Couples Counselling Therapists in K1M

Photo of Cecilia Taiana, PhD, RP, Registered Psychotherapist
Cecilia Taiana
Registered Psychotherapist, PhD, RP
Verified Verified
Ottawa, ON K1M
I am a Registered Psychotherapist located in Ottawa providing psychodynamic psychotherapy and psychoanalysis to individuals, couples, and families. I work with a wide range of emotional and behavioral issues, providing services that span from therapy for depression and anxiety to grief counseling, emotional and functional adjustments, PTSD, stress management, couples counseling and beyond. I offer a highly personalized approach tailored to each of my clients' individual needs to help them attain personal growth. Typically, you can expect to discuss with me the events currently happening in your life and your personal history relevant to your concerns.
I am a Registered Psychotherapist located in Ottawa providing psychodynamic psychotherapy and psychoanalysis to individuals, couples, and families. I work with a wide range of emotional and behavioral issues, providing services that span from therapy for depression and anxiety to grief counseling, emotional and functional adjustments, PTSD, stress management, couples counseling and beyond. I offer a highly personalized approach tailored to each of my clients' individual needs to help them attain personal growth. Typically, you can expect to discuss with me the events currently happening in your life and your personal history relevant to your concerns.
(855) 727-9659 View (855) 727-9659
Photo of Carly Ring, BMgmt, Registered Psychotherapist (Qualifying)
Carly Ring
Registered Psychotherapist (Qualifying), BMgmt
Verified Verified
4 Endorsed
Ottawa, ON K1M  (Online Only)
I am accepting new clients. I have over 10 years of experience in the mental health field, from a frontline Primary Care Paramedic to a Registered Psychotherapist (Qualifying). My lived experiences as a first responder have instilled in me a profound understanding of operational stress injuries and mental health challenges experienced by public safety personnel. My unwavering passion is advocating for mental health awareness and supporting first responders, front-line healthcare workers, and public safety personnel professionals. I provided services to youth, adults, and couples.
I am accepting new clients. I have over 10 years of experience in the mental health field, from a frontline Primary Care Paramedic to a Registered Psychotherapist (Qualifying). My lived experiences as a first responder have instilled in me a profound understanding of operational stress injuries and mental health challenges experienced by public safety personnel. My unwavering passion is advocating for mental health awareness and supporting first responders, front-line healthcare workers, and public safety personnel professionals. I provided services to youth, adults, and couples.
(343) 312-5303 View (343) 312-5303
Photo of Krista Colwell - True Care Counselling - Krista Colwell MA, RP, MA, RP, Registered Psychotherapist
True Care Counselling - Krista Colwell MA, RP
Registered Psychotherapist, MA, RP
Verified Verified
6 Endorsed
Ottawa, ON K1M
Do you feel stuck? Are you overwhelmed by anxiety, depression, or relationship issues? Uncomfortable symptoms and stress can often lead us to pause and re-evaluate our needs, or to go inward and connect with a deeper sense of ourselves. As humans we heal and grow best when we work together towards solutions and change, and counselling and psychotherapy can offer you the space to pause, reflect, and find solutions in moving forward from your current stressors by cultivating your path to True Care.
Do you feel stuck? Are you overwhelmed by anxiety, depression, or relationship issues? Uncomfortable symptoms and stress can often lead us to pause and re-evaluate our needs, or to go inward and connect with a deeper sense of ourselves. As humans we heal and grow best when we work together towards solutions and change, and counselling and psychotherapy can offer you the space to pause, reflect, and find solutions in moving forward from your current stressors by cultivating your path to True Care.
(343) 944-4870 View (343) 944-4870
Photo of Ambreen Ihsanullah - Soul To Soul Counselling , MEd
Soul To Soul Counselling
MEd
Verified Verified
Ottawa, ON K1M  (Online Only)
I specialize in helping individuals heal from emotional wounds, trauma, and relationship challenges.
You’ve done it all, checked all the boxes, molded yourself according to external standards but still find yourself feeling alone, unappreciated, unsupported, and unloved. As a therapist, I work with individuals who feel disconnected from their true selves due to past trauma, relationship struggles, or emotional challenges. My clients come to me seeking not just temporary relief but lasting transformation. My services will heal you deeply, find inner peace, and create meaningful connections in your lives. Together, we work to uncover the root causes of their pain and help them reconnect with their inner strength.
I specialize in helping individuals heal from emotional wounds, trauma, and relationship challenges.
You’ve done it all, checked all the boxes, molded yourself according to external standards but still find yourself feeling alone, unappreciated, unsupported, and unloved. As a therapist, I work with individuals who feel disconnected from their true selves due to past trauma, relationship struggles, or emotional challenges. My clients come to me seeking not just temporary relief but lasting transformation. My services will heal you deeply, find inner peace, and create meaningful connections in your lives. Together, we work to uncover the root causes of their pain and help them reconnect with their inner strength.
(343) 304-6341 View (343) 304-6341
Photo of Rosanna Nash, MA, Registered Psychotherapist
Rosanna Nash
Registered Psychotherapist, MA
Verified Verified
1 Endorsed
Ottawa, ON K1M
in Counselling, Psychotherapy and Spirituality from Saint Paul University, and additional training in Self in Relationship Psychotherapy and Somatic Experiencing, a body focused approach to trauma recovery.
I help individuals and couples ease their distress and join in relationship. Welcome here, are people of all backgrounds, sexual orientations, and walks of life. Here is a place where you can find the support and direction needed to repair conflict and experience life more fully. Therapy can feel vulnerable and I offer a safe and collaborative space to help you explore, assert, and better meet your individual and relational needs.
in Counselling, Psychotherapy and Spirituality from Saint Paul University, and additional training in Self in Relationship Psychotherapy and Somatic Experiencing, a body focused approach to trauma recovery.
I help individuals and couples ease their distress and join in relationship. Welcome here, are people of all backgrounds, sexual orientations, and walks of life. Here is a place where you can find the support and direction needed to repair conflict and experience life more fully. Therapy can feel vulnerable and I offer a safe and collaborative space to help you explore, assert, and better meet your individual and relational needs.
(613) 209-0849 View (613) 209-0849
Photo of Alice Susannah Lurie, Alice Lurie, RP, Registered Psychotherapist
Alice Susannah Lurie
Registered Psychotherapist, Alice Lurie, RP
Verified Verified
4 Endorsed
Ottawa, ON K1M  (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 Lucas Shane Wade, RSSW, Registered Social Worker
Lucas Shane Wade
Registered Social Worker, RSSW
Verified Verified
Ottawa, ON K1M  (Online Only)
I specialize in cannabis and substance addiction, concurrent disorders, trauma, LGBTQ+ issues, relationship challenges, and family dynamics.
The individuals & families I work with struggle with cannabis & substance abuse, seeking to break free from the cycle of addiction. They need consistent, supportive guidance to help them remain abstinent from all mind and mood-altering chemicals. Their goal is to achieve lasting sobriety, regain control of their life, and build a healthier, more fulfilling future. They want a coach who understands their journey and provides practical strategies and unwavering support to help them succeed. Through weekly virtual therapy and coaching sessions, they are motivated to overcome their challenges and embrace a brighter, substance-free life.
I specialize in cannabis and substance addiction, concurrent disorders, trauma, LGBTQ+ issues, relationship challenges, and family dynamics.
The individuals & families I work with struggle with cannabis & substance abuse, seeking to break free from the cycle of addiction. They need consistent, supportive guidance to help them remain abstinent from all mind and mood-altering chemicals. Their goal is to achieve lasting sobriety, regain control of their life, and build a healthier, more fulfilling future. They want a coach who understands their journey and provides practical strategies and unwavering support to help them succeed. Through weekly virtual therapy and coaching sessions, they are motivated to overcome their challenges and embrace a brighter, substance-free life.
(249) 699-5194 View (249) 699-5194
Photo of Porcha Palmer, BA, MACP, CCC, Registered Psychotherapist (Qualifying)
Porcha Palmer
Registered Psychotherapist (Qualifying), BA, MACP, CCC
Verified Verified
8 Endorsed
Ottawa, ON K1M
Operating from a holistic, anti-oppressive, strengths-based, trauma-informed framework, I passionately provide support to teens (16+), individuals, couples, and the BIPOC and LGBTQIA2S+ communities.
Are you tired of feeling like you're carrying the weight of the world on your shoulders alone? Do you find yourself smiling on the outside, while feeling like you're falling apart on the inside? Whether you're grappling with overwhelming emotions, facing challenges at the intersection of your identities, or carrying the weight of unresolved trauma and grief, taking the first step towards therapy can feel daunting. But it's in this vulnerability that real growth and healing can begin. Therapy can help you to understand yourself on a deeper level, learn new ways to cope, and feel more in control as you navigate life's ups and downs.
Operating from a holistic, anti-oppressive, strengths-based, trauma-informed framework, I passionately provide support to teens (16+), individuals, couples, and the BIPOC and LGBTQIA2S+ communities.
Are you tired of feeling like you're carrying the weight of the world on your shoulders alone? Do you find yourself smiling on the outside, while feeling like you're falling apart on the inside? Whether you're grappling with overwhelming emotions, facing challenges at the intersection of your identities, or carrying the weight of unresolved trauma and grief, taking the first step towards therapy can feel daunting. But it's in this vulnerability that real growth and healing can begin. Therapy can help you to understand yourself on a deeper level, learn new ways to cope, and feel more in control as you navigate life's ups and downs.
(825) 251-8833 View (825) 251-8833
Photo of Dr. Haleh Sanaie, PhD, CPsych, Psychologist
Dr. Haleh Sanaie
Psychologist, PhD, CPsych
Verified Verified
1 Endorsed
Ottawa, ON K1M
Whether you're navigating a life transition, anxiety, mood, or relationship and personality challenges, I am here to walk alongside you as your professional guide.
Hello, I am Dr. Haleh Sanaie, Clinical Psychologist in Supervised Practice with Dr. Kimberly Sogge C.Psych.and Dr. Paul Grunberg C.Psych. at Ottawa River Integrative Mental Health Inc. in Centretown Ottawa. I am a member of the College of Psychologists of Ontario.
Whether you're navigating a life transition, anxiety, mood, or relationship and personality challenges, I am here to walk alongside you as your professional guide.
Hello, I am Dr. Haleh Sanaie, Clinical Psychologist in Supervised Practice with Dr. Kimberly Sogge C.Psych.and Dr. Paul Grunberg C.Psych. at Ottawa River Integrative Mental Health Inc. in Centretown Ottawa. I am a member of the College of Psychologists of Ontario.
(343) 305-5912 View (343) 305-5912
Photo of Michael Holuj, MACP, CCC, Registered Psychotherapist
Michael Holuj
Registered Psychotherapist, MACP, CCC
Verified Verified
2 Endorsed
Ottawa, ON K1M
I am passionate about working with individuals experiencing attachment issues, anxiety, depression, and men's issues, plus couples looking to work on communication problems and improving their relationship.
No matter your situation, my goal is to help you feel heard and accepted, and to understand your experience from your perspective.. I aim to create a safe place and a strong alliance so we can understand where you are now, define your goals, and how we can achieve them. With a focus on developing a positive, confident mindset, we will connect your triggers, emotions, and actions, make corrective experiences, and align your actions with your values and needs so you can thrive in your life. I primarily work with individuals and couples. I also support couples preparing for marriage with pre-marital counselling.
I am passionate about working with individuals experiencing attachment issues, anxiety, depression, and men's issues, plus couples looking to work on communication problems and improving their relationship.
No matter your situation, my goal is to help you feel heard and accepted, and to understand your experience from your perspective.. I aim to create a safe place and a strong alliance so we can understand where you are now, define your goals, and how we can achieve them. With a focus on developing a positive, confident mindset, we will connect your triggers, emotions, and actions, make corrective experiences, and align your actions with your values and needs so you can thrive in your life. I primarily work with individuals and couples. I also support couples preparing for marriage with pre-marital counselling.
(343) 338-3723 View (343) 338-3723
Photo of Maki Sakata, MSW, RCSW, Registered Social Worker
Maki Sakata
Registered Social Worker, MSW, RCSW
Verified Verified
1 Endorsed
Ottawa, ON K1M  (Online Only)
Waitlist for new clients
I am here for you to guide you on your journey to better understand yourself, your relationship with others, and the world.
Are you irritable? Moody? Crying with no reasons? Easily overwhelmed and stressed out? Not confident on making decisions? unmotivated? And highly critical to yourself? You may be suffering from depression and anxiety stems from unresolved issues or trauma in the past. I strongly values collaborating with clients to support them in their growth, journey and healing process to achieve fulfillment, happiness, and harmony within yourself or with others incorporating CBT/DBT/ACT based therapy. I can support you better cope with many stressors and decisions that can easily overwhelm your life.
I am here for you to guide you on your journey to better understand yourself, your relationship with others, and the world.
Are you irritable? Moody? Crying with no reasons? Easily overwhelmed and stressed out? Not confident on making decisions? unmotivated? And highly critical to yourself? You may be suffering from depression and anxiety stems from unresolved issues or trauma in the past. I strongly values collaborating with clients to support them in their growth, journey and healing process to achieve fulfillment, happiness, and harmony within yourself or with others incorporating CBT/DBT/ACT based therapy. I can support you better cope with many stressors and decisions that can easily overwhelm your life.
(877) 569-2905 x5 View (877) 569-2905 x5
Photo of Nadine Simard - Ottawa Thrive Psychology and Wellness Center, Registered Psychotherapist
Ottawa Thrive Psychology and Wellness Center
Registered Psychotherapist
Verified Verified
Ottawa, ON K1M  (Online Only)
My name is Nadine Simard. I am a registered psychotherapist (CRPO), under supervision of a Psychologist. I am genuine, caring, and compassionate, and I like to provide a safe therapeutic space to nurture my client’s unique strengths and aspirations. I offer emotionally focused therapy for individual and for couple, and cognitive behavioral therapy. I have also completed Gottman Level 1 training. I use a holistic approach to best meet each unique individual’s needs. I believe in empowering my clients in finding the right approach to promote positive change and achieve a healthier life.
My name is Nadine Simard. I am a registered psychotherapist (CRPO), under supervision of a Psychologist. I am genuine, caring, and compassionate, and I like to provide a safe therapeutic space to nurture my client’s unique strengths and aspirations. I offer emotionally focused therapy for individual and for couple, and cognitive behavioral therapy. I have also completed Gottman Level 1 training. I use a holistic approach to best meet each unique individual’s needs. I believe in empowering my clients in finding the right approach to promote positive change and achieve a healthier life.
(873) 300-1773 x702 View (873) 300-1773 x702
Photo of Rosalie P Lamarre, M Sc, RSW, Registered Social Worker
Rosalie P Lamarre
Registered Social Worker, M Sc, RSW
Verified Verified
3 Endorsed
Ottawa, ON K1M
Currently accepting new clients for hypno and psychotherapy! As a dedicated professional, I offer a compassionate space for those struggling with overwhelm, self-esteem, burnout, food issues, focus and/or the desire for deeper meaning. If you are seeking relief from your distress and aiming for healing, inner peace and growth or if you need a supportive, non-judgmental environment to explore your inner world, develop healthy boundaries, and reconnect with your passions, I am here for you! Together, we’ll work towards embracing your true self and living a life aligned with your values, fostering self-acceptance and fulfilment.
Currently accepting new clients for hypno and psychotherapy! As a dedicated professional, I offer a compassionate space for those struggling with overwhelm, self-esteem, burnout, food issues, focus and/or the desire for deeper meaning. If you are seeking relief from your distress and aiming for healing, inner peace and growth or if you need a supportive, non-judgmental environment to explore your inner world, develop healthy boundaries, and reconnect with your passions, I am here for you! Together, we’ll work towards embracing your true self and living a life aligned with your values, fostering self-acceptance and fulfilment.
(343) 453-2653 View (343) 453-2653
Photo of Marianne O'Byrne - Thrive Psychology and Wellness Centre, MA, PhD, Psychologist
Thrive Psychology and Wellness Centre
Psychologist, MA, PhD
Verified Verified
Ottawa, ON K1M  (Online Only)
My name is Dr. Marianne O'Byrne, owner and psychologist at Thrive. I work alongside seven skilled psychotherapists who are accepting new clients under my supervision. We have a breadth of experience providing assessment and treatment for adults with anxiety and mood disorders In addition, we have special interests in two spheres: 1) PTSD, including with first responders (WSIB, VAC, RCMP) and 2) perinatal difficulties (e.g., new parents, postpartum depression and anxiety, traumatic birth). We also enjoy assessing and treating for stress management, self-esteem, and other interpersonal and behavioral difficulties.
My name is Dr. Marianne O'Byrne, owner and psychologist at Thrive. I work alongside seven skilled psychotherapists who are accepting new clients under my supervision. We have a breadth of experience providing assessment and treatment for adults with anxiety and mood disorders In addition, we have special interests in two spheres: 1) PTSD, including with first responders (WSIB, VAC, RCMP) and 2) perinatal difficulties (e.g., new parents, postpartum depression and anxiety, traumatic birth). We also enjoy assessing and treating for stress management, self-esteem, and other interpersonal and behavioral difficulties.
(343) 453-3266 View (343) 453-3266
Photo of Max Morozkin, BA, ICF, ACD, PPC
Max Morozkin
BA, ICF, ACD, PPC
Verified Verified
Ottawa, ON K1M  (Online Only)
Are you struggling with substance use and feeling disconnected from others? Are you looking to improve relationships, mood and personal well being? Using a realistic, non judgmental approach, I help my clients overcome issues of addiction, anxiety, ADHD and PTSD to explore resiliency and rewrite your narrative. I believe by being honest, giving feedback, feeling understood and validated, you are more able to accept yourselves and better understand your needs. I can help you move away from the scripts you have learned and discover a desirable and measurable change. I offer a free 15 min video/ phone consultation to new clients.
Are you struggling with substance use and feeling disconnected from others? Are you looking to improve relationships, mood and personal well being? Using a realistic, non judgmental approach, I help my clients overcome issues of addiction, anxiety, ADHD and PTSD to explore resiliency and rewrite your narrative. I believe by being honest, giving feedback, feeling understood and validated, you are more able to accept yourselves and better understand your needs. I can help you move away from the scripts you have learned and discover a desirable and measurable change. I offer a free 15 min video/ phone consultation to new clients.
(613) 703-0306 View (613) 703-0306
Photo of Marie-France Anagnostopoulos, BA, BEd, OCT, Pre-Licensed Professional
Marie-France Anagnostopoulos
Pre-Licensed Professional, BA, BEd, OCT
Verified Verified
3 Endorsed
Ottawa, ON K1M
Therapy can be a daunting prospect. Sharing your life story with a stranger in the hope of gaining perspective and solutions to life's challenges can sometimes feel overwhelming. However, there's good news. I believe in providing a safe space for collaboration with my clients, where confidentiality is always maintained, and they feel empowered to achieve their therapeutic goals. As a biracial, bilingual (French/English) intern therapist with a background in education, I am dedicated to helping pre-teens, teens and adults work through conflict, overcome low esteem, anxiety and depression, and manage academic/personal stress.
Therapy can be a daunting prospect. Sharing your life story with a stranger in the hope of gaining perspective and solutions to life's challenges can sometimes feel overwhelming. However, there's good news. I believe in providing a safe space for collaboration with my clients, where confidentiality is always maintained, and they feel empowered to achieve their therapeutic goals. As a biracial, bilingual (French/English) intern therapist with a background in education, I am dedicated to helping pre-teens, teens and adults work through conflict, overcome low esteem, anxiety and depression, and manage academic/personal stress.
(289) 512-2381 View (289) 512-2381
Photo of Pia Newell Santiago, MA
Pia Newell Santiago
MA
Verified Verified
Ottawa, ON K1M  (Online Only)
Waitlist for new clients
The approach I take with clients is that counselling/therapy is a collaborative, change and growth-oriented process. I work with clients who are interested in being active participants in the therapeutic process by exploring their personal experiences, developing insight, and taking action toward change and growth.
The approach I take with clients is that counselling/therapy is a collaborative, change and growth-oriented process. I work with clients who are interested in being active participants in the therapeutic process by exploring their personal experiences, developing insight, and taking action toward change and growth.
(855) 979-8485 View (855) 979-8485
Photo of Nicole Waldston - Supportive Therapy - Nicole Waldston, MSW, RSW, Registered Social Worker
Supportive Therapy - Nicole Waldston
Registered Social Worker, MSW, RSW
Verified Verified
2 Endorsed
Ottawa, ON K1M  (Online Only)
I am a firm believer that there is no one right or true way to engage in therapy. Everyone comes with a set of their own unique life experiences, which requires an individualized take on achieving personal goals and overcoming barriers. My approach is based in evidence and strength based practice, while focusing on you and where you are in your journey. We will work together to create a safe and empowering environment. You will receive support in gaining insight, developing coping mechanisms and strategies and strengthening the foundation of your authentic self through methods such as CBT, EFT, Attachment & Trauma Approaches.
I am a firm believer that there is no one right or true way to engage in therapy. Everyone comes with a set of their own unique life experiences, which requires an individualized take on achieving personal goals and overcoming barriers. My approach is based in evidence and strength based practice, while focusing on you and where you are in your journey. We will work together to create a safe and empowering environment. You will receive support in gaining insight, developing coping mechanisms and strategies and strengthening the foundation of your authentic self through methods such as CBT, EFT, Attachment & Trauma Approaches.
(289) 312-4324 View (289) 312-4324
Photo of Anne Hanley, RP, Registered Psychotherapist
Anne Hanley
Registered Psychotherapist, RP
Verified Verified
Ottawa, ON K1M
My therapeutic approach in my clinical practice is based upon an initial assessment of Client's core values, sense of meaning and identity . It is my experience that people of all stripes seek interior / spiritual balance. Assisting them in the areas that they identify as challenges; feeling overwhelmed, a want of vision and/or control, depression, grieving losses, stress, anxiety, or a sense of aloneness are areas where I can provide my expertise to help them along the path of healing, wellness, and purposefulness.
My therapeutic approach in my clinical practice is based upon an initial assessment of Client's core values, sense of meaning and identity . It is my experience that people of all stripes seek interior / spiritual balance. Assisting them in the areas that they identify as challenges; feeling overwhelmed, a want of vision and/or control, depression, grieving losses, stress, anxiety, or a sense of aloneness are areas where I can provide my expertise to help them along the path of healing, wellness, and purposefulness.
(343) 307-5949 View (343) 307-5949
Photo of Linnea Elizabeth McPhail, BA, DVATI, RP, Registered Psychotherapist
Linnea Elizabeth McPhail
Registered Psychotherapist, BA, DVATI, RP
Verified Verified
1 Endorsed
Rockcliffe, ON K1M
You may be struggling to hold everything together. You may feel helpless, or that no one around you understands how you are feeling. You might be easily distracted. You feel hopeless & may lack the motivation to get through even the most basic of tasks. You might feel anxious, depressed, or just blah. You may be caring for a young human who is struggling in school or at home. They may be sensitive & have a big heart but struggle to cope with their big emotions. As an Art Therapist & Death Doula, I can help folks work with difficult emotions one may be experiencing, together in a space created with safety, kindness, & compassion.
You may be struggling to hold everything together. You may feel helpless, or that no one around you understands how you are feeling. You might be easily distracted. You feel hopeless & may lack the motivation to get through even the most basic of tasks. You might feel anxious, depressed, or just blah. You may be caring for a young human who is struggling in school or at home. They may be sensitive & have a big heart but struggle to cope with their big emotions. As an Art Therapist & Death Doula, I can help folks work with difficult emotions one may be experiencing, together in a space created with safety, kindness, & compassion.
(343) 308-0586 View (343) 308-0586

See more therapy options for K1M

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.