Photo of Nasreen Meah, Clinical Social Work/Therapist in Ann Arbor, MI
Nasreen Meah
Clinical Social Work/Therapist, LCSW, LMSW, CPC
Verified Verified
Ann Arbor, MI 48108
I specialize in working with adults, young adults, couples, and families.
Change is the only constant in life: we live in a complex, busy, and changing world that presents a variety of challenges, as well as opportunities, in our everyday lives. Our biological and psychological makeup, as well as our spiritual, cultural, social, and family backgrounds and support systems, have a lot to do with the ways we deal with these challenges.
I specialize in working with adults, young adults, couples, and families.
Change is the only constant in life: we live in a complex, busy, and changing world that presents a variety of challenges, as well as opportunities, in our everyday lives. Our biological and psychological makeup, as well as our spiritual, cultural, social, and family backgrounds and support systems, have a lot to do with the ways we deal with these challenges.
(734) 336-1618 View (734) 336-1618
Photo of Lisa Gorman Ufer, Marriage & Family Therapist in Ann Arbor, MI
Lisa Gorman Ufer
Marriage & Family Therapist, PhD, LMFT
Verified Verified
Ann Arbor, MI 48104
Intimate relationship issues such as communication, relationship conflict, premarital counseling, sex therapy or infidelity.
Relationships play an important role in our overall well-being. If you are sad, anxious, or overwhelmed by life, you might notice that your relationships are suffering as well. I specialize in working with intimate relationships, life transitions, family problems, and personal growth. I work with individuals, couples, and families with a variety of concerns.
Intimate relationship issues such as communication, relationship conflict, premarital counseling, sex therapy or infidelity.
Relationships play an important role in our overall well-being. If you are sad, anxious, or overwhelmed by life, you might notice that your relationships are suffering as well. I specialize in working with intimate relationships, life transitions, family problems, and personal growth. I work with individuals, couples, and families with a variety of concerns.
(734) 672-3734 View (734) 672-3734
Photo of Bainbridge Center for Growth & Development, Licensed Professional Counselor in Ann Arbor, MI
Bainbridge Center for Growth & Development
Licensed Professional Counselor, MA, LPC, LLC
Verified Verified
Ann Arbor, MI 48104
Bainbridge Center therapists have many years of experience guiding you through the healing process specializing in working with high achieving woman with perfectionism tendencies, who are going through: anxiety, depression, trauma, grief and loss, relationship concerns, career and life transitions, ADHD, body distortion, gender identity and substance abuse.
You have been sitting with your thoughts and seem to recycle your memories. You are excellent at suppressing your hurt and stay busy with work and life as a distraction. You may no longer connect with others the way you used to and keep friends and family at a distance. The Pandemic may have increased your anxiety and depression and you are uncertain where to begin. Your worry and fear come out as: anger, sadness and controlling behaviors, due to questioning your worth and self esteem. Will I ever feel truly happy? Will I feel truly loved? Will I find my life path and the career that makes my soul soar? Will I learn to forgive?
Bainbridge Center therapists have many years of experience guiding you through the healing process specializing in working with high achieving woman with perfectionism tendencies, who are going through: anxiety, depression, trauma, grief and loss, relationship concerns, career and life transitions, ADHD, body distortion, gender identity and substance abuse.
You have been sitting with your thoughts and seem to recycle your memories. You are excellent at suppressing your hurt and stay busy with work and life as a distraction. You may no longer connect with others the way you used to and keep friends and family at a distance. The Pandemic may have increased your anxiety and depression and you are uncertain where to begin. Your worry and fear come out as: anger, sadness and controlling behaviors, due to questioning your worth and self esteem. Will I ever feel truly happy? Will I feel truly loved? Will I find my life path and the career that makes my soul soar? Will I learn to forgive?
(734) 212-8784 View (734) 212-8784
Photo of Julie Boster, Clinical Social Work/Therapist in Ann Arbor, MI
Julie Boster
Clinical Social Work/Therapist, LMSW, CAADC
Verified Verified
3 Endorsed
Ann Arbor, MI 48105
You are not alone. Change is possible. I am honored and excited to walk beside you during your process of change. It is a difficult decision to choose therapy. I welcome you without judgement and with a great deal of hope. I empower my clients to find their strength and voice through compassionate listening and empathy. I am a licensed Social Worker with over 15 years of experience in the Mental Health field. I have a deep passion for helping people with drug/alcohol addiction, no matter their stage of change. I enjoy working with older aged adolescents, adults, families and couples.
You are not alone. Change is possible. I am honored and excited to walk beside you during your process of change. It is a difficult decision to choose therapy. I welcome you without judgement and with a great deal of hope. I empower my clients to find their strength and voice through compassionate listening and empathy. I am a licensed Social Worker with over 15 years of experience in the Mental Health field. I have a deep passion for helping people with drug/alcohol addiction, no matter their stage of change. I enjoy working with older aged adolescents, adults, families and couples.
(734) 725-2185 View (734) 725-2185
Photo of Robin Kahler - Certified -Trauma Somatic - Ann Arbor Mi, Clinical Social Work/Therapist in Ann Arbor, MI
Robin Kahler - Certified -Trauma Somatic - Ann Arbor Mi
Clinical Social Work/Therapist, LMSW
Verified Verified
Ann Arbor, MI 48103
As a trauma somatic therapist, I work with individuals and couples to address trauma and neglect.
Do you find talk therapy not helping enough or perhaps making you feel worse? This can happen, especially if there is trauma or neglect in one's history. Are you struggling in your relationship, repeating patterns of conflict, or not getting your needs met? Are you finding yourself crying, blowing your fuse or unable to get out of bed? Do you find yourself dissociating or spacing out? You might want to try a different type of talk therapy called Sensorimotor Psychotherapy. This therapy addresses relationship and attachment patterns and helps to work profoundly and somatically to provide relief.
As a trauma somatic therapist, I work with individuals and couples to address trauma and neglect.
Do you find talk therapy not helping enough or perhaps making you feel worse? This can happen, especially if there is trauma or neglect in one's history. Are you struggling in your relationship, repeating patterns of conflict, or not getting your needs met? Are you finding yourself crying, blowing your fuse or unable to get out of bed? Do you find yourself dissociating or spacing out? You might want to try a different type of talk therapy called Sensorimotor Psychotherapy. This therapy addresses relationship and attachment patterns and helps to work profoundly and somatically to provide relief.
(734) 206-7968 View (734) 206-7968
Photo of Keri Warren, Licensed Professional Counselor in Ann Arbor, MI
Keri Warren
Licensed Professional Counselor, PhD, DMin, LMFT, LPC-S, NCC
Verified Verified
Ann Arbor, MI 48103
Waitlist for new clients
I have a passion for individuals, couples and families who are experiencing the darkness of grief, the heartache of broken relationships, the discomfort and uncertainty that promotes overwhelming fear and anxiety; the trials of family life and the stress of difficult careers. I integrate my deep faith and trust in God's provision to help guide my work with my clients or for those whom I am supervising. My greatest desire is for you, my client, to know your great value and worth as you grow deeper in the own knowledge and wisdom of your calling and purpose in life. I invite you to learn more about me at my website: KareCounseling.com
I have a passion for individuals, couples and families who are experiencing the darkness of grief, the heartache of broken relationships, the discomfort and uncertainty that promotes overwhelming fear and anxiety; the trials of family life and the stress of difficult careers. I integrate my deep faith and trust in God's provision to help guide my work with my clients or for those whom I am supervising. My greatest desire is for you, my client, to know your great value and worth as you grow deeper in the own knowledge and wisdom of your calling and purpose in life. I invite you to learn more about me at my website: KareCounseling.com
(734) 838-4716 View (734) 838-4716
Photo of Caressa Shafer, Counselor in Ann Arbor, MI
Caressa Shafer
Counselor, MS, LPC
Verified Verified
Ann Arbor, MI 48105
I specialize in working with adults, couples, and adolescents.
Deciding to engage in therapy can be a daunting task and I believe the connection to your therapist is extremely important. With me you'll experience a safe, secure, and non-judgemental environment in which to explore oneself on a much deeper level. I come from a psychodynamic and attachment lenes in which to explore oneself deeper and make connections to current behaviors. Through increased awareness and understanding of ourselves, I believe we can gain the power necessary to change that to which is causing difficulties in our lives. I have a passion for helping others gain greater awareness and insight into their lives.
I specialize in working with adults, couples, and adolescents.
Deciding to engage in therapy can be a daunting task and I believe the connection to your therapist is extremely important. With me you'll experience a safe, secure, and non-judgemental environment in which to explore oneself on a much deeper level. I come from a psychodynamic and attachment lenes in which to explore oneself deeper and make connections to current behaviors. Through increased awareness and understanding of ourselves, I believe we can gain the power necessary to change that to which is causing difficulties in our lives. I have a passion for helping others gain greater awareness and insight into their lives.
(734) 215-9085 View (734) 215-9085
Photo of Katy Clark, Clinical Social Work/Therapist in Ann Arbor, MI
Katy Clark
Clinical Social Work/Therapist, LLMSW, RN
Verified Verified
2 Endorsed
Ann Arbor, MI 48108
I work with individual adults, couples, and polycules on issues related to developmental trauma, attachment, relationship problems, and emotion regulation. These issues might show up as difficulty connecting with others, frequent interpersonal conflict, mood swings, substance use or self harm behavior, or fears of abandonment. We will work together to create new understanding around these problems and new experiences connecting with others in a meaningful way. I am dedicated to creating celebratory, non-judgmental spaces for queer and trans folks and people who practice polyamory or other ethical non-monogamy.
I work with individual adults, couples, and polycules on issues related to developmental trauma, attachment, relationship problems, and emotion regulation. These issues might show up as difficulty connecting with others, frequent interpersonal conflict, mood swings, substance use or self harm behavior, or fears of abandonment. We will work together to create new understanding around these problems and new experiences connecting with others in a meaningful way. I am dedicated to creating celebratory, non-judgmental spaces for queer and trans folks and people who practice polyamory or other ethical non-monogamy.
(734) 294-6147 View (734) 294-6147
Photo of Matthew Stewart-Fulton, Clinical Social Work/Therapist in Ann Arbor, MI
Matthew Stewart-Fulton
Clinical Social Work/Therapist, LMSW
Verified Verified
Ann Arbor, MI 48108  (Online Only)
I have over 10 years of experience using evidence based practices to work with clients on a variety of challenges related to depression, anxiety, trauma, stress management, relationship issues, grief loss, employment & phase of life changes, and overcoming barriers to personal success.
My approach is a collaborative process of support and respect. I use evidence based practices to inform strengths & person centered, feminist oriented ideals. I am guided by a sense of cultural and personal sensitivity to the diverse backgrounds and life experiences each person carries with them. My goal is to help you find and develop the tools to most effectively reach your goals.
I have over 10 years of experience using evidence based practices to work with clients on a variety of challenges related to depression, anxiety, trauma, stress management, relationship issues, grief loss, employment & phase of life changes, and overcoming barriers to personal success.
My approach is a collaborative process of support and respect. I use evidence based practices to inform strengths & person centered, feminist oriented ideals. I am guided by a sense of cultural and personal sensitivity to the diverse backgrounds and life experiences each person carries with them. My goal is to help you find and develop the tools to most effectively reach your goals.
(734) 807-4299 View (734) 807-4299
Photo of Antonio Cordero, Licensed Professional Counselor in Ann Arbor, MI
Antonio Cordero
Licensed Professional Counselor, LPC, EdM
Verified Verified
Ann Arbor, MI 48103
In our therapeutic work, we will develop an authentic relationship that balances challenges and support as we establish a collaborative partnership tailored to your goals and needs.
Do you feel like past or current challenges affect your ability to meet your full potential? Are you feeling lost, powerless, or disengaged? Have you noticed yourself resorting to unwanted activities to cope with distress? Are you seeking a therapeutic space that acknowledges you as a whole, complex person while you work toward your goals? I work with individuals, families, and couples to address these concerns. As your therapist, I feel passionate about empowering you with tools to live a full, cognizant, and rewarding life. Together, we work collaboratively to navigate life stressors affecting your quality of life.
In our therapeutic work, we will develop an authentic relationship that balances challenges and support as we establish a collaborative partnership tailored to your goals and needs.
Do you feel like past or current challenges affect your ability to meet your full potential? Are you feeling lost, powerless, or disengaged? Have you noticed yourself resorting to unwanted activities to cope with distress? Are you seeking a therapeutic space that acknowledges you as a whole, complex person while you work toward your goals? I work with individuals, families, and couples to address these concerns. As your therapist, I feel passionate about empowering you with tools to live a full, cognizant, and rewarding life. Together, we work collaboratively to navigate life stressors affecting your quality of life.
(734) 280-3139 View (734) 280-3139
Photo of Ken Adams, Psychologist in Ann Arbor, MI
Ken Adams
Psychologist, PhD
Verified Verified
Ann Arbor, MI 48108
Myself along with the treatment team at KMA and Associates specialize in treating porn and sex addiction, couples with infidelity issues, trauma for betrayed spouses and partners, gay men with porn addiction issues, families impacted by addiction, and adults wanting to overcome parental enmeshment.
I offer a non-judgmental approach to doing therapy and strive to make sure that your treatment needs are meet with our team at Kenneth M. Adams and Associates. I have been doing assessments and therapy Since 1981 and currently specialize with adults who are looking to overcome sex and porn addiction, infidelity issues, spouse or partner trauma, and parental enmeshment.
Myself along with the treatment team at KMA and Associates specialize in treating porn and sex addiction, couples with infidelity issues, trauma for betrayed spouses and partners, gay men with porn addiction issues, families impacted by addiction, and adults wanting to overcome parental enmeshment.
I offer a non-judgmental approach to doing therapy and strive to make sure that your treatment needs are meet with our team at Kenneth M. Adams and Associates. I have been doing assessments and therapy Since 1981 and currently specialize with adults who are looking to overcome sex and porn addiction, infidelity issues, spouse or partner trauma, and parental enmeshment.
(248) 617-4826 x1 View (248) 617-4826 x1
Photo of Arielle Bryant, Marriage & Family Therapist in Ann Arbor, MI
Arielle Bryant
Marriage & Family Therapist, LMFT
Verified Verified
Ann Arbor, MI 48109  (Online Only)
I enjoy working with clients who are Black and Indigenous and/or part of the LGBTQIA2S+ communities, who adjusting to changes, college students, activists, artists and those who are looking to do the deep work of healing and integration. I have almost a decade of experience working with client concerns such as: depression, mood disorders, anxiety, couple and familial relationship issues, trauma, grief and loss, life changes and transitions, self-esteem, and personal growth, among others. My therapeutic style is rooted in connection my clients and I share. I am relational in nature, eclectic, strength-based and collaborative.
I enjoy working with clients who are Black and Indigenous and/or part of the LGBTQIA2S+ communities, who adjusting to changes, college students, activists, artists and those who are looking to do the deep work of healing and integration. I have almost a decade of experience working with client concerns such as: depression, mood disorders, anxiety, couple and familial relationship issues, trauma, grief and loss, life changes and transitions, self-esteem, and personal growth, among others. My therapeutic style is rooted in connection my clients and I share. I am relational in nature, eclectic, strength-based and collaborative.
(269) 218-8844 View (269) 218-8844
Photo of Rob K Lamoureux, Marriage & Family Therapist in Ann Arbor, MI
Rob K Lamoureux
Marriage & Family Therapist, PhD, LMFT, LPC, CST
Verified Verified
5 Endorsed
Ann Arbor, MI 48105  (Online Only)
I specialize in premarital, couples, interfaith, inter-cultural, and GBLTQ.
Finding a therapist who you can trust and relate to is important. The process of bringing your personal issues to another person can be difficult. I am fully invested in our time together and want to learn about your story. I work well with all kinds of relationships
I specialize in premarital, couples, interfaith, inter-cultural, and GBLTQ.
Finding a therapist who you can trust and relate to is important. The process of bringing your personal issues to another person can be difficult. I am fully invested in our time together and want to learn about your story. I work well with all kinds of relationships
(407) 456-8649 View (407) 456-8649
Photo of Jared Charles Bonnici, Limited Licensed Psychologist in Ann Arbor, MI
Jared Charles Bonnici
Limited Licensed Psychologist, LLP, MA
Verified Verified
Ann Arbor, MI 48103
I have a strong belief in the integral role the relationship between client and therapist plays in helping make changes last and thrive throughout the client's life.
My ideal client would be any person looking for help in whatever capacity they need it. I began my career running group therapy sessions for all age groups and a wide array of populations dealing with diverse presenting problems ranging from substance abuse and trauma to personality and eating disorders. My background in psychotherapy, neuropsychology, and applied behavioral analysis provides clients with a strong foundation of skills and a great ability to adapt to each client’s specific needs.
I have a strong belief in the integral role the relationship between client and therapist plays in helping make changes last and thrive throughout the client's life.
My ideal client would be any person looking for help in whatever capacity they need it. I began my career running group therapy sessions for all age groups and a wide array of populations dealing with diverse presenting problems ranging from substance abuse and trauma to personality and eating disorders. My background in psychotherapy, neuropsychology, and applied behavioral analysis provides clients with a strong foundation of skills and a great ability to adapt to each client’s specific needs.
(734) 323-4897 View (734) 323-4897
Photo of Kelly Kays, Licensed Professional Counselor in Ann Arbor, MI
Kelly Kays
Licensed Professional Counselor, MA, LPC, EMDR
Verified Verified
Ann Arbor, MI 48104  (Online Only)
I specialize in the issues of trauma, infidelity, anxiety, and depression in adults, specifically women struggling with betrayal trauma in their primary relationship.
Do you feel the rug has been pulled out from under you? Have you lost your sense of safety, security, and stability? I am so sorry that you have to be here but also so grateful that you have the courage to show up for yourself. It may not feel like it yet, but hope and healing are possible. Along with unpacking your story, I will help you become more attuned to your body, which can be an ally in helping you heal. Through this holistic approach, you will begin to feel empowered. I offer a safe, empathetic, and nurturing environment, where you will learn to trust yourself again.
I specialize in the issues of trauma, infidelity, anxiety, and depression in adults, specifically women struggling with betrayal trauma in their primary relationship.
Do you feel the rug has been pulled out from under you? Have you lost your sense of safety, security, and stability? I am so sorry that you have to be here but also so grateful that you have the courage to show up for yourself. It may not feel like it yet, but hope and healing are possible. Along with unpacking your story, I will help you become more attuned to your body, which can be an ally in helping you heal. Through this holistic approach, you will begin to feel empowered. I offer a safe, empathetic, and nurturing environment, where you will learn to trust yourself again.
(248) 422-0483 View (248) 422-0483
Photo of Kevin Burton Stachowiak, Clinical Social Work/Therapist in Ann Arbor, MI
Kevin Burton Stachowiak
Clinical Social Work/Therapist, MSW, MA, LMSW, LLP
Verified Verified
1 Endorsed
Ann Arbor, MI 48103
I work well with people who are experiencing emotional or psychological distress and are motivated to overcome their challenges. You may be struggling with issues such as anxiety, depression, relationship problems, or trauma. You want a therapist who can understand your feelings and provide a safe, non-judgmental environment for you to express your thoughts and emotions. I am here to provide the type of care that you are seeking.
I work well with people who are experiencing emotional or psychological distress and are motivated to overcome their challenges. You may be struggling with issues such as anxiety, depression, relationship problems, or trauma. You want a therapist who can understand your feelings and provide a safe, non-judgmental environment for you to express your thoughts and emotions. I am here to provide the type of care that you are seeking.
(810) 683-2689 View (810) 683-2689
Photo of Kelly Kieft, Pre-Licensed Professional in Ann Arbor, MI
Kelly Kieft
Pre-Licensed Professional
Verified Verified
Ann Arbor, MI 48105  (Online Only)
I am completing my master’s degree in counseling psychology and work with adolescents, adults, and couples.
My imagination is captivated by how intricate and interconnected our stories are with the world around us, both in our intimate relationships and in the culture and society in which we live. Oftentimes these stories can weave patterns of disconnection between oneself and others, leaving us feeling stuck, and in need of care and tending. In my work, I offer a heartfelt and empathic space to explore your experience in the world. Whether it’s finding self-acceptance, moving through anxiety or depression, or navigating relationship challenges, I meet you where you’re at and help you find your inner resources for healing.
I am completing my master’s degree in counseling psychology and work with adolescents, adults, and couples.
My imagination is captivated by how intricate and interconnected our stories are with the world around us, both in our intimate relationships and in the culture and society in which we live. Oftentimes these stories can weave patterns of disconnection between oneself and others, leaving us feeling stuck, and in need of care and tending. In my work, I offer a heartfelt and empathic space to explore your experience in the world. Whether it’s finding self-acceptance, moving through anxiety or depression, or navigating relationship challenges, I meet you where you’re at and help you find your inner resources for healing.
View
Photo of Dr. Brian E Spitsbergen Phd Pllc, Licensed Professional Counselor in Ann Arbor, MI
Dr. Brian E Spitsbergen Phd Pllc
Licensed Professional Counselor, PhD, LPC, CAADC
Verified Verified
Ann Arbor, MI 48105
Welcome! I have decades of professional experience specializing in Substance Abuse, Behavioral Health, Anxiety, and disorders of mood and emotion. I am comfortable and skilled in working with adolescents, couples, and adults seeking counseling. I sincerely believe that you come first and together we will coordinate my experience with the skills, techniques, and goals needed to fit your life and help to facilitate change. I have been part of several innovative and groundbreaking initiatives in our region to help people change and have recently dedicated my professional career to helping individuals in private therapy.
Welcome! I have decades of professional experience specializing in Substance Abuse, Behavioral Health, Anxiety, and disorders of mood and emotion. I am comfortable and skilled in working with adolescents, couples, and adults seeking counseling. I sincerely believe that you come first and together we will coordinate my experience with the skills, techniques, and goals needed to fit your life and help to facilitate change. I have been part of several innovative and groundbreaking initiatives in our region to help people change and have recently dedicated my professional career to helping individuals in private therapy.
(248) 712-1475 View (248) 712-1475
Photo of Melissa Reilley in Ann Arbor, MI
Melissa Reilley
LMSW-C
Verified Verified
Ann Arbor, MI 48105  (Online Only)
I specialize in Adoption Triads, Grief, Trauma, Life Transitions (Role/Identity/Caregiving), Self-Esteem, and Family/Social Relationships. I work with several Middle School, High School, and College students to manage stress, anxiety, self-esteem, and the transition to adulthood independence. In addition, I work with adults who want to unlearn negative thoughts and behaviors.
I specialize in Adoption Triads, Grief, Trauma, Life Transitions (Role/Identity/Caregiving), Self-Esteem, and Family/Social Relationships. I work with several Middle School, High School, and College students to manage stress, anxiety, self-esteem, and the transition to adulthood independence. In addition, I work with adults who want to unlearn negative thoughts and behaviors.
(517) 777-0950 View (517) 777-0950
Photo of Michelle Draper, Clinical Social Work/Therapist in Ann Arbor, MI
Michelle Draper
Clinical Social Work/Therapist, MA, LLMSW
Verified Verified
Ann Arbor, MI 48105  (Online Only)
Through life you may feel as though you are in a constant fight with yourself. Where the history of your battles have not been won, but only suppressed. Overtime they are unknowingly disarmed and you find yourself walking across an unknown terrain that triggers you to fall apart. With this comes the ability to pick up your broken pieces and put them all back together healthily. What is great about being human is the ability to learn and grow.
Through life you may feel as though you are in a constant fight with yourself. Where the history of your battles have not been won, but only suppressed. Overtime they are unknowingly disarmed and you find yourself walking across an unknown terrain that triggers you to fall apart. With this comes the ability to pick up your broken pieces and put them all back together healthily. What is great about being human is the ability to learn and grow.
(734) 294-0886 View (734) 294-0886

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.