Photo of Jonathan Ladd, Clinical Social Work/Therapist in Gaithersburg, MD
Jonathan Ladd
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Gaithersburg, MD 20878  (Online Only)
Looking for relationship help? To relieve the pain or find better ways to manage? The "secrets" of dealing skillfully with difficulties, differences and hurts, are not really secrets: you CAN learn these and many more relationship skills if you are curious, motivated and persistent. I'd like to help you: a) address and relieve your most pressing problems, b) set clear, realistic goals, and c) learn to avoid a tremendous amount of headache and heartache in the future. Our collaboration may yield a lifetime of benefits.
Looking for relationship help? To relieve the pain or find better ways to manage? The "secrets" of dealing skillfully with difficulties, differences and hurts, are not really secrets: you CAN learn these and many more relationship skills if you are curious, motivated and persistent. I'd like to help you: a) address and relieve your most pressing problems, b) set clear, realistic goals, and c) learn to avoid a tremendous amount of headache and heartache in the future. Our collaboration may yield a lifetime of benefits.
(301) 278-8681 View (301) 278-8681
Photo of Lisa M Joy, Clinical Social Work/Therapist in Gaithersburg, MD
Lisa M Joy
Clinical Social Work/Therapist, LCSW-C
Verified Verified
1 Endorsed
Gaithersburg, MD 20878  (Online Only)
Accepting New Clients! Lisa is a Licensed Certified Social Worker-Clinical & a board-approved clinical supervisor. With thirty years of eclectic clinical experience & eighteen years of behavioral health leadership experience, Lisa has helped a variety of people with diverse needs. This includes children, adolescents, adults, families, couples, parents, groups, communities, students, & professionals experiencing depression, anxiety, ADHD, stress, compassion fatigue, burnout, life changes, & workplace challenges. Empathy, compassion, trust, and unconditional regard are the foundation of the therapeutic relationship with Lisa.
Accepting New Clients! Lisa is a Licensed Certified Social Worker-Clinical & a board-approved clinical supervisor. With thirty years of eclectic clinical experience & eighteen years of behavioral health leadership experience, Lisa has helped a variety of people with diverse needs. This includes children, adolescents, adults, families, couples, parents, groups, communities, students, & professionals experiencing depression, anxiety, ADHD, stress, compassion fatigue, burnout, life changes, & workplace challenges. Empathy, compassion, trust, and unconditional regard are the foundation of the therapeutic relationship with Lisa.
(240) 734-2379 View (240) 734-2379
Photo of Elizabeth D Robinson, Licensed Clinical Professional Counselor in Gaithersburg, MD
Elizabeth D Robinson
Licensed Clinical Professional Counselor, MA, LCPC, NCC
Verified Verified
1 Endorsed
Gaithersburg, MD 20877  (Online Only)
My approach involves a collaborative relationship knowing that you are the expert in your own life.
Have you been experiencing increased anxiety, depression, fear or loneliness? Are you struggling with emotions and behaviors you would like to change? As humans, we need connections to others for encouragement, especially when we are suffering from the unexpected challenges this world brings. With support and feedback we can find meaning and purpose even through painful events. I combine Mindfulness, Cognitive Behavioral Therapy, CBT, Dialectical Behavioral Therapy, DBT, to provide a safe, confidential environment where you are free to explore, empower yourself and develop into the person you want to be.
My approach involves a collaborative relationship knowing that you are the expert in your own life.
Have you been experiencing increased anxiety, depression, fear or loneliness? Are you struggling with emotions and behaviors you would like to change? As humans, we need connections to others for encouragement, especially when we are suffering from the unexpected challenges this world brings. With support and feedback we can find meaning and purpose even through painful events. I combine Mindfulness, Cognitive Behavioral Therapy, CBT, Dialectical Behavioral Therapy, DBT, to provide a safe, confidential environment where you are free to explore, empower yourself and develop into the person you want to be.
(240) 949-2409 View (240) 949-2409
Photo of Shayne Couch-Murray, Clinical Social Work/Therapist in Gaithersburg, MD
Shayne Couch-Murray
Clinical Social Work/Therapist, LMSW
Verified Verified
Gaithersburg, MD 20877  (Online Only)
Waitlist for new clients
Peace, I’m Shayne. I am a passionate and empathetic therapist dedicated to providing inclusive and affirming mental health support for individuals within the QTBIPOC community. As a Black TransMasc person, I understand the unique challenges and experiences that QTBIPOC individuals may face, and I strive to create a safe and accepting space for all clients. I have extensive experience working with clients across various identities within the 2SLGBTQ+ folx in addition to couples.
Peace, I’m Shayne. I am a passionate and empathetic therapist dedicated to providing inclusive and affirming mental health support for individuals within the QTBIPOC community. As a Black TransMasc person, I understand the unique challenges and experiences that QTBIPOC individuals may face, and I strive to create a safe and accepting space for all clients. I have extensive experience working with clients across various identities within the 2SLGBTQ+ folx in addition to couples.
(410) 888-0683 View (410) 888-0683
Photo of Dr. Mitch and Lisa Marriages/Couples Workshops in Gaithersburg, MD
Dr. Mitch and Lisa Marriages/Couples Workshops
PsyD, MSW, Life, Coach
Verified Verified
Gaithersburg, MD 20878
Relationships in Crisis: We Have Several Private Couples/Marriage Workshops & Individual Sessions, in order to Rapidly Accelerate Your Healing & Your Communication Process (Traditional 45 min. session Simply Does Not Work). During these 2 to 4 weeks, we will see both of you Together & Individually, as well as Help each of you Learn the Art of Empathy, Sensitivity & Compassion. These Workshops are Informative & Powerful, in order to Accelerate the Healing Process & Stop any further Damage from Occurring. In Addition, Our Success RATE is 85% of Our Couples that have Successfully Completed Our Couples Workshops or Alcohol Treatment.
Relationships in Crisis: We Have Several Private Couples/Marriage Workshops & Individual Sessions, in order to Rapidly Accelerate Your Healing & Your Communication Process (Traditional 45 min. session Simply Does Not Work). During these 2 to 4 weeks, we will see both of you Together & Individually, as well as Help each of you Learn the Art of Empathy, Sensitivity & Compassion. These Workshops are Informative & Powerful, in order to Accelerate the Healing Process & Stop any further Damage from Occurring. In Addition, Our Success RATE is 85% of Our Couples that have Successfully Completed Our Couples Workshops or Alcohol Treatment.
(301) 691-4094 View (301) 691-4094
Photo of Ericka Jennings, Pre-Licensed Professional in Gaithersburg, MD
Ericka Jennings
Pre-Licensed Professional
Verified Verified
1 Endorsed
Gaithersburg, MD 20878
Creating a space that is safe, non-judgmental, and supportive for my clients is my utmost priority. Navigating through painful emotions can be a solitary journey, but together, we can embark on a path of healing and discovery. My approach is holistic and collaborative. At the heart of successful therapy is a robust therapeutic relationship between the therapist and the client, which I believe is a cornerstone for a lasting and transformative experience. Understanding our history offers us profound insights into unresolved issues and internal conflicts.
Creating a space that is safe, non-judgmental, and supportive for my clients is my utmost priority. Navigating through painful emotions can be a solitary journey, but together, we can embark on a path of healing and discovery. My approach is holistic and collaborative. At the heart of successful therapy is a robust therapeutic relationship between the therapist and the client, which I believe is a cornerstone for a lasting and transformative experience. Understanding our history offers us profound insights into unresolved issues and internal conflicts.
(240) 895-9258 View (240) 895-9258
Photo of Miran Dalley, Licensed Clinical Professional Counselor in Gaithersburg, MD
Miran Dalley
Licensed Clinical Professional Counselor, MS, LCPC
Verified Verified
Gaithersburg, MD 20877
Limited new client sessions available. We help empower women and couples to find their strongest authentic self. Are you are feeling lost in all the different roles in your life? Are you feeling like you have created a life that you thought should make you happy, but you're not? Are you feeling alone in your relationship(s). Are you feeling overwhelmed, on edge and unable to rest or engage in self care? Do you feel like you make everyone else's needs a priority, and yours get lost? Are you feeling too emotional or sensitive? We can help you find fulfillment, contentment and internal strength!
Limited new client sessions available. We help empower women and couples to find their strongest authentic self. Are you are feeling lost in all the different roles in your life? Are you feeling like you have created a life that you thought should make you happy, but you're not? Are you feeling alone in your relationship(s). Are you feeling overwhelmed, on edge and unable to rest or engage in self care? Do you feel like you make everyone else's needs a priority, and yours get lost? Are you feeling too emotional or sensitive? We can help you find fulfillment, contentment and internal strength!
(240) 202-3250 View (240) 202-3250
Photo of Janice N. Vassallo, MA, LCPC, NCC, Licensed Clinical Professional Counselor in Gaithersburg, MD
Janice N. Vassallo, MA, LCPC, NCC
Licensed Clinical Professional Counselor, MA, LCPC, NCC
Verified Verified
Gaithersburg, MD 20878  (Online Only)
Hello and welcome! Please feel free to call me for a free 15-minute telephone consultation to discuss your needs and goals and to make the best decision to start therapy. I am committed to creating an emotionally safe, confidential, healing environment with you to successfully make the changes you most desire in your life. My integral psychotherapy approach activates the change process by addressing all aspects of one's individual, relationship (couples, families, peers) and work needs including cognitive/intellectual functioning, emotional health, physical health, spiritual outlook and environmental influences.
Hello and welcome! Please feel free to call me for a free 15-minute telephone consultation to discuss your needs and goals and to make the best decision to start therapy. I am committed to creating an emotionally safe, confidential, healing environment with you to successfully make the changes you most desire in your life. My integral psychotherapy approach activates the change process by addressing all aspects of one's individual, relationship (couples, families, peers) and work needs including cognitive/intellectual functioning, emotional health, physical health, spiritual outlook and environmental influences.
(240) 348-6049 View (240) 348-6049
Photo of Gabriela Rios-Martinez, Counselor in Gaithersburg, MD
Gabriela Rios-Martinez
Counselor, MS, LCPC, NCC
Verified Verified
Gaithersburg, MD 20877  (Online Only)
I am a very compassionate and empathetic therapist that values the importance of a positive client-therapist relationship. I work to create a safe, non-judgmental atmosphere in which healing and self-exploration can occur. I am LGBTQ+ affirming and knowledgeable about specific topics such as exploring relationships, gender, sexuality, coming out, and transitioning. I particularly enjoy working with clients who would like to find out more about their true selves and their place in the world.
I am a very compassionate and empathetic therapist that values the importance of a positive client-therapist relationship. I work to create a safe, non-judgmental atmosphere in which healing and self-exploration can occur. I am LGBTQ+ affirming and knowledgeable about specific topics such as exploring relationships, gender, sexuality, coming out, and transitioning. I particularly enjoy working with clients who would like to find out more about their true selves and their place in the world.
(240) 641-0662 View (240) 641-0662
Photo of Heidi Vanderwalde, Licensed Clinical Professional Counselor in Gaithersburg, MD
Heidi Vanderwalde
Licensed Clinical Professional Counselor, LCPC
Verified Verified
3 Endorsed
Gaithersburg, MD 20878
As relationships are at the heart of most issues, I work with individuals to address relationships in all areas of their lives including the relationship with oneself.
As a therapist of more than 20 years, I have worked with individuals from all backgrounds & stages of life to help achieve their goals & experience more personal fulfillment. I have provided treatment to individuals anxiety, depression, bipolar disorder, & trauma. Since the link between stress and the impact upon the body has been well documented, I incorporate mind-body techniques such as meditation, imagery and other stress management strategies into my practice. I operate from a strength-based perspective to move clients forward toward resolving issues. I listen attentively and customize the therapy to the unique needs of the individual.
As relationships are at the heart of most issues, I work with individuals to address relationships in all areas of their lives including the relationship with oneself.
As a therapist of more than 20 years, I have worked with individuals from all backgrounds & stages of life to help achieve their goals & experience more personal fulfillment. I have provided treatment to individuals anxiety, depression, bipolar disorder, & trauma. Since the link between stress and the impact upon the body has been well documented, I incorporate mind-body techniques such as meditation, imagery and other stress management strategies into my practice. I operate from a strength-based perspective to move clients forward toward resolving issues. I listen attentively and customize the therapy to the unique needs of the individual.
(301) 761-1009 View (301) 761-1009
Photo of Restorative Focus Counseling , Clinical Social Work/Therapist in Gaithersburg, MD
Restorative Focus Counseling
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Gaithersburg, MD 20878  (Online Only)
Currently accepting new clients! Restorative Focus Counseling Services has a passionate commitment for helping others make positive changes in their lives. The primary passions are helping individuals work through their problems and issues utilizing positive self-talk, mindfulness and grounding. We believe establishing a strong therapeutic rapport with her clients fosters a trusting, collaborative relationship in which clients begin to overcome their obstacles, developing positive coping skills, and achieve their goals.
Currently accepting new clients! Restorative Focus Counseling Services has a passionate commitment for helping others make positive changes in their lives. The primary passions are helping individuals work through their problems and issues utilizing positive self-talk, mindfulness and grounding. We believe establishing a strong therapeutic rapport with her clients fosters a trusting, collaborative relationship in which clients begin to overcome their obstacles, developing positive coping skills, and achieve their goals.
(240) 873-2385 View (240) 873-2385
Photo of Harmony Holistic, Psychologist in Gaithersburg, MD
Harmony Holistic
Psychologist, PsyD, MEd
Verified Verified
12 Endorsed
Gaithersburg, MD 20878
Harmony Holistic is an integrative wellness center which provides individuals, couples, and families with an environment focused on holistic health, community, and healing. Our mission is to create a healing environment that considers all aspects of a person’s well being. We strive to be inclusive and welcoming of all individuals regardless of their race, culture, religion, sexual orientation, or gender identity. We try to live up to the promise that each person has within them something great.
Harmony Holistic is an integrative wellness center which provides individuals, couples, and families with an environment focused on holistic health, community, and healing. Our mission is to create a healing environment that considers all aspects of a person’s well being. We strive to be inclusive and welcoming of all individuals regardless of their race, culture, religion, sexual orientation, or gender identity. We try to live up to the promise that each person has within them something great.
(240) 329-0562 View (240) 329-0562
Photo of Rose Wellness, Counselor in Gaithersburg, MD
Rose Wellness
Counselor, MS, ACRPS, LCPC
Verified Verified
Gaithersburg, MD 20879  (Online Only)
We know the non-negotiable importance of a therapeutic relationship, and we aim to cultivate a safe space of trust, compassion, and empathy.
At Rose Wellness, our clinicians have a variety of specialties which include depression & anxiety, relationships, substance use, LGBTQIA+ and gender affirming care, and who are trauma-informed, trained in EMDR, and treat children, adolescents, teenagers, and adults. We currently have 17 amazing therapists, and most are in network with Carefirst, United, Aetna, Cigna, and Medicaid.
We know the non-negotiable importance of a therapeutic relationship, and we aim to cultivate a safe space of trust, compassion, and empathy.
At Rose Wellness, our clinicians have a variety of specialties which include depression & anxiety, relationships, substance use, LGBTQIA+ and gender affirming care, and who are trauma-informed, trained in EMDR, and treat children, adolescents, teenagers, and adults. We currently have 17 amazing therapists, and most are in network with Carefirst, United, Aetna, Cigna, and Medicaid.
(443) 323-2059 View (443) 323-2059
Photo of David Jun Selleh, Licensed Clinical Professional Counselor in Gaithersburg, MD
David Jun Selleh
Licensed Clinical Professional Counselor, LCPC, LGPC
Verified Verified
1 Endorsed
Gaithersburg, MD 20878
I am a curious and compassionate psychotherapist, calm and gently direct. I support individuals, couples, and families in more fully connecting with self and others. My style draws primarily from Gestalt: an experiential, relational, here-and-now-oriented, culturally responsive, and trauma-informed approach. This might look like mindfulness, somatic/body process, role-play, enactment, dreams, parts work, and other creative experiments. I also fluidly integrate Internal Family Systems, Acceptance and Commitment Therapy, Polyvagal Theory, Psychedelic/Ketamine-Assisted Therapy, and other frameworks, depending on client needs.
I am a curious and compassionate psychotherapist, calm and gently direct. I support individuals, couples, and families in more fully connecting with self and others. My style draws primarily from Gestalt: an experiential, relational, here-and-now-oriented, culturally responsive, and trauma-informed approach. This might look like mindfulness, somatic/body process, role-play, enactment, dreams, parts work, and other creative experiments. I also fluidly integrate Internal Family Systems, Acceptance and Commitment Therapy, Polyvagal Theory, Psychedelic/Ketamine-Assisted Therapy, and other frameworks, depending on client needs.
(301) 685-7482 View (301) 685-7482
Photo of Lisa Rabinowitz, Counselor in Gaithersburg, MD
Lisa Rabinowitz
Counselor, LCPC
Verified Verified
1 Endorsed
Gaithersburg, MD 20877  (Online Only)
Discover how to rekindle your loving relationship and eliminate criticism, defensiveness and dismissiveness. You can stop feeling alone, abandoned or ignored. Learn how to stop having the same arguments over and over again. In the beginning of your relationship, you may have felt connected and happy, and now, you might wonder, "What happened?" and "How can we reignite that spark and love again?". Learn how to feel loved, cared about, validated and heard. Start having fun and feeling connected with your partner again. Whether you are single, married or divorced learn how to have the love and happiness you want Today!
Discover how to rekindle your loving relationship and eliminate criticism, defensiveness and dismissiveness. You can stop feeling alone, abandoned or ignored. Learn how to stop having the same arguments over and over again. In the beginning of your relationship, you may have felt connected and happy, and now, you might wonder, "What happened?" and "How can we reignite that spark and love again?". Learn how to feel loved, cared about, validated and heard. Start having fun and feeling connected with your partner again. Whether you are single, married or divorced learn how to have the love and happiness you want Today!
(410) 415-1717 View (410) 415-1717
Photo of Katy Gustafson, Counselor in Gaithersburg, MD
Katy Gustafson
Counselor, MS, LCPC
Verified Verified
3 Endorsed
Gaithersburg, MD 20877
Together we can work on relationship issues and develop healthy boundaries to express yourself with confidence.
Perhaps you feel sad, incapable, overwhelmed or responsible for the hardships you've suffered either personally or between other people? Is your self-understanding based on how other people think or treat you? Whatever your struggle, the first step is finding support. I know asking for help can be hard and may seem to make things worse, like your fears are real. But let me pause and remind you that your life does not have to be dictated by others or negative feelings. Finding true freedom in relationships and with yourself is really possible! You just have to take that first step, in fact you're already doing it.
Together we can work on relationship issues and develop healthy boundaries to express yourself with confidence.
Perhaps you feel sad, incapable, overwhelmed or responsible for the hardships you've suffered either personally or between other people? Is your self-understanding based on how other people think or treat you? Whatever your struggle, the first step is finding support. I know asking for help can be hard and may seem to make things worse, like your fears are real. But let me pause and remind you that your life does not have to be dictated by others or negative feelings. Finding true freedom in relationships and with yourself is really possible! You just have to take that first step, in fact you're already doing it.
(202) 915-5567 View (202) 915-5567
Photo of Summer Bryant, Counselor in Gaithersburg, MD
Summer Bryant
Counselor, MA, LCPC
Verified Verified
1 Endorsed
Gaithersburg, MD 20882  (Online Only)
Are you desperately trying to reconnect with your partner after experiencing infidelity in your relationship? Maybe you have underlying childhood trauma that has impacted your close relationships, especially how you relate to your partner? Or maybe your life has been fractured by addiction and you're struggling to find emotional equilibrium. Even though you’re committed to saving your relationship or, perhaps, have quit using substances, you may still feel like you haven’t addressed the core issues that keep you stuck. If only you knew how to truly connect with yourself, you could move your life in a more positive direction.
Are you desperately trying to reconnect with your partner after experiencing infidelity in your relationship? Maybe you have underlying childhood trauma that has impacted your close relationships, especially how you relate to your partner? Or maybe your life has been fractured by addiction and you're struggling to find emotional equilibrium. Even though you’re committed to saving your relationship or, perhaps, have quit using substances, you may still feel like you haven’t addressed the core issues that keep you stuck. If only you knew how to truly connect with yourself, you could move your life in a more positive direction.
(410) 498-7123 View (410) 498-7123
Photo of Michelle B. Chukrun, Clinical Social Work/Therapist in Gaithersburg, MD
Michelle B. Chukrun
Clinical Social Work/Therapist, MA, LCSW-C
Verified Verified
Gaithersburg, MD 20877  (Online Only)
If you struggle with depression, anxiety, PTSD, trauma, relationship issues or parenting challenges, I can help! I have worked with adults, couples and seniors for many years. I listen carefully and compassionately to your special needs, and consider them in the context of your experience and present situation; a holistic approach that recognizes both your current needs and their roots. Often these roots are cultural, a fact I know because my own life spans several cultures. I am committed to empowering those affected by trauma and other adverse life experiences.
If you struggle with depression, anxiety, PTSD, trauma, relationship issues or parenting challenges, I can help! I have worked with adults, couples and seniors for many years. I listen carefully and compassionately to your special needs, and consider them in the context of your experience and present situation; a holistic approach that recognizes both your current needs and their roots. Often these roots are cultural, a fact I know because my own life spans several cultures. I am committed to empowering those affected by trauma and other adverse life experiences.
(301) 245-5015 View (301) 245-5015
Photo of Russell Claver-Obinna, Licensed Clinical Professional Counselor in Gaithersburg, MD
Russell Claver-Obinna
Licensed Clinical Professional Counselor, LPC
Verified Verified
1 Endorsed
Gaithersburg, MD 20878
Russell understands that the more we learn about ourselves the better we can respond to the challenges we face. Often, we tend to respond to our challenges in ways that may be problematic. However, once we learn to manage our emotions and the interaction between our thoughts, feelings, and behaviors, we can begin to develop and strengthen healthier thinking patterns resulting in positive outcomes. As a result, Russell enjoys working with individuals learning to manage anger, depression, anxiety, self-esteem, relationship issues, and attention-deficit hyperactivity disorder (ADHD).
Russell understands that the more we learn about ourselves the better we can respond to the challenges we face. Often, we tend to respond to our challenges in ways that may be problematic. However, once we learn to manage our emotions and the interaction between our thoughts, feelings, and behaviors, we can begin to develop and strengthen healthier thinking patterns resulting in positive outcomes. As a result, Russell enjoys working with individuals learning to manage anger, depression, anxiety, self-esteem, relationship issues, and attention-deficit hyperactivity disorder (ADHD).
(301) 215-3892 View (301) 215-3892
Photo of Sherri Robbins, Licensed Clinical Mental Health Counselor in Gaithersburg, MD
Sherri Robbins
Licensed Clinical Mental Health Counselor, MA, LCMHC, LCPC, NCC
Verified Verified
2 Endorsed
Gaithersburg, MD 20878
I am licensed in Maryland and North Carolina: offering virtual sessions for those in Maryland and in-person and virtual in North Carolina. I see families, couples, and individuals from teens to adults, from all backgrounds and beliefs, who are dealing with a variety of issues such as depression, anxiety, trauma, family and relationship issues, and identity struggles. www.soundmindlkn.com
I am licensed in Maryland and North Carolina: offering virtual sessions for those in Maryland and in-person and virtual in North Carolina. I see families, couples, and individuals from teens to adults, from all backgrounds and beliefs, who are dealing with a variety of issues such as depression, anxiety, trauma, family and relationship issues, and identity struggles. www.soundmindlkn.com
(704) 237-0608 View (704) 237-0608

See more therapy options for Gaithersburg

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.