Photo of Deb Babb, Clinical Social Work/Therapist in Monroe County, NY
Deb Babb
Clinical Social Work/Therapist, LCSW-R
Verified Verified
6 Endorsed
Rochester, NY 14626
Waitlist for new clients
My specialities include: Drug and alcohol abuse, insecurity, body image, relationship difficulties, sexual abuse, domestic violence abuse, unhealthy boundaries, spiritual growth and our identity in Christ, life coaching, depression and anxiety, premarital and couples counseling, parenting concerns, & grief work.
I have a passion for helping those who are hurting & have been told I'm a good listener. I love working with women as I believe that as a woman I know and understand some of the struggles we face. Client comments: Thank you for playing such a big part in my healing process JB; Despite the most difficult circumstances of our meeting, I am thankful for God's provision in choosing you to supporting me. CD; With your gentle guidance I'm finding my way home to my true, free self. HW; Your focused attention was a gift. MF; I was truly blessed by your presence. I thank God for your anointing, your spirit is powerful. T
My specialities include: Drug and alcohol abuse, insecurity, body image, relationship difficulties, sexual abuse, domestic violence abuse, unhealthy boundaries, spiritual growth and our identity in Christ, life coaching, depression and anxiety, premarital and couples counseling, parenting concerns, & grief work.
I have a passion for helping those who are hurting & have been told I'm a good listener. I love working with women as I believe that as a woman I know and understand some of the struggles we face. Client comments: Thank you for playing such a big part in my healing process JB; Despite the most difficult circumstances of our meeting, I am thankful for God's provision in choosing you to supporting me. CD; With your gentle guidance I'm finding my way home to my true, free self. HW; Your focused attention was a gift. MF; I was truly blessed by your presence. I thank God for your anointing, your spirit is powerful. T
(585) 636-3768 View (585) 636-3768
Photo of Julie Saraceno, Clinical Social Work/Therapist in Monroe County, NY
Julie Saraceno
Clinical Social Work/Therapist, LCSW, RPT
Verified Verified
1 Endorsed
Rochester, NY 14624
Waitlist for new clients
My goal is not to have the answers but to partner with you through the journey of healing and discovering yourself.
Available before 2pm only- Reaching out for support can be hard, but you are not alone. Everyone has experienced their own life journey involving grief/loss, relational ruptures, parenting struggles or trauma. Sometimes this journey can leave adults in a place where it is hard to find the motivation to complete everyday tasks, manage life stress or have patience with our loved ones. This can be true for children too, which may cause them to struggle in school, have emotional outbursts or display signs of anxiety. No matter what is bringing you, your child, or family to this moment in time, I am honored to be a part of your journey.
My goal is not to have the answers but to partner with you through the journey of healing and discovering yourself.
Available before 2pm only- Reaching out for support can be hard, but you are not alone. Everyone has experienced their own life journey involving grief/loss, relational ruptures, parenting struggles or trauma. Sometimes this journey can leave adults in a place where it is hard to find the motivation to complete everyday tasks, manage life stress or have patience with our loved ones. This can be true for children too, which may cause them to struggle in school, have emotional outbursts or display signs of anxiety. No matter what is bringing you, your child, or family to this moment in time, I am honored to be a part of your journey.
(585) 502-9843 View (585) 502-9843
Photo of Eastside Mental Health Counseling Services, PLLC, Mental Health Counselor in Monroe County, NY
Eastside Mental Health Counseling Services, PLLC
Mental Health Counselor, LMHC, CASAC, NCC, CGP
Verified Verified
Rochester, NY 14618
In addition to individual, couples, family, and group therapy, we offer individual and group clinical supervision/consultation.
Welcome and thank you for considering our practice in your journey toward wellness. Choosing to start therapy is an important step, and we believe that finding the right therapist for you is essential in this process. Our hope is that you feel welcomed, valued, and safe to explore yourself in our calm and nurturing environment.
In addition to individual, couples, family, and group therapy, we offer individual and group clinical supervision/consultation.
Welcome and thank you for considering our practice in your journey toward wellness. Choosing to start therapy is an important step, and we believe that finding the right therapist for you is essential in this process. Our hope is that you feel welcomed, valued, and safe to explore yourself in our calm and nurturing environment.
(585) 699-1830 View (585) 699-1830
Photo of Paul Schwartzman, Counselor in Monroe County, NY
Paul Schwartzman
Counselor, MS, LMHC
Verified Verified
Fairport, NY 14450
Fairport Counseling Services offers professional and confidential counseling for adults, couples and adolescents seeking to be more successful in their relationships and activities.
"There is no greater reward for working with youth and adults than to see them develop clarity, warmth and power in their own lives."
Fairport Counseling Services offers professional and confidential counseling for adults, couples and adolescents seeking to be more successful in their relationships and activities.
"There is no greater reward for working with youth and adults than to see them develop clarity, warmth and power in their own lives."
(585) 229-8538 View (585) 229-8538
Photo of Dr. Chastity Murray, Licensed Mental Health Counselor in Monroe County, NY
Dr. Chastity Murray
Licensed Mental Health Counselor, LMHC, NCSP
Verified Verified
Rochester, NY 14615
Dr. Chastity Murray has over 15 years of experience helping those that struggle with anxiety, depression, life transition issues and relationship issues. Throughout that experience Dr. Murray has helped to teach clients healthy coping skills and how to exam their individual situations and take meaningful steps toward their self-identified goals. Dr. Murray identifies as an ally to the LGBTQIA+ community and has a passion for supporting individuals who identify in the BIPOC community; working to break down stigma associated with mental health and support positive growth in others.
Dr. Chastity Murray has over 15 years of experience helping those that struggle with anxiety, depression, life transition issues and relationship issues. Throughout that experience Dr. Murray has helped to teach clients healthy coping skills and how to exam their individual situations and take meaningful steps toward their self-identified goals. Dr. Murray identifies as an ally to the LGBTQIA+ community and has a passion for supporting individuals who identify in the BIPOC community; working to break down stigma associated with mental health and support positive growth in others.
(585) 632-4092 View (585) 632-4092
Photo of Mary Gomez DeSantis, Clinical Social Work/Therapist in Monroe County, NY
Mary Gomez DeSantis
Clinical Social Work/Therapist, LCSW
Verified Verified
Rochester, NY 14623
My ideal client is someone who is seeking to learn and grow while keeping an open mind. Therapy can often be intimidating but as a clinician it is my job to offer support and guidance towards growth in resolving one's personal struggle. I am very passionate about working with people and believe strongly in empowering an individual to see strengths in order to overcome barriers. I see individuals, couples and family's alike as those relationships can be crucial in ones healing. I have a special interest in working with professionals looking for therapy, coaching & support. All services available in English/Spanish languages.
My ideal client is someone who is seeking to learn and grow while keeping an open mind. Therapy can often be intimidating but as a clinician it is my job to offer support and guidance towards growth in resolving one's personal struggle. I am very passionate about working with people and believe strongly in empowering an individual to see strengths in order to overcome barriers. I see individuals, couples and family's alike as those relationships can be crucial in ones healing. I have a special interest in working with professionals looking for therapy, coaching & support. All services available in English/Spanish languages.
(585) 378-5289 View (585) 378-5289
Photo of Grace Harlow Klein in Monroe County, NY
Grace Harlow Klein
PhD, RN, FAAN
Verified Verified
Rochester, NY 14607
My work is grounded in the Person-Centered Approach of Carl Rogers which my husband and I shared in our work, our relationship, and in creating our Center for Human Encouragement.
If you are having anxiety or depression, if you have experienced trauma or loss, I can help you sort out the things that are missing to gain or restore meaning, energy and joy to your life and relationships. I believe in the potential for growth, that our lives can be better, that change is possible, that relationships can be deeply satisfying. If you are having difficulty in your life, relationships or work, you will find me a respectful, empathic listener. Connecting with your feelings, finding your voice and making the life and relationships you want are outcomes my individual and couple clients find in therapy with me.
My work is grounded in the Person-Centered Approach of Carl Rogers which my husband and I shared in our work, our relationship, and in creating our Center for Human Encouragement.
If you are having anxiety or depression, if you have experienced trauma or loss, I can help you sort out the things that are missing to gain or restore meaning, energy and joy to your life and relationships. I believe in the potential for growth, that our lives can be better, that change is possible, that relationships can be deeply satisfying. If you are having difficulty in your life, relationships or work, you will find me a respectful, empathic listener. Connecting with your feelings, finding your voice and making the life and relationships you want are outcomes my individual and couple clients find in therapy with me.
(585) 571-8189 View (585) 571-8189
Photo of Evelyn Bennett, Art Therapist in Monroe County, NY
Evelyn Bennett
Art Therapist, LCAT
Verified Verified
1 Endorsed
Rochester, NY 14625
I support individuals and all consensual relationships, who are struggling with anxiety, depression, the impact of trauma, and any relational concerns to create a meaningful way of being. I hope to work with you to question the expectations placed on you by society to enhance your lived experience. My work with you is person-centered, in that your goals and experiences are essential to our process. I believe deeply that I am guiding, witnessing, and holding space for you to grow. I am an ally to the LGBTQIA+ community and am Kink, BDSM, and Poly aware. All your expressions and relationship structures are welcome.
I support individuals and all consensual relationships, who are struggling with anxiety, depression, the impact of trauma, and any relational concerns to create a meaningful way of being. I hope to work with you to question the expectations placed on you by society to enhance your lived experience. My work with you is person-centered, in that your goals and experiences are essential to our process. I believe deeply that I am guiding, witnessing, and holding space for you to grow. I am an ally to the LGBTQIA+ community and am Kink, BDSM, and Poly aware. All your expressions and relationship structures are welcome.
(585) 669-6483 View (585) 669-6483
Photo of Audrey Bowers, Licensed Master Social Worker in Monroe County, NY
Audrey Bowers
Licensed Master Social Worker, LMSW
Verified Verified
1 Endorsed
Fairport, NY 14450  (Online Only)
Do you ever feel you have lost your voice and just want to be heard? Thats where I come in. I work clinically with both individuals and couples in a collaborative and compassionate environment tailored specifically to my clients to provide a safe and comfortable space. I am committed to working alongside my clients to build connections and trust. I work with individuals and couples experiencing anxiety, depression, grief/loss, low self-esteem, and life transitions.
Do you ever feel you have lost your voice and just want to be heard? Thats where I come in. I work clinically with both individuals and couples in a collaborative and compassionate environment tailored specifically to my clients to provide a safe and comfortable space. I am committed to working alongside my clients to build connections and trust. I work with individuals and couples experiencing anxiety, depression, grief/loss, low self-esteem, and life transitions.
(585) 636-3437 View (585) 636-3437
Photo of Heather Elston, Clinical Social Work/Therapist in Monroe County, NY
Heather Elston
Clinical Social Work/Therapist, LCSW-R
Verified Verified
1 Endorsed
Rochester, NY 14625
Are you looking for an experienced therapist to help you feel better and live better? Are you hoping to improve communication with your partner or in your family relationships? I'd like to help you find a pathway to lasting change. I have more than 20 years of experience working with people across the lifespan, across genders and orientations, and facing varied stressors.
Are you looking for an experienced therapist to help you feel better and live better? Are you hoping to improve communication with your partner or in your family relationships? I'd like to help you find a pathway to lasting change. I have more than 20 years of experience working with people across the lifespan, across genders and orientations, and facing varied stressors.
(585) 357-4815 View (585) 357-4815
Photo of Aspire Counseling and Coaching by Mary Testa, LMHC, Counselor in Monroe County, NY
Aspire Counseling and Coaching by Mary Testa, LMHC
Counselor, LMHC, MS, Ed, NCC
Verified Verified
2 Endorsed
Rochester, NY 14618
I believe that everyone can benefit from personal growth. I can connect with anyone of any race, socioeconomic status, religion or sexual orientation. I work with healthy individuals with life challenges as well as those suffering from depression, anxiety, relationship problems and parenting issues. I am adept at working with PTSD and Sexual Abuse Survivors. I love working with High School students, College age and beyond. I can assist you with your career and life direction. I am easy to connect with as I am not only approachable, and you will find me casual and laid back in a comfortable, non-intimidating environment.
I believe that everyone can benefit from personal growth. I can connect with anyone of any race, socioeconomic status, religion or sexual orientation. I work with healthy individuals with life challenges as well as those suffering from depression, anxiety, relationship problems and parenting issues. I am adept at working with PTSD and Sexual Abuse Survivors. I love working with High School students, College age and beyond. I can assist you with your career and life direction. I am easy to connect with as I am not only approachable, and you will find me casual and laid back in a comfortable, non-intimidating environment.
(585) 447-5207 View (585) 447-5207
Photo of Heartwork Institute, Inc. in Monroe County, NY
Heartwork Institute, Inc.
MSW
Verified Verified
Rochester, NY 14617
I also facilitate Inner Work Groups and Retreats, and do a great deal of work with people with relationship issues.
In the heart of every problem lies its solution. We spend enormous amounts of time and energy searching for answers outside ourselves, when the answers lie within. Heartwork is a creative process, which teaches one to find fundamental solutions to both everyday problems and the more difficult life questions, transforming "problems" into doorways to compassion, insight and joy. My award-winning book, "Heartwork: How To Get What You Really, REALLY Want" gives one my orientation and the primary tools for working through one's issues. The e-book version can be downloaded at my website: www.awakentheheart.org.
I also facilitate Inner Work Groups and Retreats, and do a great deal of work with people with relationship issues.
In the heart of every problem lies its solution. We spend enormous amounts of time and energy searching for answers outside ourselves, when the answers lie within. Heartwork is a creative process, which teaches one to find fundamental solutions to both everyday problems and the more difficult life questions, transforming "problems" into doorways to compassion, insight and joy. My award-winning book, "Heartwork: How To Get What You Really, REALLY Want" gives one my orientation and the primary tools for working through one's issues. The e-book version can be downloaded at my website: www.awakentheheart.org.
(585) 229-8861 View (585) 229-8861
Photo of Leah Batey in Monroe County, NY
Leah Batey
MEd, MS, LMHCP
Verified Verified
Rochester, NY 14625
I work with individuals and couples and specialize in issues related to relationships, self-esteem, and anxiety.
I have experienced the healing that comes from having the space to explore, grow, and understand new parts of yourself, while also being held and accepted for exactly who you are right now. This doesn’t mean that I won’t challenge you to grow and adapt at times, but my hope is that you will also know you are fully accepted just as you are. I believe that a therapeutic relationship based on trust and collaboration is the foundation of this work and that counseling can not, and should not, look the same for everybody. In my practice, I structure the therapy around you, your needs, and identities.
I work with individuals and couples and specialize in issues related to relationships, self-esteem, and anxiety.
I have experienced the healing that comes from having the space to explore, grow, and understand new parts of yourself, while also being held and accepted for exactly who you are right now. This doesn’t mean that I won’t challenge you to grow and adapt at times, but my hope is that you will also know you are fully accepted just as you are. I believe that a therapeutic relationship based on trust and collaboration is the foundation of this work and that counseling can not, and should not, look the same for everybody. In my practice, I structure the therapy around you, your needs, and identities.
(585) 539-7731 View (585) 539-7731
Photo of Christina Williams, Marriage & Family Therapist in Monroe County, NY
Christina Williams
Marriage & Family Therapist, MS, LMFT
Verified Verified
Rochester, NY 14626  (Online Only)
Waitlist for new clients
Couples & Families: I have a particular interest in working with couples and families to improve overall family functioning.
Couples & Families, Adults & Teens. Seeking therapy takes courage and I’m here to support you whether you’re taking the first step or if you’re looking to get back into therapy. I provide psychotherapy to pre-teens, teens and adults in a safe and supportive environment. I specialize in treating a range of challenges like anxiety, stress, depression, grief, low self-esteem, communication issues, parenting and relationship difficulties. Additionally, I help adolescents find appropriate ways to express their feelings, increase their independence, emotional maturity and reduce behavioral problems in the home and/or school environment.
Couples & Families: I have a particular interest in working with couples and families to improve overall family functioning.
Couples & Families, Adults & Teens. Seeking therapy takes courage and I’m here to support you whether you’re taking the first step or if you’re looking to get back into therapy. I provide psychotherapy to pre-teens, teens and adults in a safe and supportive environment. I specialize in treating a range of challenges like anxiety, stress, depression, grief, low self-esteem, communication issues, parenting and relationship difficulties. Additionally, I help adolescents find appropriate ways to express their feelings, increase their independence, emotional maturity and reduce behavioral problems in the home and/or school environment.
(585) 357-4992 View (585) 357-4992
Photo of Doralie Sukhavong, Counselor in Monroe County, NY
Doralie Sukhavong
Counselor, LMHC
Verified Verified
Rochester, NY 14626  (Online Only)
Therapy is a unique experience and I believe that we as humans are most balanced when we feel safe and understood, non-judgmentally. As a bilingual therapist (English and Spanish), I strive to ensure that clients are provided the space to effectively express themselves in a way that makes sense to them. I have experience working with children, teens, families, and couples who can be experiencing challenges with life transitions, anxiety, depression, stress, or simply would like a neutral person to talk to.
Therapy is a unique experience and I believe that we as humans are most balanced when we feel safe and understood, non-judgmentally. As a bilingual therapist (English and Spanish), I strive to ensure that clients are provided the space to effectively express themselves in a way that makes sense to them. I have experience working with children, teens, families, and couples who can be experiencing challenges with life transitions, anxiety, depression, stress, or simply would like a neutral person to talk to.
(585) 541-2857 View (585) 541-2857
Photo of Rita Marie Reisinger-Novisky, Clinical Social Work/Therapist in Monroe County, NY
Rita Marie Reisinger-Novisky
Clinical Social Work/Therapist, LCSW-R, SAP
Verified Verified
Rochester, NY 14607
I am committed to working with individuals who have a wide range of mental health issues. With thirty years experience I am committed to the fields of anger management and domestic violence helping clients discover and alter dysfunctional thought and belief patterns that support and justify acts of anger and domestic violence. In addition I also work with couples and individuals who have a wide variety of emotional issues including loss, grief, depression, anxiety and substance abuse. I have a cognitive behavioral orientation and work with the strengths of each individual to sustain behavioral changes in thinking, feelings and actions.
I am committed to working with individuals who have a wide range of mental health issues. With thirty years experience I am committed to the fields of anger management and domestic violence helping clients discover and alter dysfunctional thought and belief patterns that support and justify acts of anger and domestic violence. In addition I also work with couples and individuals who have a wide variety of emotional issues including loss, grief, depression, anxiety and substance abuse. I have a cognitive behavioral orientation and work with the strengths of each individual to sustain behavioral changes in thinking, feelings and actions.
(585) 481-8436 View (585) 481-8436
Photo of Elizabeth DiMonte, Counselor in Monroe County, NY
Elizabeth DiMonte
Counselor, LMHC
Verified Verified
2 Endorsed
Rochester, NY 14617
Hello and welcome! I am so happy that you are here as I cannot imagine how overwhelming this process can be. Finding the right therapist is not a ‘one size fits all’ mindset. I believe that the therapeutic relationship takes time and space to develop. As a result, I meet each individual where they are at in order to foster that connection. My view on therapy continues to adapt in order to remain up to date with relevant challenges that individuals may face. Therapy should be unconditional and empathetic to ensure the individual feels heard and validated.
Hello and welcome! I am so happy that you are here as I cannot imagine how overwhelming this process can be. Finding the right therapist is not a ‘one size fits all’ mindset. I believe that the therapeutic relationship takes time and space to develop. As a result, I meet each individual where they are at in order to foster that connection. My view on therapy continues to adapt in order to remain up to date with relevant challenges that individuals may face. Therapy should be unconditional and empathetic to ensure the individual feels heard and validated.
(585) 558-6417 View (585) 558-6417
Photo of Frank W Noll, Mental Health Counselor in Monroe County, NY
Frank W Noll
Mental Health Counselor, MS, LMHC, NCC, ACS, ASDCS
Verified Verified
Rochester, NY 14617  (Online Only)
I believe each and every individual has the power and courage to make positive changes in their lives, even though there may be times when we struggle to recognize our strengths and our ability to overcome adversity. Although there are times when we feel stuck and without direction, I believe each and every person holds the map to a better future for themselves. Through processing, a trusting relationship, authenticity, unconditional positive regard, and the use of therapeutic modalities; I help my clients identify and work towards goals to make positive changes in their lives.
I believe each and every individual has the power and courage to make positive changes in their lives, even though there may be times when we struggle to recognize our strengths and our ability to overcome adversity. Although there are times when we feel stuck and without direction, I believe each and every person holds the map to a better future for themselves. Through processing, a trusting relationship, authenticity, unconditional positive regard, and the use of therapeutic modalities; I help my clients identify and work towards goals to make positive changes in their lives.
(585) 558-1810 View (585) 558-1810
Photo of Lorrie Johnson, Clinical Social Work/Therapist in Monroe County, NY
Lorrie Johnson
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Rochester, NY 14607
I believe the foundation to all good therapy is developing a relationship based on mutual trust.
Hello, thank you for visiting, I am so happy that you are taking this first step. If you struggle with the direction your life is going, or your symptoms are keeping you from healthy relationships, work, and living life to the fullest; I want you to know that change is possible. Therapy can help you cultivate the life you want and deserve by implementing validating, compassionate, solution-focused healing. My specialization is in attachment, dissociative disorders and trauma. My interventions are based in neuroscience and research. Brain Spotting, Internal Family Systems, Schema, Shadow work, Cognitive Therapy, DBT, and EMDR.
I believe the foundation to all good therapy is developing a relationship based on mutual trust.
Hello, thank you for visiting, I am so happy that you are taking this first step. If you struggle with the direction your life is going, or your symptoms are keeping you from healthy relationships, work, and living life to the fullest; I want you to know that change is possible. Therapy can help you cultivate the life you want and deserve by implementing validating, compassionate, solution-focused healing. My specialization is in attachment, dissociative disorders and trauma. My interventions are based in neuroscience and research. Brain Spotting, Internal Family Systems, Schema, Shadow work, Cognitive Therapy, DBT, and EMDR.
(585) 209-5165 View (585) 209-5165
Photo of Lori Field, Clinical Social Work/Therapist in Monroe County, NY
Lori Field
Clinical Social Work/Therapist, LCSW, ADHD, CCSP
Verified Verified
Pittsford, NY 14534
With over 18 years of experience as a Licensed Clinical Social Worker, and a ADHD-CCSP, I've worked extensively with individuals, couples, and families dealing with ADHD, anxiety, stress, parenting, family dynamics and self-esteem.
Whether you're grappling with anxiety, stress, low self-esteem, navigating life's challenges, or feeling trapped in old habits, therapy offers a supportive space to unravel your struggles and rediscover your true self. I help my clients discover their inner calm and navigate the everyday challenges they face. I believe in empowering my clients to embrace their strengths. My approach is solution-focused, rooted in compassion, and centered on harnessing your strengths. I'm here to provide a sanctuary where you feel seen, heard, and understood — a space for you to chart your unique path forward with authenticity.
With over 18 years of experience as a Licensed Clinical Social Worker, and a ADHD-CCSP, I've worked extensively with individuals, couples, and families dealing with ADHD, anxiety, stress, parenting, family dynamics and self-esteem.
Whether you're grappling with anxiety, stress, low self-esteem, navigating life's challenges, or feeling trapped in old habits, therapy offers a supportive space to unravel your struggles and rediscover your true self. I help my clients discover their inner calm and navigate the everyday challenges they face. I believe in empowering my clients to embrace their strengths. My approach is solution-focused, rooted in compassion, and centered on harnessing your strengths. I'm here to provide a sanctuary where you feel seen, heard, and understood — a space for you to chart your unique path forward with authenticity.
(585) 487-8892 View (585) 487-8892

See more therapy options for Monroe County

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.