Photo of Elizabeth Robinson, MBACP Accred, Counsellor
Elizabeth Robinson
Counsellor, MBACP Accred
Verified Verified
Ilkley LS29
Types of Counselling I provide is:- Individuals , Couples and Young Adults age of 18 and above.
Elizabeth Robinson Accredited Counsellor / Psychotherapist , Couple counsellor , Family counsellor adults only and Clinical Supervisor . I have over 19 years experience working and training within a variety of organisations , NHS, General Practice, Bradford Rape Crisis , Behind Closed Doors( Domestic Violence ) , Sue Ryder Hospice. Best gift you can give yourself is to come for some counselling it will support you finding yourself again and gain clarity to make the best choice for you in your life. I look forward to hearing from you.
Types of Counselling I provide is:- Individuals , Couples and Young Adults age of 18 and above.
Elizabeth Robinson Accredited Counsellor / Psychotherapist , Couple counsellor , Family counsellor adults only and Clinical Supervisor . I have over 19 years experience working and training within a variety of organisations , NHS, General Practice, Bradford Rape Crisis , Behind Closed Doors( Domestic Violence ) , Sue Ryder Hospice. Best gift you can give yourself is to come for some counselling it will support you finding yourself again and gain clarity to make the best choice for you in your life. I look forward to hearing from you.
07481 360787 View 07481 360787
Photo of Shan Merchant (Couples Therapist), MA, MUKCP, Counsellor
Shan Merchant (Couples Therapist)
Counsellor, MA, MUKCP
Verified Verified
Ilkley LS29
Do you feel despair or a growing distance in your relationship no matter what you do? Are you struggling to communicate with your partner? My clients often tell me they miss warmth & affection and wish they could turn back the clock to happier times. Perhaps your partner had an affair and you're both scared and don't know what to do now. Either way, one thing's for sure: you’re desperate for some relief. It might be hard to imagine your relationship could be full of fun and laughter again but this has happened with my clients. Together we can move you from anxiety and stuckness to feeling happy again.
Do you feel despair or a growing distance in your relationship no matter what you do? Are you struggling to communicate with your partner? My clients often tell me they miss warmth & affection and wish they could turn back the clock to happier times. Perhaps your partner had an affair and you're both scared and don't know what to do now. Either way, one thing's for sure: you’re desperate for some relief. It might be hard to imagine your relationship could be full of fun and laughter again but this has happened with my clients. Together we can move you from anxiety and stuckness to feeling happy again.
01274 019974 View 01274 019974
Photo of Elaine Macha, DCounsPsych, MBACP, Counsellor
Elaine Macha
Counsellor, DCounsPsych, MBACP
Verified Verified
Ilkley LS29
I work with warmth and integrity, to build a confidential empathic relationship, to enable therapeutic change, empowering clients to express feelings and bring clarity to experiences.
Perhaps you are finding life difficult at the moment and you would value help to find your way through being 'stuck'. Life can sometimes lead to emotional difficulties, feelings of stress, which affect our relationships or work. Counselling offers the opportunity to talk through your thoughts and feelings, helping you identify, explore and understand what doesn’t feel right within. The issues you are facing might be leading to low self-esteem, confusion, depression, addiction, suicidal thoughts or self-harm. Counselling can help you develop internal resources, and alternative ways of thinking to help you move forward in your life.
I work with warmth and integrity, to build a confidential empathic relationship, to enable therapeutic change, empowering clients to express feelings and bring clarity to experiences.
Perhaps you are finding life difficult at the moment and you would value help to find your way through being 'stuck'. Life can sometimes lead to emotional difficulties, feelings of stress, which affect our relationships or work. Counselling offers the opportunity to talk through your thoughts and feelings, helping you identify, explore and understand what doesn’t feel right within. The issues you are facing might be leading to low self-esteem, confusion, depression, addiction, suicidal thoughts or self-harm. Counselling can help you develop internal resources, and alternative ways of thinking to help you move forward in your life.
01757 607068 View 01757 607068
Photo of Tabitha Bast - Tabitha Bast: Relationship and Sex Therapy, MSc, COSRT General, Counsellor
Tabitha Bast: Relationship and Sex Therapy
Counsellor, MSc, COSRT General
Verified Verified
1 Endorsed
Ilkley LS29  (Online Only)
Love, sex and personal relationships are the place where we store our hopes, our fears and our vulnerabilities. When our connection with ourselves and others is going well it can feel transformative, but when it isn’t it can be extremely distressing. I offer a non-judgemental integrative approach to relationship and psychosexual therapy to work best with your circumstance, whatever they are, whether single, in a couple or open/polyamorous relationships. Troubled relationships, arguing, erection issues, loss of desire, anxiety, painful sex, vaginismus, shame about porn use or kinks, communication problems. This can all change.
Love, sex and personal relationships are the place where we store our hopes, our fears and our vulnerabilities. When our connection with ourselves and others is going well it can feel transformative, but when it isn’t it can be extremely distressing. I offer a non-judgemental integrative approach to relationship and psychosexual therapy to work best with your circumstance, whatever they are, whether single, in a couple or open/polyamorous relationships. Troubled relationships, arguing, erection issues, loss of desire, anxiety, painful sex, vaginismus, shame about porn use or kinks, communication problems. This can all change.
0113 859 1095 View 0113 859 1095

More Therapists Nearby

Photo of Samantha Quinn - Arnica Counselling,Psychotherapy & Supervision, MA, MBACP Accred, Counsellor
Arnica Counselling,Psychotherapy & Supervision
Counsellor, MA, MBACP Accred
Verified Verified
Bradford BD1
Welcome, to all Adults and Couples. Are you noticing past experiences are affecting how you feel, think or behave, or that you're struggling with family, friends or romantic relationships, possibly recognising a pattern? Maybe you're feeling unloved or unheard or you've been feeling stressed, angry, distressed, down and worried for such a long time you can't find a way out. No matter what your situation is, counselling/psychotherapy is a great way to build a secure sense of self, helping you build resilience and confidence, helping you manage any situation life throws at you going forward.
Welcome, to all Adults and Couples. Are you noticing past experiences are affecting how you feel, think or behave, or that you're struggling with family, friends or romantic relationships, possibly recognising a pattern? Maybe you're feeling unloved or unheard or you've been feeling stressed, angry, distressed, down and worried for such a long time you can't find a way out. No matter what your situation is, counselling/psychotherapy is a great way to build a secure sense of self, helping you build resilience and confidence, helping you manage any situation life throws at you going forward.
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Photo of Millie McLean, MBACP, Psychotherapist
Millie McLean
Psychotherapist, MBACP
Verified Verified
Leeds LS19
I understand that the decision to start therapy is rarely made lightly, and taking that first step can feel overwhelming. You may be feeling apprehensive, anxious, and sceptical about sharing your innermost thoughts and emotions with a stranger. It takes immense courage to be vulnerable and talk about the difficulties you are experiencing, and I want you to know that I fully appreciate and respect your decision to seek help. You might be facing a specific problem that you want to address, such as relationship issues, anxiety. Alternatively, you may have a sense that something in your life is not quite right, but cannot identify it.
I understand that the decision to start therapy is rarely made lightly, and taking that first step can feel overwhelming. You may be feeling apprehensive, anxious, and sceptical about sharing your innermost thoughts and emotions with a stranger. It takes immense courage to be vulnerable and talk about the difficulties you are experiencing, and I want you to know that I fully appreciate and respect your decision to seek help. You might be facing a specific problem that you want to address, such as relationship issues, anxiety. Alternatively, you may have a sense that something in your life is not quite right, but cannot identify it.
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Photo of Ruth Netherwood - Ruth Netherwood MBACP, DCounsPsych, BACP, Counsellor
Ruth Netherwood MBACP
Counsellor, DCounsPsych, BACP
Verified Verified
Bingley BD16
Our work may cover healthy coping strategies, assertiveness, relationship and confidence building.
My work covers anxiety, trauma, ADHD, ASD, communication, assertiveness and relationships. You will receive a non- judgemental, confidential, collaborative safe space. Every person and experience throughout your life will affect you. How you process, respond and react will be normal for you, but may no longer be working or helpful. Distressing thoughts, relationships, emotions and sensations may linger or may lay hidden away. Our work together will clear the way for reflection, understanding and change, for a happier, healthier you.
Our work may cover healthy coping strategies, assertiveness, relationship and confidence building.
My work covers anxiety, trauma, ADHD, ASD, communication, assertiveness and relationships. You will receive a non- judgemental, confidential, collaborative safe space. Every person and experience throughout your life will affect you. How you process, respond and react will be normal for you, but may no longer be working or helpful. Distressing thoughts, relationships, emotions and sensations may linger or may lay hidden away. Our work together will clear the way for reflection, understanding and change, for a happier, healthier you.
01422 411626 View 01422 411626
Photo of Nina Preston - Systemisk Psychology , MSc, CPsychol, Psychologist
Systemisk Psychology
Psychologist, MSc, CPsychol
Verified Verified
1 Endorsed
Leeds LS18
We offer services for children, adolescents, adults, couples, families & organisations.
Nina & Aiveen are Clinical Directors of Sytemisk Psychology. Our team is made up of experienced, HCPC registered Psychologists. We are skilled at identifying clients needs and tailor making evidence-based therapy, designed to have maximum impact. Choosing a therapist can feel more complex than it needs to be. We have extensive clinical training that enables us to work with you to design the approach that is right for you, and achieves the desired outcomes you want. Good quality therapy should be effective and value for money. Let us support you to make holistic, wellbeing gains that have the potential for life long impact.
We offer services for children, adolescents, adults, couples, families & organisations.
Nina & Aiveen are Clinical Directors of Sytemisk Psychology. Our team is made up of experienced, HCPC registered Psychologists. We are skilled at identifying clients needs and tailor making evidence-based therapy, designed to have maximum impact. Choosing a therapist can feel more complex than it needs to be. We have extensive clinical training that enables us to work with you to design the approach that is right for you, and achieves the desired outcomes you want. Good quality therapy should be effective and value for money. Let us support you to make holistic, wellbeing gains that have the potential for life long impact.
01423 648790 View 01423 648790
Photo of Tamara Hoyton, MA, MBACP, Psychotherapist
Tamara Hoyton
Psychotherapist, MA, MBACP
Verified Verified
Pudsey LS28
Hello, and a warm welcome to my website. I am a very experienced Psychotherapist and Clinical Supervisor who specialises in Anxiety, Depression, Sexual Issues, Relationship Problems and work related stress. I am a highly qualified practioner offering Individual Psychotherapy, Counselling, Psychosexual Therapy and Couples Therapy in the Leeds and Bradford area. I am a registered member of the British Association for Counselling and Psychotherapy (BACP). Life success indicators show increased relational satisfaction as key to personal happiness and good therapy can improve this. I am proud to have over 20 years of being in practice.
Hello, and a warm welcome to my website. I am a very experienced Psychotherapist and Clinical Supervisor who specialises in Anxiety, Depression, Sexual Issues, Relationship Problems and work related stress. I am a highly qualified practioner offering Individual Psychotherapy, Counselling, Psychosexual Therapy and Couples Therapy in the Leeds and Bradford area. I am a registered member of the British Association for Counselling and Psychotherapy (BACP). Life success indicators show increased relational satisfaction as key to personal happiness and good therapy can improve this. I am proud to have over 20 years of being in practice.
0113 467 8104 View 0113 467 8104
Photo of Nea Clark, MSc, MUKCP, Psychotherapist
Nea Clark
Psychotherapist, MSc, MUKCP
Verified Verified
1 Endorsed
Bradford BD1
I support couples and individual to resolve life and relationship difficulties. To raise self confidence, self esteem and manage relationships impacted by current changes. I provide support for ADHD clients, if you feel last in yourself, lonely, feeling overwhelmed and trying to find how to coop in the present. If you experience heightened anxiety, overloaded mind, fear of the future. Working together will help to normalize the situation, strengthen your resilience, unlock resourcefulness and confidence. Develop and practice strategies to coop with current challenges, manage your feelings and behaviour. Find balance and contentment.
I support couples and individual to resolve life and relationship difficulties. To raise self confidence, self esteem and manage relationships impacted by current changes. I provide support for ADHD clients, if you feel last in yourself, lonely, feeling overwhelmed and trying to find how to coop in the present. If you experience heightened anxiety, overloaded mind, fear of the future. Working together will help to normalize the situation, strengthen your resilience, unlock resourcefulness and confidence. Develop and practice strategies to coop with current challenges, manage your feelings and behaviour. Find balance and contentment.
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Photo of Clare Helen Middleton, DCounsPsych, MBACP, Psychotherapist
Clare Helen Middleton
Psychotherapist, DCounsPsych, MBACP
Verified Verified
Keighley BD21
At the heart of how I work is to build a safe and trusting therapeutic relationship through attunement to your experience of the world, and how this emerges in the present.
Hi, I am Clare, a compassionate, warm, friendly, and professional integrative relational psychotherapist. I work alongside clients in a respectful, empowering, non-judgemental way, to deepen understanding, identify choices and enable change. I believe that our early relationships and experiences have a profound impact on how we feel and behave, and on what we believe about ourselves and the world around us. Having counselling will enable you to rediscover yourself in a safe place, where you can go at your own pace and allow yourself to release your true emotions that you may have locked away but are causing anxiety or distress.
At the heart of how I work is to build a safe and trusting therapeutic relationship through attunement to your experience of the world, and how this emerges in the present.
Hi, I am Clare, a compassionate, warm, friendly, and professional integrative relational psychotherapist. I work alongside clients in a respectful, empowering, non-judgemental way, to deepen understanding, identify choices and enable change. I believe that our early relationships and experiences have a profound impact on how we feel and behave, and on what we believe about ourselves and the world around us. Having counselling will enable you to rediscover yourself in a safe place, where you can go at your own pace and allow yourself to release your true emotions that you may have locked away but are causing anxiety or distress.
01292 433101 View 01292 433101
Photo of Rachel Northen - Sex And Relationship Therapist, COSRT General, Counsellor
Rachel Northen - Sex And Relationship Therapist
Counsellor, COSRT General
Verified Verified
Bradford BD1  (Online Only)
I specialise in male and female sexual difficulties and in relationship issues and work with couples and individuals. Sexual issues may have a physiological and/or psychological cause and include: loss of intimacy and desire, mismatched libidos, orgasm difficulties, erectile dysfunction, premature and delayed ejaculation, vaginismus, sexual pain, menopause, sexual phobia and anxiety, lack of confidence and issues with porn use. Relationship issues include: infidelity, loss of trust, communication difficulties, lack of intimacy/connection, adjusting to change, conflict, stress and anxiety, separation and different attachment styles.
I specialise in male and female sexual difficulties and in relationship issues and work with couples and individuals. Sexual issues may have a physiological and/or psychological cause and include: loss of intimacy and desire, mismatched libidos, orgasm difficulties, erectile dysfunction, premature and delayed ejaculation, vaginismus, sexual pain, menopause, sexual phobia and anxiety, lack of confidence and issues with porn use. Relationship issues include: infidelity, loss of trust, communication difficulties, lack of intimacy/connection, adjusting to change, conflict, stress and anxiety, separation and different attachment styles.
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Photo of Diane Webb, MA, MUKCP, Psychotherapist
Diane Webb
Psychotherapist, MA, MUKCP
Verified Verified
Beckwithshaw HG3
Curious by nature and committed to keeping astride with the developments in research in Psychotherapy, I enjoy adding new skills to my work as a Psychotherapist and today can accompany a wide variety of needs: Anxiety and/or Depression, Trauma, Stress and Abuse, Relationship issues , Managing Emotions, and many other issues that we might have to face in life.
As a Supervisor & Psychotherapist ( bilingual English-French), over 35 years of my adult life have been dedicated to working with others in their quest for well-being.
Curious by nature and committed to keeping astride with the developments in research in Psychotherapy, I enjoy adding new skills to my work as a Psychotherapist and today can accompany a wide variety of needs: Anxiety and/or Depression, Trauma, Stress and Abuse, Relationship issues , Managing Emotions, and many other issues that we might have to face in life.
As a Supervisor & Psychotherapist ( bilingual English-French), over 35 years of my adult life have been dedicated to working with others in their quest for well-being.
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Photo of Deborah Vickerman, MBACP, Psychotherapist
Deborah Vickerman
Psychotherapist, MBACP
Verified Verified
1 Endorsed
Leeds LS16
I am warm, genuine & relationship driven and take an active role working alongside you.
There are many reasons for considering counselling. Maybe you’re feeling lost or facing a personal crisis. Perhaps you’re struggling for purpose or meaning in your life? Or wanting to modify your behaviours or change destructive patterns. Therapy can support you as you explore your relationship with the world, helping you move from where you are now to where you want to be.
I am warm, genuine & relationship driven and take an active role working alongside you.
There are many reasons for considering counselling. Maybe you’re feeling lost or facing a personal crisis. Perhaps you’re struggling for purpose or meaning in your life? Or wanting to modify your behaviours or change destructive patterns. Therapy can support you as you explore your relationship with the world, helping you move from where you are now to where you want to be.
0113 733 7370 View 0113 733 7370
Photo of Rachael Moorhouse, DCounsPsych, MBACP, Counsellor
Rachael Moorhouse
Counsellor, DCounsPsych, MBACP
Verified Verified
Skipton BD23
I work with both individuals and couples.
I am always mindful of the fact that taking the first steps towards counselling can be the hardest. Actually admitting you need some help. Finding the right person to walk with you on this journey is I believe central to the process of counselling. I am wholly committed to providing you with a safe, non-judgemental space, where you can begin to work through your difficulties. Mental health, is just like our physical health, it's variable and sometime we need help to recover, whether that be from a bereavement, anxiety, depression, long term trauma issues, etc
I work with both individuals and couples.
I am always mindful of the fact that taking the first steps towards counselling can be the hardest. Actually admitting you need some help. Finding the right person to walk with you on this journey is I believe central to the process of counselling. I am wholly committed to providing you with a safe, non-judgemental space, where you can begin to work through your difficulties. Mental health, is just like our physical health, it's variable and sometime we need help to recover, whether that be from a bereavement, anxiety, depression, long term trauma issues, etc
01756 631081 View 01756 631081
Photo of Rachel Spence, MBACP, Counsellor
Rachel Spence
Counsellor, MBACP
Verified Verified
Bramhope LS16
I am a Relate trained counsellor experienced at working with both couples and individuals. I offer a down-to-earth, forward thinking, non-directive approach. I endeavour to create a warm, non-judgemental therapeutic relationship where we can focus on you and your situation. I will work with you to understand your concerns, your deeper needs and how they are affecting your life and relationships.I see my role as supportive of your change, offering change to explore feelings and experiences in a safe, confidential space. I have worked with clients from the LGBT community and from diverse backgrounds.
I am a Relate trained counsellor experienced at working with both couples and individuals. I offer a down-to-earth, forward thinking, non-directive approach. I endeavour to create a warm, non-judgemental therapeutic relationship where we can focus on you and your situation. I will work with you to understand your concerns, your deeper needs and how they are affecting your life and relationships.I see my role as supportive of your change, offering change to explore feelings and experiences in a safe, confidential space. I have worked with clients from the LGBT community and from diverse backgrounds.
0113 467 9116 View 0113 467 9116
Photo of Penny Mathern, MBACP Snr. Accred, Counsellor
Penny Mathern
Counsellor, MBACP Snr. Accred
Verified Verified
1 Endorsed
Leeds LS20
I offer couples and individual counselling. Initially I trained with Relate and extended my experience and training to individual work. My specialisms include relationship work, anxiety, stress, depression, bereavement and loss and inner child work. Counselling helps you to explore and understand the issues making life difficult for you. I do not advise but I do share knowledge. Our first session would be for you to tell me what you are finding difficult, for me to answer your questions about counselling and tell you more about what is involved. Most importantly it is for you to see if you feel comfortable talking with me.
I offer couples and individual counselling. Initially I trained with Relate and extended my experience and training to individual work. My specialisms include relationship work, anxiety, stress, depression, bereavement and loss and inner child work. Counselling helps you to explore and understand the issues making life difficult for you. I do not advise but I do share knowledge. Our first session would be for you to tell me what you are finding difficult, for me to answer your questions about counselling and tell you more about what is involved. Most importantly it is for you to see if you feel comfortable talking with me.
01943 661928 View 01943 661928
Photo of Nichola Green, HCPC-Drama Therap., Psychotherapist
Nichola Green
Psychotherapist, HCPC-Drama Therap.
Verified Verified
Leeds LS16
Therapy is all about relationship.
Hello, thanks for visiting my profile. I wonder what has brought you here. Perhaps you keep repeating old patterns, lack motivation, or are unhappy in your work or relationships. You know you want things to change but don't know where to start. I offer a unique and integrative approach. We connect to the body- that is the starting point. We may move, play, sing, paint, be still, talk, shout, act, and tell stories. I encourage you to tune in and observe, noticing feelings, sensations, and thoughts. I have many years of experience and many resources to help you become more grounded, and connected and shift your focus, and energy.
Therapy is all about relationship.
Hello, thanks for visiting my profile. I wonder what has brought you here. Perhaps you keep repeating old patterns, lack motivation, or are unhappy in your work or relationships. You know you want things to change but don't know where to start. I offer a unique and integrative approach. We connect to the body- that is the starting point. We may move, play, sing, paint, be still, talk, shout, act, and tell stories. I encourage you to tune in and observe, noticing feelings, sensations, and thoughts. I have many years of experience and many resources to help you become more grounded, and connected and shift your focus, and energy.
0113 519 4306 View 0113 519 4306
Photo of Virginia E Toole, DCounsPsych, MBACP, Psychotherapist
Virginia E Toole
Psychotherapist, DCounsPsych, MBACP
Verified Verified
1 Endorsed
Leeds LS16  (Online Only)
Do you feel ripped apart and shaken to your core? You don't want to be a burden to your friends and you can't talk to family, it's all so overwhelming. The deepest pit of despair and hurt, mixed emotions, anguish, anger, confusion, barely coping with intense non- stop life changes. Loss of family, partner or treasured friend, sudden or chronic illness, even loss of the person you used to be! Aging, guilt about lifestyle, fear of a new job and moving... the prickly heartache from losing your beloved pet. You don't even have the strength to take the next step, to pull yourself through while trying to reach your old self.
Do you feel ripped apart and shaken to your core? You don't want to be a burden to your friends and you can't talk to family, it's all so overwhelming. The deepest pit of despair and hurt, mixed emotions, anguish, anger, confusion, barely coping with intense non- stop life changes. Loss of family, partner or treasured friend, sudden or chronic illness, even loss of the person you used to be! Aging, guilt about lifestyle, fear of a new job and moving... the prickly heartache from losing your beloved pet. You don't even have the strength to take the next step, to pull yourself through while trying to reach your old self.
01825 705500 View 01825 705500
Photo of Mamta Ward, PNCPS Acc., Counsellor
Mamta Ward
Counsellor, PNCPS Acc.
Verified Verified
Bradford BD1
I also offer couples counselling, supporting relationships through periods of difficulty and opening lines of communication, helping you both move forward with a stronger bond.
Welcome. It can feel difficult to start with counselling, so let me start by saying the work we do will be guided by your own choices and needs. You can express these in a confidential space of emotional safety and we can explore what is happening for you and better understand it. Together we can define and move towards your goals at a pace that suits and feels safe to you. I work with low mood, sadness, anxiety, depression and feelings of being overwhelmed.
I also offer couples counselling, supporting relationships through periods of difficulty and opening lines of communication, helping you both move forward with a stronger bond.
Welcome. It can feel difficult to start with counselling, so let me start by saying the work we do will be guided by your own choices and needs. You can express these in a confidential space of emotional safety and we can explore what is happening for you and better understand it. Together we can define and move towards your goals at a pace that suits and feels safe to you. I work with low mood, sadness, anxiety, depression and feelings of being overwhelmed.
07401 206254 View 07401 206254

See more therapy options for Ilkley

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.