Photo of Lesley Whitman Stoller, MA, LP, Licensed Psychoanalyst
Lesley Whitman Stoller
Licensed Psychoanalyst, MA, LP
Verified Verified
1 Endorsed
New York, NY 10011
I have been a parent, a spouse, an artist, a teacher and now a psychoanalyst.
Your inner world is unique; the things that make you happy as well as those that make you feel unhappy. Navigating self, family, friendship, work and love gets complicated - this comes with the territory of being human. We strive to fulfill our personal and professional life-dreams but sometimes it feels impossible. I have learned that it is usually more possible than we think. My mindful psychoanalytic approach examines and reconciles our past and our present, ultimately helping us feel more free to create a new future through the discovery of our most authentic self.
I have been a parent, a spouse, an artist, a teacher and now a psychoanalyst.
Your inner world is unique; the things that make you happy as well as those that make you feel unhappy. Navigating self, family, friendship, work and love gets complicated - this comes with the territory of being human. We strive to fulfill our personal and professional life-dreams but sometimes it feels impossible. I have learned that it is usually more possible than we think. My mindful psychoanalytic approach examines and reconciles our past and our present, ultimately helping us feel more free to create a new future through the discovery of our most authentic self.
(718) 556-3003 View (718) 556-3003
Photo of Jack Herskovits - Jack Herskovits, PsyD, PsyD, Psychologist
Jack Herskovits, PsyD
Psychologist, PsyD
Verified Verified
New York, NY 10011
I am a psychologist with a diverse practice. I work with individuals, couples, adolescents and families, and conduct a variety of psychotherapy groups. My style is informal, supportive and interactive. I have extensive experience working with issues related to addictive and compulsive behavior problems, relationship issues, identity issues, and many other areas of clinical concern. My first aim is to establish a mutually comfortable rapport to provide an atmosphere of openness and to make self exploration an experience that is satisfying and immediately helpful in both the short and long term.
I am a psychologist with a diverse practice. I work with individuals, couples, adolescents and families, and conduct a variety of psychotherapy groups. My style is informal, supportive and interactive. I have extensive experience working with issues related to addictive and compulsive behavior problems, relationship issues, identity issues, and many other areas of clinical concern. My first aim is to establish a mutually comfortable rapport to provide an atmosphere of openness and to make self exploration an experience that is satisfying and immediately helpful in both the short and long term.
(646) 386-2356 View (646) 386-2356
Photo of Gina Major, MAEd, LMHC, LPCC, CWC, BCTP, Counselor
Gina Major
Counselor, MAEd, LMHC, LPCC, CWC, BCTP
Verified Verified
1 Endorsed
New York, NY 10011  (Online Only)
I utilize a variety of techniques, including Cognitive Behavioral Therapy (CBT), Trauma-Informed Therapy, Person-Centered Therapy,  narrative therapy, stress management, couples therapy, mood management, anxiety reduction, empowerment techniques, and work/life balance interventions.
My goal as your therapist is to provide the best service I can through a personally tailored approach! Thriving instead of just surviving. I am a strong believer in meeting those I serve where they are.  Whether you are experiencing loss, anxiety, depression, relationship issues, a life transition, stress or need a sounding board, I am here to be a support!
I utilize a variety of techniques, including Cognitive Behavioral Therapy (CBT), Trauma-Informed Therapy, Person-Centered Therapy,  narrative therapy, stress management, couples therapy, mood management, anxiety reduction, empowerment techniques, and work/life balance interventions.
My goal as your therapist is to provide the best service I can through a personally tailored approach! Thriving instead of just surviving. I am a strong believer in meeting those I serve where they are.  Whether you are experiencing loss, anxiety, depression, relationship issues, a life transition, stress or need a sounding board, I am here to be a support!
(646) 846-8626 View (646) 846-8626
Photo of Alan S. Vanell, LMHC, Counselor
Alan S. Vanell
Counselor, LMHC
Verified Verified
New York, NY 10011
As a therapist, it is my goal to create a safe relationship that relies on trust, respect, and collaboration.
Sometimes in life, we face various problems or setbacks that impede our identity, self-esteem, relationships, and/or aspirations. Through therapy, we can safely and quickly develop ways to achieve your life goals and improve life satisfaction. I work dynamically and collaboratively to explore your inner thoughts and feelings to bring positive changes and meaning to your present life. In conjunction, I utilize specific ways to help you build your inner resources/skills to cope with daily life stressors, relationship problems, trauma, anxiety, depression, and other concerns.
As a therapist, it is my goal to create a safe relationship that relies on trust, respect, and collaboration.
Sometimes in life, we face various problems or setbacks that impede our identity, self-esteem, relationships, and/or aspirations. Through therapy, we can safely and quickly develop ways to achieve your life goals and improve life satisfaction. I work dynamically and collaboratively to explore your inner thoughts and feelings to bring positive changes and meaning to your present life. In conjunction, I utilize specific ways to help you build your inner resources/skills to cope with daily life stressors, relationship problems, trauma, anxiety, depression, and other concerns.
(917) 746-4157 View (917) 746-4157
Photo of Guy C Pasculli - Guy Pasculli LCSW PC, LCSW, Clinical Social Work/Therapist
Guy Pasculli LCSW PC
Clinical Social Work/Therapist, LCSW
Verified Verified
New York, NY 10011
Psychotherapy is a very personal experience whereby the patient must develop a trusting relationship, to often overcome emotional crisis.
Feeling sad, depressed, angry, impulsive? Do you have a lack of interest, or loss of motivation? Is fear and anxiety a driving force behind many decisions? Is drinking or recreational drug use increasing? Are you having conflicts at home or with your employer? Is life not turning out how you expected? Are you experiencing resentments towards most of life's events?
Psychotherapy is a very personal experience whereby the patient must develop a trusting relationship, to often overcome emotional crisis.
Feeling sad, depressed, angry, impulsive? Do you have a lack of interest, or loss of motivation? Is fear and anxiety a driving force behind many decisions? Is drinking or recreational drug use increasing? Are you having conflicts at home or with your employer? Is life not turning out how you expected? Are you experiencing resentments towards most of life's events?
(646) 681-7344 View (646) 681-7344
Photo of Shaqueen C. Walcott, LCSW, A-CASAC, Clinical Social Work/Therapist
Shaqueen C. Walcott
Clinical Social Work/Therapist, LCSW, A-CASAC
Verified Verified
New York, NY 10011
As a mental health therapist, I have helped adults, children, and couples overcome their difficulties to achieve their goals. I offer a safe and supportive environment where you can share your experiences and feelings without fear of judgment. We will work together to understand the root causes of your anxiety, depression, and any other life challenges, to find the best treatment plan for you. My clients have reported positive changes in their relationships, decision making, and overall wellbeing. Your journey to mental health wellness starts here. Let me guide you along the way.
As a mental health therapist, I have helped adults, children, and couples overcome their difficulties to achieve their goals. I offer a safe and supportive environment where you can share your experiences and feelings without fear of judgment. We will work together to understand the root causes of your anxiety, depression, and any other life challenges, to find the best treatment plan for you. My clients have reported positive changes in their relationships, decision making, and overall wellbeing. Your journey to mental health wellness starts here. Let me guide you along the way.
(646) 798-2833 View (646) 798-2833
Photo of Carlin De La Rosa, LCSW, Clinical Social Work/Therapist
Carlin De La Rosa
Clinical Social Work/Therapist, LCSW
Verified Verified
New York, NY 10011  (Online Only)
Have you felt so overwhelmed by your emotions that you are unsure whether you control your emotions or they control you? Do you feel hopeless, anxious, sad, irritable, or at a loss? Maybe you have found yourself engaging in unhealthy behaviors or old patterns. Life can throw us off balance because of relationship issues, the need to set boundaries, depression, anxiety or just because life is… life.
Have you felt so overwhelmed by your emotions that you are unsure whether you control your emotions or they control you? Do you feel hopeless, anxious, sad, irritable, or at a loss? Maybe you have found yourself engaging in unhealthy behaviors or old patterns. Life can throw us off balance because of relationship issues, the need to set boundaries, depression, anxiety or just because life is… life.
(929) 534-2621 View (929) 534-2621
Photo of Lucien Beckford - Footprints Mental Health Counseling , Pre-Licensed Professional
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 Samantha Ossip, LMSW, Clinical Social Work/Therapist
Samantha Ossip
Clinical Social Work/Therapist, LMSW
Verified Verified
New York, NY 10011  (Online Only)
Additionally, I have a passion for couples work, facilitating communication and deepening connections through our counseling sessions.
I believe that a key aspect of healing involves self-discovery and self-acceptance. My therapeutic approach is rooted in psychoanalytic principles, enhanced by parts work, and enriched with somatic techniques and mindfulness practices. I honor the complexities of the human psyche, exploring the facets of our being with compassion and curiosity. My aim is to help clients uncover and embrace the different parts of themselves, fostering self-acceptance and understanding. I strongly believe in the interconnectedness of mind and body.
Additionally, I have a passion for couples work, facilitating communication and deepening connections through our counseling sessions.
I believe that a key aspect of healing involves self-discovery and self-acceptance. My therapeutic approach is rooted in psychoanalytic principles, enhanced by parts work, and enriched with somatic techniques and mindfulness practices. I honor the complexities of the human psyche, exploring the facets of our being with compassion and curiosity. My aim is to help clients uncover and embrace the different parts of themselves, fostering self-acceptance and understanding. I strongly believe in the interconnectedness of mind and body.
(929) 392-2601 View (929) 392-2601
Photo of Dorit Margalit - Dorit Margalit, LCSW-R, LCSW-R, Clinical Social Work/Therapist
Dorit Margalit, LCSW-R
Clinical Social Work/Therapist, LCSW-R
Verified Verified
New York, NY 10011
Trained in cognitive behavior treatment, I am a compassionate, experienced, and skilled social worker who has held many senior clinical management positions. I am eager to collaborate and work with clients who struggle with depression, anxiety, low self-esteem, trauma, relationship issues, employment issues, anger management, and addictions. In a focused and direct manner, we will address immediate concerns and symptoms, as well as deeply explore unresolved childhood issues, emotions, and traumas. Together, with the client, we will exercise coping skills to empower you to take control of their life.
Trained in cognitive behavior treatment, I am a compassionate, experienced, and skilled social worker who has held many senior clinical management positions. I am eager to collaborate and work with clients who struggle with depression, anxiety, low self-esteem, trauma, relationship issues, employment issues, anger management, and addictions. In a focused and direct manner, we will address immediate concerns and symptoms, as well as deeply explore unresolved childhood issues, emotions, and traumas. Together, with the client, we will exercise coping skills to empower you to take control of their life.
(347) 848-1499 View (347) 848-1499
Photo of Jason Duncan, PhD, Psychologist
Jason Duncan
Psychologist, PhD
Verified Verified
New York, NY 10011
Beyond treating individuals, I provide couples and family therapy.
I am a psychologist providing therapy and assessment services for children through adults. I have extensive clinical experience and am an expert Cognitive Behavioral Therapist. I’ve been trained by top therapy institutes, am a board member for well accomplished CBT organizations, and run the official podcast for the national CBT organization. I strive to regularly advance my knowledge and provide leading scientific treatments. I specialize in the treatment of anxiety, depression, panic, OCD, trauma, stress, insomnia, ADHD, defiance, and work/school issues. Many of my clients lead busy lives; therefore, I offer evening appointments.
Beyond treating individuals, I provide couples and family therapy.
I am a psychologist providing therapy and assessment services for children through adults. I have extensive clinical experience and am an expert Cognitive Behavioral Therapist. I’ve been trained by top therapy institutes, am a board member for well accomplished CBT organizations, and run the official podcast for the national CBT organization. I strive to regularly advance my knowledge and provide leading scientific treatments. I specialize in the treatment of anxiety, depression, panic, OCD, trauma, stress, insomnia, ADHD, defiance, and work/school issues. Many of my clients lead busy lives; therefore, I offer evening appointments.
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Photo of Jessica Borker, LMSW, Clinical Social Work/Therapist
Jessica Borker
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
New York, NY 10011  (Online Only)
I specialize in working with individuals and couples who are struggling with relationship issues, depression, anxiety, and low self-esteem. As these experiences look different for everyone, I focus on getting to know each client beyond the surface - taking the time to understand who they are, where they come from, and what their goals are.
I specialize in working with individuals and couples who are struggling with relationship issues, depression, anxiety, and low self-esteem. As these experiences look different for everyone, I focus on getting to know each client beyond the surface - taking the time to understand who they are, where they come from, and what their goals are.
(332) 244-3358 View (332) 244-3358
Photo of Stephanie F. Jones, PhD, Psychologist
Stephanie F. Jones
Psychologist, PhD
Verified Verified
New York, NY 10011
Waitlist for new clients
Because the relationship is so important, people should interview several potential therapists.
My approach to therapy is integrative, drawing from a variety of clinical theory, techniques, and empirical research ranging from psychoanalysis to cognitive behavioral therapy, tailoring the treatment to meet the unique needs of the individual. Ultimately, I believe, and research shows, that the effectiveness of therapy across approaches depends on the quality of the relationship. That is, it has to be “a good fit” and occur in the context of a safe, supportive, compassionate and confidential environment.
Because the relationship is so important, people should interview several potential therapists.
My approach to therapy is integrative, drawing from a variety of clinical theory, techniques, and empirical research ranging from psychoanalysis to cognitive behavioral therapy, tailoring the treatment to meet the unique needs of the individual. Ultimately, I believe, and research shows, that the effectiveness of therapy across approaches depends on the quality of the relationship. That is, it has to be “a good fit” and occur in the context of a safe, supportive, compassionate and confidential environment.
(646) 542-1213 View (646) 542-1213
Photo of Heather Golden, LCSW, Clinical Social Work/Therapist
Heather Golden
Clinical Social Work/Therapist, LCSW
Verified Verified
New York, NY 10011
I believe the therapeutic relationship is key.
Sometimes people seek therapy because of painful situations, or they're unclear about which path to take. Sometimes they're trying to overcome the effects of a difficult childhood. And sometimes they have a more biological problem - ADD, depression, mood swings - and want to lead a rich and satisfying life despite these problems. I will help you to figure out the source of your problems, and find solutions. For twenty-four years I've worked with a wide range of patients with a variety of issues. I've taught Psychology at Smith College, and graduate students and candidates at the Psychoanalytic Psychotherapy Study Center.
I believe the therapeutic relationship is key.
Sometimes people seek therapy because of painful situations, or they're unclear about which path to take. Sometimes they're trying to overcome the effects of a difficult childhood. And sometimes they have a more biological problem - ADD, depression, mood swings - and want to lead a rich and satisfying life despite these problems. I will help you to figure out the source of your problems, and find solutions. For twenty-four years I've worked with a wide range of patients with a variety of issues. I've taught Psychology at Smith College, and graduate students and candidates at the Psychoanalytic Psychotherapy Study Center.
(646) 600-9102 View (646) 600-9102
Photo of Ranjana Hari, PsyD, NCSP, Pre-Licensed Professional
Ranjana Hari
Pre-Licensed Professional, PsyD, NCSP
Verified Verified
New York, NY 10011
These approaches are highly effective in treating anxiety, depression, trauma/PTSD, OCD, relationship issues, and low self-esteem.
I'm a dedicated psychotherapist with an extensive and diverse background, spanning private practice, schools, college clinics, foster care, and hospitals, including acute care. With a passion for treating individuals of all ages, I specialize in harnessing the power of evidence-based therapies to create long-lasting positive change, focusing on the core of issues, rather than surface change. I take pride in fostering a safe, warm, and compassionate environment that embraces the unique perspectives of clients from diverse backgrounds. Even the most resistant patients find themselves engaged in the therapeutic process under my care.
These approaches are highly effective in treating anxiety, depression, trauma/PTSD, OCD, relationship issues, and low self-esteem.
I'm a dedicated psychotherapist with an extensive and diverse background, spanning private practice, schools, college clinics, foster care, and hospitals, including acute care. With a passion for treating individuals of all ages, I specialize in harnessing the power of evidence-based therapies to create long-lasting positive change, focusing on the core of issues, rather than surface change. I take pride in fostering a safe, warm, and compassionate environment that embraces the unique perspectives of clients from diverse backgrounds. Even the most resistant patients find themselves engaged in the therapeutic process under my care.
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Photo of Sarton Weinraub, PhD, Psychologist
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 Julia Van Sickle, LMHC-LP, Pre-Licensed Professional
Julia Van Sickle
Pre-Licensed Professional, LMHC-LP
Verified Verified
New York, NY 10011
I view therapy as a collaborative and safe journey, prioritizing the development of a strong and organic therapist-client relationship. My approach is rooted in warmth, empathy, and compassion, creating an authentic and non-judgmental environment. I adopt a holistic perspective, addressing the mind-body-spirit connection to promote healing across all areas of life; past, present, and future, and include consideration of thoughts, feelings, and behaviors. Mindfulness, awareness, and acceptance are central to my practice, and I use my insight and intuition to help clients gain new perspectives and deepen self-awareness.
I view therapy as a collaborative and safe journey, prioritizing the development of a strong and organic therapist-client relationship. My approach is rooted in warmth, empathy, and compassion, creating an authentic and non-judgmental environment. I adopt a holistic perspective, addressing the mind-body-spirit connection to promote healing across all areas of life; past, present, and future, and include consideration of thoughts, feelings, and behaviors. Mindfulness, awareness, and acceptance are central to my practice, and I use my insight and intuition to help clients gain new perspectives and deepen self-awareness.
(646) 466-6277 View (646) 466-6277
Photo of Randy P. Nolte, PsyD, Psychologist
Randy P. Nolte
Psychologist, PsyD
Verified Verified
New York, NY 10011
I am a licensed clinical psychologist seeing clients at my private practice in Manhattan. For the past 14 years, I have worked with individuals and couples unsatisfied with their current situation and wanting more from life - more happiness, connection, and success. In therapy, I strive to create a trusting, safe environment where all feelings and thoughts can be expressed—particularly those that are difficult to articulate. I believe that every challenge is “figureoutable.” Together, we will work collaboratively to help you voice your concerns and devise new strategies for old problems.
I am a licensed clinical psychologist seeing clients at my private practice in Manhattan. For the past 14 years, I have worked with individuals and couples unsatisfied with their current situation and wanting more from life - more happiness, connection, and success. In therapy, I strive to create a trusting, safe environment where all feelings and thoughts can be expressed—particularly those that are difficult to articulate. I believe that every challenge is “figureoutable.” Together, we will work collaboratively to help you voice your concerns and devise new strategies for old problems.
(212) 256-1659 View (212) 256-1659
Photo of Michael Lowney, LMSW, Clinical Social Work/Therapist
Michael Lowney
Clinical Social Work/Therapist, LMSW
Verified Verified
5 Endorsed
New York, NY 10011
This process can feel incredibly vulnerable and requires a relationship built on trust and mutual respect.
You might be reading this because you find yourself at a crossroads and you’re looking to try something new. Maybe the old way of doing things feels unsatisfying but you’re unsure of how to forge a new path for yourself. You might feel empty or disconnected inside or like you don’t truly know who you are or what you want. Maybe you feel like there were parts of your identity that were unwelcome or unwanted and you’re struggling to integrate them into who you are today. Therapy can help us slow down and notice the way our history informs our actions so that we can make choices that feel more authentic to us.
This process can feel incredibly vulnerable and requires a relationship built on trust and mutual respect.
You might be reading this because you find yourself at a crossroads and you’re looking to try something new. Maybe the old way of doing things feels unsatisfying but you’re unsure of how to forge a new path for yourself. You might feel empty or disconnected inside or like you don’t truly know who you are or what you want. Maybe you feel like there were parts of your identity that were unwelcome or unwanted and you’re struggling to integrate them into who you are today. Therapy can help us slow down and notice the way our history informs our actions so that we can make choices that feel more authentic to us.
(332) 699-6182 View (332) 699-6182
Photo of Nicole A Breck, LCSW, Clinical Social Work/Therapist
Nicole A Breck
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
New York, NY 10011
I work with whatever my clients struggle with including: job difficulties, financial problems, relationship problems, low self-esteem, depression, eating disorders (including over and compulsive eating), substance abuse and family of origin problems.
To quote Anais Nin, " We don't see things as they are, we see them as we are". When you are in the middle of a problem it is hard to find solutions because there is a lack of prespective. Friends and family may have their own viewpoint that make it hard to be objective. Therapy provides a non-judgemental place to find new solutions when old behaviors don't work anymore. I have over 12 years experience successfully helping patients find alternative ways of veiwing things and making decisions about what they want in their lives.
I work with whatever my clients struggle with including: job difficulties, financial problems, relationship problems, low self-esteem, depression, eating disorders (including over and compulsive eating), substance abuse and family of origin problems.
To quote Anais Nin, " We don't see things as they are, we see them as we are". When you are in the middle of a problem it is hard to find solutions because there is a lack of prespective. Friends and family may have their own viewpoint that make it hard to be objective. Therapy provides a non-judgemental place to find new solutions when old behaviors don't work anymore. I have over 12 years experience successfully helping patients find alternative ways of veiwing things and making decisions about what they want in their lives.
(917) 791-4094 View (917) 791-4094
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.