Couples Counseling Therapists in 27106

Photo of Marsha Rand, MS, LMFT, CST/S, Marriage & Family Therapist
Marsha Rand
Marriage & Family Therapist, MS, LMFT, CST/S
Verified Verified
Winston Salem, NC 27106  (Online Only)
If you want to enjoy deeper connection and create a conscious relationship with self, partner and others… If you are unhappy about your sexual experience and you are ready for change.
Do you feel disconnected from your partner or spouse? Is sex a “problem” for you or in your relationship? Good sexual connection and a strong emotional bond are important keys for lasting fulfilling relationships. Sometimes, couples realize that they have become distant from one another and their relationship is not as satisfying as it used to be. Communication has become dull and ineffective. Sex is not satisfying or is non-existent. (See website) If this is happening with you and your partner, I can help you co-create a revitalized relationship through effective communication and heartfelt intimate connection and touch.
If you want to enjoy deeper connection and create a conscious relationship with self, partner and others… If you are unhappy about your sexual experience and you are ready for change.
Do you feel disconnected from your partner or spouse? Is sex a “problem” for you or in your relationship? Good sexual connection and a strong emotional bond are important keys for lasting fulfilling relationships. Sometimes, couples realize that they have become distant from one another and their relationship is not as satisfying as it used to be. Communication has become dull and ineffective. Sex is not satisfying or is non-existent. (See website) If this is happening with you and your partner, I can help you co-create a revitalized relationship through effective communication and heartfelt intimate connection and touch.
(910) 338-4024 View (910) 338-4024
Photo of Jessica Bruno - House Call Counseling, Marriage & Family Therapist
House Call Counseling
Marriage & Family Therapist
Verified Verified
Winston Salem, NC 27106
Since 2018, we've been the Triad's trusted partner in mental well-being, offering our unique blend of home-based and virtual services.
Life is complicated, but finding support for your mental health doesn't have to be. At House Call Counseling, we bring the haven of therapy directly to you, whether it's over the phone or in your own home.
Since 2018, we've been the Triad's trusted partner in mental well-being, offering our unique blend of home-based and virtual services.
Life is complicated, but finding support for your mental health doesn't have to be. At House Call Counseling, we bring the haven of therapy directly to you, whether it's over the phone or in your own home.
(336) 221-3912 View (336) 221-3912
Photo of Jackeline Vazquez - The Counseling Center, LCMHC, LCASA, NCC, Counselor
The Counseling Center
Counselor, LCMHC, LCASA, NCC
Verified Verified
Winston Salem, NC 27106
At the Counseling Center, we specialize in counseling families, couples with marital concerns, individuals dealing with trauma, addiction, and mood and personality disorders. We are Christian counselors with clinical backgrounds. TCC counselors are licensed by the state of North Carolina.
At the Counseling Center, we specialize in counseling families, couples with marital concerns, individuals dealing with trauma, addiction, and mood and personality disorders. We are Christian counselors with clinical backgrounds. TCC counselors are licensed by the state of North Carolina.
(336) 891-3238 View (336) 891-3238
Photo of Joel Branscomb, LCMHCA, MA, MDiv, Counselor
Joel Branscomb
Counselor, LCMHCA, MA, MDiv
Verified Verified
1 Endorsed
Winston Salem, NC 27106
I aim to form a safe, helping, and healing relationship with you.
Greetings! If you're here then you're likely looking for help, or at least curious about talking to someone about what burdens you. Know that you need not carry your burdens alone, and it would be my privilege and honor to join you on your journey. We will work together to provide you with a safe place to be fully seen and truly known. Perhaps that ignites a shred of hope within you, or dread, or maybe both! The journey towards real change may involve discomfort, but it can be life-giving. Good things are often achieved through hardship.
I aim to form a safe, helping, and healing relationship with you.
Greetings! If you're here then you're likely looking for help, or at least curious about talking to someone about what burdens you. Know that you need not carry your burdens alone, and it would be my privilege and honor to join you on your journey. We will work together to provide you with a safe place to be fully seen and truly known. Perhaps that ignites a shred of hope within you, or dread, or maybe both! The journey towards real change may involve discomfort, but it can be life-giving. Good things are often achieved through hardship.
(336) 585-7131 View (336) 585-7131
Photo of Martha B Metzler, MA, LCMHC, Counselor
Martha B Metzler
Counselor, MA, LCMHC
Verified Verified
1 Endorsed
Winston Salem, NC 27106
Waitlist for new clients
I have experience working with adolescents, women, young couples, and families teaching communication skills that will allow the family to healthily navigate conflict and communication differences.
My heart is to serve anyone that walks through my door. I hope to create a safe, trusting place for you to know you can share your struggles in an authentic and raw, and productive space. My heart is to serve you in a holistic way and I desire to give equal attention to the past, present, and future. I tend to lean towards a cognitive behavioral approach with a lot of grace thrown in. I desire to sit in the mess with you but then empower and equip you with the skills and coping mechanisms to climb your way out.
I have experience working with adolescents, women, young couples, and families teaching communication skills that will allow the family to healthily navigate conflict and communication differences.
My heart is to serve anyone that walks through my door. I hope to create a safe, trusting place for you to know you can share your struggles in an authentic and raw, and productive space. My heart is to serve you in a holistic way and I desire to give equal attention to the past, present, and future. I tend to lean towards a cognitive behavioral approach with a lot of grace thrown in. I desire to sit in the mess with you but then empower and equip you with the skills and coping mechanisms to climb your way out.
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Photo of Bonnie Marie Torella, MA, LCMHC
Bonnie Marie Torella
Licensed Clinical Mental Health Counselor, MA, LCMHC
Verified Verified
Winston Salem, NC 27106
As a Licensed Professional Counselor, I provide help to those who want to feel better emotionally, mentally, spiritually and physically. As a Family Therapist in private practice, I offer support, guidance, and healing to the individual, couple, tween/teen, and family, who are facing challenging emotions or situations. While providing a safe environment for those with a variety of issues, I specialize in treating trauma/PTSD, anxiety, depression, parent/family and couple issues, child/adolescent disorders, bereavement, life/stress management, and relationship conflict.
As a Licensed Professional Counselor, I provide help to those who want to feel better emotionally, mentally, spiritually and physically. As a Family Therapist in private practice, I offer support, guidance, and healing to the individual, couple, tween/teen, and family, who are facing challenging emotions or situations. While providing a safe environment for those with a variety of issues, I specialize in treating trauma/PTSD, anxiety, depression, parent/family and couple issues, child/adolescent disorders, bereavement, life/stress management, and relationship conflict.
(336) 397-4514 View (336) 397-4514
Photo of Tonya Moore, NCC, LCMHCS, BCPCC, CCTP
Tonya Moore
Licensed Clinical Mental Health Counselor Supervis, NCC, LCMHCS, BCPCC, CCTP
Verified Verified
1 Endorsed
Winston Salem, NC 27106
I work with adults, adolescents, families, and couples.
There are times when there is the feeling that all hope is gone. I believe that God has a plan for your life, plans to prosper you and not to harm you, plans to give you hope and a future...and will bring you back from captivity. My goal is simple: to help my clients discover that "plan", gain insight, make changes, and grow in God's grace. I am here to assist you in your journey back to wholeness: mentally, emotionally, relationally, and/or spiritually. Whether you're trying to restore a broken marriage, mend family relationships, pick up the pieces or seeking a fresh start, hope and healing awaits you.
I work with adults, adolescents, families, and couples.
There are times when there is the feeling that all hope is gone. I believe that God has a plan for your life, plans to prosper you and not to harm you, plans to give you hope and a future...and will bring you back from captivity. My goal is simple: to help my clients discover that "plan", gain insight, make changes, and grow in God's grace. I am here to assist you in your journey back to wholeness: mentally, emotionally, relationally, and/or spiritually. Whether you're trying to restore a broken marriage, mend family relationships, pick up the pieces or seeking a fresh start, hope and healing awaits you.
(336) 223-5183 View (336) 223-5183
Photo of Tonya Moore - Trinity Christian Counseling, LCMHCS, LCMHC, NCC, BCPCC, ICST, Licensed Professional Counselor
Trinity Christian Counseling
Licensed Professional Counselor, LCMHCS, LCMHC, NCC, BCPCC, ICST
Verified Verified
Winston Salem, NC 27106
We offer help to children, adults, couples, pastors, and families.
Have there been times when you felt that all hope was lost? It isn't. Do you wonder how you are going to take that next step? God is on your side. He has beautiful plans for your life, plans to give you hope and a future! The team at Trinity Christian Counseling desires nothing more than to assist you in discovering that plan and to walk along side you as you grow in God's grace. Using the Bible, Christ-centered wisdom, and psychological principles, we will help guide you back to emotional, spiritual, behavioral, and relational wholeness.
We offer help to children, adults, couples, pastors, and families.
Have there been times when you felt that all hope was lost? It isn't. Do you wonder how you are going to take that next step? God is on your side. He has beautiful plans for your life, plans to give you hope and a future! The team at Trinity Christian Counseling desires nothing more than to assist you in discovering that plan and to walk along side you as you grow in God's grace. Using the Bible, Christ-centered wisdom, and psychological principles, we will help guide you back to emotional, spiritual, behavioral, and relational wholeness.
(336) 397-4718 View (336) 397-4718
Photo of Ricky A Speller, LCMHC, LCASA, Licensed Professional Counselor
Ricky A Speller
Licensed Professional Counselor, LCMHC, LCASA
Verified Verified
Winston Salem, NC 27106
I am dedicated to knowing the client and building rapport based off culture, specific needs and the client's ways of expressing themselves and how they view assistance from therapy. At Virgie's Prayer Counseling Service PLLC, I strive to change individuals' opinion about therapy and provide personalized therapy sessions to address specific needs. I have experience working with children, teens and adults in various settings such as schools, office, probation and level III group homes. I have assisted clients to process trauma, grief, depression, anxiety, family issues, stress, and helped couples navigate through challenges.
I am dedicated to knowing the client and building rapport based off culture, specific needs and the client's ways of expressing themselves and how they view assistance from therapy. At Virgie's Prayer Counseling Service PLLC, I strive to change individuals' opinion about therapy and provide personalized therapy sessions to address specific needs. I have experience working with children, teens and adults in various settings such as schools, office, probation and level III group homes. I have assisted clients to process trauma, grief, depression, anxiety, family issues, stress, and helped couples navigate through challenges.
(336) 443-8865 View (336) 443-8865
Photo of Breanna Elder Sparrow, MA, LCMHC, CCTP
Breanna Elder Sparrow
Lic Clinical Mental Health Counselor, MA, LCMHC, CCTP
Verified Verified
Winston Salem, NC 27106
Well-being is essential for filing those roles of spouse, parent, employee, student, etc.
Many times people find themselves at a place in life where they find it difficult to move towards their goals in life. Goals vary from person to person; but they are important to who we are. A person may notice the same mountain is circled with little to no progress. This can be very frustrating. Obstacles might include past "hang-ups", lack of self trust, or feeling unmotivated or overwhelmed with life's circumstances. There may be times the individual wonders if things will always be a certain way, or they may wonder if there is something they are missing. They desire to move past the obstacles and achieve their goal.
Well-being is essential for filing those roles of spouse, parent, employee, student, etc.
Many times people find themselves at a place in life where they find it difficult to move towards their goals in life. Goals vary from person to person; but they are important to who we are. A person may notice the same mountain is circled with little to no progress. This can be very frustrating. Obstacles might include past "hang-ups", lack of self trust, or feeling unmotivated or overwhelmed with life's circumstances. There may be times the individual wonders if things will always be a certain way, or they may wonder if there is something they are missing. They desire to move past the obstacles and achieve their goal.
(336) 814-8831 View (336) 814-8831
Photo of George Campbell Hage, EdD, PhD, LCMHC, LCMHCS, Licensed Professional Counselor
George Campbell Hage
Licensed Professional Counselor, EdD, PhD, LCMHC, LCMHCS
Verified Verified
Winston Salem, NC 27106
I work with adult men and women(ages16-99)struggling with sues such as anxiety, depression, and relationship issues, as well as those who have attention deficits. I also work with individuals struggling to find the big picture of their life, struggling to identify core values, and are “failing to launch,” having a mid-life crisis, struggling to adapt to retirement, or are having a crisis of faith. I work with older teens (16+) who are having school related problems, suffering from anxiety or depression, or have attention deficit disorder. I consider counseling a ministry to your needs above your ability to pay. My rates are low.
I work with adult men and women(ages16-99)struggling with sues such as anxiety, depression, and relationship issues, as well as those who have attention deficits. I also work with individuals struggling to find the big picture of their life, struggling to identify core values, and are “failing to launch,” having a mid-life crisis, struggling to adapt to retirement, or are having a crisis of faith. I work with older teens (16+) who are having school related problems, suffering from anxiety or depression, or have attention deficit disorder. I consider counseling a ministry to your needs above your ability to pay. My rates are low.
(336) 967-1931 View (336) 967-1931
S.T.A.R. Counseling & Consulting Services, PLLC
Licensed Professional Counselor, LCMHC-S, TFCBT, CCMC, EMDR
Verified Verified
Winston Salem, NC 27106
Good day! We are a dynamic group of mental health professionals with over 18 yrs of experience. We see children, teens, adults, couples, families, & groups and offer support with many issues such as: mood disorders, anxiety, trauma, IDD/Autism, childhood issues & other concerns in life. We offer Trauma-Focused CBT, Women's Group, and more! Our practice has just moved to Northern Winston-Salem. We look forward to working with you! Thank you!
Good day! We are a dynamic group of mental health professionals with over 18 yrs of experience. We see children, teens, adults, couples, families, & groups and offer support with many issues such as: mood disorders, anxiety, trauma, IDD/Autism, childhood issues & other concerns in life. We offer Trauma-Focused CBT, Women's Group, and more! Our practice has just moved to Northern Winston-Salem. We look forward to working with you! Thank you!
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Photo of Rudolf Harald Petrini, MA, LCMHC, NCC, Licensed Professional Counselor
Rudolf Harald Petrini
Licensed Professional Counselor, MA, LCMHC, NCC
Verified Verified
Winston Salem, NC 27106
My primary specialties focus on the treatment of loss and grief issues, traumatic grief / traumatic losses and sudden losses, past trauma and abuse (single traumatic events and chronic issues), spiritual and faith-related concerns, anxiety disorders, depressive disorders, stress-related issues, end-of-life issues, relationship concerns and life transitions.
My passion is to provide clients with a caring, compassionate and transparent approach to healing from deep losses/grief, traumatic experiences and other issues such as depression, anxiety, life transitions, chronic stress and relationship issues. My practice approach is rooted in various psychotherapeutic and spiritual approaches (including EMDR) to assist with healing, decision-making, and finding new and more hope-filled perspectives in life. I believe in exploring and facing issues honestly and openly with my clients. I believe in the resilience of the human spirit and in journeying with my clients toward healing and hope.
My primary specialties focus on the treatment of loss and grief issues, traumatic grief / traumatic losses and sudden losses, past trauma and abuse (single traumatic events and chronic issues), spiritual and faith-related concerns, anxiety disorders, depressive disorders, stress-related issues, end-of-life issues, relationship concerns and life transitions.
My passion is to provide clients with a caring, compassionate and transparent approach to healing from deep losses/grief, traumatic experiences and other issues such as depression, anxiety, life transitions, chronic stress and relationship issues. My practice approach is rooted in various psychotherapeutic and spiritual approaches (including EMDR) to assist with healing, decision-making, and finding new and more hope-filled perspectives in life. I believe in exploring and facing issues honestly and openly with my clients. I believe in the resilience of the human spirit and in journeying with my clients toward healing and hope.
(336) 793-0594 View (336) 793-0594
Photo of Rebecca L. Stone, LMFT, Marriage & Family Therapist
Rebecca L. Stone
Marriage & Family Therapist, LMFT
Verified Verified
Winston Salem, NC 27106
As a Marriage and Family Therapist, I work with couples, individuals, teens, young adults and children.
My passion is to bring hope and healing to the most difficult of circumstances. Are you suffering with depression or anxiety, going through a divorce or recovering from an abusive relationship? Are you struggling with addiction, grieving, or having trouble with your children/teenagers? Have you fallen out of love with your spouse? Do you find you are having the same arguments but nothing seems to change? Life can be difficult with a solution nowhere in sight.
As a Marriage and Family Therapist, I work with couples, individuals, teens, young adults and children.
My passion is to bring hope and healing to the most difficult of circumstances. Are you suffering with depression or anxiety, going through a divorce or recovering from an abusive relationship? Are you struggling with addiction, grieving, or having trouble with your children/teenagers? Have you fallen out of love with your spouse? Do you find you are having the same arguments but nothing seems to change? Life can be difficult with a solution nowhere in sight.
(336) 777-7494 View (336) 777-7494
Photo of Chris P Rodriguez, MA, LMFT, Marriage & Family Therapist
Chris P Rodriguez
Marriage & Family Therapist, MA, LMFT
Verified Verified
Winston Salem, NC 27106
As such, I seek to take into account how issues you may be experiencing have been affected by: family and relationship histories, biology, and other facets of life.
Individuals seek me for help when they are feeling at impasse or stuck and find that their concerns are having an undesired effect on their: moods, decision-making, and over-all quality of life. I work from an evidenced based orientation taking into consideration multiple theories and techniques - allowing us to tailor a plan specific to your circumstances and desired outcomes. The hallmark of my approach is that I am: strengths-based, integrative, person-centered and collaborative.
As such, I seek to take into account how issues you may be experiencing have been affected by: family and relationship histories, biology, and other facets of life.
Individuals seek me for help when they are feeling at impasse or stuck and find that their concerns are having an undesired effect on their: moods, decision-making, and over-all quality of life. I work from an evidenced based orientation taking into consideration multiple theories and techniques - allowing us to tailor a plan specific to your circumstances and desired outcomes. The hallmark of my approach is that I am: strengths-based, integrative, person-centered and collaborative.
(336) 276-0097 View (336) 276-0097
Photo of Jennifer Bradbury Locklear - Lewisville Family Counseling, PLLC, MS/EdS, LCMHCS, CCS, Licensed Professional Counselor
Lewisville Family Counseling, PLLC
Licensed Professional Counselor, MS/EdS, LCMHCS, CCS
Verified Verified
4 Endorsed
Winston Salem, NC 27106
Our counselors specialize in areas including anxiety and depression, eating disorders, and treating clients from ages 3 to adults, families, and couples.
Accepting New Clients! You have one life to live and deserve to invest in you. We are here to help you on your journey to becoming your best version of yourself. Whether for your own sake, or to better yourself for the many roles in your life - partner, parent, son, daughter, co-worker, friend, global community member. When you make a positive change in yourself, the waves of those changes can be felt all around you.
Our counselors specialize in areas including anxiety and depression, eating disorders, and treating clients from ages 3 to adults, families, and couples.
Accepting New Clients! You have one life to live and deserve to invest in you. We are here to help you on your journey to becoming your best version of yourself. Whether for your own sake, or to better yourself for the many roles in your life - partner, parent, son, daughter, co-worker, friend, global community member. When you make a positive change in yourself, the waves of those changes can be felt all around you.
(336) 390-4830 View (336) 390-4830
Photo of Michele Hairston - Faith First Christian Counseling, MAMF, LCMHC
Michele Hairston - Faith First Christian Counseling
Licensed Clinical Mental Health Counselor, MAMF, LCMHC
Verified Verified
Winston Salem, NC 27106
As a counselor, I believe that true and lasting change comes from looking at the whole person. I work with patients to bring about transformation through an understanding of the body, emotional healing, behavioral change and a spiritual foundation. I enjoy working with adolescents and families who have been affected by violence, trauma, family changes, drugs and major life changes. I also work with individuals who suffer from depression, anxiety, life changes, addictions as a result of trauma, self-regulation, stress and conflict. I desire to help strengthen and deepen your personal relationship with Jesus Christ as you heal.
As a counselor, I believe that true and lasting change comes from looking at the whole person. I work with patients to bring about transformation through an understanding of the body, emotional healing, behavioral change and a spiritual foundation. I enjoy working with adolescents and families who have been affected by violence, trauma, family changes, drugs and major life changes. I also work with individuals who suffer from depression, anxiety, life changes, addictions as a result of trauma, self-regulation, stress and conflict. I desire to help strengthen and deepen your personal relationship with Jesus Christ as you heal.
(336) 663-0423 View (336) 663-0423
Photo of Christina Celeste Rush, PhD, Psychologist
Christina Celeste Rush
Psychologist, PhD
Verified Verified
Winston Salem, NC 27106
My practice is uniquely focused on helping individuals and couples overcome the emotional challenges experienced when trying to make a family. Most individuals assume children will be part of their future. Many have spent years trying to protect against untimely pregnancy. So when obstacles present, such as infertility, not having a partner, pregnancy loss, early births, or cancer, it can cause incredible pain and suffering. This is where we have to deal with the hard stuff. I'm here to help you sort through the hard stuff, process the trauma, and make value-driven decisions about your future.
My practice is uniquely focused on helping individuals and couples overcome the emotional challenges experienced when trying to make a family. Most individuals assume children will be part of their future. Many have spent years trying to protect against untimely pregnancy. So when obstacles present, such as infertility, not having a partner, pregnancy loss, early births, or cancer, it can cause incredible pain and suffering. This is where we have to deal with the hard stuff. I'm here to help you sort through the hard stuff, process the trauma, and make value-driven decisions about your future.
(919) 726-3198 View (919) 726-3198
Photo of Sarah F MacReynolds, LCSW, Clinical Social Work/Therapist
Sarah F MacReynolds
Clinical Social Work/Therapist, LCSW
Verified Verified
6 Endorsed
Winston Salem, NC 27106
Waitlist for new clients
I am a Licensed Clinical Social Worker with over 15 years experience. I specialize in individual therapy with adults, couples, and adolescents. I believe that achieving a well-balanced life is crucial to a healthy mind and body. I focus treatment on helping individuals and families find balance in their lives, while with issues such as stress, depression, addiction, and wellness issues. I also believe in accepting clients where they are in their journey and focusing treatment on their own unique treatment goals using a variety of interventions, focusing heavily on cognitive behavioral techniques, motivational interviewing, and behavior modification.
I am a Licensed Clinical Social Worker with over 15 years experience. I specialize in individual therapy with adults, couples, and adolescents. I believe that achieving a well-balanced life is crucial to a healthy mind and body. I focus treatment on helping individuals and families find balance in their lives, while with issues such as stress, depression, addiction, and wellness issues. I also believe in accepting clients where they are in their journey and focusing treatment on their own unique treatment goals using a variety of interventions, focusing heavily on cognitive behavioral techniques, motivational interviewing, and behavior modification.
(336) 245-4260 View (336) 245-4260
Photo of Antonia Glasco, LCMHC, LCAS, Licensed Professional Counselor
Antonia Glasco
Licensed Professional Counselor, LCMHC, LCAS
Verified Verified
1 Endorsed
Winston Salem, NC 27106
My guiding principles: To listen, seek understanding, be genuine, and develop a strong therapeutic relationship.
I help clients reach their goals using a variety of approaches including Cognitive Behavioral Therapy (CBT), Motivational Interviewing, and Solution Focused Therapy. I see individuals (age 5 and up) as well as couples and families. Conditions I treat include depression, anxiety, addictions, anger, stress, grief, trauma, ADHD, parenting skills, and marital and family conflicts.
My guiding principles: To listen, seek understanding, be genuine, and develop a strong therapeutic relationship.
I help clients reach their goals using a variety of approaches including Cognitive Behavioral Therapy (CBT), Motivational Interviewing, and Solution Focused Therapy. I see individuals (age 5 and up) as well as couples and families. Conditions I treat include depression, anxiety, addictions, anger, stress, grief, trauma, ADHD, parenting skills, and marital and family conflicts.
(336) 234-2895 View (336) 234-2895
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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.