Photo of Ashlee A Cespedes, Licensed Professional Counselor in Lakewood, CO
Ashlee A Cespedes
Licensed Professional Counselor, MA, LPC, PMH-C
Verified Verified
Lakewood, CO 80214  (Online Only)
I am dedicated to supporting people as they navigate through the new chapters that pregnancy and parenthood bring. I'm trained and certified through Postpartum Support International and I'm an advocate of increasing the awareness of perinatal mood and anxiety symptoms. In addition to perinatal services, I also offer services and support to individuals and couples wanting to improve their relationships with themselves, their partners and/or their family. I specialize in working with those who are experiencing​; depression, anxiety, grief, relational challenges, self discovery and trauma.
I am dedicated to supporting people as they navigate through the new chapters that pregnancy and parenthood bring. I'm trained and certified through Postpartum Support International and I'm an advocate of increasing the awareness of perinatal mood and anxiety symptoms. In addition to perinatal services, I also offer services and support to individuals and couples wanting to improve their relationships with themselves, their partners and/or their family. I specialize in working with those who are experiencing​; depression, anxiety, grief, relational challenges, self discovery and trauma.
(716) 456-8099 View (716) 456-8099
Photo of Tammis Jahn, Licensed Professional Counselor in Lakewood, CO
Tammis Jahn
Licensed Professional Counselor, LPC
Verified Verified
Lakewood, CO 80232
I offer a varieties of specialties with families, couples and individuals.
I love hearing your story, we all have one but has anyone taken the time to really listen to yours? I enjoy working with clients from all different backgrounds, struggling with different issues or just needing a safe place to talk about your thoughts and ideas. I have worked with addiction and substance abuse for over ten years as well as anxiety, depression, grief/loss, veterans, children, couples/family & trauma. I am someone who enjoys watching my clients' journey and show them a different perspective. I am real and down to earth and love getting to know people. I do a free consult so we can make sure that we are a good fit.
I offer a varieties of specialties with families, couples and individuals.
I love hearing your story, we all have one but has anyone taken the time to really listen to yours? I enjoy working with clients from all different backgrounds, struggling with different issues or just needing a safe place to talk about your thoughts and ideas. I have worked with addiction and substance abuse for over ten years as well as anxiety, depression, grief/loss, veterans, children, couples/family & trauma. I am someone who enjoys watching my clients' journey and show them a different perspective. I am real and down to earth and love getting to know people. I do a free consult so we can make sure that we are a good fit.
(720) 492-1069 View (720) 492-1069
Photo of Intuitive Integrations Counseling, Pre-Licensed Professional in Lakewood, CO
Intuitive Integrations Counseling
Pre-Licensed Professional, MA, LPCC, RYT
Verified Verified
2 Endorsed
Lakewood, CO 80226
Depression, anxiety, panic attacks, relationship issues, codependency, difficulty communicating or setting boundaries, overwhelm, dysregulation, a lost sense of self, or any other discomforts stemming from childhood trauma can make adult life even harder to navigate. As meaning-making creatures, finding a sense of clarity regarding our experiences goes a long way towards reconnnecting with our true selves, regulating our emotions, and reaching our healing goals. If you are intuitive/empathic and have a deep desire to strengthen your connection to yourself and examine/release patterns that no longer serve you, we may be a good match!
Depression, anxiety, panic attacks, relationship issues, codependency, difficulty communicating or setting boundaries, overwhelm, dysregulation, a lost sense of self, or any other discomforts stemming from childhood trauma can make adult life even harder to navigate. As meaning-making creatures, finding a sense of clarity regarding our experiences goes a long way towards reconnnecting with our true selves, regulating our emotions, and reaching our healing goals. If you are intuitive/empathic and have a deep desire to strengthen your connection to yourself and examine/release patterns that no longer serve you, we may be a good match!
(720) 605-5323 View (720) 605-5323
Photo of Eric Tulga, Counselor in Lakewood, CO
Eric Tulga
Counselor, MA, LPCC
Verified Verified
Lakewood, CO 80235
I have experience in counseling individuals as well as couples who deal with addictions (drugs, alcohol, sex), relationship issues, binge eating, depression, anxiety, grief/loss, and anger management.
My approach to therapy is to meet you where you are and empower you to take the next step through goal setting and skill-building. I hope to help you push through fears and learn healthy ways to cope in your life. Regularly confiding in someone gives us a sense of security and peace of mind.
I have experience in counseling individuals as well as couples who deal with addictions (drugs, alcohol, sex), relationship issues, binge eating, depression, anxiety, grief/loss, and anger management.
My approach to therapy is to meet you where you are and empower you to take the next step through goal setting and skill-building. I hope to help you push through fears and learn healthy ways to cope in your life. Regularly confiding in someone gives us a sense of security and peace of mind.
(303) 532-1731 View (303) 532-1731
Photo of Alayna Baillod, Clinical Social Work/Therapist in Lakewood, CO
Alayna Baillod
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Lakewood, CO 80228
I'm currently accepting new clients ages 12+ for individual, teen, couples + family counseling.
Do you feel defeated in your relationships with your loved ones? Are you STUCK in the same old patterns - knowing you NEED A CHANGE - but not sure where or how to begin? Are you longing for change in relationships in your life? Ever wish you could "turn off" your ruminating brain? Are you ready to feel like you're finally making progress in areas of your life that feel IMPOSSIBLE? I'm here and eager to help you feel a meaningful, positive shift in your life - in the ways you need MOST!
I'm currently accepting new clients ages 12+ for individual, teen, couples + family counseling.
Do you feel defeated in your relationships with your loved ones? Are you STUCK in the same old patterns - knowing you NEED A CHANGE - but not sure where or how to begin? Are you longing for change in relationships in your life? Ever wish you could "turn off" your ruminating brain? Are you ready to feel like you're finally making progress in areas of your life that feel IMPOSSIBLE? I'm here and eager to help you feel a meaningful, positive shift in your life - in the ways you need MOST!
(720) 330-8815 View (720) 330-8815
Photo of Emily Talarczyk, Marriage and Family Therapist Candidate in Lakewood, CO
Emily Talarczyk
Marriage and Family Therapist Candidate, MA, MFTC
Verified Verified
1 Endorsed
Lakewood, CO 80215
With every client, she strives to create a safe space for them to discuss hard or painful topics to achieve mental peace and an improved relationship not only with yourself, but with those in your life.
Schedule now through my website (link in bio)! Emily is a Marriage and Family Therapy Candidate who specializes in working within a systemic/relational framework with individuals, couples, and families. Originally from the suburbs of Chicago, she received her bachelors degree in human physiology from the University of Iowa and is passionate about combining the worlds of mental and physical health to promote overall well-being. Emily incorporates EFT in her couples work to identify underlying emotions, address attachment wounds, and promote understanding and communication to end negative cycles in your relationship.
With every client, she strives to create a safe space for them to discuss hard or painful topics to achieve mental peace and an improved relationship not only with yourself, but with those in your life.
Schedule now through my website (link in bio)! Emily is a Marriage and Family Therapy Candidate who specializes in working within a systemic/relational framework with individuals, couples, and families. Originally from the suburbs of Chicago, she received her bachelors degree in human physiology from the University of Iowa and is passionate about combining the worlds of mental and physical health to promote overall well-being. Emily incorporates EFT in her couples work to identify underlying emotions, address attachment wounds, and promote understanding and communication to end negative cycles in your relationship.
(720) 797-5063 View (720) 797-5063
Photo of Cameron Gonzales, Marriage and Family Therapist Candidate in Lakewood, CO
Cameron Gonzales
Marriage and Family Therapist Candidate, MS, MFT-C
Verified Verified
Lakewood, CO 80228
I work with individuals and couples to improve relationships, manage stress, overcome anxiety/depression, and much more.
Trying to think of an "ideal client" is a little funny; each person that walks into my office is so unique. There is one thing they seem to have a common interest in, though- understanding how they fit into their world and how this can shift their happiness. Health issues like anxiety, depression, grief, and trauma can grow when placed in unhealthy/unknown social cycles. Our work will always start by creating the most supportive environment around you to succeed. Once that happens, new patterns and mindsets for how we behave become so much easier to learn and practice. It really is amazing our connection to the world around us!
I work with individuals and couples to improve relationships, manage stress, overcome anxiety/depression, and much more.
Trying to think of an "ideal client" is a little funny; each person that walks into my office is so unique. There is one thing they seem to have a common interest in, though- understanding how they fit into their world and how this can shift their happiness. Health issues like anxiety, depression, grief, and trauma can grow when placed in unhealthy/unknown social cycles. Our work will always start by creating the most supportive environment around you to succeed. Once that happens, new patterns and mindsets for how we behave become so much easier to learn and practice. It really is amazing our connection to the world around us!
(720) 767-2229 View (720) 767-2229
Photo of Cassidy Keenan, Pre-Licensed Professional in Lakewood, CO
Cassidy Keenan
Pre-Licensed Professional, MS, LCDC, LMFT-A, MFTC
Verified Verified
2 Endorsed
Lakewood, CO 80214
Therapy can be used to find a new path through some of our greatest struggles, enhance use of the tools around & within us, and reflect when things are going well. I am passionate about supporting individuals, families, and couples through the unexpected challenges that accompany the human experience. I aim to provide a compassionate, and supportive environment to walk with clients through issues related to self-worth, attachment styles, anxiety, depression, grief, and conflict in relationships. I hope to empower you in your journey to feeling confident, secure and at peace within yourself & your significant relationships.
Therapy can be used to find a new path through some of our greatest struggles, enhance use of the tools around & within us, and reflect when things are going well. I am passionate about supporting individuals, families, and couples through the unexpected challenges that accompany the human experience. I aim to provide a compassionate, and supportive environment to walk with clients through issues related to self-worth, attachment styles, anxiety, depression, grief, and conflict in relationships. I hope to empower you in your journey to feeling confident, secure and at peace within yourself & your significant relationships.
(303) 625-6487 View (303) 625-6487
Photo of Higher Sights - Therapy, EMDR, & Med Management, Counselor in Lakewood, CO
Higher Sights - Therapy, EMDR, & Med Management
Counselor, MSW, MA, LCSW, LPC, LAC
Verified Verified
1 Endorsed
Lakewood, CO 80215
Our counselors specialize in marital counseling, anxiety, depression, trauma/PTSD, family and other relationship issues, ADD/ADHD, and addiction/substance abuse.
Accepting New Clients! Immediate openings, book instantly through our website link in bio! At We understand that being stuck and feeling like everything you have tried has left you hopeless is one of the most painful experiences. We help our clients feel empowered by helping them to see their own strengths and by teaching them new research-based tools to help focus and guide them for lasting change. We believe that therapy is a starting point to healing and changing patterns that have not been working. We work to help each unique client develop a new way to feel confident in approaching life matter what comes their way.
Our counselors specialize in marital counseling, anxiety, depression, trauma/PTSD, family and other relationship issues, ADD/ADHD, and addiction/substance abuse.
Accepting New Clients! Immediate openings, book instantly through our website link in bio! At We understand that being stuck and feeling like everything you have tried has left you hopeless is one of the most painful experiences. We help our clients feel empowered by helping them to see their own strengths and by teaching them new research-based tools to help focus and guide them for lasting change. We believe that therapy is a starting point to healing and changing patterns that have not been working. We work to help each unique client develop a new way to feel confident in approaching life matter what comes their way.
(720) 796-4704 View (720) 796-4704
Photo of A Better Marriage And Family Clinic, Psychologist in Lakewood, CO
A Better Marriage And Family Clinic
Psychologist, EdD
Verified Verified
Lakewood, CO 80228
I'm a Relationship Enrichment Specialist. My 45+ years of experience can improve your all your relationships; with your partner, with yourself and with others. Enhance your current romance or clarify if it's the right one. Improve your selection of romantic candidates and once chosen develop it to its ideal. Feel more satisfied with your relationship with yourself, friends, family or colleagues. I've creatively developed by abilities in couples, individual, two ongoing relationship focused groups and my creation of the Structured Marital Therapy (SMT) approach. This incorporates the couples therapy of Hendrix, Gottman and Real
I'm a Relationship Enrichment Specialist. My 45+ years of experience can improve your all your relationships; with your partner, with yourself and with others. Enhance your current romance or clarify if it's the right one. Improve your selection of romantic candidates and once chosen develop it to its ideal. Feel more satisfied with your relationship with yourself, friends, family or colleagues. I've creatively developed by abilities in couples, individual, two ongoing relationship focused groups and my creation of the Structured Marital Therapy (SMT) approach. This incorporates the couples therapy of Hendrix, Gottman and Real
(303) 320-5621 View (303) 320-5621
Photo of Kathleen Widlund, Licensed Professional Counselor in Lakewood, CO
Kathleen Widlund
Licensed Professional Counselor, LPC, MA
Verified Verified
1 Endorsed
Lakewood, CO 80215
I work with adults, adolescents, and couples struggling with a range of issues including depression, anxiety, bipolar, grief, loss, and relationship challenges. I am available Monday through Friday daytime hours with some evening sessions. I offer in-person sessions from my Lakewood office, as well as teletherapy sessions. I draw from cognitive behavioral therapies, psychodynamic, and client centered approaches to support clients.
I work with adults, adolescents, and couples struggling with a range of issues including depression, anxiety, bipolar, grief, loss, and relationship challenges. I am available Monday through Friday daytime hours with some evening sessions. I offer in-person sessions from my Lakewood office, as well as teletherapy sessions. I draw from cognitive behavioral therapies, psychodynamic, and client centered approaches to support clients.
(720) 664-9239 View (720) 664-9239
Photo of Lauren Ireland, Licensed Professional Counselor in Lakewood, CO
Lauren Ireland
Licensed Professional Counselor, MA, LPCC, NCC
Verified Verified
1 Endorsed
Lakewood, CO 80215
Schedule now through my website in my bio! Hello and congratulations on beginning your journey to improving your mental health, wellbeing, and relationships! I am a Licensed Professional Counselor who earned my Master’s Degree in Clinical Mental Health with an emphasis in Couples and Family Therapy. I am currently working towards my Ph.D. in Counselor Education and Supervision, where I enjoy the privilege of teaching and supervising Master’s students who are working towards becoming mental health counselors. I enjoy and have experience working with children, adolescents, adults, couples, and families.
Schedule now through my website in my bio! Hello and congratulations on beginning your journey to improving your mental health, wellbeing, and relationships! I am a Licensed Professional Counselor who earned my Master’s Degree in Clinical Mental Health with an emphasis in Couples and Family Therapy. I am currently working towards my Ph.D. in Counselor Education and Supervision, where I enjoy the privilege of teaching and supervising Master’s students who are working towards becoming mental health counselors. I enjoy and have experience working with children, adolescents, adults, couples, and families.
(303) 622-5943 View (303) 622-5943
Photo of Kathleen Renee Koelsch, Licensed Professional Counselor in Lakewood, CO
Kathleen Renee Koelsch
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Lakewood, CO 80215
My work with clients focuses on emotional distress, relationship issues, and spiritual conflict. I also support individuals struggling with their core sense-of-self, grief, and loss of desire and pleasure.
My work with clients focuses on emotional distress, relationship issues, and spiritual conflict. I also support individuals struggling with their core sense-of-self, grief, and loss of desire and pleasure.
(720) 784-8152 View (720) 784-8152
Photo of Balanced MInd Counseling, Licensed Professional Counselor in Lakewood, CO
Balanced MInd Counseling
Licensed Professional Counselor, LMFT, LPC, PhD
Verified Verified
Lakewood, CO 80235
Many of our clients are high-achieving individuals and couples who find their lives dramatically enhanced through counseling and life coaching sessions.
Balanced MInd Counseling is a premium private practice counseling provider committed to supporting you in getting the help you or a loved one needs. We understand the challenge of making the first call, so we commit to: 1) Friendly, professional, compassionate and accessible scheduling. 2) An appointment within 24 hours, some even same day. 3) Supportive therapy in a conveniently located, private counseling office 4) Immediate, preferred access to qualified and professional therapists. 5) Judgement free zone.
Many of our clients are high-achieving individuals and couples who find their lives dramatically enhanced through counseling and life coaching sessions.
Balanced MInd Counseling is a premium private practice counseling provider committed to supporting you in getting the help you or a loved one needs. We understand the challenge of making the first call, so we commit to: 1) Friendly, professional, compassionate and accessible scheduling. 2) An appointment within 24 hours, some even same day. 3) Supportive therapy in a conveniently located, private counseling office 4) Immediate, preferred access to qualified and professional therapists. 5) Judgement free zone.
(720) 709-2481 View (720) 709-2481
Photo of Megan Phippen, Counselor in Lakewood, CO
Megan Phippen
Counselor, MA, LPCC
Verified Verified
2 Endorsed
Lakewood, CO 80228
Are you longing for a deeper understanding of yourself, your sexuality, and your relationships? Are you ready to heal old wounds, explore your expression, and cultivate relationships that thrive? As a Somatic Sex and Relationship Counselor, I specialize in empowering individuals and couples who are hungry for more in life- more intimacy, more pleasure, and more authentic connection! Whether you're dealing with desire differences, healing from trauma, navigating relationship conflicts, or seeking to deepen your connection with yourself or a partner, together we will create a safe space for your exploration and transformation.
Are you longing for a deeper understanding of yourself, your sexuality, and your relationships? Are you ready to heal old wounds, explore your expression, and cultivate relationships that thrive? As a Somatic Sex and Relationship Counselor, I specialize in empowering individuals and couples who are hungry for more in life- more intimacy, more pleasure, and more authentic connection! Whether you're dealing with desire differences, healing from trauma, navigating relationship conflicts, or seeking to deepen your connection with yourself or a partner, together we will create a safe space for your exploration and transformation.
(720) 744-3464 View (720) 744-3464
Photo of Cody Adair, LPC Intern in Lakewood, CO
Cody Adair
LPC Intern, MA
Verified Verified
3 Endorsed
Lakewood, CO 80232
I work with a multitude of issues, however my specific areas of clinical focus are in trauma, relationship/attachment issues, identity, body image/self-worth, eating disorders, anxiety, life transitions, grief and loss, and spirituality.
Do you feel stuck in life? Do you find yourself questioning why you do the things you do, day in and day out? We all come to certain points in our lives where we take a look in the mirror and ask ourselves “who have I become?” Whether it be a momentary season of life - or a life long hardship - grief, trauma, self-worth, and relationship issues can plague us and steal our ability to fully engage in the lives we dreamed of. Instead, we settle for the isolation and suffering we know because those hopes and dreams feel unattainable. I am a firm believer that there is hope for change and hope for a brighter future.
I work with a multitude of issues, however my specific areas of clinical focus are in trauma, relationship/attachment issues, identity, body image/self-worth, eating disorders, anxiety, life transitions, grief and loss, and spirituality.
Do you feel stuck in life? Do you find yourself questioning why you do the things you do, day in and day out? We all come to certain points in our lives where we take a look in the mirror and ask ourselves “who have I become?” Whether it be a momentary season of life - or a life long hardship - grief, trauma, self-worth, and relationship issues can plague us and steal our ability to fully engage in the lives we dreamed of. Instead, we settle for the isolation and suffering we know because those hopes and dreams feel unattainable. I am a firm believer that there is hope for change and hope for a brighter future.
(720) 408-2819 View (720) 408-2819
Photo of Ebony Towner (Now Accepting New Clients!), Counselor in Lakewood, CO
Ebony Towner (Now Accepting New Clients!)
Counselor, MA, LPCC
Verified Verified
1 Endorsed
Lakewood, CO 80215
Schedule through my website! > Link in my bio. Life is complex, confusing, and sometimes difficult. Your past has a way of interfering with your present life as well as your hopes and dreams for the future. You may experience relationship difficulties, depression, anxiety, or other issues that affect your life. You may have a desire to know and show up as your authentic self more in your life. I provide a therapeutic space for you to process the difficulties of your past and present, and venture to understand the patterns that prevent you from having the life that you want.
Schedule through my website! > Link in my bio. Life is complex, confusing, and sometimes difficult. Your past has a way of interfering with your present life as well as your hopes and dreams for the future. You may experience relationship difficulties, depression, anxiety, or other issues that affect your life. You may have a desire to know and show up as your authentic self more in your life. I provide a therapeutic space for you to process the difficulties of your past and present, and venture to understand the patterns that prevent you from having the life that you want.
(303) 586-7542 View (303) 586-7542
Photo of Susy Newman, Licensed Professional Counselor in Lakewood, CO
Susy Newman
Licensed Professional Counselor, LPC
Verified Verified
Lakewood, CO 80228  (Online Only)
For my work with couples, I am trained in Emotionally Focused Therapy , and I have training to work with Neurodiverse Couples (through the Aspergers and Autism Network).
I am passionate in my work as a counselor because I believe redemption is possible, hope can be renewed, and beauty can emerge from the messiness of life. If you are here because you want to discover (or rediscover) the joy and fulfillment that have been missing in your life, I would love to talk with you! In my spare time I am a potter. I find my work with clay provides a meaningful metaphor for the counseling process as it involves patience, gentleness, messiness, and the potential for growth, beauty, and purpose.
For my work with couples, I am trained in Emotionally Focused Therapy , and I have training to work with Neurodiverse Couples (through the Aspergers and Autism Network).
I am passionate in my work as a counselor because I believe redemption is possible, hope can be renewed, and beauty can emerge from the messiness of life. If you are here because you want to discover (or rediscover) the joy and fulfillment that have been missing in your life, I would love to talk with you! In my spare time I am a potter. I find my work with clay provides a meaningful metaphor for the counseling process as it involves patience, gentleness, messiness, and the potential for growth, beauty, and purpose.
(720) 679-6377 View (720) 679-6377
Photo of Denver Affordable Counseling, Licensed Professional Counselor in Lakewood, CO
Denver Affordable Counseling
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
8 Endorsed
Lakewood, CO 80226
We provide counseling services to couples, families, individual adults, teens, adolescents, and children. We can help those who are struggling with anxiety, depression, major life transitions, grief and loss, food or eating related problems, exploring career and educational goals, family, couples, and relationship issues, and more.
We provide counseling services to couples, families, individual adults, teens, adolescents, and children. We can help those who are struggling with anxiety, depression, major life transitions, grief and loss, food or eating related problems, exploring career and educational goals, family, couples, and relationship issues, and more.
(720) 340-1915 View (720) 340-1915
Photo of Shevy Jacobs, Marriage & Family Therapist in Lakewood, CO
Shevy Jacobs
Marriage & Family Therapist, MS, MFTC
Verified Verified
1 Endorsed
Lakewood, CO 80215
With compassion, and understanding, we explore, repair, and recreate the most important relationships, beginning with the relationship with self.
Schedule instantly through my website link in my bio! Hi, I’m Shevy! I am honored and privileged to be a Marriage and Family Therapist Candidate. I love working with couples as they explore and redefine their relationships. Adults working through introspection and reflection is another population I enjoy working with. Through gentle depth work, I walk with my clients on the journey of self-awareness. Together we explore and discover each person’s unique beauty. Relationship therapy and trauma therapy are often the start to finding the place to thrive.
With compassion, and understanding, we explore, repair, and recreate the most important relationships, beginning with the relationship with self.
Schedule instantly through my website link in my bio! Hi, I’m Shevy! I am honored and privileged to be a Marriage and Family Therapist Candidate. I love working with couples as they explore and redefine their relationships. Adults working through introspection and reflection is another population I enjoy working with. Through gentle depth work, I walk with my clients on the journey of self-awareness. Together we explore and discover each person’s unique beauty. Relationship therapy and trauma therapy are often the start to finding the place to thrive.
(303) 647-4863 View (303) 647-4863
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.