Therapists in Russian Hill, San Francisco, CA

Photo of Ellen B Klyce, Marriage & Family Therapist in Russian Hill, San Francisco, CA
Ellen B Klyce
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Russian Hill, San Francisco, CA 94123
I mostly treat couples who are navigating parenting and communication. But I work with individual clients too, Bay area residents who have multiple responsibilities and many demands placed on them daily. I help clients ease their doubt in social situations, calm down the inner critic. In my sessions we explore new ways to connect in many different circumstances. If you have fallen into negative thinking patterns, this constant worry may wear you down. I am there to be your collaborator, to find the best solution for you.
I mostly treat couples who are navigating parenting and communication. But I work with individual clients too, Bay area residents who have multiple responsibilities and many demands placed on them daily. I help clients ease their doubt in social situations, calm down the inner critic. In my sessions we explore new ways to connect in many different circumstances. If you have fallen into negative thinking patterns, this constant worry may wear you down. I am there to be your collaborator, to find the best solution for you.
(510) 768-7175 View (510) 768-7175
Photo of Sarah Yoell, Marriage & Family Therapist in Russian Hill, San Francisco, CA
Sarah Yoell
Marriage & Family Therapist, MS, LMFT, LPCC
Verified Verified
2 Endorsed
Russian Hill, San Francisco, CA 94109  (Online Only)
Welcome! As a therapist, I invest wholeheartedly in my clients to build a nurturing relationship where clients can feel safe, supported and valued. I am passionate about helping people overcome their challenges to arrive at a place of peace and empowerment. I deeply care about my clients and their process, thus prioritize building safe and strong relationships with each person I work with. I see therapy as an adventure where we will be going through the trenches side by side. This journey is not a straight path and each turn will take you exactly where you need to be.
Welcome! As a therapist, I invest wholeheartedly in my clients to build a nurturing relationship where clients can feel safe, supported and valued. I am passionate about helping people overcome their challenges to arrive at a place of peace and empowerment. I deeply care about my clients and their process, thus prioritize building safe and strong relationships with each person I work with. I see therapy as an adventure where we will be going through the trenches side by side. This journey is not a straight path and each turn will take you exactly where you need to be.
(415) 980-3571 View (415) 980-3571
Photo of Marcelle Little, Marriage & Family Therapist in Russian Hill, San Francisco, CA
Marcelle Little
Marriage & Family Therapist, LMFT, MPH, MA
Verified Verified
6 Endorsed
Russian Hill, San Francisco, CA 94133  (Online Only)
Do you feel overwhelmed by relationship issues, people-pleasing, emotional responses, or planned or unexpected change? Codependency, heightened sensitivity, life transitions, and trauma show up in many ways of life, and it looks different for everyone. Maybe you care deeply, but aren’t always in the most supportive environments, personally or professionally. You might question yourself often and might even feel like an imposter. Perhaps you are grounded, but this life transition is pulling the rug out beneath you. It’s hard to not take it personally and listen to those negative thoughts, anxiety further instills them.
Do you feel overwhelmed by relationship issues, people-pleasing, emotional responses, or planned or unexpected change? Codependency, heightened sensitivity, life transitions, and trauma show up in many ways of life, and it looks different for everyone. Maybe you care deeply, but aren’t always in the most supportive environments, personally or professionally. You might question yourself often and might even feel like an imposter. Perhaps you are grounded, but this life transition is pulling the rug out beneath you. It’s hard to not take it personally and listen to those negative thoughts, anxiety further instills them.
(424) 326-1651 View (424) 326-1651
Photo of Araceli Pimentel, Pre-Licensed Professional in Russian Hill, San Francisco, CA
Araceli Pimentel
Pre-Licensed Professional, MSW, ASW
Verified Verified
1 Endorsed
Russian Hill, San Francisco, CA 94104  (Online Only)
Are you feeling stuck in a cycle of conflict and misunderstanding in your relationships? Do you long for deeper connections but find yourself facing barriers you can't seem to overcome? As a therapist specializing in relationship issues, I am here to offer you a guiding hand on your journey towards healing and connection. With a warm, empathetic approach, I provide a safe and supportive space for individuals and couples to explore their feelings, communicate effectively, and foster healthier relationships. My focus areas include anxiety/depression, childhood trauma, PTSD, people-pleasing, and marital/pre-marital issues.
Are you feeling stuck in a cycle of conflict and misunderstanding in your relationships? Do you long for deeper connections but find yourself facing barriers you can't seem to overcome? As a therapist specializing in relationship issues, I am here to offer you a guiding hand on your journey towards healing and connection. With a warm, empathetic approach, I provide a safe and supportive space for individuals and couples to explore their feelings, communicate effectively, and foster healthier relationships. My focus areas include anxiety/depression, childhood trauma, PTSD, people-pleasing, and marital/pre-marital issues.
(323) 312-3401 View (323) 312-3401
Photo of Valory Mitchell, Psychologist in Russian Hill, San Francisco, CA
Valory Mitchell
Psychologist, PhD
Verified Verified
Russian Hill, San Francisco, CA 94133
Often, our work will begin at a time of transition -- a change in an important relationship, in work, becoming a parent, or adapting to a growing child.
In our work together, we will create a safe place. I will be your witness, bringing psychological understanding and compassion. I've been doing psychotherapy for over 30 years, and have seen the healing power that comes as you take a fresh look at your life circumstances and inner experience. I've seen people of all ages -- from high school through retirement, and everywhere in between. About half my work has been with couples. I often see lesbian, gay, bisexual and transgender couples and individuals.
Often, our work will begin at a time of transition -- a change in an important relationship, in work, becoming a parent, or adapting to a growing child.
In our work together, we will create a safe place. I will be your witness, bringing psychological understanding and compassion. I've been doing psychotherapy for over 30 years, and have seen the healing power that comes as you take a fresh look at your life circumstances and inner experience. I've seen people of all ages -- from high school through retirement, and everywhere in between. About half my work has been with couples. I often see lesbian, gay, bisexual and transgender couples and individuals.
(510) 986-4531 View (510) 986-4531
Photo of M. Gabriela Bandeira, Marriage & Family Therapist in Russian Hill, San Francisco, CA
M. Gabriela Bandeira
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Russian Hill, San Francisco, CA 94133
I offer short and long-term psychotherapy for individuals, children, adolescents, couples, and families in English, Portuguese and Spanish.
I facilitate client's healing and growth by creating a real partnership and a safe environment as well as by being authentic, supportive, compassionate and empathic within a nonjudgmental atmosphere. I feel honored to do this work and privileged to help individuals on their journey.
I offer short and long-term psychotherapy for individuals, children, adolescents, couples, and families in English, Portuguese and Spanish.
I facilitate client's healing and growth by creating a real partnership and a safe environment as well as by being authentic, supportive, compassionate and empathic within a nonjudgmental atmosphere. I feel honored to do this work and privileged to help individuals on their journey.
(415) 265-1373 View (415) 265-1373
Photo of Jan S. Cehn, LCSW,BCD, Clinical Social Work/Therapist in Russian Hill, San Francisco, CA
Jan S. Cehn, LCSW,BCD
Clinical Social Work/Therapist, LCSW, BCD
Verified Verified
Russian Hill, San Francisco, CA 94133
I am an experienced therapist who has been working with teens, individuals, couples and families for over 30 years. I see therapy as a partnership: you enter this process with your particular issues and uniqueness and together, through building trust, being curious and using specialized techniques, you progress. My approach is based on my client's personal history and their needs and, in general, I am quite interactive. I provide short-term as well as long-term treatment.
I am an experienced therapist who has been working with teens, individuals, couples and families for over 30 years. I see therapy as a partnership: you enter this process with your particular issues and uniqueness and together, through building trust, being curious and using specialized techniques, you progress. My approach is based on my client's personal history and their needs and, in general, I am quite interactive. I provide short-term as well as long-term treatment.
(415) 889-8965 View (415) 889-8965
Photo of Travis Ben Robinson, Marriage & Family Therapist in Russian Hill, San Francisco, CA
Travis Ben Robinson
Marriage & Family Therapist, MFT
Verified Verified
Russian Hill, San Francisco, CA 94133
We often come to therapy in crisis. Something has gone wrong in a relationship. Major, disorienting life transitions are underway. Emotional experiences are becoming increasingly overwhelming. Life seems stuck, static, depressing. Anxiety is on the rise. A series of events have altered our course. We are feeling lost. Therapy can offer a soothing lifeboat for these rough seas. Often crisis is a wake up call, a time for necessary change, new growth, a reconnoitering of the landscape, a vivid reorientation. My practice is designed to move you from crisis to care, from care to confidence, confidence to creative, enlivening capacity.
We often come to therapy in crisis. Something has gone wrong in a relationship. Major, disorienting life transitions are underway. Emotional experiences are becoming increasingly overwhelming. Life seems stuck, static, depressing. Anxiety is on the rise. A series of events have altered our course. We are feeling lost. Therapy can offer a soothing lifeboat for these rough seas. Often crisis is a wake up call, a time for necessary change, new growth, a reconnoitering of the landscape, a vivid reorientation. My practice is designed to move you from crisis to care, from care to confidence, confidence to creative, enlivening capacity.
(415) 795-2752 View (415) 795-2752
Photo of Aaron Wilson, Marriage & Family Therapist in Russian Hill, San Francisco, CA
Aaron Wilson
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Russian Hill, San Francisco, CA 94133  (Online Only)
I help individuals, couples, adolescents and families create necessary and meaningful changes in their lives, relationships, or with family members.
AUTHENTICITY, ALIVENESS, and CONNECTION are vital ingredients to living a healthy and meaningful life. Unfortunately these qualities do not always receive the proper attention needed to thrive. As a result, we develop coping strategies that often lead us to not getting what we want in life, leaving us feeling stuck, anxious, depressed, and hopeless. Therapy provides a unique opportunity to explore the unconscious patterns that keep us stuck. Therapy can help you make meaningful change to live the life you wish and to create the relationships you long for.
I help individuals, couples, adolescents and families create necessary and meaningful changes in their lives, relationships, or with family members.
AUTHENTICITY, ALIVENESS, and CONNECTION are vital ingredients to living a healthy and meaningful life. Unfortunately these qualities do not always receive the proper attention needed to thrive. As a result, we develop coping strategies that often lead us to not getting what we want in life, leaving us feeling stuck, anxious, depressed, and hopeless. Therapy provides a unique opportunity to explore the unconscious patterns that keep us stuck. Therapy can help you make meaningful change to live the life you wish and to create the relationships you long for.
(415) 592-6652 View (415) 592-6652
Photo of Eric Ryan, Psychologist in Russian Hill, San Francisco, CA
Eric Ryan
Psychologist, PhD
Verified Verified
1 Endorsed
Russian Hill, San Francisco, CA 94133
Anxious? Depressed? Stuck? Relationship Problems? Loss of life meaning, purpose or direction? Welcome to my practice! In looking to address important problems, you are taking a crucial step. Finding the right therapist is essential. I am a certified Jungian Analyst and trained psychologist. If you have questions, call for a 15 minute phone consultation at no charge. I am here to help! In a confidential, caring and supportive environment, I aim to restore the whole person to health - mind, body, and spirit.
Anxious? Depressed? Stuck? Relationship Problems? Loss of life meaning, purpose or direction? Welcome to my practice! In looking to address important problems, you are taking a crucial step. Finding the right therapist is essential. I am a certified Jungian Analyst and trained psychologist. If you have questions, call for a 15 minute phone consultation at no charge. I am here to help! In a confidential, caring and supportive environment, I aim to restore the whole person to health - mind, body, and spirit.
(707) 901-7918 View (707) 901-7918
Photo of Stephanie Richards, Marriage & Family Therapist Associate in Russian Hill, San Francisco, CA
Stephanie Richards
Marriage & Family Therapist Associate, MA, AMFT, APCC
Verified Verified
1 Endorsed
Russian Hill, San Francisco, CA 94133  (Online Only)
I believe that every person has the potential to grow, heal, and live a happier and more fulfilling life. I am passionate about helping my clients understand themselves better, find ways to improve their relationships, and nurture their own personal fulfillment and happiness. I work with adults, adolescents, couples, and families who are struggling with a range of challenges including: life transitions (both big and small), uncertainty, low self-esteem, relationship complications, anxiety, depression, and trauma-related symptoms.
I believe that every person has the potential to grow, heal, and live a happier and more fulfilling life. I am passionate about helping my clients understand themselves better, find ways to improve their relationships, and nurture their own personal fulfillment and happiness. I work with adults, adolescents, couples, and families who are struggling with a range of challenges including: life transitions (both big and small), uncertainty, low self-esteem, relationship complications, anxiety, depression, and trauma-related symptoms.
(805) 429-8504 View (805) 429-8504
Photo of Sarah Wagner, Marriage & Family Therapist in Russian Hill, San Francisco, CA
Sarah Wagner
Marriage & Family Therapist, LMFT, MA, MBA
Verified Verified
2 Endorsed
Russian Hill, San Francisco, CA 94133
For couples, families and individividuals, I use mind-body connection, experiential techniques, psychodynamics, Emotionally Focused Therapy (grounded in attachment theory), Internal Family Systems, and, most importantly, our therapeutic relationship.
Each of us has complicated ways of protecting ourselves from being vulnerable, and those self-protective tendencies are often outside of our awareness. Although powerfully protective, these old inner systems get in the way of living with ease with self and others. I will help you either individually or within your relationship dynamics to understand and heal yourself and your relationships by helping you become more self aware and better resourced. Becoming aware of your habits of disconnection and choosing connection is an unfolding process. I am here to walk with you on that journey with compassion, presence, and perspective .
For couples, families and individividuals, I use mind-body connection, experiential techniques, psychodynamics, Emotionally Focused Therapy (grounded in attachment theory), Internal Family Systems, and, most importantly, our therapeutic relationship.
Each of us has complicated ways of protecting ourselves from being vulnerable, and those self-protective tendencies are often outside of our awareness. Although powerfully protective, these old inner systems get in the way of living with ease with self and others. I will help you either individually or within your relationship dynamics to understand and heal yourself and your relationships by helping you become more self aware and better resourced. Becoming aware of your habits of disconnection and choosing connection is an unfolding process. I am here to walk with you on that journey with compassion, presence, and perspective .
(510) 767-0897 View (510) 767-0897
Photo of Silver Lake Psychology--San Francisco location, Psychologist in Russian Hill, San Francisco, CA
Silver Lake Psychology--San Francisco location
Psychologist, PsyD
Verified Verified
Russian Hill, San Francisco, CA 94133  (Online Only)
Therapy is a process of self-reflection and conversation that honors the struggles of life: career uncertainty, relationship decisions, loneliness, grief, and the ongoing pursuit self-love.
Learn how to feel more connected to yourself, others and the world around you. Therapy provides all the elements of intimacy: honest communication, vulnerability and trust. Good therapy is challenging yet warm, providing both structure and empathy for your unique experience. We are a collective of therapists with a wide range of specialties. Our intake professionals will help connect you with the right therapist for your needs. We make appointments easy, offering evenings and weekends and flexibility for creative professionals who can't make the same time each week.
Therapy is a process of self-reflection and conversation that honors the struggles of life: career uncertainty, relationship decisions, loneliness, grief, and the ongoing pursuit self-love.
Learn how to feel more connected to yourself, others and the world around you. Therapy provides all the elements of intimacy: honest communication, vulnerability and trust. Good therapy is challenging yet warm, providing both structure and empathy for your unique experience. We are a collective of therapists with a wide range of specialties. Our intake professionals will help connect you with the right therapist for your needs. We make appointments easy, offering evenings and weekends and flexibility for creative professionals who can't make the same time each week.
(415) 635-0586 View (415) 635-0586
Photo of Veronica Cardona, Clinical Social Work/Therapist in Russian Hill, San Francisco, CA
Veronica Cardona
Clinical Social Work/Therapist, LCSW
Verified Verified
Russian Hill, San Francisco, CA 94133  (Online Only)
I enjoy working with couples during this trying time to strengthen their relationship.
The journey through infertility and motherhood can be stressful and lonely. It often requires patience, perseverance, but above all HOPE. I want to empower and support you during this journey. Are you suspecting a problem because you have been trying to get pregnant without success? Have you been diagnosed with "infertility"? Are you considering IVF? Are you struggling with sustaining a pregnancy? Does your heart feel heavy with grief and sorrow over your loss and are ready for relief? Did you recently have a baby and are struggling with postpartum anxiety, depression or simply feeling overwhelmed? Reach out today. I can help you.
I enjoy working with couples during this trying time to strengthen their relationship.
The journey through infertility and motherhood can be stressful and lonely. It often requires patience, perseverance, but above all HOPE. I want to empower and support you during this journey. Are you suspecting a problem because you have been trying to get pregnant without success? Have you been diagnosed with "infertility"? Are you considering IVF? Are you struggling with sustaining a pregnancy? Does your heart feel heavy with grief and sorrow over your loss and are ready for relief? Did you recently have a baby and are struggling with postpartum anxiety, depression or simply feeling overwhelmed? Reach out today. I can help you.
(661) 689-7682 View (661) 689-7682
Photo of Bryna Barsky, Psychologist in Russian Hill, San Francisco, CA
Bryna Barsky
Psychologist, PhD
Verified Verified
1 Endorsed
Russian Hill, San Francisco, CA 94133  (Online Only)
Welcome to my practice. I have over 30 years of experience providing therapy to individuals and couples from very diverse backgrounds with regards to ethnicity, religion, age, country of origin, and sexual orientation. The therapy I do tends to be short-term, "here-and-now" focused, goal oriented, and skills based. I believe my clients want to change their behaviors, and not just "talk" about what's going wrong. My therapeutic style is collaborative, non-judgmental, warm and compassionate. I'm not a "one size fits all" therapist because every client is unique. I offer a Good Faith Estimate at the client's request.
Welcome to my practice. I have over 30 years of experience providing therapy to individuals and couples from very diverse backgrounds with regards to ethnicity, religion, age, country of origin, and sexual orientation. The therapy I do tends to be short-term, "here-and-now" focused, goal oriented, and skills based. I believe my clients want to change their behaviors, and not just "talk" about what's going wrong. My therapeutic style is collaborative, non-judgmental, warm and compassionate. I'm not a "one size fits all" therapist because every client is unique. I offer a Good Faith Estimate at the client's request.
(510) 730-3704 View (510) 730-3704
Photo of Carola T. Alden, Marriage & Family Therapist in Russian Hill, San Francisco, CA
Carola T. Alden
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Russian Hill, San Francisco, CA 94133
My training includes: Psychodynamic, EFCT and Couples Developmental Model.
Are you having difficulty in your relationships and wondering, "how do I make things better?" Are you experiencing a loss of self, feeling confused and/or depressed? Is it difficult to identify your feelings? Have your feelings become too painful to experience on your own? It is only natural to want to avoid feelings that are painful. It is our basic human instinct to avoid anything that is painful especially emotional pain. Unfortunately, avoiding pain results in maladaptive behavior and difficulties within relationships. Avoiding feelings can result in feeling numb and/or loss of self.
My training includes: Psychodynamic, EFCT and Couples Developmental Model.
Are you having difficulty in your relationships and wondering, "how do I make things better?" Are you experiencing a loss of self, feeling confused and/or depressed? Is it difficult to identify your feelings? Have your feelings become too painful to experience on your own? It is only natural to want to avoid feelings that are painful. It is our basic human instinct to avoid anything that is painful especially emotional pain. Unfortunately, avoiding pain results in maladaptive behavior and difficulties within relationships. Avoiding feelings can result in feeling numb and/or loss of self.
(518) 293-4355 View (518) 293-4355
Photo of Manoj Kumar Sharma, Marriage & Family Therapist in Russian Hill, San Francisco, CA
Manoj Kumar Sharma
Marriage & Family Therapist, LMFT
Verified Verified
Russian Hill, San Francisco, CA 94133
Hi there, I'm Manoj Kumar! I am a licensed marriage and family therapist who works with adults and young adults on a range of issues including anxiety, depression, cultural stress, relationship issues, trauma, and PTSD. I employ techniques from CBT, DBT, Mindfulness, Psychodynamic therapy, Existential therapy, and Solution-focused therapy modalities. I help my clients overcome their stress and anxiety so they can be more productive and enjoy their life. I believe that evidence-based therapeutic practices are very useful in dealing with symptoms of mental illnesses which cause stress and discomfort.
Hi there, I'm Manoj Kumar! I am a licensed marriage and family therapist who works with adults and young adults on a range of issues including anxiety, depression, cultural stress, relationship issues, trauma, and PTSD. I employ techniques from CBT, DBT, Mindfulness, Psychodynamic therapy, Existential therapy, and Solution-focused therapy modalities. I help my clients overcome their stress and anxiety so they can be more productive and enjoy their life. I believe that evidence-based therapeutic practices are very useful in dealing with symptoms of mental illnesses which cause stress and discomfort.
(415) 965-5398 View (415) 965-5398
Photo of James 'jamie' Fortin, Marriage & Family Therapist in Russian Hill, San Francisco, CA
James 'jamie' Fortin
Marriage & Family Therapist, MA, LMFT
Verified Verified
3 Endorsed
Russian Hill, San Francisco, CA 94133
I provide adults, adolescents, couples, and families with humanistic, client-centered services. I available for in-person session in Santa Barbara. Online appointments are also available for California residents. If you find yourself wanting more from your life, I will make sure that you have the tools, guidance, and inspiration that you need. I am a culturally compassionate clinician, and I welcome and celebrate diversity.
I provide adults, adolescents, couples, and families with humanistic, client-centered services. I available for in-person session in Santa Barbara. Online appointments are also available for California residents. If you find yourself wanting more from your life, I will make sure that you have the tools, guidance, and inspiration that you need. I am a culturally compassionate clinician, and I welcome and celebrate diversity.
(805) 953-7360 View (805) 953-7360
Photo of M J Barrett in Russian Hill, San Francisco, CA
M J Barrett
MA
Verified Verified
1 Endorsed
Russian Hill, San Francisco, CA 94133  (Online Only)
For the past 12 years I have helped people through relationship issues, anxiety, depression, parenting issues, life transitions, to name a few. Reaching out is the BEST first step you can take for yourself, you are not alone - Life throws curve balls and they can be hard to dodge.
For the past 12 years I have helped people through relationship issues, anxiety, depression, parenting issues, life transitions, to name a few. Reaching out is the BEST first step you can take for yourself, you are not alone - Life throws curve balls and they can be hard to dodge.
(628) 265-3400 View (628) 265-3400
Photo of Roger Lake, Marriage & Family Therapist in Russian Hill, San Francisco, CA
Roger Lake
Marriage & Family Therapist, MS
Verified Verified
2 Endorsed
Russian Hill, San Francisco, CA 94133
I am a family therapist and my approach to psychotherapy has been shaped by over thirty years of work with addictions. Helping clients into Recovery has led to a special understanding of the complexities of relationships and the processes of change for individuals, couples, and families. I have spent most of those years seeing couples and families in San Francisco's wonderfully diverse cultural landscape. I am no stranger to the complexities of gender, class and ethnicity as they influence the work of family or individual therapy.
I am a family therapist and my approach to psychotherapy has been shaped by over thirty years of work with addictions. Helping clients into Recovery has led to a special understanding of the complexities of relationships and the processes of change for individuals, couples, and families. I have spent most of those years seeing couples and families in San Francisco's wonderfully diverse cultural landscape. I am no stranger to the complexities of gender, class and ethnicity as they influence the work of family or individual therapy.
(650) 741-3364 View (650) 741-3364

See more therapy options for Russian Hill, 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.