reynolds
Registered Psychotherapist, RP
Verified Verified
Ottawa, ON K2H  (Online Only)
My psychotherapy and counselling practice offers individuals, couples, and families (18 and up) expertise to support them as together we explore how to navigate the challenges of life. As a Registered Psychotherapist who respects individual perspectives for finding direction, growth and healing, I support those dealing with anxiety, depression, grief, anger, self-worth concerns, and relationship issues.
My psychotherapy and counselling practice offers individuals, couples, and families (18 and up) expertise to support them as together we explore how to navigate the challenges of life. As a Registered Psychotherapist who respects individual perspectives for finding direction, growth and healing, I support those dealing with anxiety, depression, grief, anger, self-worth concerns, and relationship issues.
(343) 304-6397 View (343) 304-6397
Photo of Relationship Counseling & Therapy with Anne Kanata, Marriage & Family Therapist in Winchester, ON
Relationship Counseling & Therapy with Anne Kanata
Marriage & Family Therapist, MEd, RP
Verified Verified
Kanata, ON K2K
Couples/ Family: If you want to improve trust, intimacy with your partner, manage conflict, work to separate with dignity, Anne can help.
I am a registered psychotherapist in Kanata experienced in assisting adults, couples, youth & families with personal issues, with relationships, & with career issues. I use an evidence based approach tailored to meet your individual need. Together, we work to create a supportive, safe & nonjudgemental environment to help you make changes in your life, relieve anxiety, stress, reach new understandings & ultimately achieve true personal growth. My expertise is in communication with both professionals & families. I have training in resilience for anxiety & depression for adolescents, children, adults & in navigating school challenges
Couples/ Family: If you want to improve trust, intimacy with your partner, manage conflict, work to separate with dignity, Anne can help.
I am a registered psychotherapist in Kanata experienced in assisting adults, couples, youth & families with personal issues, with relationships, & with career issues. I use an evidence based approach tailored to meet your individual need. Together, we work to create a supportive, safe & nonjudgemental environment to help you make changes in your life, relieve anxiety, stress, reach new understandings & ultimately achieve true personal growth. My expertise is in communication with both professionals & families. I have training in resilience for anxiety & depression for adolescents, children, adults & in navigating school challenges
(343) 341-0027 View (343) 341-0027
Photo of Bara Al-Obaidy, Registered Psychotherapist (Qualifying) in Winchester, ON
Bara Al-Obaidy
Registered Psychotherapist (Qualifying), PEng, MA, RPQ
Verified Verified
3 Endorsed
Ottawa, ON K2P
Whether you are struggling at work, at home, internally, or all-of-the-above, therapy can help you find wellness and develop resilience against negative thoughts, burnout, and stress. My first goal is that you feel heard in a safe space, void of judgement, and my second goal is to be your partner in your healing and self development. I welcome new clients who have never considered therapy before and those who are still looking for the right therapist. I also work with couples and families, as I am passionate about family dynamics, personal vs cultural dynamics, and strong communcations.
Whether you are struggling at work, at home, internally, or all-of-the-above, therapy can help you find wellness and develop resilience against negative thoughts, burnout, and stress. My first goal is that you feel heard in a safe space, void of judgement, and my second goal is to be your partner in your healing and self development. I welcome new clients who have never considered therapy before and those who are still looking for the right therapist. I also work with couples and families, as I am passionate about family dynamics, personal vs cultural dynamics, and strong communcations.
(343) 312-7544 View (343) 312-7544
Photo of Bruno Jung-Millen, Registered Social Worker in Winchester, ON
Bruno Jung-Millen
Registered Social Worker, MSW, RSW
Verified Verified
Ottawa, ON K2P
This is more than just a therapist and client relationship.
My work at its core is all about building a relational connection and co-creating a safe therapeutic holding space which is informed by the relational psychotherapy and narrative therapy, and my own lived experiences as a racialized gay/queer person and also adoptive parent. Whether your struggles are small or big, what matters in this space is our joint commitment, an emotionally engaged and interactive process, and a shared journey. Our therapeutic relationship is going to be the principal vehicle to bring the changes that you are longing for in your personal and family life, as well as within your larger community.
This is more than just a therapist and client relationship.
My work at its core is all about building a relational connection and co-creating a safe therapeutic holding space which is informed by the relational psychotherapy and narrative therapy, and my own lived experiences as a racialized gay/queer person and also adoptive parent. Whether your struggles are small or big, what matters in this space is our joint commitment, an emotionally engaged and interactive process, and a shared journey. Our therapeutic relationship is going to be the principal vehicle to bring the changes that you are longing for in your personal and family life, as well as within your larger community.
(343) 342-2248 View (343) 342-2248
Photo of Ryan Salter Online Psychotherapy, Registered Psychotherapist in Winchester, ON
Ryan Salter Online Psychotherapy
Registered Psychotherapist, MA, RP
Verified Verified
Ottawa, ON K1G  (Online Only)
These brains of ours don't come with instruction manuals - figuring out how to navigate life is tough enough, but can sometimes seem impossible when we experience mental health difficulties. I specialize in working with people with BPD (attachment trauma), anxiety disorders, OCD, couples and people with complex difficulties who may have been given multiple diagnoses. Therapy can be a strange process, I try to make it simple and straightforward. We get to know each other, and figure out if we’re a good fit. We get a clear picture of what the problems are, and what’s going wrong (and what’s going right) in your life.
These brains of ours don't come with instruction manuals - figuring out how to navigate life is tough enough, but can sometimes seem impossible when we experience mental health difficulties. I specialize in working with people with BPD (attachment trauma), anxiety disorders, OCD, couples and people with complex difficulties who may have been given multiple diagnoses. Therapy can be a strange process, I try to make it simple and straightforward. We get to know each other, and figure out if we’re a good fit. We get a clear picture of what the problems are, and what’s going wrong (and what’s going right) in your life.
(249) 506-5029 View (249) 506-5029
Photo of Alicia Shameer, Registered Psychotherapist in Winchester, ON
Alicia Shameer
Registered Psychotherapist, RP, MACP
Verified Verified
6 Endorsed
Ottawa, ON K2A
In couples therapy and family therapy, I work with members to restore balance, intimacy and safety in their connections.
Thanks for stopping by! I’m Alicia and would love to support you with exploring your inner world(s). I know how challenging it can be to do so and I am hopeful that by working as a team, it will bring some clarity surrounding your journey. I am passionate about helping clients find their voice and reaching a place within themselves where they feel safe and compassionate. My goal is to create a warm, non-judgmental space for clients to feel comfortable to bring in any thought or concern that they would like to discuss throughout our sessions.
In couples therapy and family therapy, I work with members to restore balance, intimacy and safety in their connections.
Thanks for stopping by! I’m Alicia and would love to support you with exploring your inner world(s). I know how challenging it can be to do so and I am hopeful that by working as a team, it will bring some clarity surrounding your journey. I am passionate about helping clients find their voice and reaching a place within themselves where they feel safe and compassionate. My goal is to create a warm, non-judgmental space for clients to feel comfortable to bring in any thought or concern that they would like to discuss throughout our sessions.
(343) 309-9489 View (343) 309-9489
Couples Counselling

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.