Couples Counselling in Marylebone, London

Photo of Dr Dane Duncan, Psychologist in Marylebone, London, England
Dr Dane Duncan
Psychologist, HCPC - Clin. Psych.
Verified Verified
Marylebone, London W1U  (Online Only)
I am a Clinical Psychologist with over 14 years of experience, specialiaing in providing compassionate and down-to-earth therapy. As a bookworm, rock-climber, and cat-Dad, I understand the importance of connecting on a personal level. Therapy with me is a journey focused on compassion, resilience, and understanding. I believe that your story is central, and together, we can navigate through challenges or nurture the positives in your life. I work with a wide range of clients and have expertise in stress, sadness, worry, couples work, sexuality, and gender diversity, I offer a tailored approach to suit your unique needs.
I am a Clinical Psychologist with over 14 years of experience, specialiaing in providing compassionate and down-to-earth therapy. As a bookworm, rock-climber, and cat-Dad, I understand the importance of connecting on a personal level. Therapy with me is a journey focused on compassion, resilience, and understanding. I believe that your story is central, and together, we can navigate through challenges or nurture the positives in your life. I work with a wide range of clients and have expertise in stress, sadness, worry, couples work, sexuality, and gender diversity, I offer a tailored approach to suit your unique needs.
020 3984 7939 View 020 3984 7939
Photo of Alan Wardle, Counsellor in Marylebone, London, England
Alan Wardle
Counsellor, MNCPS Acc.
Verified Verified
Marylebone, London W1W
I have a room in central London, near Oxford Circus, and currently have availability on Wednesdays for individuals and couples.
I am a gay man and have particular expertise in working with LGBT+ clients, both for individuals and those in relationships. You may be coming to therapy with a specific challenge – work, relationships, your identity – or because something in your life doesn’t feel right. We will look at patterns of behaviour which are causing problems and see how past experiences impact you today. I aim to offer a safe and non-judgmental space to work with you to make sense of your life. Therapy is a partnership – we will work together to make meaning of what’s going on and help bring about changes in your life
I have a room in central London, near Oxford Circus, and currently have availability on Wednesdays for individuals and couples.
I am a gay man and have particular expertise in working with LGBT+ clients, both for individuals and those in relationships. You may be coming to therapy with a specific challenge – work, relationships, your identity – or because something in your life doesn’t feel right. We will look at patterns of behaviour which are causing problems and see how past experiences impact you today. I aim to offer a safe and non-judgmental space to work with you to make sense of your life. Therapy is a partnership – we will work together to make meaning of what’s going on and help bring about changes in your life
020 8016 2791 View 020 8016 2791
Photo of Madi Strong, Psychotherapist in Marylebone, London, England
Madi Strong
Psychotherapist, MA, MUKCP
Verified Verified
Marylebone, London W1G
I am trained to work with, adults, children, groups and couples.
Hi I'm Madi, a psychotherapist with 30+ years of clinical experience, . I have a strong relational focus which draws from attachment and psychodynamic perspectives. I am comfortable with talk based approaches and as a trained arts therapist I know the unique power of engaging creativity and imagination to overcome life’s challenges. Therapy can feel daunting but there are also moments of connection spontaneity and even joy . At the heart of my work lies the privilege of working alongside my clients, supporting them to attain their goals, and find a measure of peace, wellbeing and fulfilment that is life changing.
I am trained to work with, adults, children, groups and couples.
Hi I'm Madi, a psychotherapist with 30+ years of clinical experience, . I have a strong relational focus which draws from attachment and psychodynamic perspectives. I am comfortable with talk based approaches and as a trained arts therapist I know the unique power of engaging creativity and imagination to overcome life’s challenges. Therapy can feel daunting but there are also moments of connection spontaneity and even joy . At the heart of my work lies the privilege of working alongside my clients, supporting them to attain their goals, and find a measure of peace, wellbeing and fulfilment that is life changing.
020 3835 3858 View 020 3835 3858
Photo of Silva Neves, Psychotherapist in Marylebone, London, England
Silva Neves
Psychotherapist, COSRT Accred
Verified Verified
1 Endorsed
Marylebone, London W1S
I am a fully qualified, experienced and accredited psychotherapist, specialist in psychosexual & relationship therapy, couples therapy, and the treatment of compulsive sexual behaviours. I am a clinical traumatologist specialist in providing therapy for survivors of sexual abuse. I offer clinical supervision to psychotherapists, psychologists, counsellors and other mental health professionals. I hold a full professional insurance.
I am a fully qualified, experienced and accredited psychotherapist, specialist in psychosexual & relationship therapy, couples therapy, and the treatment of compulsive sexual behaviours. I am a clinical traumatologist specialist in providing therapy for survivors of sexual abuse. I offer clinical supervision to psychotherapists, psychologists, counsellors and other mental health professionals. I hold a full professional insurance.
020 3974 1463 View 020 3974 1463
Photo of Dr Debbie Lovell, Psychologist in Marylebone, London, England
Dr Debbie Lovell
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Verified Verified
Marylebone, London W1G
I have more than 8 years of academic training yet I believe the personal qualities the therapist brings are most critical to the work and the relationship.
I am one of a small number of practitioners in the UK who is dually qualified as a chartered psychologist and a sex therapist. My clients may seek help for a specific sexual difficulty such as desire or arousal concerns; or may experience broader distress which also manifests in their sexual and relational world such as low self esteem or perfectionism.
I have more than 8 years of academic training yet I believe the personal qualities the therapist brings are most critical to the work and the relationship.
I am one of a small number of practitioners in the UK who is dually qualified as a chartered psychologist and a sex therapist. My clients may seek help for a specific sexual difficulty such as desire or arousal concerns; or may experience broader distress which also manifests in their sexual and relational world such as low self esteem or perfectionism.
020 3909 9821 View 020 3909 9821
Photo of Naomi Segal - Couples Counselling Online, Psychotherapist in Marylebone, London, England
Naomi Segal - Couples Counselling Online
Psychotherapist, MA, MBACP
Verified Verified
Marylebone, London W1W
SPECIALIST ONLINE COUPLES COUNSELLING HELPING YOU CREATE THE RELATIONSHIP YOU WANT “How do we communicate better?”, “ How do we stop arguing?”, “We’re not getting on and I don’t know why”, “She/he won’t listen to me”, “I can’t get past her/his affair”, “Things changed after we had kids”, “I think I want to separate”... Sound familiar? Many people wait until their relationship problems seem unbearable before they decide to reach out for help. If tension is starting to develop in your relationship, don’t wait until it’s too late to ask for help.
SPECIALIST ONLINE COUPLES COUNSELLING HELPING YOU CREATE THE RELATIONSHIP YOU WANT “How do we communicate better?”, “ How do we stop arguing?”, “We’re not getting on and I don’t know why”, “She/he won’t listen to me”, “I can’t get past her/his affair”, “Things changed after we had kids”, “I think I want to separate”... Sound familiar? Many people wait until their relationship problems seem unbearable before they decide to reach out for help. If tension is starting to develop in your relationship, don’t wait until it’s too late to ask for help.
020 3984 9676 View 020 3984 9676
Photo of Phil Mollon, Psychotherapist in Marylebone, London, England
Phil Mollon
Psychotherapist, PhD, BPC
Verified Verified
Marylebone, London W1G
Having been in clinical practice for over 45 years, much of it within the NHS, I have experience in working with most kinds of emotional and psychological difficulties. These include trauma, relationship problems, all kinds of anxiety states, depression and low self-esteem, disorders in the sense of self, ADHD - along with the more subtle states of "feeling different" and the challenges of being a "highly sensitive person" or "indigo" being. Spirituality and working with our higher dimensional aspects are a core part of my work, along with help in identifying a person's 'soul mission' and resolving blocks to pursuing this.
Having been in clinical practice for over 45 years, much of it within the NHS, I have experience in working with most kinds of emotional and psychological difficulties. These include trauma, relationship problems, all kinds of anxiety states, depression and low self-esteem, disorders in the sense of self, ADHD - along with the more subtle states of "feeling different" and the challenges of being a "highly sensitive person" or "indigo" being. Spirituality and working with our higher dimensional aspects are a core part of my work, along with help in identifying a person's 'soul mission' and resolving blocks to pursuing this.
01462 418492 View 01462 418492
Photo of Sedef Oral Psychotherapy & Counselling Ltd, Psychotherapist in Marylebone, London, England
Sedef Oral Psychotherapy & Counselling Ltd
Psychotherapist, MA, MBACP Accred
Verified Verified
Marylebone, London W1U
Hello! I'm Sedef. I am a BACP Accredited, EMDR Europe Accredited Psychotherapist, COSRT Registered Relationship Therapist, and Advanced Level EFT Therapist working with adults, couples, and adult families in Turkish and English. While reading this page, maybe you are sad, angry, or anxious. Maybe you feel hurt, alone, overwhelmed, helpless, or inadequate. Maybe you are feeling ok; yet you just need to feel better about yourself, your relationship with a partner, a family member, a friend or a colleague. Would you like to improve your relationship with yourself and your loved ones? If yes, then I’d love to help you in this process.
Hello! I'm Sedef. I am a BACP Accredited, EMDR Europe Accredited Psychotherapist, COSRT Registered Relationship Therapist, and Advanced Level EFT Therapist working with adults, couples, and adult families in Turkish and English. While reading this page, maybe you are sad, angry, or anxious. Maybe you feel hurt, alone, overwhelmed, helpless, or inadequate. Maybe you are feeling ok; yet you just need to feel better about yourself, your relationship with a partner, a family member, a friend or a colleague. Would you like to improve your relationship with yourself and your loved ones? If yes, then I’d love to help you in this process.
020 3319 1371 View 020 3319 1371
Photo of Dr Benedict Hoff, Psychotherapist in Marylebone, London, England
Dr Benedict Hoff
Psychotherapist, PhD, MBACP
Verified Verified
Marylebone, London W1G
I’m interested in what works. For you. So I take a pluralistic, integrative approach and don’t limit myself to one particular way of working. Whether you’re seeing me for counselling, schema-based therapy or psychosexual therapy, I'll tailor my approach to suit your needs. And it’s the relationship between you and I which will be central to the work. Because I’m not a friend, colleague or family member, you can think the unthinkable and speak the unspeakable in a judgement-free space. You can rely on me to be honest with you, and bring into your awareness your blind spots, and things on the edge of your awareness you might missing.
I’m interested in what works. For you. So I take a pluralistic, integrative approach and don’t limit myself to one particular way of working. Whether you’re seeing me for counselling, schema-based therapy or psychosexual therapy, I'll tailor my approach to suit your needs. And it’s the relationship between you and I which will be central to the work. Because I’m not a friend, colleague or family member, you can think the unthinkable and speak the unspeakable in a judgement-free space. You can rely on me to be honest with you, and bring into your awareness your blind spots, and things on the edge of your awareness you might missing.
01748 902515 View 01748 902515
Photo of Emma Wallen, Psychotherapist in Marylebone, London, England
Emma Wallen
Psychotherapist, MBACP Accred
Verified Verified
1 Endorsed
Marylebone, London W1W  (Online Only)
Couples will have a containment of 10 sessions to begin and will be reviewed to determine if a further container is required or an alternative structure designed with the goals in mind.
We work within a structured integrative framework. From your initial assessment, you will describe and specify the areas you’d like to work on. I will formalise a treatment plan which will be communicated throughout, whilst sharing homework, and other resources I see will enhance your progress. Our work is to understand who you are and to own your personal power enough to start leading and transforming your relationships with yourself and those around you. Working towards a goal can help with self-esteem and self development as you can map and develop whilst seeing your progress. Reviews will take place every 6-8 sessions
Couples will have a containment of 10 sessions to begin and will be reviewed to determine if a further container is required or an alternative structure designed with the goals in mind.
We work within a structured integrative framework. From your initial assessment, you will describe and specify the areas you’d like to work on. I will formalise a treatment plan which will be communicated throughout, whilst sharing homework, and other resources I see will enhance your progress. Our work is to understand who you are and to own your personal power enough to start leading and transforming your relationships with yourself and those around you. Working towards a goal can help with self-esteem and self development as you can map and develop whilst seeing your progress. Reviews will take place every 6-8 sessions
07480 538203 View 07480 538203
Photo of Angela J Brassett-Harknett, Psychotherapist in Marylebone, London, England
Angela J Brassett-Harknett
Psychotherapist, MA, MBACP
Verified Verified
Marylebone, London W1G
I am an integrative psychotherapist, specialising in working with adults (18 years+) with eating disorders and body image problems, as well as with adults with post-traumatic stress disorder (PTSD), often owing to current or historical abuse. I have been in private practice since 2006, and work with individuals, couples and with groups. Aside from these specialisms, I also work with people troubled by all manner of other psychological problems (e.g. depression, anxiety, bereavement, relationship problems, OCD, identity problems, etc.), and I welcome whatever issues a client chooses to bring to therapy.
I am an integrative psychotherapist, specialising in working with adults (18 years+) with eating disorders and body image problems, as well as with adults with post-traumatic stress disorder (PTSD), often owing to current or historical abuse. I have been in private practice since 2006, and work with individuals, couples and with groups. Aside from these specialisms, I also work with people troubled by all manner of other psychological problems (e.g. depression, anxiety, bereavement, relationship problems, OCD, identity problems, etc.), and I welcome whatever issues a client chooses to bring to therapy.
020 3872 2576 View 020 3872 2576
Photo of Dr Rosanna Michalczuk, Psychologist in Marylebone, London, England
Dr Rosanna Michalczuk
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Marylebone, London W1G  (Online Only)
In my private practice, I often see people for stress management, clinical burn out, fertility difficulties, workplace bullying and relationship problems.
Therapy can be a difficult and overwhelming process for many people. I'm committed to providing a safe and supportive space for people to explore their thoughts and feelings. I have a broad range of interests and over 15 years experience in the field of mental health including treating low self esteem, anxiety, sleep problems and depression. I take pride in my collaborative and empathic approach, wanting to understand and learn from my clients’ unique perspectives and experiences. When I feel that I have played a part in helping someone move closer to the life they value and deserve, it is the most rewarding work I can imagine.
In my private practice, I often see people for stress management, clinical burn out, fertility difficulties, workplace bullying and relationship problems.
Therapy can be a difficult and overwhelming process for many people. I'm committed to providing a safe and supportive space for people to explore their thoughts and feelings. I have a broad range of interests and over 15 years experience in the field of mental health including treating low self esteem, anxiety, sleep problems and depression. I take pride in my collaborative and empathic approach, wanting to understand and learn from my clients’ unique perspectives and experiences. When I feel that I have played a part in helping someone move closer to the life they value and deserve, it is the most rewarding work I can imagine.
020 4538 5393 View 020 4538 5393
Photo of Beverley Blackman, Psychotherapist in Marylebone, London, England
Beverley Blackman
Psychotherapist, MA, MUKCP
Verified Verified
Marylebone, London W1K
We work with individuals (17+) and couples, and we are able to offer some reduced fee sessions for 1:1 work.
I have been working in psychotherapy since 2003. My background encompasses both private mental health sectors and NHS Mental Health Trusts, working both 1:1 and in groups, and includes working in a cutting-edge therapeutic community. I have seen a diverse range of clients from many differing backgrounds and cultures, and with a wide range of presenting problems. I continue to enjoy working with a wide variety of clients and presentations, from personal development goals to mental health spectrum based work. I also work as a clinical supervisor, and head up Beverley Blackman Associates (please see website for more details).
We work with individuals (17+) and couples, and we are able to offer some reduced fee sessions for 1:1 work.
I have been working in psychotherapy since 2003. My background encompasses both private mental health sectors and NHS Mental Health Trusts, working both 1:1 and in groups, and includes working in a cutting-edge therapeutic community. I have seen a diverse range of clients from many differing backgrounds and cultures, and with a wide range of presenting problems. I continue to enjoy working with a wide variety of clients and presentations, from personal development goals to mental health spectrum based work. I also work as a clinical supervisor, and head up Beverley Blackman Associates (please see website for more details).
020 3962 1159 View 020 3962 1159
Photo of Anna Kelberg, Psychotherapist in Marylebone, London, England
Anna Kelberg
Psychotherapist, PhD, COSRT General
Verified Verified
3 Endorsed
Marylebone, London W1K
In our modern world, many have encountered non-monogamy in its varied forms - from discovering a partner's affair, to managing the complexities of jealousy within an open relationship, or the rollercoaster of emotions while contemplating attractions outside a committed partnership. My specialty lies in assisting my clients, some of whom are just starting to explore non-monogamy, to navigate these intricate experiences. Under my gentle guidance you will be able to transform the potent energy of non-monogamy into avenues for personal growth, self-discovery, deeper emotional connection and greater intimacy with your partner.
In our modern world, many have encountered non-monogamy in its varied forms - from discovering a partner's affair, to managing the complexities of jealousy within an open relationship, or the rollercoaster of emotions while contemplating attractions outside a committed partnership. My specialty lies in assisting my clients, some of whom are just starting to explore non-monogamy, to navigate these intricate experiences. Under my gentle guidance you will be able to transform the potent energy of non-monogamy into avenues for personal growth, self-discovery, deeper emotional connection and greater intimacy with your partner.
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Photo of Joanna Konstantopoulou, Psychologist in Marylebone, London, England
Joanna Konstantopoulou
Psychologist, MSc, HCPC - Health Psych.
Verified Verified
Marylebone, London W1G
With over 18 years of scientific knowledge in psychology, and over 14 years of professional clinical experience she is an expert in behavioral and emotional change. Joanna’s experience includes psychological therapy for individuals, groups and couples with a variety of emotional and behavioural issues including depression, anxiety, and relationship issues
With over 18 years of scientific knowledge in psychology, and over 14 years of professional clinical experience she is an expert in behavioral and emotional change. Joanna’s experience includes psychological therapy for individuals, groups and couples with a variety of emotional and behavioural issues including depression, anxiety, and relationship issues
020 3962 1120 View 020 3962 1120
Photo of Ryan Powell, Counsellor in Marylebone, London, England
Ryan Powell
Counsellor, DCounsPsych, MBACP Accred
Verified Verified
1 Endorsed
Marylebone, London W1S
I specialize in anxiety and depression; however I am experienced with LGBTQ+ clients, addictions, relationship issues, eating disorders and much more.
I am trained in both couple’s therapy and individual therapy and also offer Supervision. As an Integrative Counsellor, I am here to walk beside you on your journey. My approach is empathetic and compassionate; however I will challenge my clients to help them achieve their goals. I have worked within the NHS and now within a university conducting short term solution focused therapy. I have created a successful private practice and I want the sessions to focus on my clients needs. I will provide the platform for you to discuss what you need to discuss and the safety of a confidential, caring and warm space.
I specialize in anxiety and depression; however I am experienced with LGBTQ+ clients, addictions, relationship issues, eating disorders and much more.
I am trained in both couple’s therapy and individual therapy and also offer Supervision. As an Integrative Counsellor, I am here to walk beside you on your journey. My approach is empathetic and compassionate; however I will challenge my clients to help them achieve their goals. I have worked within the NHS and now within a university conducting short term solution focused therapy. I have created a successful private practice and I want the sessions to focus on my clients needs. I will provide the platform for you to discuss what you need to discuss and the safety of a confidential, caring and warm space.
020 4538 8657 View 020 4538 8657
Photo of Indu Dua, Counsellor in Marylebone, London, England
Indu Dua
Counsellor, MBACP
Verified Verified
1 Endorsed
Marylebone, London W1H
When life is full of challenges, navigating through complex feelings and making sense of them alone is stressful. I am here to hold your hand in your journey to explore your thoughts and feelings. I am experienced in helping clients with Depression, Anxiety, Low self-esteem, Relationship issues and Trauma. I specialise in supporting parents experiencing Perinatal and Postnatal Difficulties and individuals coping with Grief, Loss, and Bereavement. I believe in the innate strengths and healing capabilities of every individual. In our sessions, we will work together to re-establish a connection with your inner reservoir of strength.
When life is full of challenges, navigating through complex feelings and making sense of them alone is stressful. I am here to hold your hand in your journey to explore your thoughts and feelings. I am experienced in helping clients with Depression, Anxiety, Low self-esteem, Relationship issues and Trauma. I specialise in supporting parents experiencing Perinatal and Postnatal Difficulties and individuals coping with Grief, Loss, and Bereavement. I believe in the innate strengths and healing capabilities of every individual. In our sessions, we will work together to re-establish a connection with your inner reservoir of strength.
01708 988785 View 01708 988785
Photo of David Piner, Psychotherapist in Marylebone, London, England
David Piner
Psychotherapist, MA, MBACP
Verified Verified
Marylebone, London W1W
I am a specialist couple, relationship and psychosexual psychotherapist, here you if you are struggling with a couple, relationship, or sexual issue. I offer individual and couples specialist relationship, couples and psychosexual therapy. I have over 17 years of experience working with clients. This is all done within a confidential and non-judgmental space. I am a qualified and accredited sex and relationship therapist. As Associate Director of the London Diploma in Psychosexual and Relationship Therapy and Course Director of the Naos Institute's Advanced Couples Diploma, I help train the next generation of specialist therapists.
I am a specialist couple, relationship and psychosexual psychotherapist, here you if you are struggling with a couple, relationship, or sexual issue. I offer individual and couples specialist relationship, couples and psychosexual therapy. I have over 17 years of experience working with clients. This is all done within a confidential and non-judgmental space. I am a qualified and accredited sex and relationship therapist. As Associate Director of the London Diploma in Psychosexual and Relationship Therapy and Course Director of the Naos Institute's Advanced Couples Diploma, I help train the next generation of specialist therapists.
023 8214 8557 View 023 8214 8557
Photo of Dr Cristian A Nica, Psychologist in Marylebone, London, England
Dr Cristian A Nica
Psychologist, MSc, HCPC - Clin. Psych.
Verified Verified
Marylebone, London W1G
Psychologist, HCPC-registered supervisor in clinical, counselling, health and occupational psychology. Providing services for individuals, couples and organisations beginning from eclectic CBT interventions (ACT, DBT, ST) - the most effective and intuitive psychological framework. I address all psychopathologies. My goal is to provide you with a strong mental platform and the skills to help you keep your life in reach. Progress means change, rehearsing new ways of thinking or a range of strategies to iterate development safely. The result, a genuine approach for you to always find a better way forward.
Psychologist, HCPC-registered supervisor in clinical, counselling, health and occupational psychology. Providing services for individuals, couples and organisations beginning from eclectic CBT interventions (ACT, DBT, ST) - the most effective and intuitive psychological framework. I address all psychopathologies. My goal is to provide you with a strong mental platform and the skills to help you keep your life in reach. Progress means change, rehearsing new ways of thinking or a range of strategies to iterate development safely. The result, a genuine approach for you to always find a better way forward.
020 4538 6560 View 020 4538 6560
Photo of The Journey Psychotherapists Mbacp Msc, Psychotherapist in Marylebone, London, England
The Journey Psychotherapists Mbacp Msc
Psychotherapist, MSc, MBACP
Verified Verified
1 Endorsed
Marylebone, London W1G
‘The Journey’ is a small group of male Psychotherapists specialising in three areas: mental health challenges, relationship difficulties and career related issues. Working on a one-to-one basis, you will be able to talk privately within a safe, confidential space. Together, we will work through your current situation and what’s brought you to reaching out. We will work through your past, reflecting on the significant events and how they have impacted you. When you feel ready, you can begin to build a future that you really want, one that motivates you and excites you. A future that you really want.
‘The Journey’ is a small group of male Psychotherapists specialising in three areas: mental health challenges, relationship difficulties and career related issues. Working on a one-to-one basis, you will be able to talk privately within a safe, confidential space. Together, we will work through your current situation and what’s brought you to reaching out. We will work through your past, reflecting on the significant events and how they have impacted you. When you feel ready, you can begin to build a future that you really want, one that motivates you and excites you. A future that you really want.
020 8016 2431 View 020 8016 2431

See more therapy options for Marylebone, 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.