Therapists in Downtown, San Francisco, CA

Photo of The Connective (formerly Wellspace SF), Marriage & Family Therapist in Downtown, San Francisco, CA
The Connective (formerly Wellspace SF)
Marriage & Family Therapist
Verified Verified
2 Endorsed
Downtown, San Francisco, CA 94102
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 Lauren Smith, Marriage & Family Therapist in Downtown, San Francisco, CA
Lauren Smith
Marriage & Family Therapist, MA, LMFT
Verified Verified
6 Endorsed
Downtown, San Francisco, CA 94102  (Online Only)
I love working with relationship issues.
In my practice, I help you to live the life that you want. We will uncover the things that are keeping you from being as happy and fulfilled as you would like to be. With an integration of many different treatment orientations, I implement the techniques that are the most effective for your particular needs. My mission is to empower and educate you so that eventually, you can be your own therapist.
I love working with relationship issues.
In my practice, I help you to live the life that you want. We will uncover the things that are keeping you from being as happy and fulfilled as you would like to be. With an integration of many different treatment orientations, I implement the techniques that are the most effective for your particular needs. My mission is to empower and educate you so that eventually, you can be your own therapist.
(628) 600-1689 View (628) 600-1689
Photo of Ivan Belyaev, Associate Marriage & Family Therapist in Downtown, San Francisco, CA
Ivan Belyaev
Associate Marriage & Family Therapist, MEd
Verified Verified
Downtown, San Francisco, CA 94108
I have been registered as an Associate Marriage and Family Therapist (AMFT) by the Board OF Behavioral Sciences in California; my Registration number is AMFT144021. I provide psychotherapy to individuals, couples, and families. MEd in Marriage and Family Therapy (MFT) and Professional Clinical Counselling (PCC). Supervised by Anastasia Berezovskaya, Clinical Psychologist PsyD, PSY 25100
I have been registered as an Associate Marriage and Family Therapist (AMFT) by the Board OF Behavioral Sciences in California; my Registration number is AMFT144021. I provide psychotherapy to individuals, couples, and families. MEd in Marriage and Family Therapy (MFT) and Professional Clinical Counselling (PCC). Supervised by Anastasia Berezovskaya, Clinical Psychologist PsyD, PSY 25100
(415) 723-5655 View (415) 723-5655
Photo of Bruce Hearn, Marriage & Family Therapist in Downtown, San Francisco, CA
Bruce Hearn
Marriage & Family Therapist, LMFT
Verified Verified
4 Endorsed
Downtown, San Francisco, CA 94102  (Online Only)
Are you having a tough time in an important relationship? Does it seem your partner does not understand you, or that you’re at risk of losing the good times and ease of trust that used to be there? Have you gotten overloaded by stress, fly to anger easily, or feel directionless and misunderstood? Are you hard on yourself and others, but at some level wonder if you're being too hard?
Are you having a tough time in an important relationship? Does it seem your partner does not understand you, or that you’re at risk of losing the good times and ease of trust that used to be there? Have you gotten overloaded by stress, fly to anger easily, or feel directionless and misunderstood? Are you hard on yourself and others, but at some level wonder if you're being too hard?
(415) 598-8956 View (415) 598-8956
Photo of Marina Counseling Center, Marriage & Family Therapist in Downtown, San Francisco, CA
Marina Counseling Center
Marriage & Family Therapist, MA, LMFT
Verified Verified
Downtown, San Francisco, CA 94125
Couples counseling helps couples resolve conflicts and improve their relationships.
At times we all need help sorting out life's complexities. At the Marina Counseling Center we offer professional, skilled, affordable, psychotherapy to address the challanges that life can bring. The Marina Counseling Center is a non-profit community counseling center and training institute in the heart of San Francisco's Marina district. We provide counseling to adults, couples, and families on fees adjusted to client needs. These fees range from $35 and up, based on ability to pay.
Couples counseling helps couples resolve conflicts and improve their relationships.
At times we all need help sorting out life's complexities. At the Marina Counseling Center we offer professional, skilled, affordable, psychotherapy to address the challanges that life can bring. The Marina Counseling Center is a non-profit community counseling center and training institute in the heart of San Francisco's Marina district. We provide counseling to adults, couples, and families on fees adjusted to client needs. These fees range from $35 and up, based on ability to pay.
(415) 969-2090 View (415) 969-2090
Photo of Jennifer R. Fedorov, MS, LMFT, Marriage & Family Therapist in Downtown, San Francisco, CA
Jennifer R. Fedorov, MS, LMFT
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Downtown, San Francisco, CA 94101  (Online Only)
I currently have openings! My mission as a therapist is to assist clients in accessing their inner wisdom to form a meaningful response to the challenges that arise in life. I believe relationship is a channel through which great healing can occur and it is often through the therapeutic relationship that this healing can begin. I work with individuals, couples, families and groups who are struggling with a variety of issues that include depression, anxiety, relationship impasse and eating disorders. Please feel free to contact me with any questions if you feel I may be of assistance.
I currently have openings! My mission as a therapist is to assist clients in accessing their inner wisdom to form a meaningful response to the challenges that arise in life. I believe relationship is a channel through which great healing can occur and it is often through the therapeutic relationship that this healing can begin. I work with individuals, couples, families and groups who are struggling with a variety of issues that include depression, anxiety, relationship impasse and eating disorders. Please feel free to contact me with any questions if you feel I may be of assistance.
(541) 526-0747 View (541) 526-0747
Photo of Mindfulness Psychotherapy, Jim Mathis LMFT, Marriage & Family Therapist in Downtown, San Francisco, CA
Mindfulness Psychotherapy, Jim Mathis LMFT
Marriage & Family Therapist, MA, LMFT
Verified Verified
Downtown, San Francisco, CA 94101  (Online Only)
I use the principles of Positive Psychology and Mindfulness to teach techniques that increase awareness and ability to control attention so that you can experience happiness and not be a slave to compulsive thinking. You will learn and experience living in a way that frees energy that is being spent on habitual regrets of the past and worries of the future. I can guide you through loneliness, isolation, emotional pain, grief, relationship distress and trauma.
I use the principles of Positive Psychology and Mindfulness to teach techniques that increase awareness and ability to control attention so that you can experience happiness and not be a slave to compulsive thinking. You will learn and experience living in a way that frees energy that is being spent on habitual regrets of the past and worries of the future. I can guide you through loneliness, isolation, emotional pain, grief, relationship distress and trauma.
(530) 723-1649 View (530) 723-1649
Photo of Barbara Herring, Marriage & Family Therapist in Downtown, San Francisco, CA
Barbara Herring
Marriage & Family Therapist, MA, LMFT
Verified Verified
9 Endorsed
Downtown, San Francisco, CA 94102
Seeking out therapy is a very heroic action in and of itself, perhaps your first proactive step into redefining your sense of self, creating a new life story, and taking a leap into the direction of self-care. If you are reading this, you may be in a state of uncertainty, or perhaps connected more deeply than you would like to be to the effects of depression, anxiety, or your daily life situations. Maybe, you are wrestling in a relationship with someone you love; perhaps, finding the words to communicate who you are and how you feel may seem unattainable and challenging at best.
Seeking out therapy is a very heroic action in and of itself, perhaps your first proactive step into redefining your sense of self, creating a new life story, and taking a leap into the direction of self-care. If you are reading this, you may be in a state of uncertainty, or perhaps connected more deeply than you would like to be to the effects of depression, anxiety, or your daily life situations. Maybe, you are wrestling in a relationship with someone you love; perhaps, finding the words to communicate who you are and how you feel may seem unattainable and challenging at best.
(424) 354-3038 View (424) 354-3038
Photo of Michelle Taylor, Licensed Professional Clinical Counselor in Downtown, San Francisco, CA
Michelle Taylor
Licensed Professional Clinical Counselor, MS, LPCC
Verified Verified
2 Endorsed
Downtown, San Francisco, CA 94101
Accepting new clients/couples NOW- Online Video Therapy - Couples and individuals! I am a direct, tell-it-how-it-is therapist. I don't want you to be in therapy forever... we get straight to the root, do the work, get the skills you need and you become your own therapist. 8-10 sessions is the goal. If you're not ready to do the work, I'm not the therapist for you. But, if you're ready to step into courage and out of comfort, I'm ready to charge the storm with you. Couples like my straightforward approach, giving you the proven communication skills for healthier relationships. Do the hard, courageous thing and email me.
Accepting new clients/couples NOW- Online Video Therapy - Couples and individuals! I am a direct, tell-it-how-it-is therapist. I don't want you to be in therapy forever... we get straight to the root, do the work, get the skills you need and you become your own therapist. 8-10 sessions is the goal. If you're not ready to do the work, I'm not the therapist for you. But, if you're ready to step into courage and out of comfort, I'm ready to charge the storm with you. Couples like my straightforward approach, giving you the proven communication skills for healthier relationships. Do the hard, courageous thing and email me.
(562) 317-7556 View (562) 317-7556
Photo of Juliet Keeler-Le Bien, Clinical Social Work/Therapist in Downtown, San Francisco, CA
Juliet Keeler-Le Bien
Clinical Social Work/Therapist, LCSW-R, LICSW
Verified Verified
Downtown, San Francisco, CA 94108
As a clinician with over fifteen years of experience in diverse cities, there is no "one approach" to therapy; the process is individual and directed by your needs. My philosophical belief is that therapy is a place where you can reflect on how best to navigate your life. With you guiding, we work together to better relationships, improve communication, and move through transitions. I treat anxiety, depression, mood disorders, relationship issues, work/life management, major life transitions, and trauma. Central to successful therapy is making sure that we have a "goodness of fit" between therapist and client.
As a clinician with over fifteen years of experience in diverse cities, there is no "one approach" to therapy; the process is individual and directed by your needs. My philosophical belief is that therapy is a place where you can reflect on how best to navigate your life. With you guiding, we work together to better relationships, improve communication, and move through transitions. I treat anxiety, depression, mood disorders, relationship issues, work/life management, major life transitions, and trauma. Central to successful therapy is making sure that we have a "goodness of fit" between therapist and client.
(929) 447-2738 View (929) 447-2738
Photo of Mankit Li, Psychologist in Downtown, San Francisco, CA
Mankit Li
Psychologist, PsyD
Verified Verified
Downtown, San Francisco, CA 94101  (Online Only)
Hey there, if you are reading this, there is a chance that things in your life have gotten rough. Maybe you are having relationship problems, work or school is overwhelming, or maybe you are unhappy. I can help. I specialize in working with individuals who are living with immense life stressors. I help clients achieve their goals by dissolving obstacles, discovering patterns, and gaining insights while developing new skills to cope with life challenges. I work best with patients who are highly anxious but also appreciate a sense of humor. I can also provide services in Cantonese.
Hey there, if you are reading this, there is a chance that things in your life have gotten rough. Maybe you are having relationship problems, work or school is overwhelming, or maybe you are unhappy. I can help. I specialize in working with individuals who are living with immense life stressors. I help clients achieve their goals by dissolving obstacles, discovering patterns, and gaining insights while developing new skills to cope with life challenges. I work best with patients who are highly anxious but also appreciate a sense of humor. I can also provide services in Cantonese.
(925) 744-8094 View (925) 744-8094
Photo of Kerstin Bennett, Marriage & Family Therapist in Downtown, San Francisco, CA
Kerstin Bennett
Marriage & Family Therapist, MA, MFT
Verified Verified
Downtown, San Francisco, CA 94102
I am offering goal directed adult individual and couples therapy.
You don't need to feel stuck anymore! Stagnation is a message that something needs to change. Processing emotions, thoughts and experiences with a therapist can help you move through life with comfort and ease. I help individuals and couples gain perspective on unhelpful thoughts and behaviors, learn to use your feelings as a guide to define your future by looking compassionately at your perception of yourself, your relationships, your health, how you have fun, and your career. Authenticity is being at home in your body which allows you to express yourself clearly; authenticity is closely linked to happiness.
I am offering goal directed adult individual and couples therapy.
You don't need to feel stuck anymore! Stagnation is a message that something needs to change. Processing emotions, thoughts and experiences with a therapist can help you move through life with comfort and ease. I help individuals and couples gain perspective on unhelpful thoughts and behaviors, learn to use your feelings as a guide to define your future by looking compassionately at your perception of yourself, your relationships, your health, how you have fun, and your career. Authenticity is being at home in your body which allows you to express yourself clearly; authenticity is closely linked to happiness.
(415) 843-8415 View (415) 843-8415
Photo of Suhadee (Su) Henriquez, Clinical Social Work/Therapist in Downtown, San Francisco, CA
Suhadee (Su) Henriquez
Clinical Social Work/Therapist, LCSW
Verified Verified
Downtown, San Francisco, CA 94102
My diverse background has allowed me to help individuals around the world to reach their personal goals and guide them, step-by-step, to achieve higher levels of success. I am a psychotherapist specialized in helping those struggling with daily stressors, depression/anxiety, relationship difficulties, chronic pain, and problems associated (e.g. career, college) eating issues, substance abuse, as well as suicidal and non-suicidal self-injurious behaviors. I have particular expertise in working with individuals from a multicultural perspective, including but not limited to, LGBT populations and providing psychotherapy in Spanish"
My diverse background has allowed me to help individuals around the world to reach their personal goals and guide them, step-by-step, to achieve higher levels of success. I am a psychotherapist specialized in helping those struggling with daily stressors, depression/anxiety, relationship difficulties, chronic pain, and problems associated (e.g. career, college) eating issues, substance abuse, as well as suicidal and non-suicidal self-injurious behaviors. I have particular expertise in working with individuals from a multicultural perspective, including but not limited to, LGBT populations and providing psychotherapy in Spanish"
(332) 249-8411 View (332) 249-8411
Photo of Anisha M Holden, Marriage & Family Therapist in Downtown, San Francisco, CA
Anisha M Holden
Marriage & Family Therapist, MS, LMFT
Verified Verified
2 Endorsed
Downtown, San Francisco, CA 94102  (Online Only)
Stress/anxiety, depression, self esteem, relationship issues, and generally feeling lost are all common issues amongst the generations today. Living and operating within this country can be challenging, leaving you without certainty or the support to ensure all of your basic needs. It is no secret that the lockdowns took a toll on us all but help is available. We all need a place to vent/process our difficult thoughts/feelings, learn coping skills, manage anger, and improve our communication skills.
Stress/anxiety, depression, self esteem, relationship issues, and generally feeling lost are all common issues amongst the generations today. Living and operating within this country can be challenging, leaving you without certainty or the support to ensure all of your basic needs. It is no secret that the lockdowns took a toll on us all but help is available. We all need a place to vent/process our difficult thoughts/feelings, learn coping skills, manage anger, and improve our communication skills.
(562) 262-8747 View (562) 262-8747
Photo of Centered Soul Counseling , Marriage & Family Therapist in Downtown, San Francisco, CA
Centered Soul Counseling
Marriage & Family Therapist, MS, LMFT
Verified Verified
Downtown, San Francisco, CA 94101  (Online Only)
Hi! I'm Nicole Williams, LMFT! I'm so happy you're taking the first step in reaching out to find a therapist! Are you experiencing relationship challenges, looking to improve communication or heal from infidelity? Would you like to explore your gender identity? Would you like to discuss dynamics around navigating your consensually non-monogamous relationship? Are you unhappy with your sex life? Do you want to improve your sexual health or increase your sexual knowledge? Would you like to heal from past sexual trauma? I can help! You deserve to live a sexually fulfilling life!
Hi! I'm Nicole Williams, LMFT! I'm so happy you're taking the first step in reaching out to find a therapist! Are you experiencing relationship challenges, looking to improve communication or heal from infidelity? Would you like to explore your gender identity? Would you like to discuss dynamics around navigating your consensually non-monogamous relationship? Are you unhappy with your sex life? Do you want to improve your sexual health or increase your sexual knowledge? Would you like to heal from past sexual trauma? I can help! You deserve to live a sexually fulfilling life!
(310) 742-0974 View (310) 742-0974
Photo of Be Mindful and Well, PhD in Downtown, San Francisco, CA
Be Mindful and Well, PhD
PhD
Verified Verified
Downtown, San Francisco, CA 94101  (Online Only)
3- Grief and loss 4-Terminal illness 5- Family/Couples conflict and relationship issues 6- transition from school to college and adaptation to college.
We provide a holistic mental health coaching/counseling committed to personal, social and professional growth. Our professionals are expert professors, PhD, MA, BS in the field of health and counseling, and serving clients of all ages, and organizations for more than 20yrs.The center provides: 1- life coaching to women for varied health concerns: Nutritional counseling/ concerns for women, children, students, chronic diseases; Adaptation to pregnancy; Postpartum; menopause; Dealing with aging process; health concerns, and chronic diseases, parenting issues, adolescence challenges, body image, and skin problems and concerns.
3- Grief and loss 4-Terminal illness 5- Family/Couples conflict and relationship issues 6- transition from school to college and adaptation to college.
We provide a holistic mental health coaching/counseling committed to personal, social and professional growth. Our professionals are expert professors, PhD, MA, BS in the field of health and counseling, and serving clients of all ages, and organizations for more than 20yrs.The center provides: 1- life coaching to women for varied health concerns: Nutritional counseling/ concerns for women, children, students, chronic diseases; Adaptation to pregnancy; Postpartum; menopause; Dealing with aging process; health concerns, and chronic diseases, parenting issues, adolescence challenges, body image, and skin problems and concerns.
(617) 744-7497 View (617) 744-7497
Photo of Karin Leonard in Downtown, San Francisco, CA
Karin Leonard
CHT, NLP, Coach
Verified Verified
Downtown, San Francisco, CA 94101
Happy to be here for you, as well as for you and your partner.
Ready to go beyond talk therapy? Hypnotherapy combined with life coaching gives you access to a powerful yet completely safe portal of positive change and neuroplasticity. It is my joy and privilege to be your guide, mentor and confidant - be it for a few sessions, a few months or a lifetime. Whether you are tired of the same issues blocking your progress, want to tap more of your potential, feel calm and confident, and live a life you LOVE - I am here for you. In working with clients and couples for 30 years, I have developed a highly effective approach combining life coaching, hypnotherapy, NLP and a good dose of intuition.
Happy to be here for you, as well as for you and your partner.
Ready to go beyond talk therapy? Hypnotherapy combined with life coaching gives you access to a powerful yet completely safe portal of positive change and neuroplasticity. It is my joy and privilege to be your guide, mentor and confidant - be it for a few sessions, a few months or a lifetime. Whether you are tired of the same issues blocking your progress, want to tap more of your potential, feel calm and confident, and live a life you LOVE - I am here for you. In working with clients and couples for 30 years, I have developed a highly effective approach combining life coaching, hypnotherapy, NLP and a good dose of intuition.
(831) 498-1775 View (831) 498-1775
Photo of Kristine San Mateo Virgen, Marriage & Family Therapist in Downtown, San Francisco, CA
Kristine San Mateo Virgen
Marriage & Family Therapist, MA, LMFT
Verified Verified
3 Endorsed
Downtown, San Francisco, CA 94102  (Online Only)
Waitlist for new clients
Are you in search of support to gain self-awareness, navigate challenging emotions and experiences, enhance coping strategies, and cultivate more fulfilling relationships? Welcome! I'm Kristine San Mateo, a Licensed Marriage and Family Therapist practicing in California, Hawaii, and Washington State. Since 2015, I have had the privilege of working with a diverse range of individuals, addressing a multitude of mental health concerns that impact their overall well-being. Although I have experience working with children, teenagers, and families, my current focus is providing individual and couples therapy primarily to adults.
Are you in search of support to gain self-awareness, navigate challenging emotions and experiences, enhance coping strategies, and cultivate more fulfilling relationships? Welcome! I'm Kristine San Mateo, a Licensed Marriage and Family Therapist practicing in California, Hawaii, and Washington State. Since 2015, I have had the privilege of working with a diverse range of individuals, addressing a multitude of mental health concerns that impact their overall well-being. Although I have experience working with children, teenagers, and families, my current focus is providing individual and couples therapy primarily to adults.
(661) 443-6728 View (661) 443-6728
Photo of Britt Palmer, Marriage & Family Therapist in Downtown, San Francisco, CA
Britt Palmer
Marriage & Family Therapist, LMFT, LPCC
Verified Verified
Downtown, San Francisco, CA 94102
You are met where you are, and you are a partner in decisions every step of the way.
The treatment of complex histories of trauma, eating disorders, and attachment disruptions must include interventions that rewire the brain from the bottom up, somatic movement to reintegrate the body with the brain, and a felt sense of safety, in the context of relationship. This provides lasting change for improved regulation, mood, energy, the ability to be present and attune to others. Too many therapies focus on decision making, problem solving, or changing your thoughts. This is not how we are wired to work. It leads to disappointment. My evidenced based interventions promise to be different.
You are met where you are, and you are a partner in decisions every step of the way.
The treatment of complex histories of trauma, eating disorders, and attachment disruptions must include interventions that rewire the brain from the bottom up, somatic movement to reintegrate the body with the brain, and a felt sense of safety, in the context of relationship. This provides lasting change for improved regulation, mood, energy, the ability to be present and attune to others. Too many therapies focus on decision making, problem solving, or changing your thoughts. This is not how we are wired to work. It leads to disappointment. My evidenced based interventions promise to be different.
(901) 519-2163 View (901) 519-2163
Photo of Patrisha Hodgman, Marriage & Family Therapist in Downtown, San Francisco, CA
Patrisha Hodgman
Marriage & Family Therapist, MA, LMFT
Verified Verified
Downtown, San Francisco, CA 94102  (Online Only)
Empathy is an important ingredient to loving connections with our spouse or partner, kids and extended family.
I am a TeleHealth Practitioner offering HIPAA secure video sessions. I specialize in treating anxiety, depression, trauma and relationship issues. Our mental and emotional well-being impacts our physical health and the quality of our lives. I can help you to reduce symptoms of depression, anxiety and stress, gain healing from the pain and confusion of trauma and grief, and face new challenges while adjusting to a new normal. As an EMDRIA trained EMDR therapist, I can offer this powerful, evidence-based treatment for trauma. Further, I am a climate aware therapist offering help with eco-anxiety.
Empathy is an important ingredient to loving connections with our spouse or partner, kids and extended family.
I am a TeleHealth Practitioner offering HIPAA secure video sessions. I specialize in treating anxiety, depression, trauma and relationship issues. Our mental and emotional well-being impacts our physical health and the quality of our lives. I can help you to reduce symptoms of depression, anxiety and stress, gain healing from the pain and confusion of trauma and grief, and face new challenges while adjusting to a new normal. As an EMDRIA trained EMDR therapist, I can offer this powerful, evidence-based treatment for trauma. Further, I am a climate aware therapist offering help with eco-anxiety.
(661) 426-8927 View (661) 426-8927

See more therapy options for Downtown, San Francisco

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.