Photo of First Steps Psychological Services, LLC, Clinical Social Work/Therapist in North Bethesda, MD
First Steps Psychological Services, LLC
Clinical Social Work/Therapist, MSW, LCSW-C
Verified Verified
North Bethesda, MD 20852
First Steps Psychological Services, is a high quality mental healthcare practice that provides psychotherapeutic services to teens aged 13+, individual adults, couples and families. Our treatment philosophy starts with the belief that psychotherapy is a collaborative process which aims to foster positive change, and in turn leads to an improved quality of life. Psychotherapy can help you navigate through the self-discovery process to gain insight into difficult issues, determine their root causes and learn effective problem solving skills. First Steps provides therapy in a safe, open and warm environment.
First Steps Psychological Services, is a high quality mental healthcare practice that provides psychotherapeutic services to teens aged 13+, individual adults, couples and families. Our treatment philosophy starts with the belief that psychotherapy is a collaborative process which aims to foster positive change, and in turn leads to an improved quality of life. Psychotherapy can help you navigate through the self-discovery process to gain insight into difficult issues, determine their root causes and learn effective problem solving skills. First Steps provides therapy in a safe, open and warm environment.
(240) 698-2260 View (240) 698-2260
Photo of Sarah Weisberg, Psychologist in North Bethesda, MD
Sarah Weisberg
Psychologist, PsyD
Verified Verified
21 Endorsed
North Bethesda, MD 20852
Dr. Sarah Weisberg provides psychotherapy to adults, adolescents, couples, and families. She specializes in women’s psychology— specifically work with women and teenage girls on relationships, confidence and assertiveness building, burnout prevention, and major life transitions.
Dr. Sarah Weisberg provides psychotherapy to adults, adolescents, couples, and families. She specializes in women’s psychology— specifically work with women and teenage girls on relationships, confidence and assertiveness building, burnout prevention, and major life transitions.
(301) 307-5841 View (301) 307-5841
Photo of Helene Dubov, Clinical Social Work/Therapist in North Bethesda, MD
Helene Dubov
Clinical Social Work/Therapist, LCSW-C, BCD
Verified Verified
North Bethesda, MD 20852
Waitlist for new clients
You have made a courageous decision to face what is not working for you in your life, and to seek change. Good therapy is life changing! It is necessary to be compassionate and patient with yourself as you approach this challenge. It takes work to transform ourselves into healthier beings. I am characterized as an active therapist who enlists the energies of her clients as a partner in this experience. My clients have told me that I am an empathetic, supportive therapist who gently, but steadily pushes for this change.
You have made a courageous decision to face what is not working for you in your life, and to seek change. Good therapy is life changing! It is necessary to be compassionate and patient with yourself as you approach this challenge. It takes work to transform ourselves into healthier beings. I am characterized as an active therapist who enlists the energies of her clients as a partner in this experience. My clients have told me that I am an empathetic, supportive therapist who gently, but steadily pushes for this change.
(240) 813-4785 View (240) 813-4785
Photo of Nicholas K. Young, Clinical Social Work/Therapist in North Bethesda, MD
Nicholas K. Young
Clinical Social Work/Therapist, MDiv, LMSW
Verified Verified
North Bethesda, MD 20852
I use a trauma informed approach to address identity issues, depression, loss of motivation, ADHD, anxiety, adjustment challenges, relationship goals, family dynamics, work place issues, interpersonal violence, communal violence, and trauma.
Life's challenges can feel overwhelming, but you don't have to face them alone. With an open heart and attentive ear, I strive to create a safe space where your thoughts and feelings are truly heard. Every tool at my disposal is available to you and no issue will be “too big” or “too small.” During your journey, I will strive to help you develop effective strategies that enable you to overcome obstacles and lead a more fulfilling life.
I use a trauma informed approach to address identity issues, depression, loss of motivation, ADHD, anxiety, adjustment challenges, relationship goals, family dynamics, work place issues, interpersonal violence, communal violence, and trauma.
Life's challenges can feel overwhelming, but you don't have to face them alone. With an open heart and attentive ear, I strive to create a safe space where your thoughts and feelings are truly heard. Every tool at my disposal is available to you and no issue will be “too big” or “too small.” During your journey, I will strive to help you develop effective strategies that enable you to overcome obstacles and lead a more fulfilling life.
(240) 213-9539 View (240) 213-9539
Photo of Andrea Zawatsky- Voted Top Therapist By Washington Family Magazine, Clinical Social Work/Therapist in North Bethesda, MD
Andrea Zawatsky- Voted Top Therapist By Washington Family Magazine
Clinical Social Work/Therapist, LCSW-C, MSW
Verified Verified
3 Endorsed
North Bethesda, MD 20852
Andrea was named "Top Therapist" by Washington Family Magazine in addition to having her work in mental health be featured on various news channels. Andrea is also a Certified Clinical Trauma Professional. Andrea specializes in helping children, teens, adults, and couples overcome anxiety and work through any trauma they may have. She works with clients who are ready to change their anxious thinking, low self-esteem, and intrusive thoughts. Andrea also does couples therapy and is trained in the Gottman Method and Emotionally Focused Therapy. She is neuro-divergent and LGBTQIA+ friendly.
Andrea was named "Top Therapist" by Washington Family Magazine in addition to having her work in mental health be featured on various news channels. Andrea is also a Certified Clinical Trauma Professional. Andrea specializes in helping children, teens, adults, and couples overcome anxiety and work through any trauma they may have. She works with clients who are ready to change their anxious thinking, low self-esteem, and intrusive thoughts. Andrea also does couples therapy and is trained in the Gottman Method and Emotionally Focused Therapy. She is neuro-divergent and LGBTQIA+ friendly.
(301) 822-2704 View (301) 822-2704
Photo of Vivien B Deitz, Clinical Social Work/Therapist in North Bethesda, MD
Vivien B Deitz
Clinical Social Work/Therapist, LCSW-C, BCD
Verified Verified
North Bethesda, MD 20852
The root word of curious is CURE..... Are you curious about the internal landscape of your own life? Do you suffer from depression, anxiety, relationship issues or chronic medical problems? By promoting growth and self-understanding, I can help you improve the quality of your life through individual, couples and group psychotherapy as well as self-help training. As a registered nurse, I have an understanding of the human body and physical illness and I am dedicated to helping you move into a healing energy - motivating you to grow, move forward, and gain control of your life.
The root word of curious is CURE..... Are you curious about the internal landscape of your own life? Do you suffer from depression, anxiety, relationship issues or chronic medical problems? By promoting growth and self-understanding, I can help you improve the quality of your life through individual, couples and group psychotherapy as well as self-help training. As a registered nurse, I have an understanding of the human body and physical illness and I am dedicated to helping you move into a healing energy - motivating you to grow, move forward, and gain control of your life.
(301) 678-8772 View (301) 678-8772
Photo of Barbara Levin Abrams, Clinical Social Work/Therapist in North Bethesda, MD
Barbara Levin Abrams
Clinical Social Work/Therapist, MSW, LICSW, LCSW-C
Verified Verified
1 Endorsed
North Bethesda, MD 20852
I assist individuals and couples when life transitions such as relationships, professional decisions,pregnancy/postpartum, moving or college may cause stress, anxiety, depression, or irritability.
I believe that my role as a therapist is to provide support for clients who have decided to enter therapy due to any number of concerns. Addressing life's many challenges can be a daunting experience. Finding the right "fit" with a therapist can prove central in attaining the most positive outcome in a therapeutic relationship. I strive to provide an environment rich in understanding and empathy while helping clients achieve personal goals and reduction of emotional symptoms such as anxiety and depression. My goal is to provide clients with a strong sense of self- awareness while building on individual strengths.
I assist individuals and couples when life transitions such as relationships, professional decisions,pregnancy/postpartum, moving or college may cause stress, anxiety, depression, or irritability.
I believe that my role as a therapist is to provide support for clients who have decided to enter therapy due to any number of concerns. Addressing life's many challenges can be a daunting experience. Finding the right "fit" with a therapist can prove central in attaining the most positive outcome in a therapeutic relationship. I strive to provide an environment rich in understanding and empathy while helping clients achieve personal goals and reduction of emotional symptoms such as anxiety and depression. My goal is to provide clients with a strong sense of self- awareness while building on individual strengths.
(202) 738-5121 View (202) 738-5121
Photo of Vivian Levi, Counselor in North Bethesda, MD
Vivian Levi
Counselor, MA, LCPC
Verified Verified
2 Endorsed
North Bethesda, MD 20852
Are you struggling to find fulfillment and joy in life? Are your interpersonal relationships exhausting you? Do You want your relationships to bring you a feeling of togetherness and contentment but there is too much water under the bridge? Healing from past hurts and creating meaningful, healthy relationships are the bedrock of contentment and emotional well-being. I provide EMDR to help you heal from the past and Imago couples therapy to help you develop meaningful, healthy relationships with your partner and heal from the lasting, painful impact of old pains and resentments.
Are you struggling to find fulfillment and joy in life? Are your interpersonal relationships exhausting you? Do You want your relationships to bring you a feeling of togetherness and contentment but there is too much water under the bridge? Healing from past hurts and creating meaningful, healthy relationships are the bedrock of contentment and emotional well-being. I provide EMDR to help you heal from the past and Imago couples therapy to help you develop meaningful, healthy relationships with your partner and heal from the lasting, painful impact of old pains and resentments.
(240) 547-2578 View (240) 547-2578
Photo of Derwin Harris, Clinical Social Work/Therapist in North Bethesda, MD
Derwin Harris
Clinical Social Work/Therapist, LCSW
Verified Verified
North Bethesda, MD 20852
My goal to become a partner with the client to assist them in resolving their issues.
I believe in meeting clients where they are and empowering them to explore their own path. I specialize in mental health and substance abuse interventions. I've found that a client-centered approach, coupled with Solution Focused Therapy, is effective. My integrative approach addresses issues like depression, anxiety, trauma, domestic violence, and substance abuse in individuals, couples, and families. I'm trained in applying ASAM criteria for appropriate recommendations. Together, let's shape the narrative of your story and work towards the recovery you desire. If needed, I'm here to make referrals for additional support.
My goal to become a partner with the client to assist them in resolving their issues.
I believe in meeting clients where they are and empowering them to explore their own path. I specialize in mental health and substance abuse interventions. I've found that a client-centered approach, coupled with Solution Focused Therapy, is effective. My integrative approach addresses issues like depression, anxiety, trauma, domestic violence, and substance abuse in individuals, couples, and families. I'm trained in applying ASAM criteria for appropriate recommendations. Together, let's shape the narrative of your story and work towards the recovery you desire. If needed, I'm here to make referrals for additional support.
(301) 450-6094 View (301) 450-6094
Photo of Cecelia van Rooyen, Clinical Social Work/Therapist in North Bethesda, MD
Cecelia van Rooyen
Clinical Social Work/Therapist, LCSW-C, LICSW, LCSW
Verified Verified
North Bethesda, MD 20852
Are you looking to improve or better understand your sexual health? I have over 15 years of experience in mental health and a commitment to creating a safe and nonjudgmental space for clients to explore and address their sexual concerns and relationship issues. I have experience in offering help with couples counseling, sexual dysfunctions, LGBTQIA+ issues, polyamory and non-monogamous relationships, kink/BDSM, and reducing sexual shame. I love working with clients to build a life with more joy, fulfillment, and pleasure.
Are you looking to improve or better understand your sexual health? I have over 15 years of experience in mental health and a commitment to creating a safe and nonjudgmental space for clients to explore and address their sexual concerns and relationship issues. I have experience in offering help with couples counseling, sexual dysfunctions, LGBTQIA+ issues, polyamory and non-monogamous relationships, kink/BDSM, and reducing sexual shame. I love working with clients to build a life with more joy, fulfillment, and pleasure.
(301) 690-9071 View (301) 690-9071
Photo of Voted "Best Of- Practice" - Potomac Therapy Group, Psychologist in North Bethesda, MD
Voted "Best Of- Practice" - Potomac Therapy Group
Psychologist
Verified Verified
North Bethesda, MD 20852
Our specialties include anxiety, trauma, teens, children, couples, women's psychology, families, ADHD, and highly-sensitive persons.
Potomac Therapy Group is an award-winning psychotherapy practice in North Bethesda, Maryland that provides specialized psychotherapy services. Potomac Therapy Group offers virtual and in-person individual, couples, family, and group therapy services for clients located in Maryland, Virginia, Washington, DC, and California.
Our specialties include anxiety, trauma, teens, children, couples, women's psychology, families, ADHD, and highly-sensitive persons.
Potomac Therapy Group is an award-winning psychotherapy practice in North Bethesda, Maryland that provides specialized psychotherapy services. Potomac Therapy Group offers virtual and in-person individual, couples, family, and group therapy services for clients located in Maryland, Virginia, Washington, DC, and California.
(240) 453-4923 View (240) 453-4923
Photo of Leon Suskin, Clinical Social Work/Therapist in North Bethesda, MD
Leon Suskin
Clinical Social Work/Therapist, LCSW-C
Verified Verified
2 Endorsed
North Bethesda, MD 20852
We will work together within a psychodynamically guided relationship and I employ techniques, such as CBT and DBT.
Something in your life isn't going well. Unsatisfactory relationships, overwhelming anxiety, or negative mood may be getting in your way. You worked on it alone, but the situation isn't better. Psychotherapy is a way for us to address challenges together, fix a situation in your life, or cope better with what can't get fixed. Psychotherapy is our work of addressing human struggles. Your struggles may be eased by engaging in this work. Work guided by empirical research, supported with dignity, and engaged with imaginatively within a supportive relationship.
We will work together within a psychodynamically guided relationship and I employ techniques, such as CBT and DBT.
Something in your life isn't going well. Unsatisfactory relationships, overwhelming anxiety, or negative mood may be getting in your way. You worked on it alone, but the situation isn't better. Psychotherapy is a way for us to address challenges together, fix a situation in your life, or cope better with what can't get fixed. Psychotherapy is our work of addressing human struggles. Your struggles may be eased by engaging in this work. Work guided by empirical research, supported with dignity, and engaged with imaginatively within a supportive relationship.
(301) 265-2470 View (301) 265-2470
Photo of Laurieann Frazier-Duarte, Clinical Social Work/Therapist in North Bethesda, MD
Laurieann Frazier-Duarte
Clinical Social Work/Therapist, MSW, LCSW-C
Verified Verified
North Bethesda, MD 20852  (Online Only)
Couples.
I offer couple's and individual counseling. For those who are curious, I am African American. As a couple, are you seeking help to resolve the continuing conflict or unresolved differences in your relationship? As an individual, do you want to explore feelings that create a sense of overwhelm? Are you challenged with understanding how to move forward with or through events in your life? Explore new ways to better manage your life. I believe you can do this. I provide a warm and safe environment. No judgment here; only encouragement and hope. View my website for further information.
Couples.
I offer couple's and individual counseling. For those who are curious, I am African American. As a couple, are you seeking help to resolve the continuing conflict or unresolved differences in your relationship? As an individual, do you want to explore feelings that create a sense of overwhelm? Are you challenged with understanding how to move forward with or through events in your life? Explore new ways to better manage your life. I believe you can do this. I provide a warm and safe environment. No judgment here; only encouragement and hope. View my website for further information.
(240) 292-6127 View (240) 292-6127
Photo of Molly J. McDonald, Clinical Social Work/Therapist in North Bethesda, MD
Molly J. McDonald
Clinical Social Work/Therapist, LCSW-C, LICSW, MBA, CDM, CSAT-C
Verified Verified
1 Endorsed
North Bethesda, MD 20852
I provide Psychotherapy, Life & Clinical Coaching, Divorce Coaching & Mediation, Financial psychology counseling & expatriate counseling for individuals, couples and families; treatment and intervention for those affected by mood disorders (depression and anxiety), trauma, grief, loss and professional & personal transition. I have lived abroad, experienced numerous cultural, personal, and professional transitions myself which I draw on in my work. My combined background in mental health & business gives me a unique perspective that allows me to work with individuals who are facing challenges in their personal and professional lives.
I provide Psychotherapy, Life & Clinical Coaching, Divorce Coaching & Mediation, Financial psychology counseling & expatriate counseling for individuals, couples and families; treatment and intervention for those affected by mood disorders (depression and anxiety), trauma, grief, loss and professional & personal transition. I have lived abroad, experienced numerous cultural, personal, and professional transitions myself which I draw on in my work. My combined background in mental health & business gives me a unique perspective that allows me to work with individuals who are facing challenges in their personal and professional lives.
(202) 765-3876 View (202) 765-3876
Photo of Lori Shapiro, Clinical Social Work/Therapist in North Bethesda, MD
Lori Shapiro
Clinical Social Work/Therapist, LCSW-C, lCISWC, AASECT
Verified Verified
3 Endorsed
North Bethesda, MD 20852
HeartWerq Lori Shapiro, LICSW Senior Clinician Clinical Social Worker, Certified Sex Therapist, Marriage and Couples Therapist (She/Her) Lori Shapiro is a Licensed Clinical Social Worker and Supervisor with more than 20 years of experience. Her practice focuses on working with individuals, couples, and families on a variety of issues, including couples counseling, sex therapy, relationship difficulties, sexual and gender identity support, as well as unique individual challenges. Lori has received degrees from Florida Atlantic University and Barry University (Master’s in Social Work) and also has a certification in sex therapy f
HeartWerq Lori Shapiro, LICSW Senior Clinician Clinical Social Worker, Certified Sex Therapist, Marriage and Couples Therapist (She/Her) Lori Shapiro is a Licensed Clinical Social Worker and Supervisor with more than 20 years of experience. Her practice focuses on working with individuals, couples, and families on a variety of issues, including couples counseling, sex therapy, relationship difficulties, sexual and gender identity support, as well as unique individual challenges. Lori has received degrees from Florida Atlantic University and Barry University (Master’s in Social Work) and also has a certification in sex therapy f
(240) 669-2573 View (240) 669-2573
Photo of Global Psychotherapy Center of Bethesda, Licensed Clinical Professional Counselor in North Bethesda, MD
Global Psychotherapy Center of Bethesda
Licensed Clinical Professional Counselor, MS, LCPC
Verified Verified
North Bethesda, MD 20852
We are a team of professionals with clinical expertise who love working together to provide the appropriate treatment in a compassionate, therapeutic environment. We provide services to the international community. Our goal is to provide high-quality psychotherapy and counseling treatment to individuals, couples, and families. We focus on helping our clients find their inner resources to be able to make changes in their lives in a healthy and meaningful way.
We are a team of professionals with clinical expertise who love working together to provide the appropriate treatment in a compassionate, therapeutic environment. We provide services to the international community. Our goal is to provide high-quality psychotherapy and counseling treatment to individuals, couples, and families. We focus on helping our clients find their inner resources to be able to make changes in their lives in a healthy and meaningful way.
(240) 823-5262 View (240) 823-5262
Photo of Elissa Israel, Clinical Social Work/Therapist in North Bethesda, MD
Elissa Israel
Clinical Social Work/Therapist, MSW, LCSW-C
Verified Verified
1 Endorsed
North Bethesda, MD 20895
My goal in therapy is to create a safe place where you can comfortably identify, process, and work through the challenges that are making it difficult to build the life you want. I work with adolescents and adults dealing with life transitions, relationship challenges, difficulties at work or school, as well as those experiencing symptoms of depression, anxiety and stress. Sometimes people come to therapy because of a specific change, event, or issue they are dealing with and other times, you may not know exactly what you're looking for but suspect having additional support could help.
My goal in therapy is to create a safe place where you can comfortably identify, process, and work through the challenges that are making it difficult to build the life you want. I work with adolescents and adults dealing with life transitions, relationship challenges, difficulties at work or school, as well as those experiencing symptoms of depression, anxiety and stress. Sometimes people come to therapy because of a specific change, event, or issue they are dealing with and other times, you may not know exactly what you're looking for but suspect having additional support could help.
(240) 512-9032 View (240) 512-9032
Photo of Miran Dalley, Licensed Clinical Professional Counselor in North Bethesda, MD
Miran Dalley
Licensed Clinical Professional Counselor, MS, LCPC
Verified Verified
North Bethesda, MD 20852
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 Dr. Mitch and Lisa Marriages/Couples Workshops in North Bethesda, MD
Dr. Mitch and Lisa Marriages/Couples Workshops
PsyD, MSW, Life, Coach
Verified Verified
North Bethesda, MD 20852
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 Best Life Behavioral Health in North Bethesda, MD
Best Life Behavioral Health
PhD
Verified Verified
North Bethesda, MD 20852  (Online Only)
Has therapy been a waste of time before? At Best Life, we help you start living the life you deserve! Jessica Jeffers LGPC works with mood issues and couples. Vicktoria Molokin LCPC works with life transitions and anxiety. Lindsey Weekley LCPC works with parenting, anger, bipolar, and more. Meredith Futernick, LPC works with anxiety, depression, and DBT. Kat Defilippi LPC works with mood issues, couples, anxiety, and career. Danielle Goldberg LCSW-C works with trauma, depression, and parenting. Stefanie Rider LPC does trauma and EMDR. We also offer life, career, and sex coaching!
Has therapy been a waste of time before? At Best Life, we help you start living the life you deserve! Jessica Jeffers LGPC works with mood issues and couples. Vicktoria Molokin LCPC works with life transitions and anxiety. Lindsey Weekley LCPC works with parenting, anger, bipolar, and more. Meredith Futernick, LPC works with anxiety, depression, and DBT. Kat Defilippi LPC works with mood issues, couples, anxiety, and career. Danielle Goldberg LCSW-C works with trauma, depression, and parenting. Stefanie Rider LPC does trauma and EMDR. We also offer life, career, and sex coaching!
(301) 900-5808 View (301) 900-5808

See more therapy options for North Bethesda

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.