Couples Counseling Therapists in Salem, MA

Photo of Mark A Pooler, Clinical Social Work/Therapist in Salem, MA
Mark A Pooler
Clinical Social Work/Therapist, LICSW
Verified Verified
Salem, MA 01970
I enjoy working with sexual identity and relationship issues, as well as how depression affects self-esteem and relationships.
Thank you for taking the time today to review my profile. Beginning the process of psychotherapy can feel like a daunting one. Your ability to feel comfortable and at ease with a therapist can only help you to address difficult or painful parts of your life. My patients tell me that they often feel safe and "at home" when they are working with me. I enjoy working with folks who have been suffering from depression, trauma, loss, and substance abuse. Please feel free to call me to talk about scheduling an appointment.
I enjoy working with sexual identity and relationship issues, as well as how depression affects self-esteem and relationships.
Thank you for taking the time today to review my profile. Beginning the process of psychotherapy can feel like a daunting one. Your ability to feel comfortable and at ease with a therapist can only help you to address difficult or painful parts of your life. My patients tell me that they often feel safe and "at home" when they are working with me. I enjoy working with folks who have been suffering from depression, trauma, loss, and substance abuse. Please feel free to call me to talk about scheduling an appointment.
(617) 997-0159 View (617) 997-0159
Photo of Carolanne Hale, Marriage & Family Therapist in Salem, MA
Carolanne Hale
Marriage & Family Therapist, MA, MS, MFT
Not Verified Not Verified
Salem, MA 01970
May I begin by writing that I recognize your courage for seeking help. You or a family member must be struggling right now. If life looks bleak, please know that there can be hope. I am a licensed Marriage and Family Therapist in both California and Massachusetts who works with individuals, couples and families struggling with depression, anxiety, substance abuse, stressful life changes, trauma, acculturation challenges and illness. I honor a collaborative relationship with my clients and strive toward finding solutions that are authentic to you. You have a story and I listen, building on the strengths you already possess.
May I begin by writing that I recognize your courage for seeking help. You or a family member must be struggling right now. If life looks bleak, please know that there can be hope. I am a licensed Marriage and Family Therapist in both California and Massachusetts who works with individuals, couples and families struggling with depression, anxiety, substance abuse, stressful life changes, trauma, acculturation challenges and illness. I honor a collaborative relationship with my clients and strive toward finding solutions that are authentic to you. You have a story and I listen, building on the strengths you already possess.
(925) 948-8067 View (925) 948-8067
Photo of Skeetz Edinger, Marriage & Family Therapist in Salem, MA
Skeetz Edinger
Marriage & Family Therapist, MS, LMFT-S
Verified Verified
3 Endorsed
Salem, MA 01970
I specialize in working with families, couples, and individuals, especially (but certainly not limited to) LGBTQ+ couples and families.
I strive to empower the people that I work with. I believe that the people that I work with are more of an expert on their own lives and experiences than anyone else is. My aim is to provide a space for people's unique strengths and gifts to emerge. I have extensive experience in working with diverse individuals, relationships, and families, and I strive to ensure that everyone feels heard and validated.
I specialize in working with families, couples, and individuals, especially (but certainly not limited to) LGBTQ+ couples and families.
I strive to empower the people that I work with. I believe that the people that I work with are more of an expert on their own lives and experiences than anyone else is. My aim is to provide a space for people's unique strengths and gifts to emerge. I have extensive experience in working with diverse individuals, relationships, and families, and I strive to ensure that everyone feels heard and validated.
(339) 330-3722 View (339) 330-3722
Photo of Will Simmons, Clinical Social Work/Therapist in Salem, MA
Will Simmons
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Salem, MA 01970  (Online Only)
As such, my specialty is in aiding clients in building a rigorous critical toolbox that can be taken into the world; allowing healing, relationship improvement, enhanced professional performance, and continuing growth across the life spectrum.
Starting therapy can often be daunting, so please don't hesitate to contact me to discuss your needs and goals for treatment in a safe environment. I continue to offer a client-focused, personalized approach to therapy utilizing various cognitive and psychodynamic modalities. This may mean addressing early life influence on your current daily function, or specific goals for your profession, relationships with yourself, loved ones, and the world around you. Whether it is short-term solution-focused for a specific need, or long-term healing, personal growth, and exploration- positive change is possible, concrete, and within reach.
As such, my specialty is in aiding clients in building a rigorous critical toolbox that can be taken into the world; allowing healing, relationship improvement, enhanced professional performance, and continuing growth across the life spectrum.
Starting therapy can often be daunting, so please don't hesitate to contact me to discuss your needs and goals for treatment in a safe environment. I continue to offer a client-focused, personalized approach to therapy utilizing various cognitive and psychodynamic modalities. This may mean addressing early life influence on your current daily function, or specific goals for your profession, relationships with yourself, loved ones, and the world around you. Whether it is short-term solution-focused for a specific need, or long-term healing, personal growth, and exploration- positive change is possible, concrete, and within reach.
(978) 648-2197 View (978) 648-2197
Photo of Evolve Psychotherapy, LLC, Counselor in Salem, MA
Evolve Psychotherapy, LLC
Counselor, LMFT, LMHC, LADC-I, LICSW
Verified Verified
6 Endorsed
Salem, MA 01970
We offer a non-judgmental space to explore the impact of trauma, relationship challenges, mood disorders, life adjustments, substance use & other challenges on your life & relationships.
At Evolve Psychotherapy, our compassionate therapists have a wide range of expertise, experience, and treatment options. We believe that people change by feeling motivated and by seeing the benefit of making a difficult change. We provide psychotherapy and education that offers motivational treatment to utilize strengths and help you decide what changes to make and how you will go about it. Using a solution-focused method of treatment, we see the work of a therapist as a collaborative partner in the process of change & healing. We believe in increasing mind-body awareness to assist in this process.
We offer a non-judgmental space to explore the impact of trauma, relationship challenges, mood disorders, life adjustments, substance use & other challenges on your life & relationships.
At Evolve Psychotherapy, our compassionate therapists have a wide range of expertise, experience, and treatment options. We believe that people change by feeling motivated and by seeing the benefit of making a difficult change. We provide psychotherapy and education that offers motivational treatment to utilize strengths and help you decide what changes to make and how you will go about it. Using a solution-focused method of treatment, we see the work of a therapist as a collaborative partner in the process of change & healing. We believe in increasing mind-body awareness to assist in this process.
(603) 899-7245 View (603) 899-7245
Photo of Summer Baidak, Counselor in Salem, MA
Summer Baidak
Counselor, LMHC
Verified Verified
Salem, MA 01970  (Online Only)
A extensive knowledge of human behavior in the daily life struggles that individuals families and couples face daily.
An interactive therapist who enjoys the collaboration of the process with the client as the expert ...and the therapist as a guide.... My approach integrates cognitive behavioral strategies ....interpersonal psychodynamic and solution-based strategies.... An extensive knowledge of human behavior in the daily life struggles that individuals, families and couples face daily.. Experience working with individuals and the families around special-needs/ cognitive/educational/life planning/educational advocacy/obtaining outside services psychotherapy/social skills training /behavior modification...
A extensive knowledge of human behavior in the daily life struggles that individuals families and couples face daily.
An interactive therapist who enjoys the collaboration of the process with the client as the expert ...and the therapist as a guide.... My approach integrates cognitive behavioral strategies ....interpersonal psychodynamic and solution-based strategies.... An extensive knowledge of human behavior in the daily life struggles that individuals, families and couples face daily.. Experience working with individuals and the families around special-needs/ cognitive/educational/life planning/educational advocacy/obtaining outside services psychotherapy/social skills training /behavior modification...
(978) 633-7765 View (978) 633-7765
Photo of Dave Dorvilier, Clinical Social Work/Therapist in Salem, MA
Dave Dorvilier
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
4 Endorsed
Salem, MA 01970
I believe therapy is based off a cooperative relationship between the therapist and client working together towards what you find important. Many events throughout the course of our lives shape and mold us; These life experiences and lessons can have a huge impact on our relationships with others and ourselves that leaves us feeling stuck or dissatisfied. I have over 8 years of experience working in clinics and community based service settings; I currently work primarily with adults with significant experience in relationship issues, career, self-esteem, trauma and abuse, stress, anxiety and depression.
I believe therapy is based off a cooperative relationship between the therapist and client working together towards what you find important. Many events throughout the course of our lives shape and mold us; These life experiences and lessons can have a huge impact on our relationships with others and ourselves that leaves us feeling stuck or dissatisfied. I have over 8 years of experience working in clinics and community based service settings; I currently work primarily with adults with significant experience in relationship issues, career, self-esteem, trauma and abuse, stress, anxiety and depression.
(857) 763-2737 View (857) 763-2737
Photo of Arlene Small, Drug & Alcohol Counselor in Salem, MA
Arlene Small
Drug & Alcohol Counselor, LADCI
Verified Verified
Salem, MA 01970  (Online Only)
I am a Licensed Therapist with 16 years of experience in the field of Mental Health and Addiction Treatment. I enjoy working with Adults, Children and Adolescents, LGBTQ Population, as well as Couples and Families where substance use is creating challenges. I find it is important to provide clients with Evidenced-Based Treatment and Individualized Treatment plans that are Solution Focused. Seeking therapy can be difficult; I will provide you with a safe, supportive, and welcoming environment to ensure your comfort.
I am a Licensed Therapist with 16 years of experience in the field of Mental Health and Addiction Treatment. I enjoy working with Adults, Children and Adolescents, LGBTQ Population, as well as Couples and Families where substance use is creating challenges. I find it is important to provide clients with Evidenced-Based Treatment and Individualized Treatment plans that are Solution Focused. Seeking therapy can be difficult; I will provide you with a safe, supportive, and welcoming environment to ensure your comfort.
(978) 300-8936 View (978) 300-8936
Photo of Life's Crossroads Therapy, Drug & Alcohol Counselor in Salem, MA
Life's Crossroads Therapy
Drug & Alcohol Counselor, MA, LADCI
Verified Verified
Salem, MA 01970
Most of us can greatly benefit from a safe, trusting and collaborative therapeutic relationship.
I believe that everyone goes through struggles and sometimes needs a little help to navigate the crossroads in life. I will work with you to create a specialized personal plan to help you achieve your goals in recovery from Substance use, Behavioral addictions, Trauma, ADHD, Relationship issues and Dual-diagnosis. Set up your appointment for a free consultation to see how I can help. My approach to therapy is integrative, combining CBT, Person Focused Therapy, and Mindfulness skills to heal both body and mind. I am passionate and committed to helping others achieve their goals and to live a balanced and fulfilled life.
Most of us can greatly benefit from a safe, trusting and collaborative therapeutic relationship.
I believe that everyone goes through struggles and sometimes needs a little help to navigate the crossroads in life. I will work with you to create a specialized personal plan to help you achieve your goals in recovery from Substance use, Behavioral addictions, Trauma, ADHD, Relationship issues and Dual-diagnosis. Set up your appointment for a free consultation to see how I can help. My approach to therapy is integrative, combining CBT, Person Focused Therapy, and Mindfulness skills to heal both body and mind. I am passionate and committed to helping others achieve their goals and to live a balanced and fulfilled life.
(978) 300-8989 View (978) 300-8989
Photo of Timothy Gau, Counselor in Salem, MA
Timothy Gau
Counselor, LMHC
Verified Verified
Salem, MA 01970
Timothy is able to create a unique therapeutic relationship with each client with whom he has worked and is ready to collaborate with you on creating strategies for managing life’s challenges.
Timothy Gau is a Licensed Mental Health Counselor (LMHC) in the state of Massachusetts who has 10 years of experience working with teens, adults, and seniors who are seeking support in coping with depression, anxiety, stress, autism spectrum disorder (ASD), OCD, low self-esteem, chronic stress, and more. He completed his Bachelor of Science in Social Psychology from the University of Rochester and received his Master of Science in Counseling and Applied Educational Psychology from Northeastern University.
Timothy is able to create a unique therapeutic relationship with each client with whom he has worked and is ready to collaborate with you on creating strategies for managing life’s challenges.
Timothy Gau is a Licensed Mental Health Counselor (LMHC) in the state of Massachusetts who has 10 years of experience working with teens, adults, and seniors who are seeking support in coping with depression, anxiety, stress, autism spectrum disorder (ASD), OCD, low self-esteem, chronic stress, and more. He completed his Bachelor of Science in Social Psychology from the University of Rochester and received his Master of Science in Counseling and Applied Educational Psychology from Northeastern University.
(978) 574-7795 View (978) 574-7795
Photo of Gina Higgins, Psychologist in Salem, MA
Gina Higgins
Psychologist, EdD
Verified Verified
Salem, MA 01970
"I enjoy working with individuals, couples, and families from age eighteen through every adult decade. My style is interactive, collaborative, and non-hierarchical. My emphasis is on promoting psychological resilience by helping my clients expand their copings skills in the manner of resilient individuals. You do not have to be unusually healthy or come from a terrible past in order to benefit from the lessons of the resilient. I am equally comfortable and conversant with agony as much as ecstasy. If you are motivated to change through therapy, you are highly likely to be a lot happier with yourself and your life over time."
"I enjoy working with individuals, couples, and families from age eighteen through every adult decade. My style is interactive, collaborative, and non-hierarchical. My emphasis is on promoting psychological resilience by helping my clients expand their copings skills in the manner of resilient individuals. You do not have to be unusually healthy or come from a terrible past in order to benefit from the lessons of the resilient. I am equally comfortable and conversant with agony as much as ecstasy. If you are motivated to change through therapy, you are highly likely to be a lot happier with yourself and your life over time."
(978) 574-3013 View (978) 574-3013
Photo of Eleanor Zambrano, LICSW, Clinical Social Work/Therapist in Salem, MA
Eleanor Zambrano, LICSW
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Salem, MA 01970
** I AM NOT ACCEPTING NEW PATIENTS AT THIS TIME ** I have been working with individuals and families for over 20 years and I focus on helping others navigate relationships, family stressors and life challenges that may be impacted by anxiety and depression. I work with adults, in couples as well as family therapy sessions.
** I AM NOT ACCEPTING NEW PATIENTS AT THIS TIME ** I have been working with individuals and families for over 20 years and I focus on helping others navigate relationships, family stressors and life challenges that may be impacted by anxiety and depression. I work with adults, in couples as well as family therapy sessions.
(617) 580-5271 View (617) 580-5271
Photo of Amy Norkin Greene, Clinical Social Work/Therapist in Salem, MA
Amy Norkin Greene
Clinical Social Work/Therapist, LICSW
Verified Verified
Salem, MA 01970  (Online Only)
I have been in the mental health field for 18 years. I have great respect and passion for the work I do, and truly care for those who choose to enter into therapy. My clinical approach is to work cooperatively with couples or individuals to maximize coping skills and learn how to deal with life stressors. I look forward to meeting with you.
I have been in the mental health field for 18 years. I have great respect and passion for the work I do, and truly care for those who choose to enter into therapy. My clinical approach is to work cooperatively with couples or individuals to maximize coping skills and learn how to deal with life stressors. I look forward to meeting with you.
(978) 705-6551 View (978) 705-6551
Photo of Edith Bross Johns LICSW, Clinical Social Work/Therapist in Salem, MA
Edith Bross Johns LICSW
Clinical Social Work/Therapist, LICSW
Verified Verified
Salem, MA 01970  (Online Only)
Does it seem as if you are weathering the same emotional storm with your partner, no matter what the topic? Does it seem as if life has tossed you into a deep ocean of surging emotions and thoughts- and you're treading water in your moments of disconnection? Or do you feel alone in a dark pit, or frozen and cut off from the one who matters most? Are there nagging problems you just can't seem to find solutions for? Together, you and I can find the shore, the sunshine, the ladder up to the renewed connection to full connection in love.
Does it seem as if you are weathering the same emotional storm with your partner, no matter what the topic? Does it seem as if life has tossed you into a deep ocean of surging emotions and thoughts- and you're treading water in your moments of disconnection? Or do you feel alone in a dark pit, or frozen and cut off from the one who matters most? Are there nagging problems you just can't seem to find solutions for? Together, you and I can find the shore, the sunshine, the ladder up to the renewed connection to full connection in love.
(978) 598-3120 View (978) 598-3120
Photo of Gail Sullivan, Clinical Social Work/Therapist in Salem, MA
Gail Sullivan
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Salem, MA 01970  (Online Only)
I believe that therapy provides a unique and supportive relationship that helps to foster a person's innate abilities for growth and healing, particularly when they are faced with stressful circumstances. By identifying life skills and coping strategies, a person can grow, heal or make the changes that they want in their lives. My approach to therapy is collaborative and engaging. I will work with you to understand and identify the best way that therapy can suit your needs. I have a person-centered approach with the utmost positive regard for the individuals who seek my help.
I believe that therapy provides a unique and supportive relationship that helps to foster a person's innate abilities for growth and healing, particularly when they are faced with stressful circumstances. By identifying life skills and coping strategies, a person can grow, heal or make the changes that they want in their lives. My approach to therapy is collaborative and engaging. I will work with you to understand and identify the best way that therapy can suit your needs. I have a person-centered approach with the utmost positive regard for the individuals who seek my help.
(978) 357-8726 View (978) 357-8726
Photo of Elizabeth (Bizzy) Lucey-Lenahan, Clinical Social Work/Therapist in Salem, MA
Elizabeth (Bizzy) Lucey-Lenahan
Clinical Social Work/Therapist, LICSW, RYT200
Verified Verified
Salem, MA 01970
I specialize in psychodynamic psychotherapy, couples therapy, attachment-based approaches and embodied practices.
My practice, Rooted Life Therapy, is grounded in the belief that effective therapy is meant to help us bloom and thrive wherever our roots were planted. I work with both individuals and couples looking for growth and change in their lives. I have specific training and experience working with young adults in times of transition, identity formation, anxiety, grief & loss, depression, family planning, relational conflicts, and premarital preparation. I believe that therapy is meant to be a collaborative and empowering process of understanding one's self or relationship more deeply to create a life that is fulfilling and flourishes.
I specialize in psychodynamic psychotherapy, couples therapy, attachment-based approaches and embodied practices.
My practice, Rooted Life Therapy, is grounded in the belief that effective therapy is meant to help us bloom and thrive wherever our roots were planted. I work with both individuals and couples looking for growth and change in their lives. I have specific training and experience working with young adults in times of transition, identity formation, anxiety, grief & loss, depression, family planning, relational conflicts, and premarital preparation. I believe that therapy is meant to be a collaborative and empowering process of understanding one's self or relationship more deeply to create a life that is fulfilling and flourishes.
(978) 486-7250 View (978) 486-7250
Photo of Brenda Kissane, Clinical Social Work/Therapist in Salem, MA
Brenda Kissane
Clinical Social Work/Therapist, LICSW
Verified Verified
Salem, MA 01970
Brenda offers individual and couples counseling services.
Brenda Kissane is a Clinical Social Worker who believes that the mind, body, and spirit are naturally inclined to healing if given the right space and support. Brenda studied social work at the University of Chicago and believes that social justice is a fundamental part of being a social worker. Brenda is trained in and incorporates DBT, somatic counseling, mindfulness, emotionally focused therapy, and narrative therapy into her work with individuals and couples.
Brenda offers individual and couples counseling services.
Brenda Kissane is a Clinical Social Worker who believes that the mind, body, and spirit are naturally inclined to healing if given the right space and support. Brenda studied social work at the University of Chicago and believes that social justice is a fundamental part of being a social worker. Brenda is trained in and incorporates DBT, somatic counseling, mindfulness, emotionally focused therapy, and narrative therapy into her work with individuals and couples.
(978) 925-4820 View (978) 925-4820
Photo of Matt Stella, Clinical Social Work/Therapist in Salem, MA
Matt Stella
Clinical Social Work/Therapist, LCSW, DiplPW
Verified Verified
1 Endorsed
Salem, MA 01970
Waitlist for new clients
Hello and welcome. My name is Matt Stella, and my goal is to reconnect you to the wisdom and depth in your life that make all problems workable. In fact, the worst symptoms and problems that we wrestle with often hold the seed for growth and transformation. Working with adults, couples, and men's groups, my life’s work is to facilitate transformation out of all forms of suffering. Part of my work is to serve male survivors of sexual abuse or assault. (See MenHealing.org) When needed, I use EMDR to address and heal the effects of trauma, abuse and neglect for adults of all genders.
Hello and welcome. My name is Matt Stella, and my goal is to reconnect you to the wisdom and depth in your life that make all problems workable. In fact, the worst symptoms and problems that we wrestle with often hold the seed for growth and transformation. Working with adults, couples, and men's groups, my life’s work is to facilitate transformation out of all forms of suffering. Part of my work is to serve male survivors of sexual abuse or assault. (See MenHealing.org) When needed, I use EMDR to address and heal the effects of trauma, abuse and neglect for adults of all genders.
(617) 249-3054 View (617) 249-3054
Photo of Emilie Mellal, Pre-Licensed Professional in Salem, MA
Emilie Mellal
Pre-Licensed Professional, MS, MFT
Verified Verified
Salem, MA 01970
Through an Emotionally Focused approach grounded in attachment theory, couples and individuals gain insight into and transform their emotional reactions within a nurturing and secure setting, nurturing stronger bonds and intimacy within their relationships.
My practice is: Queer/ Trans-affirming, Neurodiversity-affirming, Body positive, Fat positive, Sex positive, Kink-affirming, and Poly/Non-Monogamy-affirming. I work with individuals and relationships. I like to establish up front that I am a safe person to correct, call-out, interrupt, disagree and argue with. It will not impact our therapeutic relationship. You are the expert of your own life.
Through an Emotionally Focused approach grounded in attachment theory, couples and individuals gain insight into and transform their emotional reactions within a nurturing and secure setting, nurturing stronger bonds and intimacy within their relationships.
My practice is: Queer/ Trans-affirming, Neurodiversity-affirming, Body positive, Fat positive, Sex positive, Kink-affirming, and Poly/Non-Monogamy-affirming. I work with individuals and relationships. I like to establish up front that I am a safe person to correct, call-out, interrupt, disagree and argue with. It will not impact our therapeutic relationship. You are the expert of your own life.
(978) 440-6350 View (978) 440-6350
Photo of Elizabeth Tener, Clinical Social Work/Therapist in Salem, MA
Elizabeth Tener
Clinical Social Work/Therapist, LICSW
Verified Verified
Salem, MA 01970  (Online Only)
Life has its ups and downs, but do you seem to have more downs these days? Are you fearful or sad, losing sleep, worrying about partner or your child? Are you angry and irritable, then ashamed? Insecure and unhappy on your job? You don’t need to stay in this lonely, confusing place. Therapy is a wonderful opportunity to pause, breathe deeply, and take time to find your voice. As a therapist, I can be there with a listening ear, a calm presence. More than that, I provide a mix of insight, practical advice, candid feedback, warmth, and a sense of humor. Therapy is an inner journey, and I’ll be by your side.
Life has its ups and downs, but do you seem to have more downs these days? Are you fearful or sad, losing sleep, worrying about partner or your child? Are you angry and irritable, then ashamed? Insecure and unhappy on your job? You don’t need to stay in this lonely, confusing place. Therapy is a wonderful opportunity to pause, breathe deeply, and take time to find your voice. As a therapist, I can be there with a listening ear, a calm presence. More than that, I provide a mix of insight, practical advice, candid feedback, warmth, and a sense of humor. Therapy is an inner journey, and I’ll be by your side.
(978) 699-9710 View (978) 699-9710
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.