Couples Counseling Therapists in San Francisco, CA

Photo of Michelle Montagno, Psychologist in San Francisco, CA
Michelle Montagno
Psychologist, PsyD
Verified Verified
San Francisco, CA 94117  (Online Only)
I work with a range of concerns and specialize in: Couples and multi-partner relationships, Grief, LGBTQ+ community, Coaching white people on racial dilemmas.
Adulting is hard. Most of us were not taught the skills to navigate daily life—let alone big life decisions—in a sociopolitical context like the one we are facing. The challenging context in which we live impacts all areas of our lives: our work, our relationships, and our feelings about the future. What are the areas with which you are struggling? Life transitions? Relationships in your personal and/or professional life? Grief/existential issues? You are not alone with these concerns and you don’t have to be alone in trying to figure out how to navigate life as we know it in 2024.
I work with a range of concerns and specialize in: Couples and multi-partner relationships, Grief, LGBTQ+ community, Coaching white people on racial dilemmas.
Adulting is hard. Most of us were not taught the skills to navigate daily life—let alone big life decisions—in a sociopolitical context like the one we are facing. The challenging context in which we live impacts all areas of our lives: our work, our relationships, and our feelings about the future. What are the areas with which you are struggling? Life transitions? Relationships in your personal and/or professional life? Grief/existential issues? You are not alone with these concerns and you don’t have to be alone in trying to figure out how to navigate life as we know it in 2024.
(415) 909-5585 View (415) 909-5585
Photo of Isobel Heath, Marriage & Family Therapist in San Francisco, CA
Isobel Heath
Marriage & Family Therapist, MA, MFT
Verified Verified
San Francisco, CA 94115
Therapy improves relationships. The individuals I work with are often tired of repeating the same patterns again and again, whether it's dating abuse, codependency, or chronic relationship conflict, anxiety, avoidance or indecision. They're ready to get to the root causes and finally make real change. Of course, all relationships start with and reflect your relationship to yourself. If you're dealing with a harsh inner critic, imposter syndrome or low self-worth, this internal relationship deserves your careful attention first.
Therapy improves relationships. The individuals I work with are often tired of repeating the same patterns again and again, whether it's dating abuse, codependency, or chronic relationship conflict, anxiety, avoidance or indecision. They're ready to get to the root causes and finally make real change. Of course, all relationships start with and reflect your relationship to yourself. If you're dealing with a harsh inner critic, imposter syndrome or low self-worth, this internal relationship deserves your careful attention first.
(415) 630-7460 View (415) 630-7460
Photo of Clarisse V Lula, Marriage & Family Therapist in San Francisco, CA
Clarisse V Lula
Marriage & Family Therapist, MA, MFT
Verified Verified
San Francisco, CA 94115
To me, the main goal for my clients, individuals and couples, is to develop freedom -- the freedom to be yourself, to love and be loved more fully, and to do work that's suited for you as well as to express your creativity.
Life can present us with challenges we're not prepared for. Underlying issues can make it difficult to cope resulting in difficult moods -- anger or irritability, overwhelm, depression or anxiety, sadness, grief. Other reasons for therapy include relationship troubles (e.g., romantic, family, friends), unresolved trauma, demanding life transitions, stubborn self-defeating patterns, and low self-esteem undermining your life. Psychotherapy can help you move proactively through these challenges with better outcomes and more confidence.
To me, the main goal for my clients, individuals and couples, is to develop freedom -- the freedom to be yourself, to love and be loved more fully, and to do work that's suited for you as well as to express your creativity.
Life can present us with challenges we're not prepared for. Underlying issues can make it difficult to cope resulting in difficult moods -- anger or irritability, overwhelm, depression or anxiety, sadness, grief. Other reasons for therapy include relationship troubles (e.g., romantic, family, friends), unresolved trauma, demanding life transitions, stubborn self-defeating patterns, and low self-esteem undermining your life. Psychotherapy can help you move proactively through these challenges with better outcomes and more confidence.
(415) 446-1953 View (415) 446-1953
Photo of Shawn Michael Nichols in San Francisco, CA
Shawn Michael Nichols
PhD, MA, CC
Verified Verified
San Francisco, CA 94114  (Online Only)
Perception and Approach - What is holding you in a difficult space and relationship? I help my clients untangle the important strategic facts of thought and behavior from the monkey noise and lack of confidence.
Executive Coaching. Frustrated with managing your coworkers, staff, or children? I'm an Organizational Psychologist, helping people develop better Behaviors and Systems. Success is in the way you speak, strategize, and hold others to healthier actions every day. Be the best leader or parent - they have a great deal in common. What you should find through our work is: relationships become more positive, you are understood, and you can lead others to develop their own improved social skills and interactions. You will understand emotional responses and they will learn daily methods to reject fear and ambivalence.
Perception and Approach - What is holding you in a difficult space and relationship? I help my clients untangle the important strategic facts of thought and behavior from the monkey noise and lack of confidence.
Executive Coaching. Frustrated with managing your coworkers, staff, or children? I'm an Organizational Psychologist, helping people develop better Behaviors and Systems. Success is in the way you speak, strategize, and hold others to healthier actions every day. Be the best leader or parent - they have a great deal in common. What you should find through our work is: relationships become more positive, you are understood, and you can lead others to develop their own improved social skills and interactions. You will understand emotional responses and they will learn daily methods to reject fear and ambivalence.
(707) 205-4638 View (707) 205-4638
Photo of Abigail M Rodriguez, Marriage & Family Therapist in San Francisco, CA
Abigail M Rodriguez
Marriage & Family Therapist, MA, LMFT
Verified Verified
San Francisco, CA 94123
Something just feels "off". You are exhausted from looping in thoughts and patterns that are no longer serving you. You are overwhelmed by the state of things....the anxiety just won't go away, the grief is too much, the challenge is too big, the relationship is too far gone.... you secretly fear that you don't have what it takes to make the change you desire. Together we will uncover pain, fears and unmet desires that drive the spiral. We will rediscover and utilize your strengths to create a life that reflects your values.
Something just feels "off". You are exhausted from looping in thoughts and patterns that are no longer serving you. You are overwhelmed by the state of things....the anxiety just won't go away, the grief is too much, the challenge is too big, the relationship is too far gone.... you secretly fear that you don't have what it takes to make the change you desire. Together we will uncover pain, fears and unmet desires that drive the spiral. We will rediscover and utilize your strengths to create a life that reflects your values.
(415) 991-4021 View (415) 991-4021
Photo of Joe Olivo, Marriage & Family Therapist in San Francisco, CA
Joe Olivo
Marriage & Family Therapist, MFT
Verified Verified
1 Endorsed
San Francisco, CA 94115  (Online Only)
in my private practice I see individuals, couples, and families. I work with you to find what is most important for you; what is your best practice. Together we can heal the past and allow you to move forward. My years of life experience and gentle yet direct manner will help you get back on track and get the most from your life and relationships.
in my private practice I see individuals, couples, and families. I work with you to find what is most important for you; what is your best practice. Together we can heal the past and allow you to move forward. My years of life experience and gentle yet direct manner will help you get back on track and get the most from your life and relationships.
(415) 463-1793 View (415) 463-1793
Photo of Hawlan Ng, Psychologist in San Francisco, CA
Hawlan Ng
Psychologist, PsyD
Verified Verified
San Francisco, CA 94102
I specialize in working with adults from diverse backgrounds in individual and couples psychotherapy.
If you are struggling with unbearable feelings, loneliness, identity issues, shame, guilt, and/or relationship difficulties, I offer a safe, non-judgmental space for you to explore yourself in relation to your world. My approach rests on the belief that our ways of understanding and coping with the present may be limited by our previous experiences. By working together, we find new expanded ways to help you understand and cope more effectively.
I specialize in working with adults from diverse backgrounds in individual and couples psychotherapy.
If you are struggling with unbearable feelings, loneliness, identity issues, shame, guilt, and/or relationship difficulties, I offer a safe, non-judgmental space for you to explore yourself in relation to your world. My approach rests on the belief that our ways of understanding and coping with the present may be limited by our previous experiences. By working together, we find new expanded ways to help you understand and cope more effectively.
(415) 965-3587 View (415) 965-3587
Photo of Crystal Barrera, Clinical Social Work/Therapist in San Francisco, CA
Crystal Barrera
Clinical Social Work/Therapist, LCSW
Verified Verified
San Francisco, CA 94122  (Online Only)
I offer services to adults, teen, children, couples and families.
I am a licensed clinical social worker who has a passion for helping clients develop a better understanding of themselves and their lives. I am bilingual in English and Spanish and provide a culturally sensitive environment.
I offer services to adults, teen, children, couples and families.
I am a licensed clinical social worker who has a passion for helping clients develop a better understanding of themselves and their lives. I am bilingual in English and Spanish and provide a culturally sensitive environment.
(415) 903-9997 View (415) 903-9997
Photo of Janelle De Veyra, Marriage & Family Therapist in San Francisco, CA
Janelle De Veyra
Marriage & Family Therapist, LMFT
Verified Verified
San Francisco, CA 94114
Do you struggle with depression, anxiety, and trauma? Do you experience difficulties managing family and relationship issues? I believe that healing happens when we pay attention to all the parts that make us whole—our mind, body, and soul. The subconscious mind controls most of our reality and choices, so building awareness and active presence can improve the quality of daily living and assist in not only surviving but thriving through life. As an intuitive & holistic therapist, I will assist you in strengthening your inner psyche and developing new tools to manage negative feelings and thoughts.
Do you struggle with depression, anxiety, and trauma? Do you experience difficulties managing family and relationship issues? I believe that healing happens when we pay attention to all the parts that make us whole—our mind, body, and soul. The subconscious mind controls most of our reality and choices, so building awareness and active presence can improve the quality of daily living and assist in not only surviving but thriving through life. As an intuitive & holistic therapist, I will assist you in strengthening your inner psyche and developing new tools to manage negative feelings and thoughts.
(415) 877-4918 View (415) 877-4918
Photo of Carla L Durkin, Marriage & Family Therapist in San Francisco, CA
Carla L Durkin
Marriage & Family Therapist, MS, LMFT
Verified Verified
San Francisco, CA 94114  (Online Only)
I am good at helping individuals and couples to create more awareness of and clarity about their needs, wants and painful experience; and to improve their capacity to be how they wish to be and to feel worthy; and to communicate and negotiate skillfully with the people they care about.
Over 17 years practicing has affirmed my belief that most of the emotional wounding and on-going pain, difficulties, confusion and “stuckness” plaguing individuals, and the relational problems of couples can move and improve significantly in psychotherapy with a warm, intelligent, highly attuned, interactive, and skilled psychotherapist. I work hard at creating a safe, reliable and connected therapeutic relationship, in which the client feels comfortable, seen, understood and accepted for who they are, communicated with honestly and directly, and free to drive the focus, pace and intensity as feels right to them.
I am good at helping individuals and couples to create more awareness of and clarity about their needs, wants and painful experience; and to improve their capacity to be how they wish to be and to feel worthy; and to communicate and negotiate skillfully with the people they care about.
Over 17 years practicing has affirmed my belief that most of the emotional wounding and on-going pain, difficulties, confusion and “stuckness” plaguing individuals, and the relational problems of couples can move and improve significantly in psychotherapy with a warm, intelligent, highly attuned, interactive, and skilled psychotherapist. I work hard at creating a safe, reliable and connected therapeutic relationship, in which the client feels comfortable, seen, understood and accepted for who they are, communicated with honestly and directly, and free to drive the focus, pace and intensity as feels right to them.
(650) 605-3981 View (650) 605-3981
Photo of Efrén F. Hilera, Psychologist in San Francisco, CA
Efrén F. Hilera
Psychologist, PsyD, MBA
Verified Verified
San Francisco, CA 94111
I am an empowerment and transformational coach who works with individuals, couples, companies and organizations who are committed to living life in a powerful, meaningful and fulfilling way! I am passionate about working with and developing effective leaders, transforming work cultures, creating more engagement in teams, and helping individuals and organizations achieve their goals and dreams. If you feel inspired by what you read, please contact me so that we can explore if we should work together and discuss how I can bring value to your life and/or organization.
I am an empowerment and transformational coach who works with individuals, couples, companies and organizations who are committed to living life in a powerful, meaningful and fulfilling way! I am passionate about working with and developing effective leaders, transforming work cultures, creating more engagement in teams, and helping individuals and organizations achieve their goals and dreams. If you feel inspired by what you read, please contact me so that we can explore if we should work together and discuss how I can bring value to your life and/or organization.
(650) 924-9912 View (650) 924-9912
Photo of Andrew G Law, Marriage & Family Therapist in San Francisco, CA
Andrew G Law
Marriage & Family Therapist, MA, LMFT
Verified Verified
San Francisco, CA 94110
Moms, Dads, New Parents! I am keenly aware of the challenges moms, dads, and couples struggle with as they become parents.
I offer Down to Earth, Jargon Free Counseling. I will meet you with warmth and curiosity, humor and heart, right where you are. I'm here to help as you gather the courage to change what you can and find the grace to accept what you can't. I have spent my entire adult life exploring the different sub-cultures of the Bay Area, so I am quite good at working with men, women, and couples who don't quite fit inside the box. I especially want to hear from you if you've never considered therapy before. Even if I'm not your best fit, I'm happy to help you think through and navigate your options. Get in touch via my website!
Moms, Dads, New Parents! I am keenly aware of the challenges moms, dads, and couples struggle with as they become parents.
I offer Down to Earth, Jargon Free Counseling. I will meet you with warmth and curiosity, humor and heart, right where you are. I'm here to help as you gather the courage to change what you can and find the grace to accept what you can't. I have spent my entire adult life exploring the different sub-cultures of the Bay Area, so I am quite good at working with men, women, and couples who don't quite fit inside the box. I especially want to hear from you if you've never considered therapy before. Even if I'm not your best fit, I'm happy to help you think through and navigate your options. Get in touch via my website!
(510) 491-0709 View (510) 491-0709
Photo of Diana Garber, Clinical Social Work/Therapist in San Francisco, CA
Diana Garber
Clinical Social Work/Therapist, JD, LCSW
Verified Verified
1 Endorsed
San Francisco, CA 94102  (Online Only)
Professional adults in their 20s/30s who want to make sense of relationship/work goals.
It often feels that if one area of your life is going well, another takes a nose dive. Often the clients I work with are determined, successful and focused but still, something feels like it is not correctly aligned. Many of my clients feel that they are growing at work, but their personal lives are unfulfilling. Or their relationships feel strong, but it feels impossible to manage work and love. I help my clients determine where they want to go and who they want to be. I can help you explore your decisions, the reasons behind them and then make sense of it all.
Professional adults in their 20s/30s who want to make sense of relationship/work goals.
It often feels that if one area of your life is going well, another takes a nose dive. Often the clients I work with are determined, successful and focused but still, something feels like it is not correctly aligned. Many of my clients feel that they are growing at work, but their personal lives are unfulfilling. Or their relationships feel strong, but it feels impossible to manage work and love. I help my clients determine where they want to go and who they want to be. I can help you explore your decisions, the reasons behind them and then make sense of it all.
(628) 888-6087 View (628) 888-6087
Photo of Sonia Troiani Doulton in San Francisco, CA
Sonia Troiani Doulton
MA
Verified Verified
1 Endorsed
San Francisco, CA 94123
As a fellow traveler, I bring qualities of curiosity, empathy, and unconditional positive regard into our relationship.
I work with adults experiencing depression, anxiety, PTSD, eating disorders, low self-esteem, life transitions, parenting issues, migration issues, aging challenges, neurodivergence, childhood trauma, and marital issues. In the last 15 yrs I've helped people find relief from emotional distress, gain insight into their thoughts and behaviors, improve coping skills, and foster resilience. I can help you achieve mental well-being, build healthier relationships, rediscover purpose and meaning in life, cultivate a sense of self-acceptance and fulfillment, and navigate life's challenges with greater ease, understanding, and authenticity.
As a fellow traveler, I bring qualities of curiosity, empathy, and unconditional positive regard into our relationship.
I work with adults experiencing depression, anxiety, PTSD, eating disorders, low self-esteem, life transitions, parenting issues, migration issues, aging challenges, neurodivergence, childhood trauma, and marital issues. In the last 15 yrs I've helped people find relief from emotional distress, gain insight into their thoughts and behaviors, improve coping skills, and foster resilience. I can help you achieve mental well-being, build healthier relationships, rediscover purpose and meaning in life, cultivate a sense of self-acceptance and fulfillment, and navigate life's challenges with greater ease, understanding, and authenticity.
(415) 727-8694 View (415) 727-8694
Photo of Lee Rather, Psychologist in San Francisco, CA
Lee Rather
Psychologist, PhD
Verified Verified
San Francisco, CA 94115
I am a Licensed Psychologist who works with adults in psychotherapy, psychoanalysis, and couples therapy, Over the last 25 years, I have helped people with a wide range of problems including depression, anxiety, substance abuse, sexual concerns, interpersonal relationship issues, career obstacles, blocks in creativity, and the process of coming to terms with difficult and traumatic life situations. Usually my work extends further in helping people discover and develop a more lively and authentic sense of self, which in turn brings a sense of deeper meaningfulness and engagement in life.
I am a Licensed Psychologist who works with adults in psychotherapy, psychoanalysis, and couples therapy, Over the last 25 years, I have helped people with a wide range of problems including depression, anxiety, substance abuse, sexual concerns, interpersonal relationship issues, career obstacles, blocks in creativity, and the process of coming to terms with difficult and traumatic life situations. Usually my work extends further in helping people discover and develop a more lively and authentic sense of self, which in turn brings a sense of deeper meaningfulness and engagement in life.
(415) 763-5972 View (415) 763-5972
Photo of Wendy Skillern, LCSW, Clinical Social Work/Therapist in San Francisco, CA
Wendy Skillern, LCSW
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
San Francisco, CA 94115  (Online Only)
The key to a positive experience in therapy is developing a close, trusting relationship with your therapist.
Life can feel overwhelming--but it doesn't have to. If you have experienced trauma, whether recurring or as an isolated incident, even the typical stresses of a normal day can provoke anxiety, fear, anger, or withdrawal. Luckily, therapy can provide you tools to deal with life's challenges, enabling you to minimize your stress levels and continue your personal growth. I will guide you to increased happiness and well-being by supporting you in exploring and enacting lasting, positive changes in your relationships with others, and most importantly, with yourself.
The key to a positive experience in therapy is developing a close, trusting relationship with your therapist.
Life can feel overwhelming--but it doesn't have to. If you have experienced trauma, whether recurring or as an isolated incident, even the typical stresses of a normal day can provoke anxiety, fear, anger, or withdrawal. Luckily, therapy can provide you tools to deal with life's challenges, enabling you to minimize your stress levels and continue your personal growth. I will guide you to increased happiness and well-being by supporting you in exploring and enacting lasting, positive changes in your relationships with others, and most importantly, with yourself.
(415) 202-6934 View (415) 202-6934
Photo of Nina Atanassova, Marriage & Family Therapist in San Francisco, CA
Nina Atanassova
Marriage & Family Therapist, MFT
Verified Verified
San Francisco, CA 94112  (Online Only)
I help clients with issues related to: * Depression and Anxiety * Stress Management * Domestic Violence * Anger Management * Self Esteem Issues * Communication and Relationship Issues * Adolescent Behavioral Issues * Trauma, Grief and Loss * Parenting and Step-Parenting Issues.
In my practice, I believe that the process of change requires an approach that is tailored to each individual's unique style and needs. I strive to create a collaborative, caring, and supportive atmosphere that will assist you in identifying and changing the thoughts, the behaviors, and the interpersonal styles that are no longer effective for you. I offer confidential, supportive and caring environment free of judgment that will facilitate your journey through difficulties and challenges.
I help clients with issues related to: * Depression and Anxiety * Stress Management * Domestic Violence * Anger Management * Self Esteem Issues * Communication and Relationship Issues * Adolescent Behavioral Issues * Trauma, Grief and Loss * Parenting and Step-Parenting Issues.
In my practice, I believe that the process of change requires an approach that is tailored to each individual's unique style and needs. I strive to create a collaborative, caring, and supportive atmosphere that will assist you in identifying and changing the thoughts, the behaviors, and the interpersonal styles that are no longer effective for you. I offer confidential, supportive and caring environment free of judgment that will facilitate your journey through difficulties and challenges.
(628) 244-9011 View (628) 244-9011
Photo of Darcy Dittrich, Marriage & Family Therapist in San Francisco, CA
Darcy Dittrich
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
San Francisco, CA 94107  (Online Only)
Something doesn't feel right, but you can’t quite figure it out. Or, you know exactly what you'd like to change, but you're not sure how to get there. You feel exhausted, overwhelmed, anxious, stressed, burnt out, sad, or lost. I help couples at any stage improve their relationship functioning. I work with high achievers, corporate & tech leaders and creatives who want to build skills for managing stress, tolerating difficult emotions, and balancing drive with ease. I bring insights from ten years of experience in Fortune 100 and tech startups (series A - IPO), and a lifetime of involvement with creative communities.
Something doesn't feel right, but you can’t quite figure it out. Or, you know exactly what you'd like to change, but you're not sure how to get there. You feel exhausted, overwhelmed, anxious, stressed, burnt out, sad, or lost. I help couples at any stage improve their relationship functioning. I work with high achievers, corporate & tech leaders and creatives who want to build skills for managing stress, tolerating difficult emotions, and balancing drive with ease. I bring insights from ten years of experience in Fortune 100 and tech startups (series A - IPO), and a lifetime of involvement with creative communities.
(415) 903-2756 View (415) 903-2756
Photo of Thomas Masat, Marriage & Family Therapist in San Francisco, CA
Thomas Masat
Marriage & Family Therapist, LMFT, CGP
Verified Verified
4 Endorsed
San Francisco, CA 94114  (Online Only)
I work with patients seeking greater intimacy and connection, sex and desire. Often, patients are exploring their relationship to sexual orientation, problematic sexual behaviors including porn, and compulsive behaviors. Finding a middle path can be challenging...and profoundly rewarding as you create new ways of relating to yourself and others.
I work with patients seeking greater intimacy and connection, sex and desire. Often, patients are exploring their relationship to sexual orientation, problematic sexual behaviors including porn, and compulsive behaviors. Finding a middle path can be challenging...and profoundly rewarding as you create new ways of relating to yourself and others.
(415) 969-3984 View (415) 969-3984
Photo of Will Lipsenthal, Marriage & Family Therapist Associate in San Francisco, CA
Will Lipsenthal
Marriage & Family Therapist Associate, MA, AMFT
Verified Verified
1 Endorsed
San Francisco, CA 94110
I have a passion for examining the things in our past, in our lives, and in our society; and further understand how they came to be, why they are the way they are today, and explore the relationship we are wanting to have as individuals with a relationship to the world.
Whatever you’re experiencing, I hope to walk the line of being a support to you in your experience and by your side, while also, empathetically being a source of information that can provide evidence based practices as well as an experiential framework to help you get what you want. I plan on taking an awareness-based approach. I want to build your awareness so you can make more informed decisions. I want to co-create an environment that allows you to bring your whole self to therapy so that you can heal and grow.
I have a passion for examining the things in our past, in our lives, and in our society; and further understand how they came to be, why they are the way they are today, and explore the relationship we are wanting to have as individuals with a relationship to the world.
Whatever you’re experiencing, I hope to walk the line of being a support to you in your experience and by your side, while also, empathetically being a source of information that can provide evidence based practices as well as an experiential framework to help you get what you want. I plan on taking an awareness-based approach. I want to build your awareness so you can make more informed decisions. I want to co-create an environment that allows you to bring your whole self to therapy so that you can heal and grow.
(415) 965-6769 View (415) 965-6769

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Couples Counseling Therapists

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.