Photo of Dr. Nadia K. Thalji, Psychologist in 94123, CA
Dr. Nadia K. Thalji
Psychologist, PhD
Verified Verified
7 Endorsed
San Francisco, CA 94123
Navigating relationship complexities within diverse cultural backgrounds? Struggling with communication, intimacy, or connecting amidst differing expectations? I specialize in identifying core issues hindering understanding and reducing stressors related to communication and boundaries. Whether you're an immigrant, bicultural, or part of a diverse family, my trauma-informed approach integrates various techniques to foster enduring connections and celebrate diversity within and outside your relationships. Let's embark on a journey towards sustainable, meaningful connections together.
Navigating relationship complexities within diverse cultural backgrounds? Struggling with communication, intimacy, or connecting amidst differing expectations? I specialize in identifying core issues hindering understanding and reducing stressors related to communication and boundaries. Whether you're an immigrant, bicultural, or part of a diverse family, my trauma-informed approach integrates various techniques to foster enduring connections and celebrate diversity within and outside your relationships. Let's embark on a journey towards sustainable, meaningful connections together.
(415) 980-7129 View (415) 980-7129
Photo of Debra Warshaw Taube, Marriage & Family Therapist in 94123, CA
Debra Warshaw Taube
Marriage & Family Therapist, MA, LMFT
Verified Verified
San Francisco, CA 94123
Psychotherapy isn't one size fits all. It's a unique relationship that develops and responds to your needs, life-experiences, gender/ethnic/cultural identity, challenges and resources. You may be feeling stuck-repeating painful patterns, wanting to make changes but not knowing how. Or you're a survivor of sexual violence and the ways you've been coping aren't working anymore. I meet you where you are and bring my clinical and life experience, deep listening, compassion, acceptance, warmth and creativity. Together we create and draw on the power of a safe, accepting therapeutic relationship to support your growth and wholeness.
Psychotherapy isn't one size fits all. It's a unique relationship that develops and responds to your needs, life-experiences, gender/ethnic/cultural identity, challenges and resources. You may be feeling stuck-repeating painful patterns, wanting to make changes but not knowing how. Or you're a survivor of sexual violence and the ways you've been coping aren't working anymore. I meet you where you are and bring my clinical and life experience, deep listening, compassion, acceptance, warmth and creativity. Together we create and draw on the power of a safe, accepting therapeutic relationship to support your growth and wholeness.
(415) 949-1174 View (415) 949-1174
Photo of Abigail M Rodriguez, Marriage & Family Therapist in 94123, CA
Abigail M Rodriguez
Marriage & Family Therapist, MA, LMFT
Verified Verified
San Francisco, CA 94123
Something just feels "off". You are exhausted from looping in thoughts and patterns that are no longer serving you. You are overwhelmed by the state of things....the anxiety just won't go away, the grief is too much, the challenge is too big, the relationship is too far gone.... you secretly fear that you don't have what it takes to make the change you desire. Together we will uncover pain, fears and unmet desires that drive the spiral. We will rediscover and utilize your strengths to create a life that reflects your values.
Something just feels "off". You are exhausted from looping in thoughts and patterns that are no longer serving you. You are overwhelmed by the state of things....the anxiety just won't go away, the grief is too much, the challenge is too big, the relationship is too far gone.... you secretly fear that you don't have what it takes to make the change you desire. Together we will uncover pain, fears and unmet desires that drive the spiral. We will rediscover and utilize your strengths to create a life that reflects your values.
(415) 991-4021 View (415) 991-4021
Photo of Lindsay Durgan, Marriage & Family Therapist in 94123, CA
Lindsay Durgan
Marriage & Family Therapist, MA, MFT
Verified Verified
1 Endorsed
San Francisco, CA 94123  (Online Only)
In other words, emotional wounds and unhelpful behaviors and beliefs occur in relationship, which is why healing also needs to occur in relationship.
Hi! If you're the parent of an adolescent or teen who's struggling to find the help your child, your family, and you need and deserve, look no further! I've spent the better part of the past decade helping teens, adolescents, and adults like you figure out who they really are, reconnect with those they love, and discover their sense of meaning, purpose, and joy. Yes, we all face challenges and change in our relationships and lives. But what many don't realize is that the problems we struggle with are often caused by unconscious beliefs and behaviors we've picked up in our relationships with others ...
In other words, emotional wounds and unhelpful behaviors and beliefs occur in relationship, which is why healing also needs to occur in relationship.
Hi! If you're the parent of an adolescent or teen who's struggling to find the help your child, your family, and you need and deserve, look no further! I've spent the better part of the past decade helping teens, adolescents, and adults like you figure out who they really are, reconnect with those they love, and discover their sense of meaning, purpose, and joy. Yes, we all face challenges and change in our relationships and lives. But what many don't realize is that the problems we struggle with are often caused by unconscious beliefs and behaviors we've picked up in our relationships with others ...
(415) 688-2198 View (415) 688-2198
Photo of Cecilia Corwin, Clinical Social Work/Therapist in 94123, CA
Cecilia Corwin
Clinical Social Work/Therapist, LCSW
Verified Verified
San Francisco, CA 94123
Are you looking for a change, support, or guidance? Are you ready to move forward and focus on a healthier version of yourself? I am here to help you take the next step to address any life stressors that may be causing you to need additional support. Everyone is on their journey, and therapy is a great way to help navigate and create your path to wellness. I am a Licensed Clinical Social Worker, and I have been practicing for 7+ years in the state of California. I am here to assist you in managing depression, anxiety, relationship issues, substance abuse, or any other mental health disorder you may be dealing with at the time.
Are you looking for a change, support, or guidance? Are you ready to move forward and focus on a healthier version of yourself? I am here to help you take the next step to address any life stressors that may be causing you to need additional support. Everyone is on their journey, and therapy is a great way to help navigate and create your path to wellness. I am a Licensed Clinical Social Worker, and I have been practicing for 7+ years in the state of California. I am here to assist you in managing depression, anxiety, relationship issues, substance abuse, or any other mental health disorder you may be dealing with at the time.
(707) 985-0410 View (707) 985-0410
Brown Therapy Center
Marriage & Family Therapist
Verified Verified
1 Endorsed
San Francisco, CA 94123
We work with a diverse population of adult individuals, couples, and special interest groups who may be struggling with any number of mental health challenges related to anxiety, depression, stress, trauma, relationship issues, and substance abuse, among others. We are committed to providing culturally competent care across the spectrum of age, race, gender, sexuality, religion, and background.
We work with a diverse population of adult individuals, couples, and special interest groups who may be struggling with any number of mental health challenges related to anxiety, depression, stress, trauma, relationship issues, and substance abuse, among others. We are committed to providing culturally competent care across the spectrum of age, race, gender, sexuality, religion, and background.
(415) 849-7242 View (415) 849-7242
Photo of Shena Jensen, Marriage & Family Therapist in 94123, CA
Shena Jensen
Marriage & Family Therapist, LMFT
Verified Verified
8 Endorsed
San Francisco, CA 94123  (Online Only)
I have specialized expertise in working with couples, and have successfully helped couples and individuals work through difficult relationship issues including challenging communication, betrayal, loss of intimacy, parenting challenges, sexual trauma, multicultural dynamics, and preparing for marriage.
I specialize in working with people who feel anxious, overwhelmed, or distressed in career, life situation, or around their relationships, whether with a significant other, family, friends, or social situations. Often this involves working with challenging relationship dynamics, insecurities, sense of self, sense of purpose, or past trauma. My approach combines my experience in both psychotherapy and coaching and is direct, compassionate, and transformative. I utilize the proven research focusing on the neurobiology of attachment along with a holistic toolbox including mindfulness and somatic (body oriented) awareness.
I have specialized expertise in working with couples, and have successfully helped couples and individuals work through difficult relationship issues including challenging communication, betrayal, loss of intimacy, parenting challenges, sexual trauma, multicultural dynamics, and preparing for marriage.
I specialize in working with people who feel anxious, overwhelmed, or distressed in career, life situation, or around their relationships, whether with a significant other, family, friends, or social situations. Often this involves working with challenging relationship dynamics, insecurities, sense of self, sense of purpose, or past trauma. My approach combines my experience in both psychotherapy and coaching and is direct, compassionate, and transformative. I utilize the proven research focusing on the neurobiology of attachment along with a holistic toolbox including mindfulness and somatic (body oriented) awareness.
(415) 446-1053 View (415) 446-1053
Photo of The Connective (formerly Wellspace SF), Marriage & Family Therapist in 94123, CA
The Connective (formerly Wellspace SF)
Marriage & Family Therapist
Verified Verified
2 Endorsed
San Francisco, CA 94123
Our many specializations include: Gen Z and Millennials, relationship issues, self-esteem, life transitions, anxiety, depression, perfectionism + imposter syndrome, gender, racial and sexual identity, life balance, dating + relationships, career transition, body image, trauma/EMDR, pregnancy and postpartum support, grief, and OCD.
Tired of calling around? We have immediate openings! The Connective is an integrative practice of psychotherapists, certified coaches, and holistic health practitioners dedicated to a common goal: guiding, inspiring, and empowering individuals to live more authentic, fulfulling and healthy lives. From navigating personal and professional roadblocks, to achieving optimal health and wellness, our mission is to provide compassionate and strengths-based support centered on the whole person.
Our many specializations include: Gen Z and Millennials, relationship issues, self-esteem, life transitions, anxiety, depression, perfectionism + imposter syndrome, gender, racial and sexual identity, life balance, dating + relationships, career transition, body image, trauma/EMDR, pregnancy and postpartum support, grief, and OCD.
Tired of calling around? We have immediate openings! The Connective is an integrative practice of psychotherapists, certified coaches, and holistic health practitioners dedicated to a common goal: guiding, inspiring, and empowering individuals to live more authentic, fulfulling and healthy lives. From navigating personal and professional roadblocks, to achieving optimal health and wellness, our mission is to provide compassionate and strengths-based support centered on the whole person.
(415) 335-7793 View (415) 335-7793
Photo of Brittney Green, Marriage & Family Therapist in 94123, CA
Brittney Green
Marriage & Family Therapist, LMFT, EMDR, IFS
Verified Verified
San Francisco, CA 94123
I also help my couples and families to discover their internal parts and help conflicting parts to de-escalate, and utilize new skills to meet one another where they are.
Life can feel impossible to avoid struggling and we often don't feel we have the skills to cope successfully through. Unfortunately, sometimes we don't have all the resources we need for a given situation. Parts of us take on desperate roles trying to help us to survive. This might look like anxiety, depression, PTSD, addiction, and relationship/family issues. I aim to help you process unresolved issues and feelings and find solutions.
I also help my couples and families to discover their internal parts and help conflicting parts to de-escalate, and utilize new skills to meet one another where they are.
Life can feel impossible to avoid struggling and we often don't feel we have the skills to cope successfully through. Unfortunately, sometimes we don't have all the resources we need for a given situation. Parts of us take on desperate roles trying to help us to survive. This might look like anxiety, depression, PTSD, addiction, and relationship/family issues. I aim to help you process unresolved issues and feelings and find solutions.
(415) 968-1269 View (415) 968-1269
Photo of Ruth Krumbhaar, Marriage & Family Therapist in 94123, CA
Ruth Krumbhaar
Marriage & Family Therapist, MFT, MA, CYT
Verified Verified
San Francisco, CA 94123
I work with individuals (teens & adults), couples, and families.
Do you want to feel comfortable in your skin? Do you need support dealing with overwhelming emotions, a traumatic life event, or a life transition. I offer a grounding space where you can let your guard down and get to the heart of your personal work. With years of experience and training paired with a warm, playful, and pragmatic spirit. I encourage clients to explore their edge and find the connection between mind, body, behavior, and heart. Clients' unique cultural identity is honored throughout this process. I believe you are the expert on You and I help you connect with this innate wisdom to find your balance and potential.
I work with individuals (teens & adults), couples, and families.
Do you want to feel comfortable in your skin? Do you need support dealing with overwhelming emotions, a traumatic life event, or a life transition. I offer a grounding space where you can let your guard down and get to the heart of your personal work. With years of experience and training paired with a warm, playful, and pragmatic spirit. I encourage clients to explore their edge and find the connection between mind, body, behavior, and heart. Clients' unique cultural identity is honored throughout this process. I believe you are the expert on You and I help you connect with this innate wisdom to find your balance and potential.
(415) 528-5711 View (415) 528-5711
Photo of Melanie Maddox, Associate Clinical Social Worker in 94123, CA
Melanie Maddox
Associate Clinical Social Worker, ASW, EMDR
Verified Verified
San Francisco, CA 94123
I also specialize in multicultural issues and relationship/family dynamics.
Are you experiencing challenges in dealing with anxiety, depression, and traumatic experiences? Do you struggle with effective communication and setting boundaries in your relationships with others? Life often presents obstacles and difficulties that might lead to these difficulties without proper tools, resources, and guidance. I utilize CBT, DBT, ACT, and Trauma-informed care to help you manage symptoms and promote healing and growth. With a deep appreciation for the uniqueness of each client and their lived experiences, I foster a collaborative and inclusive therapeutic environment.
I also specialize in multicultural issues and relationship/family dynamics.
Are you experiencing challenges in dealing with anxiety, depression, and traumatic experiences? Do you struggle with effective communication and setting boundaries in your relationships with others? Life often presents obstacles and difficulties that might lead to these difficulties without proper tools, resources, and guidance. I utilize CBT, DBT, ACT, and Trauma-informed care to help you manage symptoms and promote healing and growth. With a deep appreciation for the uniqueness of each client and their lived experiences, I foster a collaborative and inclusive therapeutic environment.
(415) 969-2738 View (415) 969-2738
Photo of Sterling Walker, Marriage & Family Therapist Associate in 94123, CA
Sterling Walker
Marriage & Family Therapist Associate, AMFT
Verified Verified
San Francisco, CA 94123
Throughout our lives, we all have experienced feelings of depression, anxiety, and anger. These emotions leave you feeling insecure, shameful, lonely, unworthy and stuck in unhealthy patterns of behavior. Trauma can have negative emotional and physical effects and can lead to family/relationship issues. I specialize in solution-focused brief therapy, motivational interviewing, mindfulness and CBT. These approaches allow me to work with the client to decrease symptoms of anxiety and depression and other health/behavioral issues.
Throughout our lives, we all have experienced feelings of depression, anxiety, and anger. These emotions leave you feeling insecure, shameful, lonely, unworthy and stuck in unhealthy patterns of behavior. Trauma can have negative emotional and physical effects and can lead to family/relationship issues. I specialize in solution-focused brief therapy, motivational interviewing, mindfulness and CBT. These approaches allow me to work with the client to decrease symptoms of anxiety and depression and other health/behavioral issues.
(415) 840-3997 View (415) 840-3997
Photo of Veronica Ghabour, Counselor in 94123, CA
Veronica Ghabour
Counselor, APCC
Verified Verified
San Francisco, CA 94123
I also specialize in couples therapy.
Mental health challenges are due to the aftereffects of traumatic experiences. Trauma can place a strain on your family, work, relationships, and even cause issues with self-worth. I specialize in trauma therapy along with treating personality disorders, depression, anxiety, ADHD, and addiction. All these disorders can look different from person to person, and that is where our therapeutic journey of empowerment and self-exploration begins. I concentrate on creating a safe space of growth and self-discovery through unconditional positive regard, emotional regulation, and guided activities.
I also specialize in couples therapy.
Mental health challenges are due to the aftereffects of traumatic experiences. Trauma can place a strain on your family, work, relationships, and even cause issues with self-worth. I specialize in trauma therapy along with treating personality disorders, depression, anxiety, ADHD, and addiction. All these disorders can look different from person to person, and that is where our therapeutic journey of empowerment and self-exploration begins. I concentrate on creating a safe space of growth and self-discovery through unconditional positive regard, emotional regulation, and guided activities.
(415) 936-8843 View (415) 936-8843
Photo of Dorise Hebenstreit, Marriage & Family Therapist Associate in 94123, CA
Dorise Hebenstreit
Marriage & Family Therapist Associate, AMFT, EMDR
Verified Verified
San Francisco, CA 94123
My focus is to help individuals and families heal from anxiety, depression, trauma, and relationship/family issues. As the therapeutic area of concern is introduced, we can begin to work together in developing empowerment of self as we set up together healthy and achievable goals. I aim to establish include compassion, good communication and trust. In our relationship then I will work alongside you to develop your own coping tools. My approach is a person-centered (positive type) direction to further your strengths and resilience which is tailored towards your specific goals and needs.
My focus is to help individuals and families heal from anxiety, depression, trauma, and relationship/family issues. As the therapeutic area of concern is introduced, we can begin to work together in developing empowerment of self as we set up together healthy and achievable goals. I aim to establish include compassion, good communication and trust. In our relationship then I will work alongside you to develop your own coping tools. My approach is a person-centered (positive type) direction to further your strengths and resilience which is tailored towards your specific goals and needs.
(415) 877-9581 View (415) 877-9581
Photo of Maryam Ashraf, Clinical Social Work/Therapist in 94123, CA
Maryam Ashraf
Clinical Social Work/Therapist, LCSW, EMDR
Verified Verified
San Francisco, CA 94123
I also specialize in relationship/family dynamics.
Do you find yourself struggling with anxiety, depression, grief, self-esteem, identity, and difficult life transitions? Do you find yourself feeling stuck and can’t seem to focus or move forward? There are many ways to get unstuck, and this is the work I love to do to help you heal, grow and live a more fulfilling life. I use an integrative approach including attachment-based work, DBT, CBT, IFS, and mindfulness, bringing in each as needed. Above all, I strive to hold space and empathy for your life experience.
I also specialize in relationship/family dynamics.
Do you find yourself struggling with anxiety, depression, grief, self-esteem, identity, and difficult life transitions? Do you find yourself feeling stuck and can’t seem to focus or move forward? There are many ways to get unstuck, and this is the work I love to do to help you heal, grow and live a more fulfilling life. I use an integrative approach including attachment-based work, DBT, CBT, IFS, and mindfulness, bringing in each as needed. Above all, I strive to hold space and empathy for your life experience.
(415) 236-5618 View (415) 236-5618
Photo of Chantal Daley, Marriage & Family Therapist in 94123, CA
Chantal Daley
Marriage & Family Therapist, LMFT
Verified Verified
San Francisco, CA 94123
Do you find yourself having a difficult time coping with anxiety, depression, and trauma? Do you have a hard time communicating and setting boundaries with others? Life is full of obstacles and hardships that may be difficult to overcome without the right tools, resources, and, guidance leading to the manifestation of these symptoms. I specialize in working with adults, couples, and adolescents using a Psychodynamic approach to explore unconscious thoughts and behaviors. In doing this, we are able to collaboratively recognize old ineffective patterns and process unresolved feelings and trauma.
Do you find yourself having a difficult time coping with anxiety, depression, and trauma? Do you have a hard time communicating and setting boundaries with others? Life is full of obstacles and hardships that may be difficult to overcome without the right tools, resources, and, guidance leading to the manifestation of these symptoms. I specialize in working with adults, couples, and adolescents using a Psychodynamic approach to explore unconscious thoughts and behaviors. In doing this, we are able to collaboratively recognize old ineffective patterns and process unresolved feelings and trauma.
(415) 578-6559 View (415) 578-6559
Photo of Heidi Xue, Marriage & Family Therapist Associate in 94123, CA
Heidi Xue
Marriage & Family Therapist Associate, AMFT, APPC, EMDR
Verified Verified
San Francisco, CA 94123
I also specialize in couples/family therapy.
Do you have trouble with anxiety, depression, and relationship/family issues due to trauma? Past experiences can create imprints onto your brain that activate your fight/flight responses whenever your emotions feel dysregulated, but life without the constant feeling of being on edge is possible. Those traumatic memories don’t have to permanently influence who you are meant to be. Through therapy, you will gain control of your feelings/thoughts and your response to everyday life hurdles. Healing from trauma can create healthier beliefs about yourself and your relationships along with sustainable changes.
I also specialize in couples/family therapy.
Do you have trouble with anxiety, depression, and relationship/family issues due to trauma? Past experiences can create imprints onto your brain that activate your fight/flight responses whenever your emotions feel dysregulated, but life without the constant feeling of being on edge is possible. Those traumatic memories don’t have to permanently influence who you are meant to be. Through therapy, you will gain control of your feelings/thoughts and your response to everyday life hurdles. Healing from trauma can create healthier beliefs about yourself and your relationships along with sustainable changes.
(415) 534-9538 View (415) 534-9538
Photo of Janelle De Veyra, Marriage & Family Therapist in 94123, CA
Janelle De Veyra
Marriage & Family Therapist, LMFT
Verified Verified
San Francisco, CA 94123
Do you struggle with depression, anxiety, and trauma? Do you experience difficulties managing family and relationship issues? I believe that healing happens when we pay attention to all the parts that make us whole—our mind, body, and soul. The subconscious mind controls most of our reality and choices, so building awareness and active presence can improve the quality of daily living and assist in not only surviving but thriving through life. As an intuitive & holistic therapist, I will assist you in strengthening your inner psyche and developing new tools to manage negative feelings and thoughts.
Do you struggle with depression, anxiety, and trauma? Do you experience difficulties managing family and relationship issues? I believe that healing happens when we pay attention to all the parts that make us whole—our mind, body, and soul. The subconscious mind controls most of our reality and choices, so building awareness and active presence can improve the quality of daily living and assist in not only surviving but thriving through life. As an intuitive & holistic therapist, I will assist you in strengthening your inner psyche and developing new tools to manage negative feelings and thoughts.
(415) 877-4918 View (415) 877-4918
Photo of Valerie DiLuggo, Marriage & Family Therapist in 94123, CA
Valerie DiLuggo
Marriage & Family Therapist, MA
Verified Verified
San Francisco, CA 94123  (Online Only)
We work together (just you or with your partner) to create a safe place where you begin to slow down, noticing your thoughts, feelings, beliefs, and desires.
What's Love Got to Do With It??. . . . Alot!. . You're having trouble in relationships, friendships or at work. You're finding it hard to know how to fix things, and you wonder if the problem is you, your past, or the people around you. You're seeking out support because life has gotten overwhelming or you've shut down. Anxiety or depression maybe peek in here or there and you want real tools to use. You want to feel more confident & fulfilled in relationships, but no one ever taught you that part. You want self-love but don't have a clear vision of who you are.
We work together (just you or with your partner) to create a safe place where you begin to slow down, noticing your thoughts, feelings, beliefs, and desires.
What's Love Got to Do With It??. . . . Alot!. . You're having trouble in relationships, friendships or at work. You're finding it hard to know how to fix things, and you wonder if the problem is you, your past, or the people around you. You're seeking out support because life has gotten overwhelming or you've shut down. Anxiety or depression maybe peek in here or there and you want real tools to use. You want to feel more confident & fulfilled in relationships, but no one ever taught you that part. You want self-love but don't have a clear vision of who you are.
(844) 943-2905 View (844) 943-2905
Photo of Ariana Dulberg, Marriage & Family Therapist Associate in 94123, CA
Ariana Dulberg
Marriage & Family Therapist Associate, MA, AMFT, APCC, PPS
Verified Verified
San Francisco, CA 94123
Looking for affordable therapy? You're in the right place! I specialize in providing therapy to teenagers, young adults, and couples. With a second Master's in School Psychology, I have experience working with individuals facing challenges related to anxiety, depression, and ADHD. Whether it's you or your child who's grappling with these issues, I'm here to provide support in navigating symptoms and the associated difficulties they may bring.
Looking for affordable therapy? You're in the right place! I specialize in providing therapy to teenagers, young adults, and couples. With a second Master's in School Psychology, I have experience working with individuals facing challenges related to anxiety, depression, and ADHD. Whether it's you or your child who's grappling with these issues, I'm here to provide support in navigating symptoms and the associated difficulties they may bring.
(925) 515-2744 View (925) 515-2744

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.