Photo of Moani Silva, Marriage & Family Therapist in Hawaii
Moani Silva
Marriage & Family Therapist, LMFT
Verified Verified
Kamuela, HI 96743
She has experience working with sexual trauma, childhood trauma, relationship issues, depression, anxiety, PTSD, parenting struggles and mood disorders.
Moani Silva is an LMFT who was born and raised in Hawaii. She has experience working with people from all different ethnic backgrounds and believes in treating the whole being. She uses a conscious and holistic approach when working with individuals, families and children to help them thrive and experience living life to its fullest. She works to empower clients to awaken their self-guidance system, embrace their authentic selves, open to a life worth living, and step onto their own unique life-path.
She has experience working with sexual trauma, childhood trauma, relationship issues, depression, anxiety, PTSD, parenting struggles and mood disorders.
Moani Silva is an LMFT who was born and raised in Hawaii. She has experience working with people from all different ethnic backgrounds and believes in treating the whole being. She uses a conscious and holistic approach when working with individuals, families and children to help them thrive and experience living life to its fullest. She works to empower clients to awaken their self-guidance system, embrace their authentic selves, open to a life worth living, and step onto their own unique life-path.
(808) 278-9415 View (808) 278-9415
Photo of Nancy Johnson, Counselor in Hawaii
Nancy Johnson
Counselor, MA, LMHC
Verified Verified
Waimea, HI 96743
Waitlist for new clients
I work with anxiety, depression, trauma, grief and loss, life transitions, failure to launch and relationship issues.
Are you experiencing stress or uncertainty. Do you feel overwhelmed or stuck? Change is a critical part of life, but sometimes we need support to navigate that change. By working together to foster better understanding of the issues at hand and create forward movement, balance can be restored and potential realized. Good mental health is more than the absence of symptoms, it is a robust sense of mental, physical and spiritual wellbeing. If you would like to reach a state of positive mental health or work through some issues that are throwing you off your game, please reach out. I look forward to hearing from you!
I work with anxiety, depression, trauma, grief and loss, life transitions, failure to launch and relationship issues.
Are you experiencing stress or uncertainty. Do you feel overwhelmed or stuck? Change is a critical part of life, but sometimes we need support to navigate that change. By working together to foster better understanding of the issues at hand and create forward movement, balance can be restored and potential realized. Good mental health is more than the absence of symptoms, it is a robust sense of mental, physical and spiritual wellbeing. If you would like to reach a state of positive mental health or work through some issues that are throwing you off your game, please reach out. I look forward to hearing from you!
(320) 337-8923 View (320) 337-8923
Photo of Alfred A. Sison, Psychologist in Hawaii
Alfred A. Sison
Psychologist, PsyD, MFT
Verified Verified
Honolulu, HI 96813  (Online Only)
Populations I have had experience over the last 20+ years; Individuals - Adults, Adolescents, Couples - Marital/PreMarital, Family Therapy, EFT, Serious Mental Illness, Sexual Abuse, Domestic Violence, School Based Behavioral Health, Health Psychology, Trauma, US Military Active Duty/Veterans/Dependents, and the Diverse/Marginalized populations of Hawaii.
With over 19+ years of experience in Hawaii Behavioral/Mental Health, I provide psychotherapy and stress mgmt coaching as a Clinical Psychologist with a subspecialty in Marriage and Family Therapy. My professional goals are to help individuals, couples, or a family, find resolve, contentment, and meaningfulness. Through evidenced based practices, I intend to provide a non-judgmental, neutral, and safe, clinical psychotherapy environment/relationship. We may have to develop a new direction and purpose or simply clarify what is. I am a therapist with sensitivity, compassion, and an awareness of cultural diversity issues.
Populations I have had experience over the last 20+ years; Individuals - Adults, Adolescents, Couples - Marital/PreMarital, Family Therapy, EFT, Serious Mental Illness, Sexual Abuse, Domestic Violence, School Based Behavioral Health, Health Psychology, Trauma, US Military Active Duty/Veterans/Dependents, and the Diverse/Marginalized populations of Hawaii.
With over 19+ years of experience in Hawaii Behavioral/Mental Health, I provide psychotherapy and stress mgmt coaching as a Clinical Psychologist with a subspecialty in Marriage and Family Therapy. My professional goals are to help individuals, couples, or a family, find resolve, contentment, and meaningfulness. Through evidenced based practices, I intend to provide a non-judgmental, neutral, and safe, clinical psychotherapy environment/relationship. We may have to develop a new direction and purpose or simply clarify what is. I am a therapist with sensitivity, compassion, and an awareness of cultural diversity issues.
(808) 393-0320 View (808) 393-0320
Photo of Carrie Cochran, Trauma & Relationship Therapist, Marriage & Family Therapist in Hawaii
Carrie Cochran, Trauma & Relationship Therapist
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Waialua, HI 96791
Gottman Method Couples Therapy often helps couples recover from infidelity or other relationship trauma, manage conflict, and rebuild intimacy.
Hi, if you are here, you’re likely struggling with something in your life, relationships, overwhelming stress or anxiety, difficulty managing emotions or unresolved issues from your past. Do you find yourself constantly worried and overthinking everything? Are you irritable and feeling guilty about being short with your loved ones. Would you like to be better able to manage your emotions and thoughts and have more awareness and control over your actions and responses? Or maybe you are curious about therapy and want to know if it can help you find more joy, love and peace in your life.
Gottman Method Couples Therapy often helps couples recover from infidelity or other relationship trauma, manage conflict, and rebuild intimacy.
Hi, if you are here, you’re likely struggling with something in your life, relationships, overwhelming stress or anxiety, difficulty managing emotions or unresolved issues from your past. Do you find yourself constantly worried and overthinking everything? Are you irritable and feeling guilty about being short with your loved ones. Would you like to be better able to manage your emotions and thoughts and have more awareness and control over your actions and responses? Or maybe you are curious about therapy and want to know if it can help you find more joy, love and peace in your life.
(808) 725-3121 View (808) 725-3121
Photo of John Ward, Marriage & Family Therapist in Hawaii
John Ward
Marriage & Family Therapist, MA, LMFT, OIX
Verified Verified
1 Endorsed
Honolulu, HI 96814  (Online Only)
I provide video counseling and psychotherapy for individuals and couples. I help people like you feel better. Therapy supports the healing of traumas, depressions, anxieties, stress issues, relationship issues and much more.
I provide video counseling and psychotherapy for individuals and couples. I help people like you feel better. Therapy supports the healing of traumas, depressions, anxieties, stress issues, relationship issues and much more.
(808) 518-2854 View (808) 518-2854
Photo of Dawn Baxter, Marriage & Family Therapist in Hawaii
Dawn Baxter
Marriage & Family Therapist, MSCP, LMFT, CSAC, ICADC
Verified Verified
Honolulu, HI 96813
I am a Licensed Marriage and Family Therapist with experience treating individuals, couples, families and groups.
I believe in a holistic, solution-focused, behavioral, systemic approach to therapy that addresses mind, body and soul to achieve clear goals in therapy. I will allow you to process in an environment that promotes safety. Should you chose to work with me we will collaborate to address areas of your life that keep you stuck and get you to a place of self-esteem and acceptance. My specialties include but are not limited to: Depression, PTSD, anxiety, OCD, childhood/adult trauma, sex abuse, relationship problems, low self-esteem, addiction issues and any other concerns keeping you from living life to your full potential.
I am a Licensed Marriage and Family Therapist with experience treating individuals, couples, families and groups.
I believe in a holistic, solution-focused, behavioral, systemic approach to therapy that addresses mind, body and soul to achieve clear goals in therapy. I will allow you to process in an environment that promotes safety. Should you chose to work with me we will collaborate to address areas of your life that keep you stuck and get you to a place of self-esteem and acceptance. My specialties include but are not limited to: Depression, PTSD, anxiety, OCD, childhood/adult trauma, sex abuse, relationship problems, low self-esteem, addiction issues and any other concerns keeping you from living life to your full potential.
(808) 419-3801 View (808) 419-3801
Photo of Britt Young - Xplor Counseling, Marriage & Family Therapist in Hawaii
Britt Young - Xplor Counseling
Marriage & Family Therapist, MA, LMFT
Verified Verified
3 Endorsed
Honolulu, HI 96821
I work with clients on a range of issues, many of which have their roots in anxiety, depression, or relationship distress.
If you're reading this, you've already taken the hardest step toward feeling better - reaching out for help. That's why it's so important my clients feel understood, heard, and supported. I use a collaborative, compassionate, yet direct approach to help my clients gain insight into patterns that may have them feeling "stuck" in place. Among other techniques, I use evidence-based approaches, such as Cognitive-Behavioral Therapy and Emotionally Focused Therapy, so you can make the long-term behavior changes that will put you on the right track.
I work with clients on a range of issues, many of which have their roots in anxiety, depression, or relationship distress.
If you're reading this, you've already taken the hardest step toward feeling better - reaching out for help. That's why it's so important my clients feel understood, heard, and supported. I use a collaborative, compassionate, yet direct approach to help my clients gain insight into patterns that may have them feeling "stuck" in place. Among other techniques, I use evidence-based approaches, such as Cognitive-Behavioral Therapy and Emotionally Focused Therapy, so you can make the long-term behavior changes that will put you on the right track.
(808) 427-0694 View (808) 427-0694
Photo of Hawaii Clinical Psychology, Psychologist in Hawaii
Hawaii Clinical Psychology
Psychologist, PhD
Verified Verified
Honolulu, HI 96813
Have you felt overwhelmed, restless and nervous? Perhaps racing thoughts have kept you tossing and turning all night. Have you had panic attacks that make you feel dizzy, short of breath and fearful? Maybe you find that being around people is just too stressful. Anxiety impacts our lives in different ways, and can feel unbearable at times and difficult to overcome. If you relate to any of these situations, I am here to help. We can work together to decrease your anxiety, help build a better relationship with yourself and others and create a life full of meaning and purpose.
Have you felt overwhelmed, restless and nervous? Perhaps racing thoughts have kept you tossing and turning all night. Have you had panic attacks that make you feel dizzy, short of breath and fearful? Maybe you find that being around people is just too stressful. Anxiety impacts our lives in different ways, and can feel unbearable at times and difficult to overcome. If you relate to any of these situations, I am here to help. We can work together to decrease your anxiety, help build a better relationship with yourself and others and create a life full of meaning and purpose.
(808) 201-1349 View (808) 201-1349
Photo of Joan Levy, Clinical Social Work/Therapist in Hawaii
Joan Levy
Clinical Social Work/Therapist, LCSW
Verified Verified
Kapaa, HI 96746
Psychotherapy that works for individuals and couples ready for change. Breakthrough short term (2-6 sessions) and on-going (for people who live on Kauai) transformational work from a licensed psychotherapist with 43 years experience. With clarity, compassion, breathwork, & expert mindbody skill, I will help you identify & release emotions, body armoring, & inappropriate patterns of consciousness that deny you your vitality & wholeness. Couples learn to identify and change how their early conditioning and automatic defenses sabotage healthy, loving relating.
Psychotherapy that works for individuals and couples ready for change. Breakthrough short term (2-6 sessions) and on-going (for people who live on Kauai) transformational work from a licensed psychotherapist with 43 years experience. With clarity, compassion, breathwork, & expert mindbody skill, I will help you identify & release emotions, body armoring, & inappropriate patterns of consciousness that deny you your vitality & wholeness. Couples learn to identify and change how their early conditioning and automatic defenses sabotage healthy, loving relating.
(808) 646-7270 View (808) 646-7270
Photo of Aspire Psychological Services, LLC, Counselor in Hawaii
Aspire Psychological Services, LLC
Counselor, PhD, LMHC, CSOTP, CCTP, CBT
Verified Verified
Kapolei, HI 96707  (Online Only)
Aspire Psychological Services offers online video or phone sessions with clients via Simple Practice, Zoom or other Telehealth services in a professional, clinical approach to provide therapeutic services for individuals, couples and families. We are experienced in working with culturally diverse populations from various ethnic and socioeconomic backgrounds. We assist individuals who need to complete and fulfill legal requirements of psychological therapy. Certified in CBT, treatment of trauma and sexual abuse (victims and offenders) Aspire provides a safe and nonjudgmental environment for individuals to openly process life issues.
Aspire Psychological Services offers online video or phone sessions with clients via Simple Practice, Zoom or other Telehealth services in a professional, clinical approach to provide therapeutic services for individuals, couples and families. We are experienced in working with culturally diverse populations from various ethnic and socioeconomic backgrounds. We assist individuals who need to complete and fulfill legal requirements of psychological therapy. Certified in CBT, treatment of trauma and sexual abuse (victims and offenders) Aspire provides a safe and nonjudgmental environment for individuals to openly process life issues.
(808) 427-3339 View (808) 427-3339
Photo of Virginia Cantorna, RN, PsyD, LLC, Psychologist in Hawaii
Virginia Cantorna, RN, PsyD, LLC
Psychologist, RN, PsyD, LLC
Verified Verified
Wailuku, HI 96793  (Online Only)
I love to assist couples and families heal relationships by teaching communication, fighting fair, and recreating intimacy.
Hello! When life throws obstacles and challenges your way and you are experiencing more misery than peace and joy, it may be time to seek support from a mental health clinician. The issue may be current (i.e., financial, marital, career problems) or stem from the past (previous traumas and abuse). Depression, anxiety, relationships, grief, self-esteem, work stress, and life transitions are only a few of the many areas I have worked with extensively. I offer a gentle, solution-oriented approach to therapy. I use an array of interventions that would best fit your needs. See www.drcantorna.com.
I love to assist couples and families heal relationships by teaching communication, fighting fair, and recreating intimacy.
Hello! When life throws obstacles and challenges your way and you are experiencing more misery than peace and joy, it may be time to seek support from a mental health clinician. The issue may be current (i.e., financial, marital, career problems) or stem from the past (previous traumas and abuse). Depression, anxiety, relationships, grief, self-esteem, work stress, and life transitions are only a few of the many areas I have worked with extensively. I offer a gentle, solution-oriented approach to therapy. I use an array of interventions that would best fit your needs. See www.drcantorna.com.
(808) 518-6435 View (808) 518-6435
Photo of Kokua MHW Group in Hawaii
Kokua MHW Group
Verified Verified
1 Endorsed
Honolulu, HI 96813
Our philosophy for treatment rests on the belief that the therapeutic relationship is the preeminent vehicle for a corrective emotional experience. We approach our work as both facilitators and partners who will guide you through areas of struggle and explore solutions to work through the challenging moments and empower healing.
Our philosophy for treatment rests on the belief that the therapeutic relationship is the preeminent vehicle for a corrective emotional experience. We approach our work as both facilitators and partners who will guide you through areas of struggle and explore solutions to work through the challenging moments and empower healing.
(808) 201-1078 View (808) 201-1078
Photo of Sonya B Chambliss Counseling Services LLC, Clinical Social Work/Therapist in Hawaii
Sonya B Chambliss Counseling Services LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Lahaina, HI 96761
I specialize in couples work, anxiety, adult/childhood trauma, sexual acting out, eating disorders, codependence, love addiction/avoidance, substance abuse and other relational issues.
I am here to help you stop running and start living! Your healing is a journey that needs a strong co-pilot! I specialize in deep trauma work (emotional, sexual, spiritual, relational, and physical) when other types of therapy have not worked for you. I use EMDR as one of my primary tools for trauma work where possible to hasten healing. I work to strengthen that inner voice inside of you to help you find your healing your way. I use techniques I learned working with world renowned professionals, including being fully trained in EMDR, (EMDRIA) a trauma resolution technique.
I specialize in couples work, anxiety, adult/childhood trauma, sexual acting out, eating disorders, codependence, love addiction/avoidance, substance abuse and other relational issues.
I am here to help you stop running and start living! Your healing is a journey that needs a strong co-pilot! I specialize in deep trauma work (emotional, sexual, spiritual, relational, and physical) when other types of therapy have not worked for you. I use EMDR as one of my primary tools for trauma work where possible to hasten healing. I work to strengthen that inner voice inside of you to help you find your healing your way. I use techniques I learned working with world renowned professionals, including being fully trained in EMDR, (EMDRIA) a trauma resolution technique.
(808) 250-9406 View (808) 250-9406
Photo of Kristine Altwies, Marriage & Family Therapist in Hawaii
Kristine Altwies
Marriage & Family Therapist, MA, LMFT
Verified Verified
Honolulu, HI 96826
Whether you are feeling a little bit off your game or deeply stuck, by seeking help you're on the right path. I work to provide a safe, supportive, and calming space. For 30 years I worked in adoption and family coaching. I am experienced in trauma, parenting, infertility, gender/ sexuality/racial identity and relationship building. I use a variety of interventions, and work with clients to set goals to plan for successful outcomes. I am eager to learn about my clients, and to figure out how best to help. Thank you for taking this step!
Whether you are feeling a little bit off your game or deeply stuck, by seeking help you're on the right path. I work to provide a safe, supportive, and calming space. For 30 years I worked in adoption and family coaching. I am experienced in trauma, parenting, infertility, gender/ sexuality/racial identity and relationship building. I use a variety of interventions, and work with clients to set goals to plan for successful outcomes. I am eager to learn about my clients, and to figure out how best to help. Thank you for taking this step!
(808) 204-4582 View (808) 204-4582
Photo of Wendy Yoshioka, Clinical Social Work/Therapist in Hawaii
Wendy Yoshioka
Clinical Social Work/Therapist, LCSW
Verified Verified
Wahiawa, HI 96786
I am Licensed Clinical Social Worker in Hawaii with 8 years of professional work experience. I have experience in helping clients with stress and anxiety, relationship issues, family conflicts, motivation, self-worth and trauma. I believe that you are the expert of your story and that you have many strengths that will assist you in overcoming things that challenge you. It takes courage to seek out a more fulfilling and happier life and to take the first steps towards a change. I am here to support & empower you in that journey. This provider resides in Hawaii. My approach to providing therapy is first to be a listener.
I am Licensed Clinical Social Worker in Hawaii with 8 years of professional work experience. I have experience in helping clients with stress and anxiety, relationship issues, family conflicts, motivation, self-worth and trauma. I believe that you are the expert of your story and that you have many strengths that will assist you in overcoming things that challenge you. It takes courage to seek out a more fulfilling and happier life and to take the first steps towards a change. I am here to support & empower you in that journey. This provider resides in Hawaii. My approach to providing therapy is first to be a listener.
(808) 465-4745 View (808) 465-4745
Photo of Kali Ikemoto, Marriage & Family Therapist in Hawaii
Kali Ikemoto
Marriage & Family Therapist, LMFT
Verified Verified
Honolulu, HI 96814
Aloha! Life likes to throw curve balls at us, throwing different challenges when we least expect them. Working through these challenges is not always easy when you are alone. Let me help you and your 'ohana grow together and be more vital than ever. As a Licensed Marriage and Family Therapist, I have more than 15 years of experience working within the home, school, clinic-based, and community-based settings, ranging from individual, family, and couples counseling.
Aloha! Life likes to throw curve balls at us, throwing different challenges when we least expect them. Working through these challenges is not always easy when you are alone. Let me help you and your 'ohana grow together and be more vital than ever. As a Licensed Marriage and Family Therapist, I have more than 15 years of experience working within the home, school, clinic-based, and community-based settings, ranging from individual, family, and couples counseling.
(808) 201-2651 View (808) 201-2651
Photo of Self Help Hawaii, LLC, Marriage & Family Therapist in Hawaii
Self Help Hawaii, LLC
Marriage & Family Therapist, MA, MFT
Verified Verified
1 Endorsed
Honolulu, HI 96815
Waitlist for new clients
Aloha-Welcome to Self Help Hawaii, LLC. We hope you feel our Aloha. Our growing ohana of selfless therapists, life coaches, spiritual and/or Christian counselors, are happy to help at your pace. In these times, we offer sliding-scale support to you, your loved ones, couples and families. We focus on solutions and enjoy helping our clients gain a helpful perspective that allows the problem solving process to take root. Self Help Hawaii,LLC reminds us all of the resources within and around us. You are never alone. Let's talk story. That's the first step.
Aloha-Welcome to Self Help Hawaii, LLC. We hope you feel our Aloha. Our growing ohana of selfless therapists, life coaches, spiritual and/or Christian counselors, are happy to help at your pace. In these times, we offer sliding-scale support to you, your loved ones, couples and families. We focus on solutions and enjoy helping our clients gain a helpful perspective that allows the problem solving process to take root. Self Help Hawaii,LLC reminds us all of the resources within and around us. You are never alone. Let's talk story. That's the first step.
(808) 793-5633 View (808) 793-5633
Photo of Ursula Steffany, Marriage & Family Therapist in Hawaii
Ursula Steffany
Marriage & Family Therapist, MFT
Verified Verified
2 Endorsed
Kapolei, HI 96707
I am licensed marriage and family therapist working with individuals, couples and families to improve their lives and become the best versions of themselves.
"Happiness is when what you think, what you say and what you do are in harmony." -Mahatma Ghandi Are you feeling stressed and overwhelmed with the many demands of life? Dealing with the difficulties of life can cause distressing feelings which can interfere with your relationships and general wellbeing. I would like to help you restore or discover your sense of balance in life.
I am licensed marriage and family therapist working with individuals, couples and families to improve their lives and become the best versions of themselves.
"Happiness is when what you think, what you say and what you do are in harmony." -Mahatma Ghandi Are you feeling stressed and overwhelmed with the many demands of life? Dealing with the difficulties of life can cause distressing feelings which can interfere with your relationships and general wellbeing. I would like to help you restore or discover your sense of balance in life.
(808) 369-9514 View (808) 369-9514
Photo of Renewed Peace and Hope, Counselor in Hawaii
Renewed Peace and Hope
Counselor, PsyD, LMHC
Verified Verified
1 Endorsed
Honolulu, HI 96818  (Online Only)
My name is Dr. Megumi Maruya Makepeace. I am a Licensed Mental Health Counselor and hold a doctorate in Clinical Psychology. I was raised on Oahu in a very traditional Japanese family, spent many years as a military spouse/dependent on the Mainland, which bring these experiences to my multicultural approach to therapy. I am aware of the cultural makeup of Hawai’i, and the unique and diverse cultures of the local population as well as those new to the island. I have a passion to treat culturally diverse and underserved populations.
My name is Dr. Megumi Maruya Makepeace. I am a Licensed Mental Health Counselor and hold a doctorate in Clinical Psychology. I was raised on Oahu in a very traditional Japanese family, spent many years as a military spouse/dependent on the Mainland, which bring these experiences to my multicultural approach to therapy. I am aware of the cultural makeup of Hawai’i, and the unique and diverse cultures of the local population as well as those new to the island. I have a passion to treat culturally diverse and underserved populations.
(808) 348-9898 View (808) 348-9898
Photo of Jennifer Stevens, Marriage & Family Therapist in Hawaii
Jennifer Stevens
Marriage & Family Therapist, MA, MFT
Verified Verified
Kapaa, HI 96746
Waitlist for new clients
Aloha, I value the diversity of healthy relationships and recognize their importance in both individual and family life cycle development. I also understand how painful conflicted relationships in the here and now or from the past can be. I integrate traditional and contemporary psychotherapy to assist adults, children, couples and families in addressing the challenges they face. Using a strength-based framework, I work compassionately with clients to find individualized solutions to life's most personal and difficult problems.
Aloha, I value the diversity of healthy relationships and recognize their importance in both individual and family life cycle development. I also understand how painful conflicted relationships in the here and now or from the past can be. I integrate traditional and contemporary psychotherapy to assist adults, children, couples and families in addressing the challenges they face. Using a strength-based framework, I work compassionately with clients to find individualized solutions to life's most personal and difficult problems.
(808) 378-7992 View (808) 378-7992
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.