Counselling in Mayfair, London

Photo of Filiz Cakmakci, Psychologist in Mayfair, London, England
Filiz Cakmakci
Psychologist, MSc, GMBPsS
Verified Verified
Mayfair, London W1J  (Online Only)
Welcome to my practise! I am a qualified psychologist registered with British Psychological Association (BPS). I offer psychotherapy services in many areas such as depression, anxiety disorders, trauma, family and relationship problems. In addition to providing individual therapy to adolescents and adults, I offer Couples Therapy using the Gottman Method. I align my therapy work with the goals and needs of the clients I work with.
Welcome to my practise! I am a qualified psychologist registered with British Psychological Association (BPS). I offer psychotherapy services in many areas such as depression, anxiety disorders, trauma, family and relationship problems. In addition to providing individual therapy to adolescents and adults, I offer Couples Therapy using the Gottman Method. I align my therapy work with the goals and needs of the clients I work with.
01748 902064 View 01748 902064
Photo of Gulya Diyarova, Psychotherapist in Mayfair, London, England
Gulya Diyarova
Psychotherapist, MSc, MUKCP
Verified Verified
Mayfair, London W1K
I specialise in working with individuals and couples on a wide range of emotional, relational and sexual concerns: relationship difficulties, pre-divorce and separation or highly ambivalent couples (Discernment Counseling- in Training), childhood trauma, depression, lack of sexual desire and arousal, anxieties around sexual performance and functioning.
I am fully qualified Relationship and Psychosexual therapist trained as a Medical Doctor in my 1st career. I help people who come stuck in distress, to change their destructive patterns of ‘blame-distance’ or 'attack-withdraw' into safe emotional connection, repair their relationships and learn to resolve differences. I work mainly in Emotionally Focused Therapy (EFT) model, integrating other approaches when needed, with different and challenging life stage transitions and all kinds of relationships, or individuals. I am founding director of Re-connect. EFT Clinic in Central London leading a team of experienced EFT practitioners.
I specialise in working with individuals and couples on a wide range of emotional, relational and sexual concerns: relationship difficulties, pre-divorce and separation or highly ambivalent couples (Discernment Counseling- in Training), childhood trauma, depression, lack of sexual desire and arousal, anxieties around sexual performance and functioning.
I am fully qualified Relationship and Psychosexual therapist trained as a Medical Doctor in my 1st career. I help people who come stuck in distress, to change their destructive patterns of ‘blame-distance’ or 'attack-withdraw' into safe emotional connection, repair their relationships and learn to resolve differences. I work mainly in Emotionally Focused Therapy (EFT) model, integrating other approaches when needed, with different and challenging life stage transitions and all kinds of relationships, or individuals. I am founding director of Re-connect. EFT Clinic in Central London leading a team of experienced EFT practitioners.
020 3856 4258 View 020 3856 4258
Photo of Dr Samina Khatun, Psychologist in Mayfair, London, England
Dr Samina Khatun
Psychologist, PsychD, HCPC - Couns. Psych.
Verified Verified
Mayfair, London W1K
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 Sofia Likhacheva, Psychotherapist in Mayfair, London, England
Sofia Likhacheva
Psychotherapist, MSc, BACP
Verified Verified
Mayfair, London W1S
I work from a psychoanalytic perspective with an attachment-based focus, providing my clients a space to explore how their past might be influencing their life at present, as well as the ways they relate and connect to others. In the therapeutic process I help clients to gain insight into their state of mind by bringing the unconscious to a conscious level. Alongside these processes, I pay dedicated attention to the quality of the relationship between myself and the clients. This combination is a powerful vehicle for facilitating a meaningful change in the clients’ lives.
I work from a psychoanalytic perspective with an attachment-based focus, providing my clients a space to explore how their past might be influencing their life at present, as well as the ways they relate and connect to others. In the therapeutic process I help clients to gain insight into their state of mind by bringing the unconscious to a conscious level. Alongside these processes, I pay dedicated attention to the quality of the relationship between myself and the clients. This combination is a powerful vehicle for facilitating a meaningful change in the clients’ lives.
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Photo of Jacqueline Jones Sex Therapy, Psychotherapist in Mayfair, London, England
Jacqueline Jones Sex Therapy
Psychotherapist, MA, COSRT General
Verified Verified
3 Endorsed
Mayfair, London W1K
With experience working at Relate as a Psychosexual Therapist with private, NHS & Royal Air Force clients, I offer specialist Sex Therapy for issues such as Sex & the Fuller Figure & Relationship Difficulties.
Issues with relationships, porn, kink or fetish? Does sex feel addictive, painful or boring? Maybe sex isn't as satisfying as it was or as good as it could be. I offer practical, highly specialist help for relationships & individuals. Due to demand, I have just opened a Saturday morning clinic offering sessions. As a Sex Addiction PhD Scholar, I also offer Compulsive Sexual Behaviour Therapy to clients who think their sex life is problematic. I'm able to offer a tailored, unique programme of support using my knowledge and research. I help clients feel less alone, whilst discovering what is going on for them and what to do about it.
With experience working at Relate as a Psychosexual Therapist with private, NHS & Royal Air Force clients, I offer specialist Sex Therapy for issues such as Sex & the Fuller Figure & Relationship Difficulties.
Issues with relationships, porn, kink or fetish? Does sex feel addictive, painful or boring? Maybe sex isn't as satisfying as it was or as good as it could be. I offer practical, highly specialist help for relationships & individuals. Due to demand, I have just opened a Saturday morning clinic offering sessions. As a Sex Addiction PhD Scholar, I also offer Compulsive Sexual Behaviour Therapy to clients who think their sex life is problematic. I'm able to offer a tailored, unique programme of support using my knowledge and research. I help clients feel less alone, whilst discovering what is going on for them and what to do about it.
020 3909 9848 View 020 3909 9848
Photo of Laura Ulume, Psychotherapist in Mayfair, London, England
Laura Ulume
Psychotherapist, MA, MBACP
Verified Verified
Mayfair, London W1B
I work with psychological and emotional challenges such as: anxiety, depression, PTSD, trauma, stress, relationship breakdown (romantic, platonic and family), chronic fatigue, self esteem, confidence and self discovery. Therapy is created to be a safe space, it is my duty to create a safe environment, where clients can feel relaxed when exploring difficult stories from your world.
I work with psychological and emotional challenges such as: anxiety, depression, PTSD, trauma, stress, relationship breakdown (romantic, platonic and family), chronic fatigue, self esteem, confidence and self discovery. Therapy is created to be a safe space, it is my duty to create a safe environment, where clients can feel relaxed when exploring difficult stories from your world.
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Photo of Alexia Lonnoy, Psychotherapist in Mayfair, London, England
Alexia Lonnoy
Psychotherapist, MSc, MUKCP
Verified Verified
Mayfair, London W1W
I am a UKCP and BPA-accredited Psychotherapist specialised in psychodrama psychotherapy and holding an MSc in Theoretical Psychoanalysis from UCL where I graduated with Distinctions. I offer psychotherapy for individuals, couples, and groups. In the NHS I offer psychotherapy to people considered to have complex and enduring psychological difficulties. Through an integration of traditional verbal techniques and modern embodied methods regulating the nervous system, I assist you in both uncovering the underlying reasons behind your behaviors as well as facilitating your healing process.
I am a UKCP and BPA-accredited Psychotherapist specialised in psychodrama psychotherapy and holding an MSc in Theoretical Psychoanalysis from UCL where I graduated with Distinctions. I offer psychotherapy for individuals, couples, and groups. In the NHS I offer psychotherapy to people considered to have complex and enduring psychological difficulties. Through an integration of traditional verbal techniques and modern embodied methods regulating the nervous system, I assist you in both uncovering the underlying reasons behind your behaviors as well as facilitating your healing process.
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Photo of Zrinka Ivkovic, Counsellor in Mayfair, London, England
Zrinka Ivkovic
Counsellor, MA
Verified Verified
Mayfair, London W1K
Having completed my Masters in 2005, I have been offering individual/couples/group counselling for over 14 years in community, academic, and private settings.
I have experience counselling people encountering temporary stressors or life-long behavioural and emotional challenges and/or those with mental health diagnoses. Relationship difficulties, life transitions, depression/low mood, trauma, and anxiety are just a few of the themes with which I have supported clients. I also have experience working with complex cases, including those with dual-diagnoses. The work that I do rests on a threshold of respect, compassion, and non-judgement. It is also collaborative: I offer an educated and human perspective to help bring heightened awareness to challenges, creating an opportunity for change.
Having completed my Masters in 2005, I have been offering individual/couples/group counselling for over 14 years in community, academic, and private settings.
I have experience counselling people encountering temporary stressors or life-long behavioural and emotional challenges and/or those with mental health diagnoses. Relationship difficulties, life transitions, depression/low mood, trauma, and anxiety are just a few of the themes with which I have supported clients. I also have experience working with complex cases, including those with dual-diagnoses. The work that I do rests on a threshold of respect, compassion, and non-judgement. It is also collaborative: I offer an educated and human perspective to help bring heightened awareness to challenges, creating an opportunity for change.
07479 270680 View 07479 270680
Photo of Lina Helena Milner, Psychotherapist in Mayfair, London, England
Lina Helena Milner
Psychotherapist, MA, MBACP
Verified Verified
Mayfair, London W1W
My specialism is relationship and sex therapy for couples and individuals. Every relationship has a challenge, but if you feel that the problem has persisted for too long and caused a lot of distress for you, do contact me and we can have a conversation about the type of counselling that will suit your needs. I also work with individuals who and trying get over break up or have difficulties in forming or ending relationships. I offer an empathetic, safe, and professional environment within which we can work together to facilitate the potential for change in the relationship and work towards sexual health, happiness and well-being.
My specialism is relationship and sex therapy for couples and individuals. Every relationship has a challenge, but if you feel that the problem has persisted for too long and caused a lot of distress for you, do contact me and we can have a conversation about the type of counselling that will suit your needs. I also work with individuals who and trying get over break up or have difficulties in forming or ending relationships. I offer an empathetic, safe, and professional environment within which we can work together to facilitate the potential for change in the relationship and work towards sexual health, happiness and well-being.
07723 456237 View 07723 456237
Photo of Tanya Refson Marks, Psychotherapist in Mayfair, London, England
Tanya Refson Marks
Psychotherapist
Verified Verified
Mayfair, London W1K
I am a UKCP accredited psychotherapist and a member of BACP working with both individuals and couples.
Sometimes it may feel as though patterns are being repeated over and over again and each time you find yourself surprised at reaching the same result. However, people are in constant motion and I hold to the notion that therapy enables self reflection and transformation driving along the process of change. In practice, I will try to ensure you experience a sense of safety in the space for us to better explore your way of being in the world and consider the importance of relationships and memory which are a transformative and pivotal part of what it is you bring to the work and are encouraged to share
I am a UKCP accredited psychotherapist and a member of BACP working with both individuals and couples.
Sometimes it may feel as though patterns are being repeated over and over again and each time you find yourself surprised at reaching the same result. However, people are in constant motion and I hold to the notion that therapy enables self reflection and transformation driving along the process of change. In practice, I will try to ensure you experience a sense of safety in the space for us to better explore your way of being in the world and consider the importance of relationships and memory which are a transformative and pivotal part of what it is you bring to the work and are encouraged to share
020 3856 4497 View 020 3856 4497
Photo of Anna Kelberg, Psychotherapist in Mayfair, London, England
Anna Kelberg
Psychotherapist, PhD, COSRT General
Verified Verified
3 Endorsed
Mayfair, 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 Kate Du Toit, Psychologist in Mayfair, London, England
Kate Du Toit
Psychologist, PsychD, AFBPSsS
Verified Verified
Mayfair, London W1K
For many individuals, the decision to seek help with personal struggles through psychotherapy is an understandably daunting experience, and it can be difficult to know where to start. An essential part of this journey is finding a 'good fit' in terms of therapist. Although theoretical knowledge and clinical experience is important, it is the therapeutic relationship between client and therapist that remains central to the success of any therapeutic work. With this in mind, my therapeutic endeavours are always aimed at facilitating a genuine, honest and real engagement with my clients within and a safe confidential therapeutic space.
For many individuals, the decision to seek help with personal struggles through psychotherapy is an understandably daunting experience, and it can be difficult to know where to start. An essential part of this journey is finding a 'good fit' in terms of therapist. Although theoretical knowledge and clinical experience is important, it is the therapeutic relationship between client and therapist that remains central to the success of any therapeutic work. With this in mind, my therapeutic endeavours are always aimed at facilitating a genuine, honest and real engagement with my clients within and a safe confidential therapeutic space.
020 4538 8402 View 020 4538 8402
Photo of Beverley Blackman, Psychotherapist in Mayfair, London, England
Beverley Blackman
Psychotherapist, MA, MUKCP
Verified Verified
Mayfair, 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 Shannon Ownhouse, Psychologist in Mayfair, London, England
Shannon Ownhouse
Psychologist, HCPC - Clin. Psych.
Verified Verified
Mayfair, London W1W
I tend to work with the following conditions/difficulties: depression, anxiety, adverse childhood experiences, alcohol/substance misuse, stress, relationship difficulties, etc.
Hi, I'm Shannon. I have 12 years experience as a registered Clinical Psychologist (HCPC) and 20 years experience in the mental health field. It may be that you have a diagnosed mental health problem that you need to address, or maybe you are seeking a diagnosis? It may be that you don't suffer from a diagnosable mental health condition but experience significant difficulties in your relationships, at work, regulating your emotions, parenting, etc. I offer a safe, non-judgemental and collaborative space in which to explore your difficulties and develop strategies to make the changes you desire.
I tend to work with the following conditions/difficulties: depression, anxiety, adverse childhood experiences, alcohol/substance misuse, stress, relationship difficulties, etc.
Hi, I'm Shannon. I have 12 years experience as a registered Clinical Psychologist (HCPC) and 20 years experience in the mental health field. It may be that you have a diagnosed mental health problem that you need to address, or maybe you are seeking a diagnosis? It may be that you don't suffer from a diagnosable mental health condition but experience significant difficulties in your relationships, at work, regulating your emotions, parenting, etc. I offer a safe, non-judgemental and collaborative space in which to explore your difficulties and develop strategies to make the changes you desire.
020 3879 1947 View 020 3879 1947
Photo of Anna Sturpino, Counsellor in Mayfair, London, England
Anna Sturpino
Counsellor, COSRT Accred
Verified Verified
Mayfair, London W1W  (Online Only)
Waitlist for new clients
Having a fulfilling sexual life is often what we aspire to, but anxiety, physical pain and relationship issues might make it difficult to achieve. I believe everyone has an innate ability to connect to others and to build healthy relationships. As a sex and relationship therapist, my aim is to help you find your inner resources to overcome the challenges you are coming with. Whether you need your relationship to achieve its full potential or to overcome a crisis, we will work together to identify the issues you are struggling with and support you in the areas where you feel change is needed.
Having a fulfilling sexual life is often what we aspire to, but anxiety, physical pain and relationship issues might make it difficult to achieve. I believe everyone has an innate ability to connect to others and to build healthy relationships. As a sex and relationship therapist, my aim is to help you find your inner resources to overcome the challenges you are coming with. Whether you need your relationship to achieve its full potential or to overcome a crisis, we will work together to identify the issues you are struggling with and support you in the areas where you feel change is needed.
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Photo of Sanaz Mehdipour, Psychotherapist in Mayfair, London, England
Sanaz Mehdipour
Psychotherapist, MUKCP
Verified Verified
Mayfair, London W1J
I am an existential psychotherapist working with individuals and couples who are looking to take meaningful steps towards living in more fulfilling ways. In seeking therapy, we are committing to invest in ourselves and the important relationships around us. This is a daunting task that requires courage, honesty and compassion from both the client and the therapist. Our most compelling emotional learnings occur through relationships, not on our own, therefore the therapist and the quality of the therapeutic relationship are fundamental to deeper emotional understanding and insight.
I am an existential psychotherapist working with individuals and couples who are looking to take meaningful steps towards living in more fulfilling ways. In seeking therapy, we are committing to invest in ourselves and the important relationships around us. This is a daunting task that requires courage, honesty and compassion from both the client and the therapist. Our most compelling emotional learnings occur through relationships, not on our own, therefore the therapist and the quality of the therapeutic relationship are fundamental to deeper emotional understanding and insight.
020 3962 1776 View 020 3962 1776
Photo of Suzie Quartermaine, Psychotherapist in Mayfair, London, England
Suzie Quartermaine
Psychotherapist, BPC
Verified Verified
Mayfair, London W1G
I help both couples and individuals deepen their understanding and make changes in their lives and relationships.
Do you find yourself following the same destructive patterns again and again and not understand why? Perhaps you feel intensely anxious, lonely, angry or misunderstood by those around you or have a feeling of being at odds with yourself in day to day life. You may find yourself in a relationship which feels emotionally dangerous or where communication has completely broken down. Therapy can offer a way out of these painful patterns.
I help both couples and individuals deepen their understanding and make changes in their lives and relationships.
Do you find yourself following the same destructive patterns again and again and not understand why? Perhaps you feel intensely anxious, lonely, angry or misunderstood by those around you or have a feeling of being at odds with yourself in day to day life. You may find yourself in a relationship which feels emotionally dangerous or where communication has completely broken down. Therapy can offer a way out of these painful patterns.
020 3835 2512 View 020 3835 2512
Photo of Dr Satbinder Kaur Bhogal, Psychologist in Mayfair, London, England
Dr Satbinder Kaur Bhogal
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Mayfair, London W1J  (Online Only)
I work with both children and adults and have a keen interest in working with those who have experienced complex/relational trauma with or without self harming/suicidal behaviour. I work with a variety of mental health problems, such as anxiety and depression. I also work with couples experiencing difficulties in their relationship and work towards understanding the emotional conflicts, that result in the relationship being strained or likely to end without support. There is no one size fits all therapeutic approach and so I place importance on developing a shared understanding of what the core emotional issues are that impact you.
I work with both children and adults and have a keen interest in working with those who have experienced complex/relational trauma with or without self harming/suicidal behaviour. I work with a variety of mental health problems, such as anxiety and depression. I also work with couples experiencing difficulties in their relationship and work towards understanding the emotional conflicts, that result in the relationship being strained or likely to end without support. There is no one size fits all therapeutic approach and so I place importance on developing a shared understanding of what the core emotional issues are that impact you.
01564 334869 View 01564 334869
Photo of Dr Victoria Uwannah, Psychologist in Mayfair, London, England
Dr Victoria Uwannah
Psychologist, PsychD, CPsychol
Verified Verified
Mayfair, London W1K
I work on a relational level (with individuals, couples and groups) - helping people to have greater relationships with themselves and others.
Therapy is a safe space to explore some of the confusing or difficult thoughts and feelings that arise throughout life's challenging phases. Major life transitions, relationship issues, bereavements, self-esteem, low mood or anxiety - these are all themes that are worthwhile addressing in therapy. Additionally therapy can be an investment into understanding yourself further; what causes you to think and act in certain ways as this is the gateway to facilitating meaningful and long-lasting change.
I work on a relational level (with individuals, couples and groups) - helping people to have greater relationships with themselves and others.
Therapy is a safe space to explore some of the confusing or difficult thoughts and feelings that arise throughout life's challenging phases. Major life transitions, relationship issues, bereavements, self-esteem, low mood or anxiety - these are all themes that are worthwhile addressing in therapy. Additionally therapy can be an investment into understanding yourself further; what causes you to think and act in certain ways as this is the gateway to facilitating meaningful and long-lasting change.
020 3962 2429 View 020 3962 2429
Photo of Regina Sliw, Psychotherapist in Mayfair, London, England
Regina Sliw
Psychotherapist, MUKCP
Verified Verified
Mayfair, London W1F  (Online Only)
My core training is integrative, psychosexual and relationship psychotherapy and I apply a holistic, mind-body understanding of psychological issues.
I am an accredited and registered psychotherapist and psychosexual therapist with twenty four years experience in Primary Care mental health service. I work with a variety of psychological conditions and I aim to help my clients to develop the tools they need to cope with life's challenges. My practice is informed by the latest researches highlighting the mind-body connection and the way that brain and body work together both in well being as in ill health. It is an insight-oriented psychotherapy.
My core training is integrative, psychosexual and relationship psychotherapy and I apply a holistic, mind-body understanding of psychological issues.
I am an accredited and registered psychotherapist and psychosexual therapist with twenty four years experience in Primary Care mental health service. I work with a variety of psychological conditions and I aim to help my clients to develop the tools they need to cope with life's challenges. My practice is informed by the latest researches highlighting the mind-body connection and the way that brain and body work together both in well being as in ill health. It is an insight-oriented psychotherapy.
020 3962 1449 View 020 3962 1449

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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.