Couples Counseling Psychiatrists in San Francisco, CA

Photo of Blake Rawdin, Psychiatrist in San Francisco, CA
Blake Rawdin
Psychiatrist, MD, MPH
Verified Verified
3 Endorsed
San Francisco, CA 94102
I work with individuals grappling with an array of psychological, emotional, and spiritual challenges, which may appear in the form of depression, anxiety, panic, insomnia, focus problems, relationship and work difficulties, for example. I also help those dealing with chronic and acute stress, such as past trauma and medical-related illness. We will collaborate to explore the psychological, biological and environmental contributors to the situation and develop an integrated treatment plan that can draw from any or all of my specialties in psychotherapy, psychopharmacology, and complementary medicine.
I work with individuals grappling with an array of psychological, emotional, and spiritual challenges, which may appear in the form of depression, anxiety, panic, insomnia, focus problems, relationship and work difficulties, for example. I also help those dealing with chronic and acute stress, such as past trauma and medical-related illness. We will collaborate to explore the psychological, biological and environmental contributors to the situation and develop an integrated treatment plan that can draw from any or all of my specialties in psychotherapy, psychopharmacology, and complementary medicine.
(415) 944-4156 View (415) 944-4156
Photo of Ravi Chandra, Psychiatrist in San Francisco, CA
Ravi Chandra
Psychiatrist, MD, DFAPA
Verified Verified
2 Endorsed
San Francisco, CA 94115
The goal is generating wisdom, compassion, insight and relatedness through the therapeutic relationship.
Experience, insight, integrity, depth, support. I specialize in understanding you and what's happening: your culture, current dilemmas, patterns, strengths, interests, relationships, life history, and visions of yourself and the world. Our work will be tailored to fit your individual needs, through therapy, medications, or both. I have advanced training and interest in depth work, including psychodynamic and mindfulness approaches. The goal is to help you cope with life, grow, enjoy fulfilling relationships, achieve your potential and develop resilience. Board Certified Distinguished Fellow of the APA, active writer, and member of Asian American committee of the Northern California Psychiatric Society.
The goal is generating wisdom, compassion, insight and relatedness through the therapeutic relationship.
Experience, insight, integrity, depth, support. I specialize in understanding you and what's happening: your culture, current dilemmas, patterns, strengths, interests, relationships, life history, and visions of yourself and the world. Our work will be tailored to fit your individual needs, through therapy, medications, or both. I have advanced training and interest in depth work, including psychodynamic and mindfulness approaches. The goal is to help you cope with life, grow, enjoy fulfilling relationships, achieve your potential and develop resilience. Board Certified Distinguished Fellow of the APA, active writer, and member of Asian American committee of the Northern California Psychiatric Society.
(415) 763-5921 View (415) 763-5921
Photo of Mimi Winsberg, Psychiatrist in San Francisco, CA
Mimi Winsberg
Psychiatrist, MD
Verified Verified
San Francisco, CA 94104
Particular areas of expertise include: Bipolar Disorder, Anxiety, Depressio, Relationship Problems, Women's Issues, Disordered Eating and Body Image Issues, Sport Psychology and Performance, Stress and adjustments such as divorce, loss of a loved one, medical problems, career changes.
As a Stanford trained psychiatrist with 25 years of clinical experience, I tailor my therapeutic approach to the individual's particular needs and goals. Psychodynamic, cognitive-behavioral, and mindfulness based approaches are used, along with medication. I treat mood disorders, anxiety, relationship problems, women's issues, disordered eating, and adjustments such as divorce, loss, medical problems, career changes. Medication is best managed in the context of a therapeutic relationship. I believe in the role lifestyle and physical health can play on emotional health, and I incorporate these principles into my therapy practice.
Particular areas of expertise include: Bipolar Disorder, Anxiety, Depressio, Relationship Problems, Women's Issues, Disordered Eating and Body Image Issues, Sport Psychology and Performance, Stress and adjustments such as divorce, loss of a loved one, medical problems, career changes.
As a Stanford trained psychiatrist with 25 years of clinical experience, I tailor my therapeutic approach to the individual's particular needs and goals. Psychodynamic, cognitive-behavioral, and mindfulness based approaches are used, along with medication. I treat mood disorders, anxiety, relationship problems, women's issues, disordered eating, and adjustments such as divorce, loss, medical problems, career changes. Medication is best managed in the context of a therapeutic relationship. I believe in the role lifestyle and physical health can play on emotional health, and I incorporate these principles into my therapy practice.
(628) 888-1161 View (628) 888-1161
Photo of Eric Glassgold, MD, Psychiatrist in San Francisco, CA
Eric Glassgold, MD
Psychiatrist, MD
Verified Verified
San Francisco, CA 94114
Patients come to see me when they experience emotional pain and need help figuring out how to improve their lives. Sometimes a problem has built up over time and reaches a saturation point. It may relate to work or school, to a love or family relationship, or to something completely unexpected--a layoff, breakup, accident, sudden illness or even a death--that uncovers a long neglected area of development.
Patients come to see me when they experience emotional pain and need help figuring out how to improve their lives. Sometimes a problem has built up over time and reaches a saturation point. It may relate to work or school, to a love or family relationship, or to something completely unexpected--a layoff, breakup, accident, sudden illness or even a death--that uncovers a long neglected area of development.
(415) 483-4327 View (415) 483-4327
Photo of Sidney A Edsall, Psychiatrist in San Francisco, CA
Sidney A Edsall
Psychiatrist, MD, DABMA
Verified Verified
1 Endorsed
San Francisco, CA 94114
Balancing the mental, emotional, physical and spiritual wellbeing of each of my clients in relationship to others and within community is essential for whole-being health and holistic healing. I work with individuals who are willing to take an active role in their health and recovery, to not just survive but to thrive in living more fully, reaching their goals and fullest potentials in life.
Balancing the mental, emotional, physical and spiritual wellbeing of each of my clients in relationship to others and within community is essential for whole-being health and holistic healing. I work with individuals who are willing to take an active role in their health and recovery, to not just survive but to thrive in living more fully, reaching their goals and fullest potentials in life.
(415) 903-1898 View (415) 903-1898
Photo of Living Wills for Dementia / Stanley Terman, Psychiatrist in San Francisco, CA
Living Wills for Dementia / Stanley Terman
Psychiatrist, PhD, MD
Verified Verified
San Francisco, CA 94118
Stanley Terman's career focuses on empowering people to make informed decisions so they can successfully meet challenges in their lives with more pleasure, less suffering, and improved relationships. He helps couples and families in several ways. These include reducing the suffering of terminally ill patients and their loved ones, especially if they face huge challenges of Advanced Dementia and desire an "Ironclad Strategy" to compel others to honor their end-of-life wishes. In collaboration with clinicians, bioethicists, chaplains, and attorneys, he founded a non-profit organization, wrote three books, and created the patient decision aid, "My Way Cards."
Stanley Terman's career focuses on empowering people to make informed decisions so they can successfully meet challenges in their lives with more pleasure, less suffering, and improved relationships. He helps couples and families in several ways. These include reducing the suffering of terminally ill patients and their loved ones, especially if they face huge challenges of Advanced Dementia and desire an "Ironclad Strategy" to compel others to honor their end-of-life wishes. In collaboration with clinicians, bioethicists, chaplains, and attorneys, he founded a non-profit organization, wrote three books, and created the patient decision aid, "My Way Cards."
(415) 941-3483 View (415) 941-3483
Photo of Michael Swetye, M.D., P.C., Psychiatrist in San Francisco, CA
Michael Swetye, M.D., P.C.
Psychiatrist, MD, MBA
Verified Verified
San Francisco, CA 94118
In my practice I use the art and science of modern psychiatry to help individuals, couples and families flourish.
I am a Yale and UCSF-trained psychiatrist with board certifications in Adult, Adolescent and Child Psychiatry. I work with adults (including young adults), couples, families, teens, and middle schoolers.
In my practice I use the art and science of modern psychiatry to help individuals, couples and families flourish.
I am a Yale and UCSF-trained psychiatrist with board certifications in Adult, Adolescent and Child Psychiatry. I work with adults (including young adults), couples, families, teens, and middle schoolers.
(415) 969-5356 View (415) 969-5356
Jenya Kaufman
Psychiatrist, MD
Verified Verified
San Francisco, CA 94114
I have training in several modalities of psychotherapy including Psychodynamic, Interpersonal, and Emotionally Focused Couples/Family Therapy.
I offer a collaborative approach to helping clients achieve their goals. I believe in treating each person as a unique individual and together finding the best way toward wellbeing. This begins with a comprehensive evaluation which can last from one to four sessions where we will attempt to understand the current difficulties and discuss treatment options. I have experience treating a wide variety of psychological and emotional difficulties with psychotherapy and medication when appropriate. In my practice I offer psychotherapy and medication evaluation/management to patients who are already in therapy.
I have training in several modalities of psychotherapy including Psychodynamic, Interpersonal, and Emotionally Focused Couples/Family Therapy.
I offer a collaborative approach to helping clients achieve their goals. I believe in treating each person as a unique individual and together finding the best way toward wellbeing. This begins with a comprehensive evaluation which can last from one to four sessions where we will attempt to understand the current difficulties and discuss treatment options. I have experience treating a wide variety of psychological and emotional difficulties with psychotherapy and medication when appropriate. In my practice I offer psychotherapy and medication evaluation/management to patients who are already in therapy.
(415) 233-9412 View (415) 233-9412
Photo of Holistic Integrative Psychiatry with James Eyerman, Psychiatrist in San Francisco, CA
Holistic Integrative Psychiatry with James Eyerman
Psychiatrist, MD, DLFAPA
Verified Verified
San Francisco, CA 94123
I am gentle, open-minded, and empathetic, and see the quality of the patient-doctor relationship as a critical part of effective treatment.
Welcome. I treat patients facing a wide variety of physical, mental, and spiritual challenges. Depending on your specific needs, the treatment can involve medication as well as psychotherapy. We may work with depth and transpersonal psychology, dreams, non-drug psychedelic states of consciousness, and hypnosis. I also offer acupuncture, ayurvedic medicine, meditation techniques, EMDR, and holotropic breathwork.
I am gentle, open-minded, and empathetic, and see the quality of the patient-doctor relationship as a critical part of effective treatment.
Welcome. I treat patients facing a wide variety of physical, mental, and spiritual challenges. Depending on your specific needs, the treatment can involve medication as well as psychotherapy. We may work with depth and transpersonal psychology, dreams, non-drug psychedelic states of consciousness, and hypnosis. I also offer acupuncture, ayurvedic medicine, meditation techniques, EMDR, and holotropic breathwork.
(628) 214-2265 View (628) 214-2265
Photo of Ravi Hariprasad, Psychiatrist in San Francisco, CA
Ravi Hariprasad
Psychiatrist, MD, MPH, FAPA
Verified Verified
San Francisco, CA 94102
I am a Harvard (MGH) trained psychiatrist, an engineer and a serial entrepreneur. As an integrative physician, I am ambidextrous in performing as a psychopharmacologist, an Ayurvedic healer, a therapist, and a mindful life coach. Together we collaborate closely to identify and remove obstacles to wellness, to reduce suffering, and to gain a personal understanding of the complex relationship between mental and physical health. Your personal preferences and strengths guide our approach. Quite simply, I approach problem solving and treatment planning differently.
I am a Harvard (MGH) trained psychiatrist, an engineer and a serial entrepreneur. As an integrative physician, I am ambidextrous in performing as a psychopharmacologist, an Ayurvedic healer, a therapist, and a mindful life coach. Together we collaborate closely to identify and remove obstacles to wellness, to reduce suffering, and to gain a personal understanding of the complex relationship between mental and physical health. Your personal preferences and strengths guide our approach. Quite simply, I approach problem solving and treatment planning differently.
(415) 360-0856 View (415) 360-0856
Photo of Laura Rubenstein MD, Psychiatrist in San Francisco, CA
Laura Rubenstein MD
Psychiatrist, MD
Verified Verified
2 Endorsed
San Francisco, CA 94115
I'm a psychiatrist who provides psychotherapy for children, adolescents and adults as well as medication for older adolescents and adults when indicated. My areas of focus are relationship issues, life transitions, mood and anxiety issues, trauma, parent-child struggles and developmental issues. I work with you to bring forth your lesser known and understood thoughts, feelings and motivations that trip you up in life. The goal is to diminish their intensity and meaningfully change your most troublesome life patterns so that you can live, love, work and play more fully and freely.
I'm a psychiatrist who provides psychotherapy for children, adolescents and adults as well as medication for older adolescents and adults when indicated. My areas of focus are relationship issues, life transitions, mood and anxiety issues, trauma, parent-child struggles and developmental issues. I work with you to bring forth your lesser known and understood thoughts, feelings and motivations that trip you up in life. The goal is to diminish their intensity and meaningfully change your most troublesome life patterns so that you can live, love, work and play more fully and freely.
(415) 862-7799 View (415) 862-7799
Photo of Mark Schiller, Psychiatrist in San Francisco, CA
Mark Schiller
Psychiatrist, MD
Verified Verified
San Francisco, CA 94115
The treatment plan is designed for the unique needs of each individual ranging from individual psychotherapy, group therapy, cognitive behavioral therapy, couples therapy, nutritional counseling, meditation and related disciplines to diagnostic imaging, pharmacological therapy and neurofeedback.
As the founder of Mind Therapy Clinic, a psychiatric center focused on innovative, integrated, and personalized care, I believe in utilizing innovative approaches to treating the most common to the most complicated problems with the latest, scientifically supported psychotherapeutic and medication approaches. The Mind Therapy clinicians supplement traditional approaches with rapidly developing diagnostic technologies to more objectively identify, target, and treat psychiatric problems. An integrated approach to treating the whole person involves integrating mainstream methods with alternative disciplines and fostering collaboration between clinicians with differing backgrounds and training.
The treatment plan is designed for the unique needs of each individual ranging from individual psychotherapy, group therapy, cognitive behavioral therapy, couples therapy, nutritional counseling, meditation and related disciplines to diagnostic imaging, pharmacological therapy and neurofeedback.
As the founder of Mind Therapy Clinic, a psychiatric center focused on innovative, integrated, and personalized care, I believe in utilizing innovative approaches to treating the most common to the most complicated problems with the latest, scientifically supported psychotherapeutic and medication approaches. The Mind Therapy clinicians supplement traditional approaches with rapidly developing diagnostic technologies to more objectively identify, target, and treat psychiatric problems. An integrated approach to treating the whole person involves integrating mainstream methods with alternative disciplines and fostering collaboration between clinicians with differing backgrounds and training.
(415) 567-4604 View (415) 567-4604
Photo of Lauren Fiske Holistic Psychiatry , Psychiatrist in San Francisco, CA
Lauren Fiske Holistic Psychiatry
Psychiatrist, MD
Verified Verified
1 Endorsed
San Francisco, CA 94115  (Online Only)
I am a holistic psychiatrist and psychotherapist seeing individuals and couples. My style is warm, empathic, active, and engaging. I provide a safe space where we can understand and change patterns that no longer serve you, support you through life transitions, and help you reach your fullest potential in all aspects of life. I also specialize in CPTSD, narcissistic abuse recovery, toxic family systems, and EMDR and offer compassionate I care for those who have previously struggled in therapy and in the medical system.
I am a holistic psychiatrist and psychotherapist seeing individuals and couples. My style is warm, empathic, active, and engaging. I provide a safe space where we can understand and change patterns that no longer serve you, support you through life transitions, and help you reach your fullest potential in all aspects of life. I also specialize in CPTSD, narcissistic abuse recovery, toxic family systems, and EMDR and offer compassionate I care for those who have previously struggled in therapy and in the medical system.
(737) 327-4438 View (737) 327-4438
Steven A. Frankel
Psychiatrist, MD
Verified Verified
San Francisco, CA 94115
I have written five books: the first three on the relationship between therapist, physician, and patient.
What's missing from typical psychiatric care? * Care is typically boiled down to diagnositic categories while bypassing confounding personal issues * Clinicians tend to focus on the patient separated from the rest of his or her life. * Care is available only on a schedule. * Care is delivered by someone whose experience and interest covers only part of a problem. -- Mental health conditions don't exist in isolation. They are generally complicated by interpersonal issues involving relationships, family, school, or employment. They may require psychotherapy, medication, or both. My practice consists of psychotherapy, medication as needed, and medical consultation as appropriate
I have written five books: the first three on the relationship between therapist, physician, and patient.
What's missing from typical psychiatric care? * Care is typically boiled down to diagnositic categories while bypassing confounding personal issues * Clinicians tend to focus on the patient separated from the rest of his or her life. * Care is available only on a schedule. * Care is delivered by someone whose experience and interest covers only part of a problem. -- Mental health conditions don't exist in isolation. They are generally complicated by interpersonal issues involving relationships, family, school, or employment. They may require psychotherapy, medication, or both. My practice consists of psychotherapy, medication as needed, and medical consultation as appropriate
(415) 466-8626 View (415) 466-8626
Photo of Edward Davis, Psychiatrist in San Francisco, CA
Edward Davis
Psychiatrist, MD, ABPN, ABAM, ABPM
Verified Verified
San Francisco, CA 94109
My area of expertise is medication management in the context of a therapeutic relationship.
I look for ways to optimize individual treatment and seek opportunities to surpass previous functioning. My goal is to help patients achieve their full potential and self-actualize. I follow a positive strength based approach that is highly individualized. After graduating from the Juilliard School, I prepared for medical studies at the City University of New York. Then completed medical studies at U.C.S.F. and psychiatry residency at Stanford University. I have recently renewed Board certified in Psychiatry and Neurology 2020, Addiction Medicine 2019 and Pain Medicine 2017.
My area of expertise is medication management in the context of a therapeutic relationship.
I look for ways to optimize individual treatment and seek opportunities to surpass previous functioning. My goal is to help patients achieve their full potential and self-actualize. I follow a positive strength based approach that is highly individualized. After graduating from the Juilliard School, I prepared for medical studies at the City University of New York. Then completed medical studies at U.C.S.F. and psychiatry residency at Stanford University. I have recently renewed Board certified in Psychiatry and Neurology 2020, Addiction Medicine 2019 and Pain Medicine 2017.
(415) 799-8592 View (415) 799-8592
Photo of Sara Johansen, Psychiatrist in San Francisco, CA
Sara Johansen
Psychiatrist, MD
Verified Verified
1 Endorsed
San Francisco, CA 94129
My particular area of interest is relationship challenges, and I work with both individuals and couples using an approach informed by attachment theory and emotionally focused therapy.
I am a Clinical Assistant Professor at Stanford and private practice psychiatrist. As a therapist and psychiatrist, my approach is to be compassionate, inquisitive, and candid. I value our collaborative work and believe our partnership is foundational to change. The challenges you are facing now may feel overwhelming, and you may feel stuck in patterns that are no longer serving you. We will work together to understand what is happening in your life right now, while exploring the historical patterns, beliefs, and experiences that may be contributing to your current experience.
My particular area of interest is relationship challenges, and I work with both individuals and couples using an approach informed by attachment theory and emotionally focused therapy.
I am a Clinical Assistant Professor at Stanford and private practice psychiatrist. As a therapist and psychiatrist, my approach is to be compassionate, inquisitive, and candid. I value our collaborative work and believe our partnership is foundational to change. The challenges you are facing now may feel overwhelming, and you may feel stuck in patterns that are no longer serving you. We will work together to understand what is happening in your life right now, while exploring the historical patterns, beliefs, and experiences that may be contributing to your current experience.
(650) 610-7765 View (650) 610-7765
Photo of Jaime Jimenez, Psychiatric Nurse Practitioner in San Francisco, CA
Jaime Jimenez
Psychiatric Nurse Practitioner, MSN, RN, PMHNPBC
Verified Verified
San Francisco, CA 94122
I provide medication management for all ages, individual therapy for adolescents and adults, family therapy, and couples counseling.
Are you frustrated with clinicians not calling you back or whose costs are prohibitive? Have you been wondering if medications may be an appropriate treatment for your persistent mental health symptoms? I will listen carefully and patiently to you and reflect not only your concerns, but also the strengths and motivations you bring to improving your mental health. I will work “with” you to develop a holistic assessment of your needs, suggest evidence-based treatments, and explain how these address the goals we establish collaboratively.
I provide medication management for all ages, individual therapy for adolescents and adults, family therapy, and couples counseling.
Are you frustrated with clinicians not calling you back or whose costs are prohibitive? Have you been wondering if medications may be an appropriate treatment for your persistent mental health symptoms? I will listen carefully and patiently to you and reflect not only your concerns, but also the strengths and motivations you bring to improving your mental health. I will work “with” you to develop a holistic assessment of your needs, suggest evidence-based treatments, and explain how these address the goals we establish collaboratively.
(831) 215-5738 View (831) 215-5738
Photo of Bertrand Lee Wicholas, Psychiatrist in San Francisco, CA
Bertrand Lee Wicholas
Psychiatrist, MD
Verified Verified
1 Endorsed
San Francisco, CA 94114
My areas of expertise include psychotherapy and psychopharmacology for the following issues: depression, anxiety disorders, LGBTQ mental health, relationship and work difficulties, overwhelming stress and trauma, and ADHD.
I specialize in the treatment of adults with a range of mental health concerns. I treat clients in a professional and confidential setting that feels safe and non-judgmental. My practice draws upon a variety of evidence-based psychotherapies and utilizes psychiatric medications if appropriate. I believe that for any treatment to be effective, it must be built upon a trusting and collaborative therapeutic relationship that reflects each client's individual needs and personal values. I believe in a down-to-earth and transparent approach to psychiatry that views genuine human connection as the foundation of any treatment.
My areas of expertise include psychotherapy and psychopharmacology for the following issues: depression, anxiety disorders, LGBTQ mental health, relationship and work difficulties, overwhelming stress and trauma, and ADHD.
I specialize in the treatment of adults with a range of mental health concerns. I treat clients in a professional and confidential setting that feels safe and non-judgmental. My practice draws upon a variety of evidence-based psychotherapies and utilizes psychiatric medications if appropriate. I believe that for any treatment to be effective, it must be built upon a trusting and collaborative therapeutic relationship that reflects each client's individual needs and personal values. I believe in a down-to-earth and transparent approach to psychiatry that views genuine human connection as the foundation of any treatment.
(206) 745-6315 View (206) 745-6315
Photo of Andrew Ding, Psychiatrist in San Francisco, CA
Andrew Ding
Psychiatrist, MD
Verified Verified
San Francisco, CA 94114
— Please contact via www.aximmedicine.com — I’m a psychotherapist and integrative psychiatrist specializing in existential and spiritual issues with a focus on psychedelic and holistic medicine, informed by influences ranging from modern, evidence-informed Western medicine, to Eastern-spirituality, to psychoanalysis. I aim to foster not only self-knowledge, but progress from insight to embodiment, contradiction to paradox, and alienation to connection. I support growth through a bespoke therapeutic alliance that integrates various psychotherapies, lifestyle medicine, and judicious prescribing within the same relationship.
— Please contact via www.aximmedicine.com — I’m a psychotherapist and integrative psychiatrist specializing in existential and spiritual issues with a focus on psychedelic and holistic medicine, informed by influences ranging from modern, evidence-informed Western medicine, to Eastern-spirituality, to psychoanalysis. I aim to foster not only self-knowledge, but progress from insight to embodiment, contradiction to paradox, and alienation to connection. I support growth through a bespoke therapeutic alliance that integrates various psychotherapies, lifestyle medicine, and judicious prescribing within the same relationship.
(860) 378-2671 View (860) 378-2671
Photo of Timothy C. Van Deusen, Psychiatrist in San Francisco, CA
Timothy C. Van Deusen
Psychiatrist, MD
Verified Verified
San Francisco, CA 94104
I'm board certified in both general psychiatry and child and adolescent psychiatry focusing on the complex issues of adolescents and young adults ages 13-29. These years of development can be complicated and confusing, and the time for the emergence of many psychiatric disorders. My areas of interests include anxiety, depression, and the transitioning to college. I also help college students return back to school when they have had to take a break due to stress leading to poor grades, family issues, relationship conflicts, or other emotional hardships.. I provide weekly psychotherapy and prescribe medications when indicated.
I'm board certified in both general psychiatry and child and adolescent psychiatry focusing on the complex issues of adolescents and young adults ages 13-29. These years of development can be complicated and confusing, and the time for the emergence of many psychiatric disorders. My areas of interests include anxiety, depression, and the transitioning to college. I also help college students return back to school when they have had to take a break due to stress leading to poor grades, family issues, relationship conflicts, or other emotional hardships.. I provide weekly psychotherapy and prescribe medications when indicated.
(203) 779-6313 View (203) 779-6313

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Couples Counseling Psychiatrists

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.