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Check out therapists located nearby or offering teletherapy in Missouri below.

Online Therapists

Photo of Lindsey Backer-Fulghum, Psychologist in Lexington, MO
Lindsey Backer-Fulghum
Psychologist, PhD
Verified Verified
Columbia, MO 65203
Lindsey has extensive experience treating anxiety, depression, adjustment and relationship issues, trauma, ADHD, and grief/loss.
Life is hard. Whether you are struggling with transitions into adulthood, a new career, the process of parenthood, or other major life changes, you do not have to travel alone. Dr. Lindsey works with adults of all ages providing both therapy and psychological testing. She has specialized training in perinatal mental health and experience working with infertility, pregnancy/infant loss, as well as pregnancy and postpartum related mood and anxiety disorders. As someone who has experienced pregnancy loss herself, she has a passion for helping individuals mourn their significant loss, and in given time, help one find personal meaning.
Lindsey has extensive experience treating anxiety, depression, adjustment and relationship issues, trauma, ADHD, and grief/loss.
Life is hard. Whether you are struggling with transitions into adulthood, a new career, the process of parenthood, or other major life changes, you do not have to travel alone. Dr. Lindsey works with adults of all ages providing both therapy and psychological testing. She has specialized training in perinatal mental health and experience working with infertility, pregnancy/infant loss, as well as pregnancy and postpartum related mood and anxiety disorders. As someone who has experienced pregnancy loss herself, she has a passion for helping individuals mourn their significant loss, and in given time, help one find personal meaning.
(573) 920-4867 View (573) 920-4867
Photo of Gabriel Cline, Psychologist in Lexington, MO
Gabriel Cline
Psychologist, PhD
Verified Verified
3 Endorsed
Kansas City, MO 64106
As owner of Psych Associates I can provide quick access to other specialists on our team as your situation dictates: including trauma therapists, experts in helping children with behavioral issues, marriage and couples therapy, and addiction issues.
I specialize in High-performance individuals that live under a constant state of performance pressure, Parents who want to understand what their child needs in education (gifted or learning difficulties), and Attorneys that want fair and honest data to decide what needs to happen in complex child custody cases. As someone who has lived in these scenarios, I've developed tools and techniques to help you find the answers you need. Whether you are worried about your child, feeling burned out, or need an accurate assessment for court, I'll strive to give you the care and attention I'd want for my own family.
As owner of Psych Associates I can provide quick access to other specialists on our team as your situation dictates: including trauma therapists, experts in helping children with behavioral issues, marriage and couples therapy, and addiction issues.
I specialize in High-performance individuals that live under a constant state of performance pressure, Parents who want to understand what their child needs in education (gifted or learning difficulties), and Attorneys that want fair and honest data to decide what needs to happen in complex child custody cases. As someone who has lived in these scenarios, I've developed tools and techniques to help you find the answers you need. Whether you are worried about your child, feeling burned out, or need an accurate assessment for court, I'll strive to give you the care and attention I'd want for my own family.
(417) 414-0333 View (417) 414-0333
Photo of Tanise Smith Clinical Psychotherapist, Licensed Professional Counselor in Lexington, MO
Tanise Smith Clinical Psychotherapist
Licensed Professional Counselor, MS, LPC, LCPC
Verified Verified
2 Endorsed
Kansas City, MO 64134  (Online Only)
Are you feeling gloomy, stuck or unmotivated? Do you find it difficult to shut your thoughts off at night because of scattered thoughts? Does the harmony in your love relationship need a reset? Is achieving work-life balance difficult? Are you transitioning out of a relationship and want support? Perhaps you are a survivor of narcissistic abuse by a partner, parent or employer? Whatever it is, your goal for happiness is important and it's OK to receive care on your journey.
Are you feeling gloomy, stuck or unmotivated? Do you find it difficult to shut your thoughts off at night because of scattered thoughts? Does the harmony in your love relationship need a reset? Is achieving work-life balance difficult? Are you transitioning out of a relationship and want support? Perhaps you are a survivor of narcissistic abuse by a partner, parent or employer? Whatever it is, your goal for happiness is important and it's OK to receive care on your journey.
(913) 347-5540 View (913) 347-5540
Photo of Bridget Jenner, Marriage & Family Therapist in Lexington, MO
Bridget Jenner
Marriage & Family Therapist, LCMFT, LPC
Verified Verified
Kansas City, MO 64101
In addition to individual, couples and family therapy, I also provide child custody evaluations, parenting assessments and other court requested evaluations.
People go through hard times but you don't have to do it alone. Times of transition in your life or your loved one's lives can be challenging and can wreak havoc on you, your plans for your life and your family. With years of clinical experience devoted to helping families and individuals during times of change, as well as a slew of personal experience in the same, I am here to help you navigate the rough waters. We can come up with new solutions for you and/or your family. It doesn't have to be so hard!!
In addition to individual, couples and family therapy, I also provide child custody evaluations, parenting assessments and other court requested evaluations.
People go through hard times but you don't have to do it alone. Times of transition in your life or your loved one's lives can be challenging and can wreak havoc on you, your plans for your life and your family. With years of clinical experience devoted to helping families and individuals during times of change, as well as a slew of personal experience in the same, I am here to help you navigate the rough waters. We can come up with new solutions for you and/or your family. It doesn't have to be so hard!!
(913) 594-3504 View (913) 594-3504
Photo of Steven B Adams, Psychologist in Lexington, MO
Steven B Adams
Psychologist, PsyD
Verified Verified
Osage Beach, MO 65065
Individual, family and couples counseling.
People come to our office hurting and wanting change in their lives. We offer caring, experienced and professional psychological services.
Individual, family and couples counseling.
People come to our office hurting and wanting change in their lives. We offer caring, experienced and professional psychological services.
(573) 346-9855 View (573) 346-9855
Photo of Mend Center for Psychotherapy, Psychologist in Lexington, MO
Mend Center for Psychotherapy
Psychologist
Verified Verified
Kansas City, MO 64102
As a counseling and therapy practice, Mend Center for Psychotherapy provides therapy services for adults, couples, teens, and children in the greater Kansas City area.
Mend Psychotherapy is a helpful voice in times of struggle. We help individuals, couples, children, and families find peace, meaning, and deeper relational connection. Our team includes: Scott Koeneman, Psy.D., Alysa Koeneman, MA, LCPC, Avery Lawson, M.A., LCPC, P-LPC, Robin Li, Ph.D., Kate Patt, M.A., LCMFT, LMFT, Jackie Stone, M.A., LPC, Samuel Quin, M.A., LPC, Ryan Steinle, M.A. LPC.
As a counseling and therapy practice, Mend Center for Psychotherapy provides therapy services for adults, couples, teens, and children in the greater Kansas City area.
Mend Psychotherapy is a helpful voice in times of struggle. We help individuals, couples, children, and families find peace, meaning, and deeper relational connection. Our team includes: Scott Koeneman, Psy.D., Alysa Koeneman, MA, LCPC, Avery Lawson, M.A., LCPC, P-LPC, Robin Li, Ph.D., Kate Patt, M.A., LCMFT, LMFT, Jackie Stone, M.A., LPC, Samuel Quin, M.A., LPC, Ryan Steinle, M.A. LPC.
(913) 675-4635 View (913) 675-4635
Photo of Valerie Hooper, Psychologist in Lexington, MO
Valerie Hooper
Psychologist, PsyD
Verified Verified
Columbia, MO 65201  (Online Only)
Waitlist for new clients
Do you want to thrive but feel you are just surviving? Are you spinning in circles not sure how to do it? As a licensed psychologist and owner of Vitality Psychological Services, my desire is to empower you on your mental health journey. Whether you are looking for a psychological assessment or therapy services, it begins with developing a relationship and gaining an understanding of the problem. I will take the time to listen and collaboratively develop a plan with you.
Do you want to thrive but feel you are just surviving? Are you spinning in circles not sure how to do it? As a licensed psychologist and owner of Vitality Psychological Services, my desire is to empower you on your mental health journey. Whether you are looking for a psychological assessment or therapy services, it begins with developing a relationship and gaining an understanding of the problem. I will take the time to listen and collaboratively develop a plan with you.
(573) 363-4356 View (573) 363-4356
Photo of Vanessa Wray Knight, Counselor in Lexington, MO
Vanessa Wray Knight
Counselor, LCPC, NCC, CCMHC
Verified Verified
4 Endorsed
Kansas City, MO 64105
Working primarily with married and unmarried couples of all types, adult individuals, and families, I am a Certified Emotion-Focused Therapist and a Level I AEDP clinician.
Hello! I'm Vanessa, co-owner of Secure Counseling Clinics. I've lived in KC for 20 years with my husband, 4 children, 3 dogs, 2 cats, 1 bearded dragon, and a flock of backyard chickens! I'm a Clinical Professional Counselor (LCPC) in both MO and KS, Nationally Certified Counselor, Certified Clinical Mental Health Counselor, and KS board-approved clinical supervisor. My heart work is helping humans with complex trauma. Couples, as well as parents and their children, work with me to form secure attachments with each other. I help clients experiencing relationship difficulties and those who experience pain from circumstances or losses.
Working primarily with married and unmarried couples of all types, adult individuals, and families, I am a Certified Emotion-Focused Therapist and a Level I AEDP clinician.
Hello! I'm Vanessa, co-owner of Secure Counseling Clinics. I've lived in KC for 20 years with my husband, 4 children, 3 dogs, 2 cats, 1 bearded dragon, and a flock of backyard chickens! I'm a Clinical Professional Counselor (LCPC) in both MO and KS, Nationally Certified Counselor, Certified Clinical Mental Health Counselor, and KS board-approved clinical supervisor. My heart work is helping humans with complex trauma. Couples, as well as parents and their children, work with me to form secure attachments with each other. I help clients experiencing relationship difficulties and those who experience pain from circumstances or losses.
(816) 608-8444 View (816) 608-8444
Photo of Mark Carey, Licensed Professional Counselor in Lexington, MO
Mark Carey
Licensed Professional Counselor, MS, LPC
Verified Verified
Kansas City, MO 64153
For my 1:1 work, I specialize in helping clients on building a better relationship with themselves in order to improve relationships with others.
Please email for the quickest response. Now offering an 8-week men's group. This is a group for men who are looking to make improvement in their health, wealth, and relationships. The group provides support and accountability to make the changes necessary to reach your goals. It's a safe place to play it unsafe and be vulnerable with other men. Also, it is a lot of fun.
For my 1:1 work, I specialize in helping clients on building a better relationship with themselves in order to improve relationships with others.
Please email for the quickest response. Now offering an 8-week men's group. This is a group for men who are looking to make improvement in their health, wealth, and relationships. The group provides support and accountability to make the changes necessary to reach your goals. It's a safe place to play it unsafe and be vulnerable with other men. Also, it is a lot of fun.
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Photo of Bill Clark, Licensed Professional Counselor in Lexington, MO
Bill Clark
Licensed Professional Counselor, MA, LPC
Verified Verified
Columbia, MO 65203  (Online Only)
We all go through difficult times at different parts of our life. It can help to have someone to talk to. I have particular experience with adults in midlife crisis, couples counseling, and adolescents experiencing, school problems, behavior problems, parent/child conflict, and trauma. I have experience with individual therapy, parent/child conflict, divorce, alternative relationships and LGBTQIA issues. I specialize in trauma treatment for all age groups. CURRENTLY OFFERING TELEMEDICINE SESSIONS VIA ZOOM OR SKYPE.
We all go through difficult times at different parts of our life. It can help to have someone to talk to. I have particular experience with adults in midlife crisis, couples counseling, and adolescents experiencing, school problems, behavior problems, parent/child conflict, and trauma. I have experience with individual therapy, parent/child conflict, divorce, alternative relationships and LGBTQIA issues. I specialize in trauma treatment for all age groups. CURRENTLY OFFERING TELEMEDICINE SESSIONS VIA ZOOM OR SKYPE.
(573) 312-2953 View (573) 312-2953
Wyatt Ezechiels
Licensed Professional Counselor, LPC
Verified Verified
Kansas City, MO 64119
The foundation of therapy is built upon the therapeutic relationship.
Im motivated to work with clients that want to improve an aspect of their life, to change a behavior, to adjust their way of thinking or to just talk about stressful or confusing things in their life. V
The foundation of therapy is built upon the therapeutic relationship.
Im motivated to work with clients that want to improve an aspect of their life, to change a behavior, to adjust their way of thinking or to just talk about stressful or confusing things in their life. V
(816) 325-2489 View (816) 325-2489
Photo of Daylin Rodriguez Cesar, Licensed Professional Counselor in Lexington, MO
Daylin Rodriguez Cesar
Licensed Professional Counselor, MA, LPC, LCPC, PhDc
Verified Verified
4 Endorsed
Independence, MO 64050  (Online Only)
I enjoy working with the LGBTQ+ community, couples, children and individuals.
He sido una sicoterapeuta bilingue por 12 años enfocada en tratar trauma y evaluaciones sicológicas para emigración. Les proveo un ambiente confidencial y muy cómodo a mis participantes. Es un gran privilegio guiarlos en su andar de sanidad y paz. Me especializo en sicología infantil, EMDR, y hipnosis clínica. Tengo vasta experiencia ayudando a parejas, procesos de separación, trauma, niñas/niños, y a la comunidad LGBTQ+. I am a caring bilingual counselor with experience in working with people of races and genders. My mission is to be your companion on this therapeutic journey in a comfortable and confidential environment.
I enjoy working with the LGBTQ+ community, couples, children and individuals.
He sido una sicoterapeuta bilingue por 12 años enfocada en tratar trauma y evaluaciones sicológicas para emigración. Les proveo un ambiente confidencial y muy cómodo a mis participantes. Es un gran privilegio guiarlos en su andar de sanidad y paz. Me especializo en sicología infantil, EMDR, y hipnosis clínica. Tengo vasta experiencia ayudando a parejas, procesos de separación, trauma, niñas/niños, y a la comunidad LGBTQ+. I am a caring bilingual counselor with experience in working with people of races and genders. My mission is to be your companion on this therapeutic journey in a comfortable and confidential environment.
(913) 884-1812 View (913) 884-1812
Photo of Robert Good, Licensed Professional Counselor in Lexington, MO
Robert Good
Licensed Professional Counselor, LPC-S, CART, ThM
Verified Verified
Climax Springs, MO 65324
I work with individuals, couples, and families in helping them achieve control over "emotional hijacking" and poor decision making. Feelings like fear, sorrow, anger, rejection prevent people from experiencing connectedness with life and with others. Therefore, the ideal client is one who is struggling with relationship problems, anger, addictions (sexual or chemical), poor stress control, depression, or anxiety-I provide a safe environment where the individual's pain and/or struggle is met with understanding alongside a plan of action to address the issue(s).
I work with individuals, couples, and families in helping them achieve control over "emotional hijacking" and poor decision making. Feelings like fear, sorrow, anger, rejection prevent people from experiencing connectedness with life and with others. Therefore, the ideal client is one who is struggling with relationship problems, anger, addictions (sexual or chemical), poor stress control, depression, or anxiety-I provide a safe environment where the individual's pain and/or struggle is met with understanding alongside a plan of action to address the issue(s).
(214) 506-2568 View (214) 506-2568
Photo of Focused Concentration-KC Wellness Dr. Fernandez, Licensed Professional Counselor in Lexington, MO
Focused Concentration-KC Wellness Dr. Fernandez
Licensed Professional Counselor, PsyD, LPC
Verified Verified
4 Endorsed
Kansas City, MO 64111
I specialize in the assessment and treatment of ADHD, Couples Solution Focused Counseling, Depression, Family Conflict, Anxiety, Divorce Conflict, Marriage/Couple counseling, Empty-Nest Syndrome, Sexual Trauma, and Addiction/Substance Abuse issues.
OFFERING REDUCED FEE (PHONE OR VIDEO) TO ALL FIRST RESPONDERS AFFECTED BY COVID-19. I hold a doctoral degree in Clinical Psychology and treat a variety of emotional issues for adults and couples. I provide diagnostic testing and treatment of ADHD, mood disorders, and substance abuse/addiction issues. Cognitive Behavior Therapy (CBT), and Interpersonal Therapy for depression, anxiety, family conflict and overall addiction/impulse control. Bilingual Spanish-English.
I specialize in the assessment and treatment of ADHD, Couples Solution Focused Counseling, Depression, Family Conflict, Anxiety, Divorce Conflict, Marriage/Couple counseling, Empty-Nest Syndrome, Sexual Trauma, and Addiction/Substance Abuse issues.
OFFERING REDUCED FEE (PHONE OR VIDEO) TO ALL FIRST RESPONDERS AFFECTED BY COVID-19. I hold a doctoral degree in Clinical Psychology and treat a variety of emotional issues for adults and couples. I provide diagnostic testing and treatment of ADHD, mood disorders, and substance abuse/addiction issues. Cognitive Behavior Therapy (CBT), and Interpersonal Therapy for depression, anxiety, family conflict and overall addiction/impulse control. Bilingual Spanish-English.
(816) 974-0601 View (816) 974-0601
Photo of Emily J Towner, Licensed Professional Counselor in Lexington, MO
Emily J Towner
Licensed Professional Counselor, MA, LPC
Verified Verified
Kansas City, MO 64114
Provide a broad range of psychological services in a private practice setting to adults & children, including evaluations individual, family & couples therapy.
Mental health is part of your physical health. You cannot have one without the other. No one is exempt from facing mental health struggles at one time or another in their life. It is not uncommon during times of mental health struggles, either it be an isolated incident of panic, short-term and long-term anxiety, tragedy, situational depression, or circumstances that were out of your control that caused you to have a "new normal." Therapy will alleviate these stressors through a process of personal insight, change, and opening your eyes to a new way of seeing your life and how you react to it.
Provide a broad range of psychological services in a private practice setting to adults & children, including evaluations individual, family & couples therapy.
Mental health is part of your physical health. You cannot have one without the other. No one is exempt from facing mental health struggles at one time or another in their life. It is not uncommon during times of mental health struggles, either it be an isolated incident of panic, short-term and long-term anxiety, tragedy, situational depression, or circumstances that were out of your control that caused you to have a "new normal." Therapy will alleviate these stressors through a process of personal insight, change, and opening your eyes to a new way of seeing your life and how you react to it.
(816) 565-4270 View (816) 565-4270
Photo of Sara Thompson, Licensed Professional Counselor in Lexington, MO
Sara Thompson
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
Osage Beach, MO 65065
I understand the importance of taking a holistic approach to mental health and wellness. I am passionate about helping individuals, couples and families improve their overall well-being by addressing not just their mental health concerns, but also their physical, emotional and spiritual needs. This approach recognizes that mental health is an integral part of overall wellness and that it is important to take care of the whole person to achieve optimal health.
I understand the importance of taking a holistic approach to mental health and wellness. I am passionate about helping individuals, couples and families improve their overall well-being by addressing not just their mental health concerns, but also their physical, emotional and spiritual needs. This approach recognizes that mental health is an integral part of overall wellness and that it is important to take care of the whole person to achieve optimal health.
(417) 660-2342 View (417) 660-2342
Photo of Rebecca Dolores Correnti, Licensed Professional Counselor in Lexington, MO
Rebecca Dolores Correnti
Licensed Professional Counselor, MA, LPC, NCP
Verified Verified
Kansas City, MO 64118  (Online Only)
I work with adults with depression, relationship problems, adults who need to get their lives back on track with coaching and those who are overwhelmed with high stressors & need emotional support.
I do both phone counseling as well as face to face counseling, psychotherapy, and coaching. These are my areas of expertise. Mediation work within the courts for divorce issues, anxiety, panic attacks, adults who have had mild to severe abuse of any kind, PTSD, high stresors, OCD, those who are overwhelmed, depression, relationship counseling for individuals, grief counseling, goal setting, work stressors/ problem solving, Career counseling and personal coaching, co-dependancy problems individual counseling,cognitive-behavior therapy, Autism spectrum, ADHD,and divorce issues with adults, assessments, disability summaries and psychological testing.
I work with adults with depression, relationship problems, adults who need to get their lives back on track with coaching and those who are overwhelmed with high stressors & need emotional support.
I do both phone counseling as well as face to face counseling, psychotherapy, and coaching. These are my areas of expertise. Mediation work within the courts for divorce issues, anxiety, panic attacks, adults who have had mild to severe abuse of any kind, PTSD, high stresors, OCD, those who are overwhelmed, depression, relationship counseling for individuals, grief counseling, goal setting, work stressors/ problem solving, Career counseling and personal coaching, co-dependancy problems individual counseling,cognitive-behavior therapy, Autism spectrum, ADHD,and divorce issues with adults, assessments, disability summaries and psychological testing.
(816) 912-4281 View (816) 912-4281
Photo of Karrah Wood, Licensed Professional Counselor in Lexington, MO
Karrah Wood
Licensed Professional Counselor, LPC
Verified Verified
3 Endorsed
Kansas City, MO 64110
Do you feel like you've lost touch with who you are? Does your life feel chaotic, overwhelming, and confusing? Does it feel like you just can't seem to find a sense of stability? Do you experience big emotions and just don't know what to do with them? Do you feel like you keep getting hurt over and over again in relationships and can't figure out why? Do you find yourself stuck in self-loathing and spiraling in shame? This is a normal human experience, and you are not alone. Emotions can be confusing but they were made to be our guides. Let me help you get back in touch with how you were made, so you can live a fulfilling life.
Do you feel like you've lost touch with who you are? Does your life feel chaotic, overwhelming, and confusing? Does it feel like you just can't seem to find a sense of stability? Do you experience big emotions and just don't know what to do with them? Do you feel like you keep getting hurt over and over again in relationships and can't figure out why? Do you find yourself stuck in self-loathing and spiraling in shame? This is a normal human experience, and you are not alone. Emotions can be confusing but they were made to be our guides. Let me help you get back in touch with how you were made, so you can live a fulfilling life.
(816) 320-6281 View (816) 320-6281
Photo of Jason C Purinton in Lexington, MO
Jason C Purinton
MS, PLPC, CRC
Verified Verified
Kansas City, MO 64111
Jason Purinton is a Certified Rehabilitation Counselor focusing on career counseling and job placements. Vocational Pros, LLC is an employment services firm specializing in career coaching and vocational consultation to individuals, corporations, and institutions. I provide placement and support to those looking for employment and those looking for more satisfying careers. These services include vocational assessment, testing, consulting, earning capacity evaluation, labor market access, job placement, and post-placement support.
Jason Purinton is a Certified Rehabilitation Counselor focusing on career counseling and job placements. Vocational Pros, LLC is an employment services firm specializing in career coaching and vocational consultation to individuals, corporations, and institutions. I provide placement and support to those looking for employment and those looking for more satisfying careers. These services include vocational assessment, testing, consulting, earning capacity evaluation, labor market access, job placement, and post-placement support.
(816) 227-6570 View (816) 227-6570
Photo of Natalie Mucci, Clinical Social Work/Therapist in Lexington, MO
Natalie Mucci
Clinical Social Work/Therapist, LMSW
Verified Verified
Kansas City, MO 64154  (Online Only)
My name is Natalie Mucci (LMSW) and my passion is being able to meet people where they are and best facilitate each individual attaining their mental health goals. I have over a decade of experience utilizing a variety of therapeutic interventions including cognitive behavioral and dialectical behavioral therapies and helping individuals with depression, anxiety, grief, trauma and front line mental health experience during the COVID pandemic.
My name is Natalie Mucci (LMSW) and my passion is being able to meet people where they are and best facilitate each individual attaining their mental health goals. I have over a decade of experience utilizing a variety of therapeutic interventions including cognitive behavioral and dialectical behavioral therapies and helping individuals with depression, anxiety, grief, trauma and front line mental health experience during the COVID pandemic.
(816) 323-4628 View (816) 323-4628

See more therapy options for Lexington


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.