Photo of Joshua Stanley, Licensed Professional Counselor in Beachwood, OH
Joshua Stanley
Licensed Professional Counselor, LPC
Verified Verified
Beachwood, OH 44122
My ideal client is an individual who is open to working as a team and benefiting from a therapeutic relationship in which honesty, accountability, and empathy are paramount. While a client’s concerns are unique and personal, there is nothing they cannot overcome through effective therapeutic interventions and a highly-trained and relatable clinician.
My ideal client is an individual who is open to working as a team and benefiting from a therapeutic relationship in which honesty, accountability, and empathy are paramount. While a client’s concerns are unique and personal, there is nothing they cannot overcome through effective therapeutic interventions and a highly-trained and relatable clinician.
(216) 284-8156 View (216) 284-8156
Photo of Sara Trembath, Licensed Professional Clinical Counselor in Beachwood, OH
Sara Trembath
Licensed Professional Clinical Counselor, LPCC
Verified Verified
Beachwood, OH 44122
I have experience working with all types of anxiety disorders, mood disorders, and complex trauma. My secondary specialties include severe chronic mental illness, relationship problems, recovery from previous domestic violence, LTGBQ+ concerns, self-harm, and developmental or attachment wounds from childhood. I continue to take continuing education classes to improve my knowledge and skills in these areas. I especially enjoy working with clients motivated to improve their lives and willing to take responsibility for their success rather than expecting others to do their work.
I have experience working with all types of anxiety disorders, mood disorders, and complex trauma. My secondary specialties include severe chronic mental illness, relationship problems, recovery from previous domestic violence, LTGBQ+ concerns, self-harm, and developmental or attachment wounds from childhood. I continue to take continuing education classes to improve my knowledge and skills in these areas. I especially enjoy working with clients motivated to improve their lives and willing to take responsibility for their success rather than expecting others to do their work.
(216) 877-9492 View (216) 877-9492
Photo of Thomas Nemerovsky, Licensed Professional Counselor in Beachwood, OH
Thomas Nemerovsky
Licensed Professional Counselor, MEd, LPCC-S, LICDC
Verified Verified
Beachwood, OH 44122
I specialize in substance use disorders, mood disorders, stress management, trauma, and PTSD. I enjoy working with clients who are motivated for change and are open to exploring strategies to help them improve their mental health and quality of life. I appreciate individuals engaged in the therapeutic process and sharing their thoughts and feelings openly, allowing for a collaborative therapeutic relationship.
I specialize in substance use disorders, mood disorders, stress management, trauma, and PTSD. I enjoy working with clients who are motivated for change and are open to exploring strategies to help them improve their mental health and quality of life. I appreciate individuals engaged in the therapeutic process and sharing their thoughts and feelings openly, allowing for a collaborative therapeutic relationship.
(216) 284-7590 View (216) 284-7590
Photo of Madlyn Bookatz, Counselor in Beachwood, OH
Madlyn Bookatz
Counselor, LPCC
Verified Verified
1 Endorsed
Beachwood, OH 44122
I am a master at enhancing the quality of relationships primarily with yourself AND when in a marriage or partnership. I will guide you to improve the relationship you have with yourself to increase confidence and well being. I offer a concrete structure to enhance your personal relationship and will give you insight to your relationship patterns. I am a direct, insightful, empathetic, and solution focussed therapist and give you specific action steps in a short amount of time to help you get your relationship on track. I am an in- network provider covered by most insurances. Will respond to email, phone, or text.
I am a master at enhancing the quality of relationships primarily with yourself AND when in a marriage or partnership. I will guide you to improve the relationship you have with yourself to increase confidence and well being. I offer a concrete structure to enhance your personal relationship and will give you insight to your relationship patterns. I am a direct, insightful, empathetic, and solution focussed therapist and give you specific action steps in a short amount of time to help you get your relationship on track. I am an in- network provider covered by most insurances. Will respond to email, phone, or text.
(440) 296-3233 View (440) 296-3233
Photo of All Heart Counseling, Counselor in Beachwood, OH
All Heart Counseling
Counselor, LPCC-S, NCC, SUPV
Verified Verified
Beachwood, OH 44122
I offer individual and couples counseling, mainly, though I am willing to meet with anyone I can help.
If you want help with deeply personal and confidential matters, either for yourself, or in your relationship(s), I am able to help both individuals and couples work through difficult emotions and concerns. If you are committed to exploring your history, reflecting, and gaining self-awareness, in the interest of your personal growth, I can help with my professional experience and training. If you want to work on your relationship, either to move out of crisis, or to fine-tune it and be have greater emotional intimacy, I am happy to work with you. I enjoy new challenges, and helping others find greater satisfaction in their lives.
I offer individual and couples counseling, mainly, though I am willing to meet with anyone I can help.
If you want help with deeply personal and confidential matters, either for yourself, or in your relationship(s), I am able to help both individuals and couples work through difficult emotions and concerns. If you are committed to exploring your history, reflecting, and gaining self-awareness, in the interest of your personal growth, I can help with my professional experience and training. If you want to work on your relationship, either to move out of crisis, or to fine-tune it and be have greater emotional intimacy, I am happy to work with you. I enjoy new challenges, and helping others find greater satisfaction in their lives.
(216) 465-0551 View (216) 465-0551
Photo of Melissa A. Sharper, Marriage & Family Therapist in Beachwood, OH
Melissa A. Sharper
Marriage & Family Therapist, IMFT
Verified Verified
Beachwood, OH 44122  (Online Only)
Ms. Sharper is an Independent Marriage and Family Therapist dedicated to serving her clients with compassion and magnetic optimism. She aids individuals in the interruption of unhealthy, generational patterns and strategies to combat codependency. Self worth and boundary setting are a focus. She provides couples therapy to foster positive communication skills and implement unique techniques that foster a deeper level of emotional intimacy. Melissa also holds a Bachelor’s degree in Education and treats clients with anxiety and depression. Melissa desires that clients develop self empowerment and wholeness one conversation at a time.
Ms. Sharper is an Independent Marriage and Family Therapist dedicated to serving her clients with compassion and magnetic optimism. She aids individuals in the interruption of unhealthy, generational patterns and strategies to combat codependency. Self worth and boundary setting are a focus. She provides couples therapy to foster positive communication skills and implement unique techniques that foster a deeper level of emotional intimacy. Melissa also holds a Bachelor’s degree in Education and treats clients with anxiety and depression. Melissa desires that clients develop self empowerment and wholeness one conversation at a time.
(216) 238-2697 View (216) 238-2697
Photo of Johnita Smith, Clinical Social Work/Therapist in Beachwood, OH
Johnita Smith
Clinical Social Work/Therapist, MSW, LSW
Verified Verified
1 Endorsed
Beachwood, OH 44122  (Online Only)
Are you experiencing depression, anxiety, addiction, or relationship issues? Are you looking for a safe and judgement-free environment where you can share your problems and concerns? If so, then let’s get to work!!! Life is too short to surrender to toxic relationships, let trauma consume you, continue to be anxious or be depressed. You deserve to live a life full of peace and joy. Let’s work together to help you develop healthy coping skills and find meaningful purpose in your family, friendships, work, spirituality, and all other life areas.
Are you experiencing depression, anxiety, addiction, or relationship issues? Are you looking for a safe and judgement-free environment where you can share your problems and concerns? If so, then let’s get to work!!! Life is too short to surrender to toxic relationships, let trauma consume you, continue to be anxious or be depressed. You deserve to live a life full of peace and joy. Let’s work together to help you develop healthy coping skills and find meaningful purpose in your family, friendships, work, spirituality, and all other life areas.
(216) 307-7765 View (216) 307-7765
Photo of Warm Embrace Counseling LLC, Licensed Professional Clinical Counselor in Beachwood, OH
Warm Embrace Counseling LLC
Licensed Professional Clinical Counselor, LPCC-S, LICDC
Verified Verified
Beachwood, OH 44122
Whatever brings you to therapy, know that it is my goal to partner with you and support you as you work toward healing, growth and wellness to sustain a healthy life with meaning and purpose.
Breathe, this is just a chapter, not your whole story. We all have things that we may struggle with from time to time, and it is important to find a professional that you can relate to when you need help. I enjoy helping people work through the difficulties of life, with a warm and non-judgmental attitude. My approach to therapy is laid-back and down to earth. Your sessions with me will very much be directed by you. What's hindering you? depression, stress, anxiety, anger, self esteem? Do these issues leave you feeling impaired? Just Know, how you deal with the valley can have a lasting effect well after the storm has passed.
Whatever brings you to therapy, know that it is my goal to partner with you and support you as you work toward healing, growth and wellness to sustain a healthy life with meaning and purpose.
Breathe, this is just a chapter, not your whole story. We all have things that we may struggle with from time to time, and it is important to find a professional that you can relate to when you need help. I enjoy helping people work through the difficulties of life, with a warm and non-judgmental attitude. My approach to therapy is laid-back and down to earth. Your sessions with me will very much be directed by you. What's hindering you? depression, stress, anxiety, anger, self esteem? Do these issues leave you feeling impaired? Just Know, how you deal with the valley can have a lasting effect well after the storm has passed.
(216) 238-0153 View (216) 238-0153
Photo of Beth Tamborski, Counselor in Beachwood, OH
Beth Tamborski
Counselor, LPCC-S
Verified Verified
Beachwood, OH 44122  (Online Only)
Welcome! I’m glad you’ve decided to reach out for counseling, as I know it can often be a difficult step to take. I look forward to getting to know you as you explore what brought you here. I have over 20 years of experience in the mental health field working with individuals of all age ranges. I enjoy working with individuals and couples and utilize a person-centered approach, where I meet each individual where they are at on their journey towards wellness. I believe in the mind-body connection and the importance of using a holistic approach to building resilience and meeting life’s challenges.
Welcome! I’m glad you’ve decided to reach out for counseling, as I know it can often be a difficult step to take. I look forward to getting to know you as you explore what brought you here. I have over 20 years of experience in the mental health field working with individuals of all age ranges. I enjoy working with individuals and couples and utilize a person-centered approach, where I meet each individual where they are at on their journey towards wellness. I believe in the mind-body connection and the importance of using a holistic approach to building resilience and meeting life’s challenges.
(216) 677-3238 View (216) 677-3238
Photo of Michael Crowdes, Licensed Professional Counselor in Beachwood, OH
Michael Crowdes
Licensed Professional Counselor, LSW
Verified Verified
Beachwood, OH 44122  (Online Only)
I prioritize creating a warm and supportive therapeutic relationship where clients feel seen, heard, and validated.
I specialize in working with individuals experiencing grief and anxiety. Grief can be a complex and challenging process, and I provide a supportive and nurturing space for clients to explore their emotions, find meaning in their loss, and gradually heal. Anxiety is another area of expertise, and I assist individuals in understanding the underlying causes of their anxiety and developing practical tools to manage and reduce its impact on their daily lives. I provide a nonjudgmental and safe environment where clients can explore their fears, develop self-compassion, and cultivate resilience.
I prioritize creating a warm and supportive therapeutic relationship where clients feel seen, heard, and validated.
I specialize in working with individuals experiencing grief and anxiety. Grief can be a complex and challenging process, and I provide a supportive and nurturing space for clients to explore their emotions, find meaning in their loss, and gradually heal. Anxiety is another area of expertise, and I assist individuals in understanding the underlying causes of their anxiety and developing practical tools to manage and reduce its impact on their daily lives. I provide a nonjudgmental and safe environment where clients can explore their fears, develop self-compassion, and cultivate resilience.
(216) 446-7376 View (216) 446-7376
Photo of David Kelner, Marriage & Family Therapist in Beachwood, OH
David Kelner
Marriage & Family Therapist, IMFT
Verified Verified
1 Endorsed
Beachwood, OH 44122
I have been where you are. Suffering is a right of passage. The idea of sharing your thoughts and feelings with a stranger may seem odd at first, but when the therapeutic relationship is working, fear and pain become manageable and sometimes even fall away. Having problems can feel lonely and alienating, you deserve the opportunity to find an easier way. EXHALE…it will be ok:-) I have a relaxed approach with humor and an easy disposition. Unfortunately seeking help can be a burden in itself. Let’s talk for a session or 2 and see if there’s some resonance. Adolescents, Adults, Couples and Families, (thoughtful, high functioning).
I have been where you are. Suffering is a right of passage. The idea of sharing your thoughts and feelings with a stranger may seem odd at first, but when the therapeutic relationship is working, fear and pain become manageable and sometimes even fall away. Having problems can feel lonely and alienating, you deserve the opportunity to find an easier way. EXHALE…it will be ok:-) I have a relaxed approach with humor and an easy disposition. Unfortunately seeking help can be a burden in itself. Let’s talk for a session or 2 and see if there’s some resonance. Adolescents, Adults, Couples and Families, (thoughtful, high functioning).
(216) 600-1747 View (216) 600-1747
Photo of Kimberly K Clipper, Licensed Professional Counselor in Beachwood, OH
Kimberly K Clipper
Licensed Professional Counselor, MA, LPC
Verified Verified
Beachwood, OH 44122  (Online Only)
I entered counseling with a desire to support individuals, couples, and families along the healing journey. I understand the courage needed to seek help, and I am committed to supporting clients to reach positive psychological and behavioral changes. I utilize a Person-Centered approach via a strong therapeutic relationship on the road to transformation. I am a Licensed Professional Counselor and an Ordained Minister. My goal is to support clients in the areas of phase of life changes, self-esteem building, relationship therapy, healing from trauma and abuse, depression and anxiety, grief and loss, etc.
I entered counseling with a desire to support individuals, couples, and families along the healing journey. I understand the courage needed to seek help, and I am committed to supporting clients to reach positive psychological and behavioral changes. I utilize a Person-Centered approach via a strong therapeutic relationship on the road to transformation. I am a Licensed Professional Counselor and an Ordained Minister. My goal is to support clients in the areas of phase of life changes, self-esteem building, relationship therapy, healing from trauma and abuse, depression and anxiety, grief and loss, etc.
(440) 294-6122 View (440) 294-6122
Photo of Vanessa Dvorin-Fremont / IISEE, LLC, Clinical Social Work/Therapist in Beachwood, OH
Vanessa Dvorin-Fremont / IISEE, LLC
Clinical Social Work/Therapist, MA, MSSA, LISW-S
Verified Verified
Beachwood, OH 44122
Master’s level, LISW - Supervisor, a graduate of Case Western Reserve University’s Mandel School of Applied Social Sciences in addition to a Masters and Bachelors Degree in Psychology from Cleveland State University. Mrs. Fremont’s experience has led to clinical specialties which include Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT) and Systems Approach which are known to be best practices in treating anxiety disorders, depression, stress management, adjustment disorders, personality disorders and relationship and marital problems. Mrs. Fremont is also a Certified Grief Counseling Specialist.
Master’s level, LISW - Supervisor, a graduate of Case Western Reserve University’s Mandel School of Applied Social Sciences in addition to a Masters and Bachelors Degree in Psychology from Cleveland State University. Mrs. Fremont’s experience has led to clinical specialties which include Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT) and Systems Approach which are known to be best practices in treating anxiety disorders, depression, stress management, adjustment disorders, personality disorders and relationship and marital problems. Mrs. Fremont is also a Certified Grief Counseling Specialist.
(216) 279-5492 View (216) 279-5492
Photo of Cleveland Health and Wellness Center, Counselor in Beachwood, OH
Cleveland Health and Wellness Center
Counselor, MEd, LPCC-S
Verified Verified
14 Endorsed
Beachwood, OH 44122
Meet with a licensed therapist or psychiatrist in-person or from the comfort of your home. Our team of over 20 clinical therapists provides compassionate and holistic mental health care for adults, adolescents, and children. Our approach recognizes the whole person, mind and body. We specialize in the treatment of depression, anxiety, bipolar disorder, trauma, grief, stress, addiction, and relationship issues. We provide individual psychotherapy, psychiatry, couples and family therapy.
Meet with a licensed therapist or psychiatrist in-person or from the comfort of your home. Our team of over 20 clinical therapists provides compassionate and holistic mental health care for adults, adolescents, and children. Our approach recognizes the whole person, mind and body. We specialize in the treatment of depression, anxiety, bipolar disorder, trauma, grief, stress, addiction, and relationship issues. We provide individual psychotherapy, psychiatry, couples and family therapy.
(440) 434-3692 View (440) 434-3692
Photo of Lisa Collins, Clinical Social Work/Therapist in Beachwood, OH
Lisa Collins
Clinical Social Work/Therapist, LSW
Verified Verified
Beachwood, OH 44122  (Online Only)
I have worked with clients with anxiety, depression, alcohol/drug issues or those affected by someone’s addiction, trauma/grief, obsessive-compulsive, bipolar, eating disorders, relationship difficulties, coping skills, anger management, parenting and adjustment issues.
Reaching out for help takes a lot of courage and insight. I am here to help. I have worked in the counseling field for the last 20 years in private practice, treatment centers and in Higher Education. I enjoy helping others work through life situations and difficulties to regain their sense of self and worth. I utilize the treatment modality that fits your personality and comfort level. I bring with me a wealth of knowledge, empathy and a belief that no situation is hopeless.
I have worked with clients with anxiety, depression, alcohol/drug issues or those affected by someone’s addiction, trauma/grief, obsessive-compulsive, bipolar, eating disorders, relationship difficulties, coping skills, anger management, parenting and adjustment issues.
Reaching out for help takes a lot of courage and insight. I am here to help. I have worked in the counseling field for the last 20 years in private practice, treatment centers and in Higher Education. I enjoy helping others work through life situations and difficulties to regain their sense of self and worth. I utilize the treatment modality that fits your personality and comfort level. I bring with me a wealth of knowledge, empathy and a belief that no situation is hopeless.
(216) 304-3944 View (216) 304-3944
Photo of Karryl J Lindsey, Clinical Social Work/Therapist in Beachwood, OH
Karryl J Lindsey
Clinical Social Work/Therapist, MSSA, LISW-S, LICDC-S, SAP
Verified Verified
Beachwood, OH 44122
I very much enjoy working with children, teens, adults, couples and families. I specialize in working with individuals/families challenged in their relationships and choices due to a difficulty in identifying and sharing their thoughts and emotions appropriately. I enjoy assisting clients in addressing issues and/or emotions that have caused problems in one's relationships in the home, community, and/or the workplace. Those impacted by substance abuse, both individually or as a family member are also welcomed. Other areas of focus include grief recovery, anger management; faith-based; ADHD; and whatever challenges you in life.
I very much enjoy working with children, teens, adults, couples and families. I specialize in working with individuals/families challenged in their relationships and choices due to a difficulty in identifying and sharing their thoughts and emotions appropriately. I enjoy assisting clients in addressing issues and/or emotions that have caused problems in one's relationships in the home, community, and/or the workplace. Those impacted by substance abuse, both individually or as a family member are also welcomed. Other areas of focus include grief recovery, anger management; faith-based; ADHD; and whatever challenges you in life.
(216) 672-5462 View (216) 672-5462
Photo of Cassandra F. Goodman, Licensed Clinical Professional Counselor in Beachwood, OH
Cassandra F. Goodman
Licensed Clinical Professional Counselor, MA, LPCC-S
Verified Verified
Beachwood, OH 44122  (Online Only)
Waitlist for new clients
I have experience in the treatment of individuals and couples with interests in: infertility, sexual addiction issues, sexual health issues, sexual pain, performance anxiety, performance anxiety, problematic sexual behavior, infidelity, interpersonal issues, anxiety, depression, women's health issues, and LGBTQIA stressors.
I chose a career in counseling because I have always had a passion for helping others. I believe patients deserve a safe place to share and work on struggles in all aspects of their lives. During an initial evaluation, my goal is to develop an understanding of what each individual patient is seeking and provide a thorough consultation of how to direct treatment. I completed a Master of Arts in counseling at Ursuline College. I will not be accepting new patients until March 2024.
I have experience in the treatment of individuals and couples with interests in: infertility, sexual addiction issues, sexual health issues, sexual pain, performance anxiety, performance anxiety, problematic sexual behavior, infidelity, interpersonal issues, anxiety, depression, women's health issues, and LGBTQIA stressors.
I chose a career in counseling because I have always had a passion for helping others. I believe patients deserve a safe place to share and work on struggles in all aspects of their lives. During an initial evaluation, my goal is to develop an understanding of what each individual patient is seeking and provide a thorough consultation of how to direct treatment. I completed a Master of Arts in counseling at Ursuline College. I will not be accepting new patients until March 2024.
(216) 584-9365 View (216) 584-9365
Photo of Wendy Weil, Licensed Professional Clinical Counselor in Beachwood, OH
Wendy Weil
Licensed Professional Clinical Counselor, LPCC-S
Verified Verified
Beachwood, OH 44122
Waitlist for new clients
Welcome. I’m here to guide you through your personal challenges. I work with adults and couples seeking support and positive change. My goal is for you to feel “truly seen” and supported by me your therapist as you share, discover and face fears to get yourself to a better place. I work with mood disorders, anxiety, stress, divorce, trauma, neglect, domestic violence, life confusion, medical conditions and grief.
Welcome. I’m here to guide you through your personal challenges. I work with adults and couples seeking support and positive change. My goal is for you to feel “truly seen” and supported by me your therapist as you share, discover and face fears to get yourself to a better place. I work with mood disorders, anxiety, stress, divorce, trauma, neglect, domestic violence, life confusion, medical conditions and grief.
(440) 271-8018 View (440) 271-8018
Photo of Lori L. King, Licensed Professional Counselor in Beachwood, OH
Lori L. King
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Beachwood, OH 44122  (Online Only)
As a mental health professional, I’ve worked in the field of psychology for many years. I have experience with children, adolescents, and adults. I specialize in trauma recovery, grief/bereavement, personality disorders, anxiety related disorders, mood disorders, relationship difficulties and obsessive-compulsive disorders. I’m a life-long learner and I support in a wholistic approach to mental health wellness. I also support that we are all much more than just the sum of our parts. I’m extensively trained in the psychodynamic, existential - humanistic, and cognitive behavioral schools of psychological thought.
As a mental health professional, I’ve worked in the field of psychology for many years. I have experience with children, adolescents, and adults. I specialize in trauma recovery, grief/bereavement, personality disorders, anxiety related disorders, mood disorders, relationship difficulties and obsessive-compulsive disorders. I’m a life-long learner and I support in a wholistic approach to mental health wellness. I also support that we are all much more than just the sum of our parts. I’m extensively trained in the psychodynamic, existential - humanistic, and cognitive behavioral schools of psychological thought.
(440) 271-8784 View (440) 271-8784
Photo of Rachel Keay-McVay, Licensed Professional Counselor in Beachwood, OH
Rachel Keay-McVay
Licensed Professional Counselor, LPC
Verified Verified
Beachwood, OH 44122
There is a curious habit that I've noticed, especially when working with teens, that clients will mostly only work on the "issue of the week." This can have numerous benefits and can also delay the client's progress on any underlying concerns or patterns. Ideally, once a client has agreed to their treatment goals, they continue to take attainable steps towards that goal in therapy and in their daily life. When a client feels comfortable with their therapist to share their thoughts, emotions, and vulnerabilities, then deeper work can happen.
There is a curious habit that I've noticed, especially when working with teens, that clients will mostly only work on the "issue of the week." This can have numerous benefits and can also delay the client's progress on any underlying concerns or patterns. Ideally, once a client has agreed to their treatment goals, they continue to take attainable steps towards that goal in therapy and in their daily life. When a client feels comfortable with their therapist to share their thoughts, emotions, and vulnerabilities, then deeper work can happen.
(216) 999-4438 View (216) 999-4438
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.