Couples Counseling Therapists in Key West, FL

Photo of Jill K Diamond, MSW, LCSW, Clinical Social Work/Therapist
Jill K Diamond
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Key West, FL 33040
I also make available IMAGO relationship therapy and Solution Oriented Brief Treatment to optimize your progress.
Whether it be changing your life circumstances, resolving relationship conflict or healing emotional-psychological distress, I offer a compassionate therapeutic relationship where healing and lasting solutions can be achieved. With my clinical experience of 30+ years, we will collaborate to support you in realizing the life you envision for yourself.
I also make available IMAGO relationship therapy and Solution Oriented Brief Treatment to optimize your progress.
Whether it be changing your life circumstances, resolving relationship conflict or healing emotional-psychological distress, I offer a compassionate therapeutic relationship where healing and lasting solutions can be achieved. With my clinical experience of 30+ years, we will collaborate to support you in realizing the life you envision for yourself.
(203) 689-7806 View (203) 689-7806
Photo of Thomas Masat, LMFT, CGP, Marriage & Family Therapist
Thomas Masat
Marriage & Family Therapist, LMFT, CGP
Verified Verified
Key West, FL 33040
Many patients come to my practice seeking relief from self-defeating attitudes, behaviors, and patterns. I provide tools to create positive change, relieve suffering, and build relationships. In addition to individual and couples therapy, I run groups which offer a dynamic process to identify and resolve ways of relating which interfere with your goals.
Many patients come to my practice seeking relief from self-defeating attitudes, behaviors, and patterns. I provide tools to create positive change, relieve suffering, and build relationships. In addition to individual and couples therapy, I run groups which offer a dynamic process to identify and resolve ways of relating which interfere with your goals.
(415) 547-0301 View (415) 547-0301
Photo of Yaiza Sánchez, MS, LMHC, Counselor
Yaiza Sánchez
Counselor, MS, LMHC
Verified Verified
1 Endorsed
Key West, FL 33040
In my practice, I facilitate individual, couples, and family counseling sessions in a nurturing environment.
As a mental health therapist, my goal is to help you uncover your true potential, and lead a life that is worth celebrating. While we can't change difficult situations of the past, we can work together to better understand and resolve challenges in your life. By applying complementary therapy approaches and techniques, we will unearth long-standing behavior patterns or negative perceptions that may be holding you back from experiencing a more fulfilling and meaningful life.
In my practice, I facilitate individual, couples, and family counseling sessions in a nurturing environment.
As a mental health therapist, my goal is to help you uncover your true potential, and lead a life that is worth celebrating. While we can't change difficult situations of the past, we can work together to better understand and resolve challenges in your life. By applying complementary therapy approaches and techniques, we will unearth long-standing behavior patterns or negative perceptions that may be holding you back from experiencing a more fulfilling and meaningful life.
(786) 460-3786 View (786) 460-3786
Photo of Jelyn Young, PsyD, Psychologist
Jelyn Young
Psychologist, PsyD
Verified Verified
Key West, FL 33040  (Online Only)
Hello! I am a Licensed Psychologist in the state of Florida. I’ve worked with issues including depression, anxiety, LGBTQ+ issues, chronic impulsivity, ADHD, coping skills, social skills, developmental disorders, family conflict, grief, learning disabilities, parenting, relationship issues, self esteem, and acculturation conflict. I use Cognitive Behavioral, Behavior Modification, Solution Focused, Emotion-Focused, Person-Centered, Motivational Interviewing, and Existential modalities. I have extensive experience with adults, children, adolescents and families, and with inpatient and outpatient and juvenile rehabilitative programs.
Hello! I am a Licensed Psychologist in the state of Florida. I’ve worked with issues including depression, anxiety, LGBTQ+ issues, chronic impulsivity, ADHD, coping skills, social skills, developmental disorders, family conflict, grief, learning disabilities, parenting, relationship issues, self esteem, and acculturation conflict. I use Cognitive Behavioral, Behavior Modification, Solution Focused, Emotion-Focused, Person-Centered, Motivational Interviewing, and Existential modalities. I have extensive experience with adults, children, adolescents and families, and with inpatient and outpatient and juvenile rehabilitative programs.
(954) 780-8458 View (954) 780-8458
Photo of Laura Pigott, LMHC, Counselor
Laura Pigott
Counselor, LMHC
Verified Verified
1 Endorsed
Key West, FL 33040
I believe it is important to modify therapy to each individual’s needs and use different modalities while experiencing a compassion-based relationship which allows the individual to address their needs in a safe environment.
Have you been feeling overwhelmed and navigating a transition in your life? In our initial session, we will collaborate on a plan that will support your success in meeting your goals and overcoming challenges. I am a passionate Licensed Mental Health Counselor with over 10 years of experience. I incorporate many treatment modalities in therapy to provide a unique treatment plan for each individual including EMDR, CBT, DBT and Person Centered approaches. EMDR is a highly effective treatment modality used to address symptoms associated with trauma. I look forward to connecting with you to begin your journey of growth.
I believe it is important to modify therapy to each individual’s needs and use different modalities while experiencing a compassion-based relationship which allows the individual to address their needs in a safe environment.
Have you been feeling overwhelmed and navigating a transition in your life? In our initial session, we will collaborate on a plan that will support your success in meeting your goals and overcoming challenges. I am a passionate Licensed Mental Health Counselor with over 10 years of experience. I incorporate many treatment modalities in therapy to provide a unique treatment plan for each individual including EMDR, CBT, DBT and Person Centered approaches. EMDR is a highly effective treatment modality used to address symptoms associated with trauma. I look forward to connecting with you to begin your journey of growth.
(772) 934-9492 View (772) 934-9492
Photo of Caroline T. Beatty - Dr. Caroline T. Beatty, DMFT, LMHC, Counselor
Dr. Caroline T. Beatty
Counselor, DMFT, LMHC
Verified Verified
Key West, FL 33040
Together we can uncover your strengths & tools to heal and move past the anxiety, depression, trauma, or relationship issue.
Are you feeling overwhelmed or anxious with the events in your life? Perhaps, you often feel alone in the company of other people. Or continually find yourself making attempts? Or work on your relationship, yet nothing seems to change? Do you want to build lasting relationships with the people around you? Perhaps you need support as you make a major life transition. As your therapist, we can explore your past; your past holds precious keys to who you are today, and finding those keys can open new doors to show up in relationships differently and not allow the past to dictate your current relationships.
Together we can uncover your strengths & tools to heal and move past the anxiety, depression, trauma, or relationship issue.
Are you feeling overwhelmed or anxious with the events in your life? Perhaps, you often feel alone in the company of other people. Or continually find yourself making attempts? Or work on your relationship, yet nothing seems to change? Do you want to build lasting relationships with the people around you? Perhaps you need support as you make a major life transition. As your therapist, we can explore your past; your past holds precious keys to who you are today, and finding those keys can open new doors to show up in relationships differently and not allow the past to dictate your current relationships.
(754) 203-3792 View (754) 203-3792
Photo of Sage Bierster, LCSW, Clinical Social Work/Therapist
Sage Bierster
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Key West, FL 33040  (Online Only)
Hi there, I’m Sage, and yes it’s my real name! Many clients start therapy because they are seeking change, struggling with areas in their lives such as relationships and work, or simply need support and a space to be heard. My main focus is about helping you explore the relationship between acceptance and change in your own life or relationship within the safe context of therapy. We will work together to address your needs and reach your goals, but also talk about the bigger picture, or just vent if that’s what you need that day. I like to think of therapy as a choose-your-own-adventure experience that is driven by the client.
Hi there, I’m Sage, and yes it’s my real name! Many clients start therapy because they are seeking change, struggling with areas in their lives such as relationships and work, or simply need support and a space to be heard. My main focus is about helping you explore the relationship between acceptance and change in your own life or relationship within the safe context of therapy. We will work together to address your needs and reach your goals, but also talk about the bigger picture, or just vent if that’s what you need that day. I like to think of therapy as a choose-your-own-adventure experience that is driven by the client.
(305) 602-4831 View (305) 602-4831
Photo of Carla Fuquay, MS, LMHC, CHC, Counselor
Carla Fuquay
Counselor, MS, LMHC, CHC
Verified Verified
Key West, FL 33041  (Online Only)
I received my training in Los Angeles. My experience has included depression and anxiety, trauma and PTSD, relationship issues and divorce, life stressors, and weight loss. I treat individuals and couples, using a variety of treatment modalities that are individualized to meet the needs of each person.
I received my training in Los Angeles. My experience has included depression and anxiety, trauma and PTSD, relationship issues and divorce, life stressors, and weight loss. I treat individuals and couples, using a variety of treatment modalities that are individualized to meet the needs of each person.
(305) 680-1949 View (305) 680-1949
Photo of Melvyn P Heyes, LCSW-C, Clinical Social Work/Therapist
Melvyn P Heyes
Clinical Social Work/Therapist, LCSW-C
Verified Verified
1 Endorsed
Key West, FL 33041
I work with career-oriented individuals to resolve relationship issues, stress at home and work, as well as help parents with challenging adolescents and children. Too much responsibility and stress at home, school or workplace often leads to strained relationships, isolation, loss of motivation or debilitating fears. I help people and families who are affected by anxiety, depression, ADHD, behavior challenges at school, defiance and anger, divorce or trauma. I've worked with children, teens and young adults with emotional disturbances, behavior problems, substance abuse, self-harm, or personality development issues, and helped couples and parents sort through relationship challenges.
I work with career-oriented individuals to resolve relationship issues, stress at home and work, as well as help parents with challenging adolescents and children. Too much responsibility and stress at home, school or workplace often leads to strained relationships, isolation, loss of motivation or debilitating fears. I help people and families who are affected by anxiety, depression, ADHD, behavior challenges at school, defiance and anger, divorce or trauma. I've worked with children, teens and young adults with emotional disturbances, behavior problems, substance abuse, self-harm, or personality development issues, and helped couples and parents sort through relationship challenges.
(410) 970-4917 View (410) 970-4917
Photo of Lori A Feeney - Peaks and Valleys Counseling Services, LLC, MSW, LCSW, Clinical Social Work/Therapist
Peaks and Valleys Counseling Services, LLC
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Key West, FL 33040
We are so grateful to be able to make a difference in the lives of others! We are psychotherapists assisting clients ages 13 years to 70+ clients. We work with clients from a strengths perspective, encouraging them become aware and curious of their thinking, behavior and actions to empower them to improve the quality of their lives. Now offering EMDR therapy, IFS/Parts Work inspired therapy and couples/marriage counseling.
We are so grateful to be able to make a difference in the lives of others! We are psychotherapists assisting clients ages 13 years to 70+ clients. We work with clients from a strengths perspective, encouraging them become aware and curious of their thinking, behavior and actions to empower them to improve the quality of their lives. Now offering EMDR therapy, IFS/Parts Work inspired therapy and couples/marriage counseling.
(786) 410-3553 View (786) 410-3553
Photo of Ann-Marie Miglionico - Tranquil Waters Foundation Inc., LCSW, Clinical Social Work/Therapist
Tranquil Waters Foundation Inc.
Clinical Social Work/Therapist, LCSW
Verified Verified
8 Endorsed
Key West, FL 33040  (Online Only)
I am certified in EMDR (Eye Movement Desensitization and Reprocessing), Foster/Adoption Competent, and use Prepare/Enrich Model for Couples Counseling.
Virtual Only. As my patient, you will often enjoy the ability to be heard without judgement or interruption, when you want to share details of events that cause you to experience the emotions you are feeling. People often need an outlet as they process what they are feeling and I provide that in a safe environment. I guide the sessions to help encourage you in developing solutions when you are in that place emotionally, and ready for a positive change. Patients often find relief of their symptoms when they feel validated in how they are feeling, and supported as they learn how to cope with various situations that arise.
I am certified in EMDR (Eye Movement Desensitization and Reprocessing), Foster/Adoption Competent, and use Prepare/Enrich Model for Couples Counseling.
Virtual Only. As my patient, you will often enjoy the ability to be heard without judgement or interruption, when you want to share details of events that cause you to experience the emotions you are feeling. People often need an outlet as they process what they are feeling and I provide that in a safe environment. I guide the sessions to help encourage you in developing solutions when you are in that place emotionally, and ready for a positive change. Patients often find relief of their symptoms when they feel validated in how they are feeling, and supported as they learn how to cope with various situations that arise.
(407) 449-1294 View (407) 449-1294
Photo of Richard Paul Del Prete, LMHC, MA, NBCC, Counselor
Richard Paul Del Prete
Counselor, LMHC, MA, NBCC
Verified Verified
1 Endorsed
Key West, FL 33040  (Online Only)
The process of therapy requires that you have a trusting and supportive relationship with your caring therapist.
I commend you for seeking change. Psychotherapy is an art based on psychology. Talking to a stranger about your concerns may cause anxiety. I start with the issue you present. My style is to listen well, be mindful, deliberate, supportive, respectful, and flexible based on your needs and personality. I am interactive and present as we interact. My client is my co- partner and has the information to change as we collaborate. I work with life cycle issues as a source of growth. I lived in Key West which is referred to as "Paradise". Understanding the lifestyle enhances my work with those living there. I live in Fort Lauderdale
The process of therapy requires that you have a trusting and supportive relationship with your caring therapist.
I commend you for seeking change. Psychotherapy is an art based on psychology. Talking to a stranger about your concerns may cause anxiety. I start with the issue you present. My style is to listen well, be mindful, deliberate, supportive, respectful, and flexible based on your needs and personality. I am interactive and present as we interact. My client is my co- partner and has the information to change as we collaborate. I work with life cycle issues as a source of growth. I lived in Key West which is referred to as "Paradise". Understanding the lifestyle enhances my work with those living there. I live in Fort Lauderdale
(954) 751-3670 View (954) 751-3670
Photo of Diana Harden, LCPC, Counselor
Diana Harden
Counselor, LCPC
Verified Verified
1 Endorsed
Key West, FL 33040
I offer therapeutic interventions with adult individuals (18 years old+) and couples.
It is my personal belief that everyone deserves a safe, non-judgmental space to unravel their thoughts and be present in the moment. With all of the aspects of day-to-day life that keep us occupied, I hope that I can help you take a moment (or several moments) for yourself (and/or your partner) that you very much deserve. My goal is to listen to my client's personal experiences and use that to shape the person you want to be- or the person you already are, just the most authentic version of yourself. Everyone's experience that brings a client to therapy is unique and our goals together will always be unique to your growth.
I offer therapeutic interventions with adult individuals (18 years old+) and couples.
It is my personal belief that everyone deserves a safe, non-judgmental space to unravel their thoughts and be present in the moment. With all of the aspects of day-to-day life that keep us occupied, I hope that I can help you take a moment (or several moments) for yourself (and/or your partner) that you very much deserve. My goal is to listen to my client's personal experiences and use that to shape the person you want to be- or the person you already are, just the most authentic version of yourself. Everyone's experience that brings a client to therapy is unique and our goals together will always be unique to your growth.
(443) 665-8301 View (443) 665-8301
Photo of Dr. Jenna Budreau, PsyD, Psychologist
Dr. Jenna Budreau
Psychologist, PsyD
Verified Verified
Key West, FL 33040
Many couples who come in feel like they’re at the end of their rope & lament not coming in sooner.
Let’s be honest here, there’s a lot of variability in the quality of therapists out there. I know that finding the right one, someone who will REALLY help, is daunting. You’re overwhelmed by making one more choice, when all you want to do is get better. I’ll do the work hard; & talking with me will be as comfortable as confiding in a dear friend. I work best with determined WOMEN who love making their own way, but sometimes get derailed by their own thoughts, bad relationships or family history. I also love working with MEN who want to understand life, but balk at traditional therapy - and like straight talk as much as support.
Many couples who come in feel like they’re at the end of their rope & lament not coming in sooner.
Let’s be honest here, there’s a lot of variability in the quality of therapists out there. I know that finding the right one, someone who will REALLY help, is daunting. You’re overwhelmed by making one more choice, when all you want to do is get better. I’ll do the work hard; & talking with me will be as comfortable as confiding in a dear friend. I work best with determined WOMEN who love making their own way, but sometimes get derailed by their own thoughts, bad relationships or family history. I also love working with MEN who want to understand life, but balk at traditional therapy - and like straight talk as much as support.
(571) 554-6582 View (571) 554-6582
Photo of Center For Emotional And Sexual Health - Lori Michels Relationship Therapist, LMFT, CST, S-PSB, Marriage & Family Therapist
Center For Emotional And Sexual Health - Lori Michels Relationship Therapist
Marriage & Family Therapist, LMFT, CST, S-PSB
Verified Verified
Key West, FL 33041  (Online Only)
I am a Sex and Relationship therapist who specializes in anxiety, sexual dysfunctions, infidelities, sexual desire discrepancies, sexual trauma, and problematic sexual behavior.
Hi. I am a licensed therapist, relationship specialist, AASECT certified sex therapist, and a S-PSB in the states of Connecticut, Florida, and Vermont. I offer services online so I can work with anyone within the state lines and provide quality sex and relationship therapy. ​I work with individuals and couples with an integrative style so I can design therapy around you. My impartial and supportive setting can help you understand, work through, and resolve the dynamics that you are struggling with. I am dedicated to helping people resolve their emotional issues, sexual problems, and enhance their intimate relationships.​​​​​​​​
I am a Sex and Relationship therapist who specializes in anxiety, sexual dysfunctions, infidelities, sexual desire discrepancies, sexual trauma, and problematic sexual behavior.
Hi. I am a licensed therapist, relationship specialist, AASECT certified sex therapist, and a S-PSB in the states of Connecticut, Florida, and Vermont. I offer services online so I can work with anyone within the state lines and provide quality sex and relationship therapy. ​I work with individuals and couples with an integrative style so I can design therapy around you. My impartial and supportive setting can help you understand, work through, and resolve the dynamics that you are struggling with. I am dedicated to helping people resolve their emotional issues, sexual problems, and enhance their intimate relationships.​​​​​​​​
(386) 703-9278 View (386) 703-9278
Photo of Amy Singleton - Amy Singleton, MA, LMHC, MA, LMHC, Counselor
Amy Singleton, MA, LMHC
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Key West, FL 33040
My specialties include working with adolescents, couples/family, anxiety, depression, mood disorders, women's issues and life transition.
Do you or a family member suffer from anxiety, depression or Bipolar disorder? Are you struggling to maintain effective and rewarding relationships with your partner or children? These are several of the issues that diminish the quality of day-to-day life for so many of my clients. Hello, my name is Amy and I am here to help. I am a licensed mental health counselor(LMHC) providing therapy services in the Orlando area. I use an eclectic therapeutic approach to arm my clients with a variety of techniques to initiate lasting change. Feel free to email me at my website at amylmhc.com.
My specialties include working with adolescents, couples/family, anxiety, depression, mood disorders, women's issues and life transition.
Do you or a family member suffer from anxiety, depression or Bipolar disorder? Are you struggling to maintain effective and rewarding relationships with your partner or children? These are several of the issues that diminish the quality of day-to-day life for so many of my clients. Hello, my name is Amy and I am here to help. I am a licensed mental health counselor(LMHC) providing therapy services in the Orlando area. I use an eclectic therapeutic approach to arm my clients with a variety of techniques to initiate lasting change. Feel free to email me at my website at amylmhc.com.
(813) 437-9621 View (813) 437-9621
Photo of Derik Van Baale, PhD, LMSW, CCTP, Clinical Social Work/Therapist
Derik Van Baale
Clinical Social Work/Therapist, PhD, LMSW, CCTP
Verified Verified
Key West, FL 33040  (Online Only)
Couples may have appointments while in physically separate locations if desired.
Therapy should help you get better. My goal is to help clients move through difficult situations and make changes in their lives that contribute positively to their health. While I am a certified complex trauma therapist and specialize in treating combat related PTSD, I have also helped clients struggling with depression, anxiety, relationship issues, and infidelity. As a coach, I help clients to achieve personal goals such as losing weight or managing anger. Some people are wary of seeing a therapist, but my straight forward approach and focus on finding solutions has been an attractive option for even the most hesitant clients.
Couples may have appointments while in physically separate locations if desired.
Therapy should help you get better. My goal is to help clients move through difficult situations and make changes in their lives that contribute positively to their health. While I am a certified complex trauma therapist and specialize in treating combat related PTSD, I have also helped clients struggling with depression, anxiety, relationship issues, and infidelity. As a coach, I help clients to achieve personal goals such as losing weight or managing anger. Some people are wary of seeing a therapist, but my straight forward approach and focus on finding solutions has been an attractive option for even the most hesitant clients.
(231) 866-8196 View (231) 866-8196
Photo of Amy Gertz, MA, LMFT, Marriage & Family Therapist
Amy Gertz
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Key West, FL 33040
Life is full of change and transition. Just when you think you have found some balance or are "surviving", another stressor pops up and you might feel as though you just can't deal with one more thing on your plate. Although many stressful situations are viewed as "positives", such as employment, romantic relationships, blending of families, parenting children and teens, or navigating life after a new baby, they all come with emotions, and the need for intentional communication. Let me offer you my unbiased support and expertise as you move towards your goals.
Life is full of change and transition. Just when you think you have found some balance or are "surviving", another stressor pops up and you might feel as though you just can't deal with one more thing on your plate. Although many stressful situations are viewed as "positives", such as employment, romantic relationships, blending of families, parenting children and teens, or navigating life after a new baby, they all come with emotions, and the need for intentional communication. Let me offer you my unbiased support and expertise as you move towards your goals.
(305) 676-7204 View (305) 676-7204
Photo of Armenta Acevedo, LMHC, Counselor
Armenta Acevedo
Counselor, LMHC
Verified Verified
Key West, FL 33040  (Online Only)
Experiencing personal transformations can bring both liberation and joy, but they can also cause upheaval and stress. Every day, we go through a series of small revolutions, realizations, adjustments, and changes that expand and contract our beings. As a mental health practitioner, my goal is to create a safe and trusting environment where individuals can release, process, unpack, and unwind. Essentially, it's a space to breathe. It's crucial to learn to show yourself kindness and compassion, even if you struggle with feeling deserving of it. You truly deserve the best life has in store for you. Today is the day to embrace it!
Experiencing personal transformations can bring both liberation and joy, but they can also cause upheaval and stress. Every day, we go through a series of small revolutions, realizations, adjustments, and changes that expand and contract our beings. As a mental health practitioner, my goal is to create a safe and trusting environment where individuals can release, process, unpack, and unwind. Essentially, it's a space to breathe. It's crucial to learn to show yourself kindness and compassion, even if you struggle with feeling deserving of it. You truly deserve the best life has in store for you. Today is the day to embrace it!
(786) 244-7347 View (786) 244-7347
Photo of Tammy Geanoulis
Tammy Geanoulis
Registered Mental Health Counselor Intern
Verified Verified
1 Endorsed
Key West, FL 33040  (Online Only)
Welcome to a space where your journey towards mental wellness is honored with empathy, expertise, and genuine support. I am Tammy Geanoulis, a dedicated mental health therapist committed to lighting the path for individuals grappling with life's challenges. My foundation in psychology was laid with a Bachelor's degree, further solidified by a Master's in Professional Counseling, and crowned with PhD studies in forensic psychology. With 8 years of rich experience in the mental health field and a license to practice in the vibrant state of Florida, I stand ready to guide you through your goals.
Welcome to a space where your journey towards mental wellness is honored with empathy, expertise, and genuine support. I am Tammy Geanoulis, a dedicated mental health therapist committed to lighting the path for individuals grappling with life's challenges. My foundation in psychology was laid with a Bachelor's degree, further solidified by a Master's in Professional Counseling, and crowned with PhD studies in forensic psychology. With 8 years of rich experience in the mental health field and a license to practice in the vibrant state of Florida, I stand ready to guide you through your goals.
(321) 241-3929 View (321) 241-3929
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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.