Photo of Cássia Testa Gallas Bhattacharya in City of London, London, England
Cássia Testa Gallas Bhattacharya
Verified Verified
City of London, London SE1  (Online Only)
I help clients to deal with anxiety, conflict in the relationship, vaginismus, erectile dysfunction, rapid/delayed ejaculation, pain during sex, fear of sex, discomfort around sexual practices, sexual trauma, lack of pleasure during sex, communication issues, desire to change the dynamics of the relationship, change in circumstance, and more.
Hi! I believe everyone has the right for decent relationships (with friends, family and partners) as it has tremendous influence in their quality of life. Many things influence the way people behave in relationships - I am here to help you explore what might be getting in the way of you getting the relationships you want. I work with all sorts of issues in relationships and sexual difficulties, and will offer you a non-judgmental environment while facilitating the therapeutic process for self-discovery and actualisation.
I help clients to deal with anxiety, conflict in the relationship, vaginismus, erectile dysfunction, rapid/delayed ejaculation, pain during sex, fear of sex, discomfort around sexual practices, sexual trauma, lack of pleasure during sex, communication issues, desire to change the dynamics of the relationship, change in circumstance, and more.
Hi! I believe everyone has the right for decent relationships (with friends, family and partners) as it has tremendous influence in their quality of life. Many things influence the way people behave in relationships - I am here to help you explore what might be getting in the way of you getting the relationships you want. I work with all sorts of issues in relationships and sexual difficulties, and will offer you a non-judgmental environment while facilitating the therapeutic process for self-discovery and actualisation.
020 8059 2130 View 020 8059 2130
Photo of Hannah Jackson-McCamley, Counsellor in City of London, London, England
Hannah Jackson-McCamley
Counsellor, MUKCP
Verified Verified
City of London, London EC4A
You might be navigating confusing feelings around your identity, relationship or career.
Whether you’re going through a major life change, reflecting on trauma from the past, grieving the loss of a loved one or of a dream, or something just doesn’t feel quite right, as an individual, group or couple, I’m here to help you explore your inner world, understand your patterns of behaviour and be the you you want to be. Together, we will work on you so that you feel seen, heard and understood. With over a decade of experience working in the creative industries, I understand the stress surrounding those careers. I also have expertise in bereavement, supporting hundreds of clients facing significant loss.
You might be navigating confusing feelings around your identity, relationship or career.
Whether you’re going through a major life change, reflecting on trauma from the past, grieving the loss of a loved one or of a dream, or something just doesn’t feel quite right, as an individual, group or couple, I’m here to help you explore your inner world, understand your patterns of behaviour and be the you you want to be. Together, we will work on you so that you feel seen, heard and understood. With over a decade of experience working in the creative industries, I understand the stress surrounding those careers. I also have expertise in bereavement, supporting hundreds of clients facing significant loss.
020 3835 4678 View 020 3835 4678
Photo of The London Practice, Psychologist in City of London, London, England
The London Practice
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Verified Verified
City of London, London EC2M
We have experience with a wide variety of issues, including: Relationship, Family issues, Stress, Anxiety, Depression, HIV, Sexuality, Life threatening illness, Addiction, Bereavement, Loss of meaning and purpose, Identity issues, Low self-esteem, Relationship issues, Sexual abuse, Suicidal thoughts and Employment issues.
We believe that everyone is unique and therefore is dealt with in a way that best caters to his or her individual needs. We work with you by exploring your world to see how you engage with your life and the people around you. Along the journey, we will explore your past, look at your present and see how you perceive the future. We will help you become more aware of your values, beliefs and limitations and help you connect and improve your relationship with yourself. This process may be challenging, yet extremely rewarding as we access the changes you want to make towards living the life that you want to live.
We have experience with a wide variety of issues, including: Relationship, Family issues, Stress, Anxiety, Depression, HIV, Sexuality, Life threatening illness, Addiction, Bereavement, Loss of meaning and purpose, Identity issues, Low self-esteem, Relationship issues, Sexual abuse, Suicidal thoughts and Employment issues.
We believe that everyone is unique and therefore is dealt with in a way that best caters to his or her individual needs. We work with you by exploring your world to see how you engage with your life and the people around you. Along the journey, we will explore your past, look at your present and see how you perceive the future. We will help you become more aware of your values, beliefs and limitations and help you connect and improve your relationship with yourself. This process may be challenging, yet extremely rewarding as we access the changes you want to make towards living the life that you want to live.
020 3962 0673 View 020 3962 0673
Photo of Dr Samina Khatun, Psychologist in City of London, London, England
Dr Samina Khatun
Psychologist, PsychD, HCPC - Couns. Psych.
Verified Verified
City of London, London EC2M
Dr Samina is a highly specialist counselling psychologist who treats people suffering from a wide spectrum of disorders. Her areas of expertise lie in the assessment, diagnosis and treatment of complex PTSD, depression and anxiety disorders, confidence and low self-esteem, relationship issues and trauma. She has over 10 years clinical experience within the NHS and private practice including the Priory in London Harley Street. Her integrative method will help you identify blocks and subconscious programming that are holding you back so that you can heal and shift into a more magnetic state and live your life with greater ease.
Dr Samina is a highly specialist counselling psychologist who treats people suffering from a wide spectrum of disorders. Her areas of expertise lie in the assessment, diagnosis and treatment of complex PTSD, depression and anxiety disorders, confidence and low self-esteem, relationship issues and trauma. She has over 10 years clinical experience within the NHS and private practice including the Priory in London Harley Street. Her integrative method will help you identify blocks and subconscious programming that are holding you back so that you can heal and shift into a more magnetic state and live your life with greater ease.
020 4538 3892 View 020 4538 3892
Photo of Tamsin Cullen, Counsellor in City of London, London, England
Tamsin Cullen
Counsellor, MSc, MBACP Accred
Verified Verified
City of London, London EC2M
I use an integrative approach as I do not believe that one style fits all. This means that I will suggest utilising the most appropriate approach according to individual needs and wants. The main approaches I work with, but not limited to, are TA (Transactional Analysis), CBT (Cognitive Behavioural Therapy), Humanistic Therapies. I am also a qualified Europe and UK EMDR (Eye Movement Desensitisation Reprocessing) therapist, a treatment with great success for different types of trauma, PTSD, assaults, rape, phobias, illness, injury, anxiety, self-esteem, stage fright/ performance/ tests and relationship issues.
I use an integrative approach as I do not believe that one style fits all. This means that I will suggest utilising the most appropriate approach according to individual needs and wants. The main approaches I work with, but not limited to, are TA (Transactional Analysis), CBT (Cognitive Behavioural Therapy), Humanistic Therapies. I am also a qualified Europe and UK EMDR (Eye Movement Desensitisation Reprocessing) therapist, a treatment with great success for different types of trauma, PTSD, assaults, rape, phobias, illness, injury, anxiety, self-esteem, stage fright/ performance/ tests and relationship issues.
01245 673651 View 01245 673651
Photo of Sian Naftal, Counsellor in City of London, London, England
Sian Naftal
Counsellor, BACP
Verified Verified
City of London, London EC1A
I am trained to help others cope with emotional and social issues which can affect people of all ages. You may be suffering from anxiety or depression, have relationship problems, low self-esteem, have been bereaved or be dealing with other difficult events. Counselling provides you with a chance to talk about your feelings and experiences in a safe place with someone who will listen to and support you. I will seek to understand, not judge and will work with you to make sense of your situation and make changes that improve your life. I work with both individuals and couples.
I am trained to help others cope with emotional and social issues which can affect people of all ages. You may be suffering from anxiety or depression, have relationship problems, low self-esteem, have been bereaved or be dealing with other difficult events. Counselling provides you with a chance to talk about your feelings and experiences in a safe place with someone who will listen to and support you. I will seek to understand, not judge and will work with you to make sense of your situation and make changes that improve your life. I work with both individuals and couples.
020 8103 3841 View 020 8103 3841
Photo of Chiara Apicella, Psychotherapist in City of London, London, England
Chiara Apicella
Psychotherapist, MSc, MUKCP
Verified Verified
City of London, London EC2N
I have experience in working with anxiety, depression, low self-esteem, sexual abuse, anger issues, addictions, personality disorders, obsessive-compulsive​ disorder, stress, panic disorder, bereavement and relationship problems.
I am a UKCP accredited Relational Transactional Analysis Psychotherapist. My approach is relational, which is an efficacious and powerful model of working with individuals who struggle with psychological, emotional and relational distress. Relationships are at the very heart of what it is to be human and a specific pattern of relating might be the roots of psychological distress. In the first sessions, we can explore what are your difficulties and together according to your needs we can create a specific treatment plan.
I have experience in working with anxiety, depression, low self-esteem, sexual abuse, anger issues, addictions, personality disorders, obsessive-compulsive​ disorder, stress, panic disorder, bereavement and relationship problems.
I am a UKCP accredited Relational Transactional Analysis Psychotherapist. My approach is relational, which is an efficacious and powerful model of working with individuals who struggle with psychological, emotional and relational distress. Relationships are at the very heart of what it is to be human and a specific pattern of relating might be the roots of psychological distress. In the first sessions, we can explore what are your difficulties and together according to your needs we can create a specific treatment plan.
020 3984 7861 View 020 3984 7861
Photo of Albie Cornell, Counsellor in City of London, London, England
Albie Cornell
Counsellor, MSc, MUKCP
Verified Verified
City of London, London EC1A
I'm a Psychotherapeutic Counsellor with a LGBTQIA+ practice working with individuals, relationships and groups in Central London and Online. People seek counselling for many reasons - You might be struggling with anxiety and depression or challenging life events that left you feeling disconnected from yourself, your partner(s), or the world. Or you might be wanting to explore your gender/sexual identities experiences in a non-judgemental, safe space. Whilst all emotions are natural expressions of our human nature, traumatic events and systemic issues can be destabilising, leaving us feeling hopeless and stuck in a place of hurting.
I'm a Psychotherapeutic Counsellor with a LGBTQIA+ practice working with individuals, relationships and groups in Central London and Online. People seek counselling for many reasons - You might be struggling with anxiety and depression or challenging life events that left you feeling disconnected from yourself, your partner(s), or the world. Or you might be wanting to explore your gender/sexual identities experiences in a non-judgemental, safe space. Whilst all emotions are natural expressions of our human nature, traumatic events and systemic issues can be destabilising, leaving us feeling hopeless and stuck in a place of hurting.
View
Photo of Gosia Millward, Psychotherapist in City of London, London, England
Gosia Millward
Psychotherapist, MSc, BACP
Verified Verified
City of London, London EC2M
Seeking therapy is a sign of courage in the depths of conflict. Currently, you may be troubled or overwhelmed, not knowing what is happening either within you, your partner or communicatively between your couple. To be understood and appreciated while conveying the same qualities to another person is an essential component of any satisfying relationship, but it is one that takes an emotional commitment from those involved in finding a resolution. The question I often ask my clients is, "Can you bear the difference of the other, or even tolerate the possibility that they may have a different perspective to the one in your mind?"
Seeking therapy is a sign of courage in the depths of conflict. Currently, you may be troubled or overwhelmed, not knowing what is happening either within you, your partner or communicatively between your couple. To be understood and appreciated while conveying the same qualities to another person is an essential component of any satisfying relationship, but it is one that takes an emotional commitment from those involved in finding a resolution. The question I often ask my clients is, "Can you bear the difference of the other, or even tolerate the possibility that they may have a different perspective to the one in your mind?"
07446 510752 View 07446 510752
Photo of Fiona Beckford, Psychotherapist in City of London, London, England
Fiona Beckford
Psychotherapist, MA, MBACP Accred
Verified Verified
1 Endorsed
City of London, London EC1A  (Online Only)
I enjoy working with couples, individuals and families particularly with relationship issues. I also have clients who identify as dual heritage and wish to explore 'who am I?' and the cultural difficulties they experience. I also have a fondness for helping parents better connect with their children. This includes small children (3-9yrs) and adolescent children, but includes any relationship breakdown. I also support clients who have been traumatised and for those who are happy to engage, set personal development homework, so clients can witness their own progress.
I enjoy working with couples, individuals and families particularly with relationship issues. I also have clients who identify as dual heritage and wish to explore 'who am I?' and the cultural difficulties they experience. I also have a fondness for helping parents better connect with their children. This includes small children (3-9yrs) and adolescent children, but includes any relationship breakdown. I also support clients who have been traumatised and for those who are happy to engage, set personal development homework, so clients can witness their own progress.
01302 490106 View 01302 490106
Photo of Déborah Racheal Ndagire, Psychotherapist in City of London, London, England
Déborah Racheal Ndagire
Psychotherapist, MA, MBACP
Verified Verified
City of London, London EC4A  (Online Only)
In my work, I aim to maintain an equal relationship with my clients, by adopting an attitude of unconditional acceptance to develop a trusting relationship.
Are you looking for a safe and confidential space, a place to help you break your silence about the challenges you face? Do you find yourself feeling like you have lost meaning in life or have difficulty forming or maintaining personal relationships? Are you looking for answers or struggling to find alternative ways of solving your current problems? You are not alone; I will provide you with a safe, warm and non- judgmental therapeutic space, where you are not only listened too but also heard and together we can begin to explore things that come up for you.
In my work, I aim to maintain an equal relationship with my clients, by adopting an attitude of unconditional acceptance to develop a trusting relationship.
Are you looking for a safe and confidential space, a place to help you break your silence about the challenges you face? Do you find yourself feeling like you have lost meaning in life or have difficulty forming or maintaining personal relationships? Are you looking for answers or struggling to find alternative ways of solving your current problems? You are not alone; I will provide you with a safe, warm and non- judgmental therapeutic space, where you are not only listened too but also heard and together we can begin to explore things that come up for you.
020 3322 6794 View 020 3322 6794
Photo of Crisis Plus - Counselling & Psychotherapy, Counsellor in City of London, London, England
Crisis Plus - Counselling & Psychotherapy
Counsellor, MSc, UKCP Trainee
Verified Verified
City of London, London EC1Y
Warm welcome. Are you going through an emotionally tough patch at the moment? A relationship crisis, divorce or infidelity. Struggling in your personal life, in your relationship or at work? Struggling to cope with pressure but unsure how to change it? Maybe everything feels too much and things are adding up quicker than you'd wish. Or maybe the lid is about to come off and you can see it coming. In your mid 40s and facing relationships crisis? Most of us experience difficulties at some point in our lives. Seeking support can prove to be the best thing you can do for yourself. Some slots are available without a waiting list.
Warm welcome. Are you going through an emotionally tough patch at the moment? A relationship crisis, divorce or infidelity. Struggling in your personal life, in your relationship or at work? Struggling to cope with pressure but unsure how to change it? Maybe everything feels too much and things are adding up quicker than you'd wish. Or maybe the lid is about to come off and you can see it coming. In your mid 40s and facing relationships crisis? Most of us experience difficulties at some point in our lives. Seeking support can prove to be the best thing you can do for yourself. Some slots are available without a waiting list.
01276 748023 View 01276 748023
Photo of Amanda Watson, Psychotherapist in City of London, London, England
Amanda Watson
Psychotherapist, PsychD
Verified Verified
City of London, London EC1A  (Online Only)
I offer psychotherapy and counselling to individuals and couples/partnerships of all sexual orientations with a supportive and non judgemental approach. I work from an integrative perspective using a range of theories and strategies to suit the specific needs of the client and I specialise in Psychosexual and Relationship issues. I have a 25 year background in Education and Teaching. Please check out my website: www.amandalisawatson.com
I offer psychotherapy and counselling to individuals and couples/partnerships of all sexual orientations with a supportive and non judgemental approach. I work from an integrative perspective using a range of theories and strategies to suit the specific needs of the client and I specialise in Psychosexual and Relationship issues. I have a 25 year background in Education and Teaching. Please check out my website: www.amandalisawatson.com
020 4538 2359 View 020 4538 2359
Photo of Psikolog Londra Terapi Platformu, Psychotherapist in City of London, London, England
Psikolog Londra Terapi Platformu
Psychotherapist, DCounsPsych, MBABCP
Verified Verified
City of London, London EC2M
You can call us +44 7761 931518 for appointments or reach us through our website www.psikologlondra.com. Turkish-English speaking psychologists and psychiatrist in the UK on the same platform! Our 30+ psychologists and therapists are skilled and experienced in their fields. Let us find the "Right Psychologist" for you!
You can call us +44 7761 931518 for appointments or reach us through our website www.psikologlondra.com. Turkish-English speaking psychologists and psychiatrist in the UK on the same platform! Our 30+ psychologists and therapists are skilled and experienced in their fields. Let us find the "Right Psychologist" for you!
020 3870 3437 View 020 3870 3437
Photo of Ishbel Grace Straker in City of London, London, England
Ishbel Grace Straker
Verified Verified
City of London, London EC3A
As the owner and director of I Straker Consultants, working from my private practice at The Honeycomb Building in Liverpool city centre, I specialise in Anxiety, Depression, Drug, Alcohol, Mental Health, Perimenopausal and Gambling addiction treatment in Liverpool, Merseyside and the surrounding areas. I am a Consultant Prescribing Nurse who studied Psychiatric Nursing at University of Central Lancashire and gained her Masters in Prescribing at the University of West London. Ishbel specialises in ADHD assessments, diagnosis and treatment for adults. The charges for these assessments are £390. .
As the owner and director of I Straker Consultants, working from my private practice at The Honeycomb Building in Liverpool city centre, I specialise in Anxiety, Depression, Drug, Alcohol, Mental Health, Perimenopausal and Gambling addiction treatment in Liverpool, Merseyside and the surrounding areas. I am a Consultant Prescribing Nurse who studied Psychiatric Nursing at University of Central Lancashire and gained her Masters in Prescribing at the University of West London. Ishbel specialises in ADHD assessments, diagnosis and treatment for adults. The charges for these assessments are £390. .
020 8064 2183 View 020 8064 2183
Photo of Fiona Coates Therapy, Counsellor in City of London, London, England
Fiona Coates Therapy
Counsellor, DCounsPsych, MBACP
Verified Verified
City of London, London EC1M  (Online Only)
Not accepting new clients
I am a Psychotherapeutic Counsellor, registered with the BACP. I work with individuals and with couples for short term and long term periods. I provide a safe and confidential space for my clients to talk and explore the challenges they are facing and how this impacts their life. I respect the individuality of my clients, their experience and capacity to decide and choose their own destiny. You may have a goal or outcome you'd like to achieve, but often you may not, and this is okay. I work relationally and believe the supportive and trusting relationship between myself and my clients helps facilitate change and a way forward.
I am a Psychotherapeutic Counsellor, registered with the BACP. I work with individuals and with couples for short term and long term periods. I provide a safe and confidential space for my clients to talk and explore the challenges they are facing and how this impacts their life. I respect the individuality of my clients, their experience and capacity to decide and choose their own destiny. You may have a goal or outcome you'd like to achieve, but often you may not, and this is okay. I work relationally and believe the supportive and trusting relationship between myself and my clients helps facilitate change and a way forward.
020 3823 6181 View 020 3823 6181

Online Therapists

Photo of Talking Counselling , Psychotherapist in City of London, London, England
Talking Counselling
Psychotherapist, MBACP
Verified Verified
City of London, London EC2M  (Online Only)
Mandarin-speaking counsellors, Cantonese, Italian, Welsh, Greek, and Urdu, specialities in Anxiety disorder, Depression and suicidal idealisation, Relationship problems, Childhood trauma from sexual abuse, and emotional/physical abuse.
Anh is the Head of Counselling at Talking Counselling. Booking an assessment is easy and swift after a 1-hour online assessment (£38) we will match you to our team of trainee counsellors, the cost is £40 per session, and for the senior team, it's £90-£120 per session these are weekly sessions. We have no waiting We provide counselling in many languages. Booking an assessment via our website we endeavour to return your email within a day or call or WhatsApp message us at M: 07960333256
Mandarin-speaking counsellors, Cantonese, Italian, Welsh, Greek, and Urdu, specialities in Anxiety disorder, Depression and suicidal idealisation, Relationship problems, Childhood trauma from sexual abuse, and emotional/physical abuse.
Anh is the Head of Counselling at Talking Counselling. Booking an assessment is easy and swift after a 1-hour online assessment (£38) we will match you to our team of trainee counsellors, the cost is £40 per session, and for the senior team, it's £90-£120 per session these are weekly sessions. We have no waiting We provide counselling in many languages. Booking an assessment via our website we endeavour to return your email within a day or call or WhatsApp message us at M: 07960333256
020 3962 0491 View 020 3962 0491
Photo of Christina Berrios, Psychotherapist in City of London, London, England
Christina Berrios
Psychotherapist, MA, MUKCP
Verified Verified
1 Endorsed
City of London, London WC1V
Perhaps you're down or anxious - maybe you're unsure about your future, or just feel that you aren't living the life you were meant to lead. Whatever your needs may be, I can offer support. With an understanding that the therapist-client relationship is key for successful therapy, I provide a warm and empathic space where you can feel safe enough to tell your story. I work with my clients to process difficult feelings, to foster a better understanding of themselves and their circumstances. I can help you to reflect on your experiences, so that you can discover what leading an authentic life looks like for you.
Perhaps you're down or anxious - maybe you're unsure about your future, or just feel that you aren't living the life you were meant to lead. Whatever your needs may be, I can offer support. With an understanding that the therapist-client relationship is key for successful therapy, I provide a warm and empathic space where you can feel safe enough to tell your story. I work with my clients to process difficult feelings, to foster a better understanding of themselves and their circumstances. I can help you to reflect on your experiences, so that you can discover what leading an authentic life looks like for you.
020 3962 1409 View 020 3962 1409
Photo of Antonia Ballantyne, Psychotherapist in City of London, London, England
Antonia Ballantyne
Psychotherapist, MSc, MBACP Accred
Verified Verified
City of London, London EC2R
Relationship lies at the heart of all my work and forms the foundation of my approach.
We all experience times of uncertainty, loss and change and I believe we all benefit from sharing our burdens with someone else, in a safe and non-judgemental way. I understand seeking psychological support can feel scary but my approach is open, warm and accepting. I work collaboratively with people, treating all information in the strictest confidence. My aim is to empower each person to develop their own skills, building resilience to manage difficulties, in the present and going forward.
Relationship lies at the heart of all my work and forms the foundation of my approach.
We all experience times of uncertainty, loss and change and I believe we all benefit from sharing our burdens with someone else, in a safe and non-judgemental way. I understand seeking psychological support can feel scary but my approach is open, warm and accepting. I work collaboratively with people, treating all information in the strictest confidence. My aim is to empower each person to develop their own skills, building resilience to manage difficulties, in the present and going forward.
020 8138 8552 View 020 8138 8552
Photo of Rachel Sher, Counsellor in City of London, London, England
Rachel Sher
Counsellor, MBACP
Verified Verified
City of London, London WC1V
Are you feeling anxious, depressed, or struggling with low self-esteem, life pressures, work conflicts, relationship problems, or mourning a loss? We're all faced with challenges that can leave us feeling stuck and alone and unable to move forward. Every step in my journey is a commitment to fostering healing and resilience to help resolve these issues, to step into your shoes and walk with you as we work through them. I work with a diverse set of clients, each with their own unique stories and reasons for seeking therapy. They are individuals who are looking for change but fighting with the uncertainty of where and how to begin.
Are you feeling anxious, depressed, or struggling with low self-esteem, life pressures, work conflicts, relationship problems, or mourning a loss? We're all faced with challenges that can leave us feeling stuck and alone and unable to move forward. Every step in my journey is a commitment to fostering healing and resilience to help resolve these issues, to step into your shoes and walk with you as we work through them. I work with a diverse set of clients, each with their own unique stories and reasons for seeking therapy. They are individuals who are looking for change but fighting with the uncertainty of where and how to begin.
020 8103 0638 View 020 8103 0638

See more therapy options for City of London, London


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.