Photo of Anchor Therapy Clinic, Marriage & Family Therapist in Sacramento, CA
Anchor Therapy Clinic
Marriage & Family Therapist, PsyD, MFT, CPTT, AAT
Verified Verified
Sacramento, CA 95827
As a licensed Marriage and Family Therapist with a doctorate in Clinical Psychology, I am dedicated to helping my clients navigate life's challenges and achieve their goals. I believe in creating a safe and supportive space where we can work together to explore your thoughts, feelings, and behaviors. Whether you're struggling with relationship issues, anxiety, depression, sexuality, trauma, or any other mental health concerns, I am here to offer guidance and support every step of the way. Let's work together to help you live a happier, healthier life.
As a licensed Marriage and Family Therapist with a doctorate in Clinical Psychology, I am dedicated to helping my clients navigate life's challenges and achieve their goals. I believe in creating a safe and supportive space where we can work together to explore your thoughts, feelings, and behaviors. Whether you're struggling with relationship issues, anxiety, depression, sexuality, trauma, or any other mental health concerns, I am here to offer guidance and support every step of the way. Let's work together to help you live a happier, healthier life.
(916) 680-8406 View (916) 680-8406
Photo of Tamer Mostafa, Clinical Social Work/Therapist in Sacramento, CA
Tamer Mostafa
Clinical Social Work/Therapist, LCSW
Verified Verified
5 Endorsed
Sacramento, CA 95811  (Online Only)
I also provide couples counseling and family therapy by utilizing innovative practices centered on equity and resolution.
Welcome! My name is Tamer, a Licensed Clinical Social Worker with nearly 10 years of experience in disability rights, substance use recovery, community health, and LGBTQIA+ centered care. I believe in person-centered approaches to understand the role that stories play in shaping our everyday lives. My work draws from Narrative therapy, which allows us to deconstruct how these stories show up in the context of anxiety, stress, depression, and trauma. Together, we will harness your ideas, skills, beliefs, and experiences to reclaim the story you want to live.
I also provide couples counseling and family therapy by utilizing innovative practices centered on equity and resolution.
Welcome! My name is Tamer, a Licensed Clinical Social Worker with nearly 10 years of experience in disability rights, substance use recovery, community health, and LGBTQIA+ centered care. I believe in person-centered approaches to understand the role that stories play in shaping our everyday lives. My work draws from Narrative therapy, which allows us to deconstruct how these stories show up in the context of anxiety, stress, depression, and trauma. Together, we will harness your ideas, skills, beliefs, and experiences to reclaim the story you want to live.
(916) 634-0889 View (916) 634-0889
Photo of Dr. Marcella Kreysa, Psychologist in Sacramento, CA
Dr. Marcella Kreysa
Psychologist, PsyD
Verified Verified
Sacramento, CA 95816  (Online Only)
I work collaboratively with my clients to build a strong therapeutic relationship and offer an individualized approach to treatment for each person.
Life can be an overwhelming experience for anyone. Things can become especially challenging when a person feels stressed by circumstances beyond their control. Individuals who come to therapy are often very capable human beings who have experienced something in their life that has left them needing some extra support. Many times people begin therapy feeling down and lost. Through a person's work in therapy, they are often able to find some light on their path to help guide them through the pain. This shift creates an opportunity for a person to improve their day-to-day functioning and overall, they FEEL BETTER!!
I work collaboratively with my clients to build a strong therapeutic relationship and offer an individualized approach to treatment for each person.
Life can be an overwhelming experience for anyone. Things can become especially challenging when a person feels stressed by circumstances beyond their control. Individuals who come to therapy are often very capable human beings who have experienced something in their life that has left them needing some extra support. Many times people begin therapy feeling down and lost. Through a person's work in therapy, they are often able to find some light on their path to help guide them through the pain. This shift creates an opportunity for a person to improve their day-to-day functioning and overall, they FEEL BETTER!!
(916) 764-3544 View (916) 764-3544
Photo of Robin Kurland, Marriage & Family Therapist in Sacramento, CA
Robin Kurland
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Sacramento, CA 95816
Hello and congratulations on taking the first step toward taking care of yourself and bettering your life. I have 17 years experience in working with couples, families, individuals and groups. I specialize in trauma and addictions,relationship issues, and psychedelic integration. Using a holistic approach, I provide a safe and non-judgmental space for you to explore obstacles.You will find solutions, coping skills, and peace of mind using an individualized treatment plan that we create together. I am your guide and in this collaboration you can find a way to live congruently with your authentic self and truth.
Hello and congratulations on taking the first step toward taking care of yourself and bettering your life. I have 17 years experience in working with couples, families, individuals and groups. I specialize in trauma and addictions,relationship issues, and psychedelic integration. Using a holistic approach, I provide a safe and non-judgmental space for you to explore obstacles.You will find solutions, coping skills, and peace of mind using an individualized treatment plan that we create together. I am your guide and in this collaboration you can find a way to live congruently with your authentic self and truth.
(650) 465-1644 View (650) 465-1644
Photo of Cara Ann Crocker, Marriage & Family Therapist Associate in Sacramento, CA
Cara Ann Crocker
Marriage & Family Therapist Associate, AMFT
Verified Verified
3 Endorsed
Sacramento, CA 95816
Many couples might drift apart over worries about money, the balance of power, and sexuality.
Maybe you're ready for the next chapter in your life. The one in which you find ways to thrive, even amidst these unprecedented times of high stress. I help individuals and couples deal with anxiety and life transitions. I guide them towards new solutions, insights, and ways of coping. Together we will unravel the places you might have gotten stuck. I will assist you in moving from overwhelmed to calm. All parts of you will be welcomed and accepted in a process that paves the way for new relational awareness.
Many couples might drift apart over worries about money, the balance of power, and sexuality.
Maybe you're ready for the next chapter in your life. The one in which you find ways to thrive, even amidst these unprecedented times of high stress. I help individuals and couples deal with anxiety and life transitions. I guide them towards new solutions, insights, and ways of coping. Together we will unravel the places you might have gotten stuck. I will assist you in moving from overwhelmed to calm. All parts of you will be welcomed and accepted in a process that paves the way for new relational awareness.
(530) 486-0924 View (530) 486-0924
Photo of Lynn Baker-Nauman, Marriage & Family Therapist in Sacramento, CA
Lynn Baker-Nauman
Marriage & Family Therapist, MA, LMFT, RDT
Verified Verified
2 Endorsed
Sacramento, CA 95816  (Online Only)
With empathy and connection, I most appreciate working with individuals and couples that are ready to focus on what needs to change.
Are you feeling ready to make changes in your life? I believe in your ability to heal by opening up and work on what is present. By creating a safe environment and attuning to you, I provide talk therapy or a drama therapy and expressive arts approach. Making changes in our lives can be challenging and having support through that can be a vital component to our growth. My personal approach is client-centered and strength-based. My goal is to assist you to discover your authentic self.
With empathy and connection, I most appreciate working with individuals and couples that are ready to focus on what needs to change.
Are you feeling ready to make changes in your life? I believe in your ability to heal by opening up and work on what is present. By creating a safe environment and attuning to you, I provide talk therapy or a drama therapy and expressive arts approach. Making changes in our lives can be challenging and having support through that can be a vital component to our growth. My personal approach is client-centered and strength-based. My goal is to assist you to discover your authentic self.
(916) 249-6521 View (916) 249-6521
Photo of Arrickia McDaniel, Clinical Social Work/Therapist in Sacramento, CA
Arrickia McDaniel
Clinical Social Work/Therapist, EdD, LCSW
Verified Verified
Sacramento, CA 95816
As a clinician I have over 20yrs. of experience serving adults, couples, families and adolescents in the Greater Sacramento Area. Practice provides culturally diverse psychotherapy and counseling services to individuals, families and couples. Serving clients experiencing depression, trauma, grief and loss; as well as life coaching.
As a clinician I have over 20yrs. of experience serving adults, couples, families and adolescents in the Greater Sacramento Area. Practice provides culturally diverse psychotherapy and counseling services to individuals, families and couples. Serving clients experiencing depression, trauma, grief and loss; as well as life coaching.
(916) 764-3568 View (916) 764-3568
Photo of Ellen Garavatti, Marriage & Family Therapist in Sacramento, CA
Ellen Garavatti
Marriage & Family Therapist, MA, LMFT
Verified Verified
7 Endorsed
Sacramento, CA 95816  (Online Only)
Maybe you've been feeling confused, worried, or just in friction with work, your relationship, or your day-today activities. It's like the harder you try, the more messy things get. Often, you understand WHAT is happening, but how it feels and why is very foggy. How much longer can I (or we) do this for? I'm exhausted; we're exhausted. I'd like to offer that this is not "just how life is". Your life can be easier. Your relationship can be more accessible & consistent. You can feel more confident, more at ease, & more aligned.
Maybe you've been feeling confused, worried, or just in friction with work, your relationship, or your day-today activities. It's like the harder you try, the more messy things get. Often, you understand WHAT is happening, but how it feels and why is very foggy. How much longer can I (or we) do this for? I'm exhausted; we're exhausted. I'd like to offer that this is not "just how life is". Your life can be easier. Your relationship can be more accessible & consistent. You can feel more confident, more at ease, & more aligned.
(530) 296-3355 View (530) 296-3355
Photo of Allison Jean Pichardo, Marriage & Family Therapist in Sacramento, CA
Allison Jean Pichardo
Marriage & Family Therapist, LMFT
Verified Verified
Sacramento, CA 95811
I am passionate about helping individuals achieve their best selves and find fulfillment in life. Sometimes, we are held back by past hurts, low self esteem, anxiety, loss, or other life challenges. If you want to find ways to overcome life challenges, feel more confident, and have better relationships, I am here to help! I also love working with couples. Relationships, especially those with our spouse or partner are the most important thing in life. Often couples find themselves struggling to communicate and feel disconnected from one another. I would love to help you and your partner feel more connected!
I am passionate about helping individuals achieve their best selves and find fulfillment in life. Sometimes, we are held back by past hurts, low self esteem, anxiety, loss, or other life challenges. If you want to find ways to overcome life challenges, feel more confident, and have better relationships, I am here to help! I also love working with couples. Relationships, especially those with our spouse or partner are the most important thing in life. Often couples find themselves struggling to communicate and feel disconnected from one another. I would love to help you and your partner feel more connected!
(408) 705-2569 View (408) 705-2569
Photo of Majica Alba, Marriage & Family Therapist in Sacramento, CA
Majica Alba
Marriage & Family Therapist, LMFT, ATR
Verified Verified
2 Endorsed
Sacramento, CA 95816
I'm dedicated to helping diverse couples, including monogamous & non-monogamous, experience profound change, believing in each relationship's potential to reconnect & rekindle love.
Are you and your partner struggling to maintain a deep connection and overcome negative communication patterns? You may be fed up with constant arguments, feelings of distance, or the inability to express your emotions effectively. It might be hard to remember a time when your relationship didn't feel this way. But one thing is for sure: you're ready for a change. You're ready to rekindle the love and understanding that once defined your partnership. You're ready to foster a supportive, harmonious, and lasting bond.
I'm dedicated to helping diverse couples, including monogamous & non-monogamous, experience profound change, believing in each relationship's potential to reconnect & rekindle love.
Are you and your partner struggling to maintain a deep connection and overcome negative communication patterns? You may be fed up with constant arguments, feelings of distance, or the inability to express your emotions effectively. It might be hard to remember a time when your relationship didn't feel this way. But one thing is for sure: you're ready for a change. You're ready to rekindle the love and understanding that once defined your partnership. You're ready to foster a supportive, harmonious, and lasting bond.
(916) 546-1526 View (916) 546-1526
Photo of Ashley Barnes, Marriage & Family Therapist Associate in Sacramento, CA
Ashley Barnes
Marriage & Family Therapist Associate, MS, AMFT
Verified Verified
1 Endorsed
Sacramento, CA 95816
I'm a relationship, sex and trauma therapist specializing in supporting folks who feel like they'll never live up to expectations; no matter what you do it feels like you aren't enough. My clients come to me telling me that they're always striving for more and not able to enjoy their life and relationships. Navigating a stressful work life or having lots of anxiety in your relationship? I’ll provide you with some helpful tools to cope. Just need a place to cry it out sometimes or vent about the ridiculous choices of a friend or family member? That’s welcome here too. Read more or schedule online at www.lovehealgrow.com.
I'm a relationship, sex and trauma therapist specializing in supporting folks who feel like they'll never live up to expectations; no matter what you do it feels like you aren't enough. My clients come to me telling me that they're always striving for more and not able to enjoy their life and relationships. Navigating a stressful work life or having lots of anxiety in your relationship? I’ll provide you with some helpful tools to cope. Just need a place to cry it out sometimes or vent about the ridiculous choices of a friend or family member? That’s welcome here too. Read more or schedule online at www.lovehealgrow.com.
(530) 444-6427 View (530) 444-6427
Photo of Jake Clevenger, Marriage & Family Therapist Associate in Sacramento, CA
Jake Clevenger
Marriage & Family Therapist Associate, MA, AMFT
Verified Verified
5 Endorsed
Sacramento, CA 95816  (Online Only)
Are you recovering from narcissistic abuse? I know this can be an incredibly challenging process. You deserve a therapeutic relationship that honors your story and gives you a safe place to process what you're going through. You can reduce the trauma.
Are you recovering from narcissistic abuse? I know this can be an incredibly challenging process. You deserve a therapeutic relationship that honors your story and gives you a safe place to process what you're going through. You can reduce the trauma.
(530) 240-7415 View (530) 240-7415
Photo of D. Meghan French, Clinical Social Work/Therapist in Sacramento, CA
D. Meghan French
Clinical Social Work/Therapist, LCSW
Verified Verified
Sacramento, CA 95816
I work with couples and individuals struggling with fertility issues.
Welcome! I appreciate you stopping at my page. Stress, depression, anxiety and grief can rob us of the energy to enjoy life and stay connected with the people around us. I became a therapist in the hopes of helping people find peace, happiness and wellbeing. I strive to create a safe, supportive environment wherein you can share your story and we can work together to find meaningful and lasting change.
I work with couples and individuals struggling with fertility issues.
Welcome! I appreciate you stopping at my page. Stress, depression, anxiety and grief can rob us of the energy to enjoy life and stay connected with the people around us. I became a therapist in the hopes of helping people find peace, happiness and wellbeing. I strive to create a safe, supportive environment wherein you can share your story and we can work together to find meaningful and lasting change.
(916) 694-1840 View (916) 694-1840
Photo of Maria Miller, Marriage & Family Therapist in Sacramento, CA
Maria Miller
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Sacramento, CA 95864  (Online Only)
Feeling stuck, overwhelmed, or out of control? I offer effective and compassionate psychotherapy services to adults, teens, children, and families. I specialize in treating eating disorders, anxiety, depression, life transitions, and relationship issues. You'll find me to be a compassionate listener, working with you to help you achieve the changes you would like to see in your life. Together we will identify and develop your strengths and interests so you can achieve your goals. I offer a safe place for you to talk about your fears and worries, body image and self-esteem struggles, relationship challenges, career and life transitions.
Feeling stuck, overwhelmed, or out of control? I offer effective and compassionate psychotherapy services to adults, teens, children, and families. I specialize in treating eating disorders, anxiety, depression, life transitions, and relationship issues. You'll find me to be a compassionate listener, working with you to help you achieve the changes you would like to see in your life. Together we will identify and develop your strengths and interests so you can achieve your goals. I offer a safe place for you to talk about your fears and worries, body image and self-esteem struggles, relationship challenges, career and life transitions.
(925) 259-3365 View (925) 259-3365
Photo of Mary Schellentrager, Marriage & Family Therapist in Sacramento, CA
Mary Schellentrager
Marriage & Family Therapist, LMFT
Verified Verified
Sacramento, CA 95816  (Online Only)
I partner with an organization to accept insurance (Optum, Aetna, United Healthcare) and can provide a superbill for private pay.
Not currently accepting new clients. Life is full of challenges. You're doing your best but may still be feeling lost and overwhelmed. As part of the LGBTQIA+ community, you want a therapist who can empathize and relate to your unique experiences. You may want to improve your relationships with others or with yourself. You may have difficulty setting boundaries and identifying your needs. Perhaps you want to heal from past traumas and develop skills to manage triggers. You might be stuck in beliefs, stories, or patterns that are no longer serving you. The good news is that obstacles can be opportunities. Let's explore them together.
I partner with an organization to accept insurance (Optum, Aetna, United Healthcare) and can provide a superbill for private pay.
Not currently accepting new clients. Life is full of challenges. You're doing your best but may still be feeling lost and overwhelmed. As part of the LGBTQIA+ community, you want a therapist who can empathize and relate to your unique experiences. You may want to improve your relationships with others or with yourself. You may have difficulty setting boundaries and identifying your needs. Perhaps you want to heal from past traumas and develop skills to manage triggers. You might be stuck in beliefs, stories, or patterns that are no longer serving you. The good news is that obstacles can be opportunities. Let's explore them together.
(916) 262-7112 View (916) 262-7112
Photo of Micaela Marie Van Dine, Marriage & Family Therapist in Sacramento, CA
Micaela Marie Van Dine
Marriage & Family Therapist, MS, MA
Verified Verified
2 Endorsed
Sacramento, CA 95816
My direct approach mixed with empathy builds a strong therapeutic relationship with my clients.
I am a forensic psychotherapist that works with families involved in custody disputes with a focus on the best interests for children. My focus with all clients is to find solutions to complex issues. My approach is direct and goal oriented. For psychotherapy, I treat individuals, families, and children. I also hold closed support groups for Recovery from Psychological Abuse (specifically narcissistic abuse). I work extensively with individuals going through divorce. I enjoy working with children and teens in treating depression/ anxiety, Trauma, Introversion/social anxiety, peer issues, and parental conflict/divorce.
My direct approach mixed with empathy builds a strong therapeutic relationship with my clients.
I am a forensic psychotherapist that works with families involved in custody disputes with a focus on the best interests for children. My focus with all clients is to find solutions to complex issues. My approach is direct and goal oriented. For psychotherapy, I treat individuals, families, and children. I also hold closed support groups for Recovery from Psychological Abuse (specifically narcissistic abuse). I work extensively with individuals going through divorce. I enjoy working with children and teens in treating depression/ anxiety, Trauma, Introversion/social anxiety, peer issues, and parental conflict/divorce.
(916) 507-1817 View (916) 507-1817
Photo of Lisa Falls, Licensed Professional Clinical Counselor in Sacramento, CA
Lisa Falls
Licensed Professional Clinical Counselor, LCPC
Verified Verified
Sacramento, CA 95838
Hi, my name is Lisa Falls. I am a Licensed Professional Clinical Counselor, a Board-Certified Art Therapist. I have Advanced Certification in EFT, also known as Emotional Freedom Techniques. I have training in ThetaHeling and am a Neurofeedback Practitioner. I am passionate about working with my clients to heal and live happy, productive, and successful lives. I work with Adults, Families, Couples, and Teenagers. I am comfortable treating grief, loss, and trauma issues. Also, Anxiety and depression, Alcohol abuse, and OCD. I also treat clients with a Dual Diagnosis.
Hi, my name is Lisa Falls. I am a Licensed Professional Clinical Counselor, a Board-Certified Art Therapist. I have Advanced Certification in EFT, also known as Emotional Freedom Techniques. I have training in ThetaHeling and am a Neurofeedback Practitioner. I am passionate about working with my clients to heal and live happy, productive, and successful lives. I work with Adults, Families, Couples, and Teenagers. I am comfortable treating grief, loss, and trauma issues. Also, Anxiety and depression, Alcohol abuse, and OCD. I also treat clients with a Dual Diagnosis.
(650) 955-6189 View (650) 955-6189
Photo of Sierra Therapy Center in Sacramento, CA
Sierra Therapy Center
LMFT
Verified Verified
1 Endorsed
Sacramento, CA 95825
We offer many modalities to individuals, couples, families and children - EMDR, Brainspotting, couples therapy, group therapy, anxiety, depression, trauma grief work, and more.
Our story: Some of the best physicians are wounded healers, those who have walked through pain and suffering themselves only to emerge on the other side to help others. We believe strongly in the human capacity to heal. Our counseling specialists work with children/teens, adults, couples and families. With sensitivity and compassion, we help you bring resolution to the struggles you are facing. Modalities range from depth therapy, IMAGO couples therapy, Brainspotting, EMDR, play therapy, addiction groups to solution focused. We are trained in a variety of different therapeutic interventions that will fit what you need.
We offer many modalities to individuals, couples, families and children - EMDR, Brainspotting, couples therapy, group therapy, anxiety, depression, trauma grief work, and more.
Our story: Some of the best physicians are wounded healers, those who have walked through pain and suffering themselves only to emerge on the other side to help others. We believe strongly in the human capacity to heal. Our counseling specialists work with children/teens, adults, couples and families. With sensitivity and compassion, we help you bring resolution to the struggles you are facing. Modalities range from depth therapy, IMAGO couples therapy, Brainspotting, EMDR, play therapy, addiction groups to solution focused. We are trained in a variety of different therapeutic interventions that will fit what you need.
(530) 419-5189 View (530) 419-5189
Photo of Janet Greenwood, Marriage & Family Therapist in Sacramento, CA
Janet Greenwood
Marriage & Family Therapist, PhD, RN, MFT
Verified Verified
Sacramento, CA 95831
I specialize in working with couples wanting to recover from a crisis. I offer over 30 years experience as a Certified Imago Relationship Therapist, PhD, RN, Licensed marriage therapist. You can select either our 10 Hour Couples Program or the 5 hour private Intensive Couples Session. Prevent unnecessary divorce; change begins the first session. Increase emotional and physical intimacy and fall back in love with your partner.
I specialize in working with couples wanting to recover from a crisis. I offer over 30 years experience as a Certified Imago Relationship Therapist, PhD, RN, Licensed marriage therapist. You can select either our 10 Hour Couples Program or the 5 hour private Intensive Couples Session. Prevent unnecessary divorce; change begins the first session. Increase emotional and physical intimacy and fall back in love with your partner.
(916) 546-1518 View (916) 546-1518
Photo of Laura Reames, Marriage & Family Therapist in Sacramento, CA
Laura Reames
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Sacramento, CA 95823
My passion is empowering individuals, couples and families to see their strengths as resources in life's challenges and to help shift patterns to more satisfying outcomes.
"Are you feeling stressed, depleted and stuck? Do you find yourself repeating behavior patterns that don't help you move forward? Are you drifting apart in your relationships rather than experiencing the closeness you desire?" Taking a step to seek help can open the door of hope. I believe we all have the ability to change. I am Certified in Emotionally Focused Therapy for couples (EFT) if you desire to reconnect. I am Certified in EMDR (Eye Movement Desensitization and Reprocessing) for shifting trauma and negative beliefs/behaviors. I also utilize Comprehensive Resource Model (CRM) & Feeling State Addiction Protocol (FSAP).
My passion is empowering individuals, couples and families to see their strengths as resources in life's challenges and to help shift patterns to more satisfying outcomes.
"Are you feeling stressed, depleted and stuck? Do you find yourself repeating behavior patterns that don't help you move forward? Are you drifting apart in your relationships rather than experiencing the closeness you desire?" Taking a step to seek help can open the door of hope. I believe we all have the ability to change. I am Certified in Emotionally Focused Therapy for couples (EFT) if you desire to reconnect. I am Certified in EMDR (Eye Movement Desensitization and Reprocessing) for shifting trauma and negative beliefs/behaviors. I also utilize Comprehensive Resource Model (CRM) & Feeling State Addiction Protocol (FSAP).
(916) 794-4420 View (916) 794-4420

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.