Photo of Jeffrey T. Wentzel, Psychologist in 10011, NY
Jeffrey T. Wentzel
Psychologist, PhD
Verified Verified
1 Endorsed
New York, NY 10011
I am a licensed clinical psychologist and have worked extensively with individual adults, adolescents, and couples in New York City for more than 20 years. I work collaboratively with each of my clients to strike the right balance between providing relief in the short-term from the types of symptoms and difficult circumstances that may have led to an interest in psychotherapy, while also attempting to facilitate an ongoing process that promotes greater self-awareness and an increased sense of self-confidence in defining and achieving a more productive and satisfying life.
I am a licensed clinical psychologist and have worked extensively with individual adults, adolescents, and couples in New York City for more than 20 years. I work collaboratively with each of my clients to strike the right balance between providing relief in the short-term from the types of symptoms and difficult circumstances that may have led to an interest in psychotherapy, while also attempting to facilitate an ongoing process that promotes greater self-awareness and an increased sense of self-confidence in defining and achieving a more productive and satisfying life.
(646) 553-4203 View (646) 553-4203
Photo of Christina Curtis, Marriage & Family Therapist in 10011, NY
Christina Curtis
Marriage & Family Therapist, MA, LMFT
Verified Verified
New York, NY 10011
Waitlist for new clients
I have a passion for working with couples at all stages of the life cycle. Premaritals, empty nesters, LGBT couples, couples with young children seeking to balance parenting with time for self and partner, couples needing support around sexuality and commitment issues, couples at a crossroads.... Much of my early therapeutic training was in Hospice bereavement counseling. Through that experience I became drawn to therapeutic encounters with the potential for spiritual renewal. In recent years I've connected with that initial sense of generativity and meaning through the practice of couples therapy, most notably in work as a premarital counselor.
I have a passion for working with couples at all stages of the life cycle. Premaritals, empty nesters, LGBT couples, couples with young children seeking to balance parenting with time for self and partner, couples needing support around sexuality and commitment issues, couples at a crossroads.... Much of my early therapeutic training was in Hospice bereavement counseling. Through that experience I became drawn to therapeutic encounters with the potential for spiritual renewal. In recent years I've connected with that initial sense of generativity and meaning through the practice of couples therapy, most notably in work as a premarital counselor.
(646) 681-7527 View (646) 681-7527
Photo of Melissa R Giuttari, Counselor in 10011, NY
Melissa R Giuttari
Counselor, MA, LMHC
Verified Verified
1 Endorsed
New York, NY 10011
I treat individuals of all ages, and have expertise with issues of depression, anxiety, and relationship issues.
"Health is a state of complete harmony of the body, mind and spirit." ~B.K.S. Iyengar * * * A healthy mind is just as important as a healthy body and a healthy soul. My goal is to partner with you in looking at your life-story, and identifying and overcoming the blockages to a peaceful way of being. Psychotherapy is a wonderful opportunity to find balance and restore a sense of wholeness and perspective on our purpose in life. I provide a safe, supportive and non-judgmental space in my practice for this to occur.
I treat individuals of all ages, and have expertise with issues of depression, anxiety, and relationship issues.
"Health is a state of complete harmony of the body, mind and spirit." ~B.K.S. Iyengar * * * A healthy mind is just as important as a healthy body and a healthy soul. My goal is to partner with you in looking at your life-story, and identifying and overcoming the blockages to a peaceful way of being. Psychotherapy is a wonderful opportunity to find balance and restore a sense of wholeness and perspective on our purpose in life. I provide a safe, supportive and non-judgmental space in my practice for this to occur.
(718) 569-8239 View (718) 569-8239
Photo of Helene Greece, Clinical Social Work/Therapist in 10011, NY
Helene Greece
Clinical Social Work/Therapist, LCSW, SEP
Verified Verified
New York, NY 10011  (Online Only)
I offer a holistic, integrative approach to psychotherapy and tailor it to the emotional, physical, and creative needs of each client. I bring a wealth of life experience to my practice to complement my clinical expertise. I am an active and empathetic listener and understand that developing a strong therapeutic relationship depends on establishing safety and trust. I try to respond to each person in a curious, collaborative, and direct way. Together we try to find a common language, in words and through the body, that opens the path for each person to express what they need to express.
I offer a holistic, integrative approach to psychotherapy and tailor it to the emotional, physical, and creative needs of each client. I bring a wealth of life experience to my practice to complement my clinical expertise. I am an active and empathetic listener and understand that developing a strong therapeutic relationship depends on establishing safety and trust. I try to respond to each person in a curious, collaborative, and direct way. Together we try to find a common language, in words and through the body, that opens the path for each person to express what they need to express.
(929) 470-3104 View (929) 470-3104
Photo of Carolyn Alroy, Psychologist in 10011, NY
Carolyn Alroy
Psychologist, PsyD
Verified Verified
1 Endorsed
New York, NY 10011
Relationships (couples and individuals).
You feel hopeless, angst, dread, or freaked out. You feel anxiety and have trouble sleeping, headaches, stress, palpitations, and/or nightmares. You may be struggling in relationship, whether single, and looking for a partner, committed to a partner, or in a recent breakup. You may be stuck at work, not able to get ahead, or unsure if you are in the right profession or company.
Relationships (couples and individuals).
You feel hopeless, angst, dread, or freaked out. You feel anxiety and have trouble sleeping, headaches, stress, palpitations, and/or nightmares. You may be struggling in relationship, whether single, and looking for a partner, committed to a partner, or in a recent breakup. You may be stuck at work, not able to get ahead, or unsure if you are in the right profession or company.
(347) 918-3739 View (347) 918-3739
Photo of Footprints Mental Health Counseling , Pre-Licensed Professional in 10011, NY
Footprints Mental Health Counseling
Pre-Licensed Professional
Verified Verified
New York, NY 10011
We work with depression, anxiety, bipolar, PTSD, eating disorders, bereavement, BPD, autism, ADHD, addiction, sexual abuse, DV, medical illnesses, relationship problems, LGTBQ+, adjustment disorders and forensic cases.
Footprints was started by a therapist who realized that often times the services provided to low socio-economic communities is lacking quality care. We noticed these communities were confronted with long wait times, disrespectful admins, and subpar treatment. The one and only purpose was to exploit the community for profit without providing the level of care deserved. Feel Better Therapy began from the inspiration to provide quality mental health care to the poorest of communities and treating the clients of this community the same way a rich patient would be treated in a clinic treating affluent clients.
We work with depression, anxiety, bipolar, PTSD, eating disorders, bereavement, BPD, autism, ADHD, addiction, sexual abuse, DV, medical illnesses, relationship problems, LGTBQ+, adjustment disorders and forensic cases.
Footprints was started by a therapist who realized that often times the services provided to low socio-economic communities is lacking quality care. We noticed these communities were confronted with long wait times, disrespectful admins, and subpar treatment. The one and only purpose was to exploit the community for profit without providing the level of care deserved. Feel Better Therapy began from the inspiration to provide quality mental health care to the poorest of communities and treating the clients of this community the same way a rich patient would be treated in a clinic treating affluent clients.
(718) 550-5392 View (718) 550-5392
Photo of Tess Rafferty, Marriage & Family Therapist in 10011, NY
Tess Rafferty
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
New York, NY 10011  (Online Only)
When so much feels uncertain, I am here to help you find your way from fatigue and overwhelm to peace and acceptance. The dedicated time and space of our sessions and a safe, non-judgmental therapeutic relationship will support you in creating the fulfilling relationships and experiences you are longing for. I bring my background as a mindful-living coach to my work as a therapist, and I love to support clients who are seeking to cultivate more compassion for themselves and within their relationships. I believe that everyone can benefit from therapy, no matter what is currently taking center stage in their lives.
When so much feels uncertain, I am here to help you find your way from fatigue and overwhelm to peace and acceptance. The dedicated time and space of our sessions and a safe, non-judgmental therapeutic relationship will support you in creating the fulfilling relationships and experiences you are longing for. I bring my background as a mindful-living coach to my work as a therapist, and I love to support clients who are seeking to cultivate more compassion for themselves and within their relationships. I believe that everyone can benefit from therapy, no matter what is currently taking center stage in their lives.
(646) 681-5802 View (646) 681-5802
Photo of Sarton Weinraub, Psychologist in 10011, NY
Sarton Weinraub
Psychologist, PhD
Verified Verified
1 Endorsed
New York, NY 10011
I practice individual, couples, family, and group psychotherapy.
I am a Humanistic Client-Centered Clinical Psychologist, originally trained within the Psychoanalytic orientation. I also believe in theoretical eclecticism, therefore in addition to my Humanistic orientation, I offer Cognitive/Behavioral as well as Psychodynamic approaches. Overall I strive to offer my clients the experience of "therapeutic presence" including: deep empathic listening, nonjudgmental acceptance, and therapeutic and genuineness. I look forward to meeting you for an initial consultation.
I practice individual, couples, family, and group psychotherapy.
I am a Humanistic Client-Centered Clinical Psychologist, originally trained within the Psychoanalytic orientation. I also believe in theoretical eclecticism, therefore in addition to my Humanistic orientation, I offer Cognitive/Behavioral as well as Psychodynamic approaches. Overall I strive to offer my clients the experience of "therapeutic presence" including: deep empathic listening, nonjudgmental acceptance, and therapeutic and genuineness. I look forward to meeting you for an initial consultation.
(212) 989-6086 View (212) 989-6086
Photo of Sandra Lugo Psychotherapy Services, PLLC, Clinical Social Work/Therapist in 10011, NY
Sandra Lugo Psychotherapy Services, PLLC
Clinical Social Work/Therapist, LCSW-R, MS, DCSW
Verified Verified
1 Endorsed
New York, NY 10011
An essential feature of this approach is the development of a unique and trusting relationship between client and therapist.
Therapy shouldn't be an expensive luxury. I accept many commercial in-network insurances. More than ever, with the recovery from a pandemic, inflation, and lifestyle changes, there is an increase in anxiety, depressed mood, social fears and worry about the future and unknowns. Therefore, therapy is more of a necessity for many of us.
An essential feature of this approach is the development of a unique and trusting relationship between client and therapist.
Therapy shouldn't be an expensive luxury. I accept many commercial in-network insurances. More than ever, with the recovery from a pandemic, inflation, and lifestyle changes, there is an increase in anxiety, depressed mood, social fears and worry about the future and unknowns. Therefore, therapy is more of a necessity for many of us.
(718) 831-6567 View (718) 831-6567
Photo of Gary Michael Prottas, Clinical Social Work/Therapist in 10011, NY
Gary Michael Prottas
Clinical Social Work/Therapist, LCSW, LP, Clin, Hyp
Verified Verified
2 Endorsed
New York, NY 10011
Do you feel "stuck?" Are you cutting off your feelings? Do you have difficulty speaking up with what you need? Are you dissatisfied with your relationships? You don't have to feel helpless, stuck or disappointed. Therapy can lend a hand to reconnect with your spontaneity & discover opportunities to make new choices and express your needs. Most of my clients increase their abilities to communicate effectively, increase their awareness, develop more satisfying relationships, and begin to identify joy. Help make your relationship work for you - couple's therapy works! I appreciate how difficult it is to take this step.
Do you feel "stuck?" Are you cutting off your feelings? Do you have difficulty speaking up with what you need? Are you dissatisfied with your relationships? You don't have to feel helpless, stuck or disappointed. Therapy can lend a hand to reconnect with your spontaneity & discover opportunities to make new choices and express your needs. Most of my clients increase their abilities to communicate effectively, increase their awareness, develop more satisfying relationships, and begin to identify joy. Help make your relationship work for you - couple's therapy works! I appreciate how difficult it is to take this step.
(833) 750-1257 View (833) 750-1257
Photo of Susan Graves, LCSW/Therapist, Clinical Social Work/Therapist in 10011, NY
Susan Graves, LCSW/Therapist
Clinical Social Work/Therapist, LCSW
Verified Verified
New York, NY 10011  (Online Only)
I utilize a blend of psychodynamic and behavioral approaches with both couples and individuals.
Perhaps you are in a transitional phase, feeling unsettled, confused, frustrated, lonely or in grief. Or there may be active addiction, disordered eating or body image issues, family stress, estrangement, relational conflicts or infidelity. Or, you are struggling and don't understand why. My professional experience is varied and spans 40 years. However, it is this role as a therapist that blends it together beautifully with my life experience and extensive training to serve my clients. Therapy can be life-changing, and you deserve to thrive, accept what is unchangeable, change what is, and feel at ease with yourself and others.
I utilize a blend of psychodynamic and behavioral approaches with both couples and individuals.
Perhaps you are in a transitional phase, feeling unsettled, confused, frustrated, lonely or in grief. Or there may be active addiction, disordered eating or body image issues, family stress, estrangement, relational conflicts or infidelity. Or, you are struggling and don't understand why. My professional experience is varied and spans 40 years. However, it is this role as a therapist that blends it together beautifully with my life experience and extensive training to serve my clients. Therapy can be life-changing, and you deserve to thrive, accept what is unchangeable, change what is, and feel at ease with yourself and others.
(332) 249-8592 View (332) 249-8592
Photo of Bonnie Hirschhorn, Clinical Social Work/Therapist in 10011, NY
Bonnie Hirschhorn
Clinical Social Work/Therapist, LP, NCPsyA, LCSW, LCAT, BC-ATR
Verified Verified
New York, NY 10011
Bonnie Hirschhorn is a highly skilled therapist with two masters degrees in Art Therapy and in Social Work. She has advanced training in couples therapy, hypnosis, psychodrama, and expressive psychoanalysis. She is NY State Licensed in three areas, as an Art Therapist, Social Worker, Psychoanalyst and is a Certified Imago Couple's Therapist.
Bonnie Hirschhorn is a highly skilled therapist with two masters degrees in Art Therapy and in Social Work. She has advanced training in couples therapy, hypnosis, psychodrama, and expressive psychoanalysis. She is NY State Licensed in three areas, as an Art Therapist, Social Worker, Psychoanalyst and is a Certified Imago Couple's Therapist.
(646) 351-1898 View (646) 351-1898
Photo of Christina Bradley in 10011, NY
Christina Bradley
MS Ed, DBT, REBT, CBT
Verified Verified
11 Endorsed
New York, NY 10011
Christina Bradley, MS.Ed., DBT, CBT, REBT is an experienced mental health professional determined to be a service to people of all ages and backgrounds looking to improve their quality of life. While we will explore and understand the past, we will definitely move forward as a team. I specialize in individuals with anxiety, depression, trauma, relationship concerns, self-esteem issues, addiction/substance use, grief, enhancing interpersonal skills/coping skills, career direction, and conflict resolution.
Christina Bradley, MS.Ed., DBT, CBT, REBT is an experienced mental health professional determined to be a service to people of all ages and backgrounds looking to improve their quality of life. While we will explore and understand the past, we will definitely move forward as a team. I specialize in individuals with anxiety, depression, trauma, relationship concerns, self-esteem issues, addiction/substance use, grief, enhancing interpersonal skills/coping skills, career direction, and conflict resolution.
(929) 205-4133 View (929) 205-4133
Photo of John P. Carnesecchi, Clinical Social Work/Therapist in 10011, NY
John P. Carnesecchi
Clinical Social Work/Therapist, LCSW, CEAP
Verified Verified
11 Endorsed
New York, NY 10011
I specialize in couples, family, depression, anxiety, trauma, addiction, relationships, couples counseling, sex therapy, ketamine assisted psychotherapy, and career coaching.
John P. Carnesecchi, LCSW, CEAP is a seasoned clinician that treats people of all ages. A client is usually struggling but feels connected enough with me as their therapist to speak openly and freely about their experience. They can accept feedback with an understanding that we are both on the same team. When we touch on something out of their comfort zone, I hope they recognize they are safe and can stay engaged in the process. Together, we push past the barriers preventing them from feeling better, and they gain a better understanding of themselves to meet their potential.
I specialize in couples, family, depression, anxiety, trauma, addiction, relationships, couples counseling, sex therapy, ketamine assisted psychotherapy, and career coaching.
John P. Carnesecchi, LCSW, CEAP is a seasoned clinician that treats people of all ages. A client is usually struggling but feels connected enough with me as their therapist to speak openly and freely about their experience. They can accept feedback with an understanding that we are both on the same team. When we touch on something out of their comfort zone, I hope they recognize they are safe and can stay engaged in the process. Together, we push past the barriers preventing them from feeling better, and they gain a better understanding of themselves to meet their potential.
(917) 398-9526 View (917) 398-9526
Photo of Christina Bradley in 10011, NY
Christina Bradley
Ms Ed, DBT, REBT, CBT
Verified Verified
12 Endorsed
New York, NY 10011
Christina Bradley, MS Ed, DBT, CBT, REBT is an experienced mental health professional determined to be a service to people of all ages and backgrounds looking to improve their quality of life. While we will explore and understand the past, we will move forward as a team. I specialize in individuals with anxiety, depression, trauma, relationship concerns, self-esteem issues, addiction/substance use, grief, enhancing interpersonal skills/coping skills, career direction, and conflict resolution.
Christina Bradley, MS Ed, DBT, CBT, REBT is an experienced mental health professional determined to be a service to people of all ages and backgrounds looking to improve their quality of life. While we will explore and understand the past, we will move forward as a team. I specialize in individuals with anxiety, depression, trauma, relationship concerns, self-esteem issues, addiction/substance use, grief, enhancing interpersonal skills/coping skills, career direction, and conflict resolution.
(929) 822-6604 View (929) 822-6604
Photo of Caroline Grace Brown, Clinical Social Work/Therapist in 10011, NY
Caroline Grace Brown
Clinical Social Work/Therapist, LMSW, DBT, REBT, CBT
Verified Verified
10 Endorsed
New York, NY 10011
People often reach out with a range of concerns, including anxiety, depression, relationship concerns, and the challenges of navigating life transitions. Whatever the specific issue, clients often share a common goal: to gain a deeper understanding of the issues they’re struggling with, to challenge and replace patterns of thought and behavior that are not serving them, and to learn helpful coping skills to manage stressors in healthy and productive ways. Ultimately, clients frequently aspire to cultivate a life of fulfillment, authenticity, and peace.
People often reach out with a range of concerns, including anxiety, depression, relationship concerns, and the challenges of navigating life transitions. Whatever the specific issue, clients often share a common goal: to gain a deeper understanding of the issues they’re struggling with, to challenge and replace patterns of thought and behavior that are not serving them, and to learn helpful coping skills to manage stressors in healthy and productive ways. Ultimately, clients frequently aspire to cultivate a life of fulfillment, authenticity, and peace.
(646) 906-9826 View (646) 906-9826
Photo of Kimberly C Agresta, Clinical Social Work/Therapist in 10011, NY
Kimberly C Agresta
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
New York, NY 10011
The Agresta Psychotherapy group has been providing psychotherapeutic services in the Metropolitan area for over thirty years. I, personally, have worked in the mental health profession in various capacities for over 20 years. My specialties include anxiety disorders, relationship counseling, women's issues and family and group therapy. I established a division of APG called Women's Wellness. Women's Wellness specializes in problems commonly associated with women, such as postpartum depression, fertility, adoption and surrogacy, women's cancers, eating disorders, anxiety disorders, depression, parenting skills and couples issues.
The Agresta Psychotherapy group has been providing psychotherapeutic services in the Metropolitan area for over thirty years. I, personally, have worked in the mental health profession in various capacities for over 20 years. My specialties include anxiety disorders, relationship counseling, women's issues and family and group therapy. I established a division of APG called Women's Wellness. Women's Wellness specializes in problems commonly associated with women, such as postpartum depression, fertility, adoption and surrogacy, women's cancers, eating disorders, anxiety disorders, depression, parenting skills and couples issues.
(212) 627-7727 View (212) 627-7727
Photo of Caroline Grace Brown, Clinical Social Work/Therapist in 10011, NY
Caroline Grace Brown
Clinical Social Work/Therapist, LMSW, CBT, DBT, REBT
Verified Verified
11 Endorsed
New York, NY 10011
People often reach out with a range of concerns, including anxiety, depression, relationship concerns, and the challenges of navigating life transitions. Whatever the specific issue, clients often share a common goal: to gain a deeper understanding of the issues they’re struggling with, to challenge and replace patterns of thought and behavior that are not serving them, and to learn helpful coping skills to manage stressors in healthy and productive ways. Ultimately, clients frequently aspire to cultivate a life of fulfillment, authenticity, and peace.
People often reach out with a range of concerns, including anxiety, depression, relationship concerns, and the challenges of navigating life transitions. Whatever the specific issue, clients often share a common goal: to gain a deeper understanding of the issues they’re struggling with, to challenge and replace patterns of thought and behavior that are not serving them, and to learn helpful coping skills to manage stressors in healthy and productive ways. Ultimately, clients frequently aspire to cultivate a life of fulfillment, authenticity, and peace.
(347) 580-6998 View (347) 580-6998
Photo of Valerie Paige Kowalski, Clinical Social Work/Therapist in 10011, NY
Valerie Paige Kowalski
Clinical Social Work/Therapist, LMSW, DBT, REBT, CBT
Verified Verified
11 Endorsed
New York, NY 10011
Let's create a rewarding relationship that will lean into trust, safety and motivation for a better relationship with yourself and those around you.
People often reach out with a range of concerns, including trauma, anxiety, depression, relationship concerns, addiction, eating disorders, career concerns, and the challenges of navigating life transitions. Whatever the specific issue, clients often share a common goal: to gain a deeper understanding of the issues they’re struggling with, to challenge and replace patterns of thought and behavior that are not serving them, and to learn helpful coping skills to manage stressors in healthy and productive ways. Ultimately, my clients frequently aspire to cultivate a life of fulfillment, authenticity, and peace.
Let's create a rewarding relationship that will lean into trust, safety and motivation for a better relationship with yourself and those around you.
People often reach out with a range of concerns, including trauma, anxiety, depression, relationship concerns, addiction, eating disorders, career concerns, and the challenges of navigating life transitions. Whatever the specific issue, clients often share a common goal: to gain a deeper understanding of the issues they’re struggling with, to challenge and replace patterns of thought and behavior that are not serving them, and to learn helpful coping skills to manage stressors in healthy and productive ways. Ultimately, my clients frequently aspire to cultivate a life of fulfillment, authenticity, and peace.
(929) 498-5487 View (929) 498-5487
Photo of Valerie Paige Kowalski, Licensed Master Social Worker in 10011, NY
Valerie Paige Kowalski
Licensed Master Social Worker, LMSW, REBT, DBT, CBT
Verified Verified
9 Endorsed
New York, NY 10011
Let's create a rewarding relationship that will lean into trust, safety and motivation for a better relationship with yourself and those around you.
People often reach out with a range of concerns, including trauma, anxiety, depression, relationship concerns, addiction, eating disorders, career concerns, and the challenges of navigating life transitions. Whatever the specific issue, clients often share a common goal: to gain a deeper understanding of the issues they’re struggling with, to challenge and replace patterns of thought and behavior that are not serving them, and to learn helpful coping skills to manage stressors in healthy and productive ways. Ultimately, my clients frequently aspire to cultivate a life of fulfillment, authenticity, and peace.
Let's create a rewarding relationship that will lean into trust, safety and motivation for a better relationship with yourself and those around you.
People often reach out with a range of concerns, including trauma, anxiety, depression, relationship concerns, addiction, eating disorders, career concerns, and the challenges of navigating life transitions. Whatever the specific issue, clients often share a common goal: to gain a deeper understanding of the issues they’re struggling with, to challenge and replace patterns of thought and behavior that are not serving them, and to learn helpful coping skills to manage stressors in healthy and productive ways. Ultimately, my clients frequently aspire to cultivate a life of fulfillment, authenticity, and peace.
(929) 309-1342 View (929) 309-1342

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.