Couples Counseling Therapists in Portland, OR

Photo of Lauren Loos, Licensed Professional Counselor in Portland, OR
Lauren Loos
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Portland, OR 97205  (Online Only)
At the heart of every client lies truth and infinite potential. That is why I love my job. Spirited Quest Counseling was born out of the conviction that when an individual sets an intention to heal, they and those around them are transformed. I provide individual and couples counseling that promotes healing, well-being, self-awareness and empowerment along with the endurance, courage and skills to move from a life of survival to one of thriving. I specialize in treating clients impacted by the effects of trauma, spiritual struggle, depression and anxiety.
At the heart of every client lies truth and infinite potential. That is why I love my job. Spirited Quest Counseling was born out of the conviction that when an individual sets an intention to heal, they and those around them are transformed. I provide individual and couples counseling that promotes healing, well-being, self-awareness and empowerment along with the endurance, courage and skills to move from a life of survival to one of thriving. I specialize in treating clients impacted by the effects of trauma, spiritual struggle, depression and anxiety.
(503) 664-4271 View (503) 664-4271
Photo of Megan Vaughn, Marriage & Family Therapist in Portland, OR
Megan Vaughn
Marriage & Family Therapist, MA, LMFT
Verified Verified
5 Endorsed
Portland, OR 97232
Does your romantic relationship need a life line? I'll help you and your partner create lasting change in your relationship. We'll work through the rupture of disconnection, infidelity, parenting, physical intimacy and sex and get to the connection you desire. I work with individual clients on tackling the unmanageable, in their relationships with others and self. We'll explore what's kept you stuck for so long and uncover deep meaning and happiness in your relationships and in your personal story.
Does your romantic relationship need a life line? I'll help you and your partner create lasting change in your relationship. We'll work through the rupture of disconnection, infidelity, parenting, physical intimacy and sex and get to the connection you desire. I work with individual clients on tackling the unmanageable, in their relationships with others and self. We'll explore what's kept you stuck for so long and uncover deep meaning and happiness in your relationships and in your personal story.
(503) 714-7732 View (503) 714-7732
Photo of Marriage and Relationship Counseling, Marriage & Family Therapist in Portland, OR
Marriage and Relationship Counseling
Marriage & Family Therapist, PhD, LMFT, MA, MBA
Verified Verified
Portland, OR 97232
I am a Relationship Specialist, Licensed Marriage and Family Therapist, and the founder of The Portland Couples Counseling Center.
Hello, my name is Steven Cohn. Since the onset of Covid 19 I am currently conducting all of my couples sessions via teleconferencing. I meet with couples who live anywhere in Oregon, including Bend, Eugene, and Ashland. My clients are reporting that our online sessions feel just as meaningful and productive as our in-office sessions. If love, intimacy, and passion has faded from your relationship, then I'm here to help. Poor communications, financial problems, low sexual desire, blending a family, child rearing, an affair, in-laws, and/or health concerns can slowly erode relationship vitality in even the most loving unions.
I am a Relationship Specialist, Licensed Marriage and Family Therapist, and the founder of The Portland Couples Counseling Center.
Hello, my name is Steven Cohn. Since the onset of Covid 19 I am currently conducting all of my couples sessions via teleconferencing. I meet with couples who live anywhere in Oregon, including Bend, Eugene, and Ashland. My clients are reporting that our online sessions feel just as meaningful and productive as our in-office sessions. If love, intimacy, and passion has faded from your relationship, then I'm here to help. Poor communications, financial problems, low sexual desire, blending a family, child rearing, an affair, in-laws, and/or health concerns can slowly erode relationship vitality in even the most loving unions.
(503) 610-5372 View (503) 610-5372
Photo of Daniel McClure, Professional Counselor Associate in Portland, OR
Daniel McClure
Professional Counselor Associate, MA
Verified Verified
Portland, OR 97215
Whether you are new to counseling or looking to engage in this meaningful work again I am here to support you. My ideal clients are open to collaboratively building a personal healing space and therapeutic relationship founded on authenticity, empathy, kindness, respect, and unconditional acceptance. Whether you are struggling with depression, anxiety, behavioral issues, addiction, grief, or trauma, I am focused on providing a holistic approach to meet you where you are at and travel a path based on your strengths and goals at the pace that is right for you. I center warmth and compassion and am intentional with gentle directness.
Whether you are new to counseling or looking to engage in this meaningful work again I am here to support you. My ideal clients are open to collaboratively building a personal healing space and therapeutic relationship founded on authenticity, empathy, kindness, respect, and unconditional acceptance. Whether you are struggling with depression, anxiety, behavioral issues, addiction, grief, or trauma, I am focused on providing a holistic approach to meet you where you are at and travel a path based on your strengths and goals at the pace that is right for you. I center warmth and compassion and am intentional with gentle directness.
(503) 662-9448 View (503) 662-9448
Photo of Craig Stein in Portland, OR
Craig Stein
PhD, MDiv
Verified Verified
Portland, OR 97223
My focus is on helping couples overcome destructive cycles and to re-establish safety, care, and trust. Many couples get stuck in a pattern of conflict and avoidance, of blame and defensiveness. Each of you is looking for safety and comfort, but in opposite ways, and the way you're seeking it is the very thing that triggers your partner. I have advanced training in Emotionally Focused Therapy (EFT), the most well-researched and effective treatment for couples in distress. The vast majority of couples recover from their distress, heal from their wounds, and reconnect with the love that brought you together in the first place.
My focus is on helping couples overcome destructive cycles and to re-establish safety, care, and trust. Many couples get stuck in a pattern of conflict and avoidance, of blame and defensiveness. Each of you is looking for safety and comfort, but in opposite ways, and the way you're seeking it is the very thing that triggers your partner. I have advanced training in Emotionally Focused Therapy (EFT), the most well-researched and effective treatment for couples in distress. The vast majority of couples recover from their distress, heal from their wounds, and reconnect with the love that brought you together in the first place.
(971) 351-2461 View (971) 351-2461
Photo of Robert L Gill, Clinical Social Work Associate in Portland, OR
Robert L Gill
Clinical Social Work Associate, CSWA
Verified Verified
Portland, OR 97202
I have a passion for providing couples therapy, but work with both individuals and couples. With my ideal clients, we will work in collaboration to help build confidence in your abilities, set boundaries and develop your self-identified goals. Overall my approach will assist you in being more comfortable with the choices you make on your life's journey. Healing is important, and I want to support you in gaining that within your own life.
I have a passion for providing couples therapy, but work with both individuals and couples. With my ideal clients, we will work in collaboration to help build confidence in your abilities, set boundaries and develop your self-identified goals. Overall my approach will assist you in being more comfortable with the choices you make on your life's journey. Healing is important, and I want to support you in gaining that within your own life.
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Photo of Jason Durtschi, LCSW (Tree of Life Counseling), Clinical Social Work/Therapist in Portland, OR
Jason Durtschi, LCSW (Tree of Life Counseling)
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Portland, OR 97227
While I work with a wide range of clients and issues, I have extensive experience treating anxiety/mood disorders, as well as relationship conflict, sex/sexuality.
I work together with my clients toward more self-compassion, awareness, and understanding. These bring about lasting positive change. I treat a wide range of issues, including depression, anxiety, addictions, interpersonal issues (i.e. couples counseling), psycho-spiritual/religious conflicts and abuse, sexuality, and pragmatic life-coaching, to name a few. I have extensive experience working with the LGBT community, some "out," others not; some religious, others not. I use Cognitive-Behavioral therapy (CBT) when indicated, coupled with mindfulness techniques. I also explore with my clients deeper-seated issues, including exploring our "shadows" and the roots of addiction and shame. I serve adolescents and adults.
While I work with a wide range of clients and issues, I have extensive experience treating anxiety/mood disorders, as well as relationship conflict, sex/sexuality.
I work together with my clients toward more self-compassion, awareness, and understanding. These bring about lasting positive change. I treat a wide range of issues, including depression, anxiety, addictions, interpersonal issues (i.e. couples counseling), psycho-spiritual/religious conflicts and abuse, sexuality, and pragmatic life-coaching, to name a few. I have extensive experience working with the LGBT community, some "out," others not; some religious, others not. I use Cognitive-Behavioral therapy (CBT) when indicated, coupled with mindfulness techniques. I also explore with my clients deeper-seated issues, including exploring our "shadows" and the roots of addiction and shame. I serve adolescents and adults.
(202) 813-1499 View (202) 813-1499
Photo of Psychology & Wellness Group PDX (Group Practice), Licensed Professional Counselor in Portland, OR
Psychology & Wellness Group PDX (Group Practice)
Licensed Professional Counselor, MS, MA, MSW, CSWA, LPC
Verified Verified
1 Endorsed
Portland, OR 97223
We see adolescents and adults for individual, couples, family and group therapy.
We are a group practice in SW PDX, previously in Lake Oswego. We want to help you deal with the effects of your emotional pain, often invisible to others. If you are looking to be able to trust yourself and others and to understand the negative repetitive patterns in your life, then therapy can be a possible solution. We believe in competency, honesty and compassion as necessary qualities for therapists; ultimately you need to be able to trust the therapist you choose. Although life can be full of pain, we want to help reduce your suffering. Therapy is one of the ways you can address your emotional pain. Currently updating website.
We see adolescents and adults for individual, couples, family and group therapy.
We are a group practice in SW PDX, previously in Lake Oswego. We want to help you deal with the effects of your emotional pain, often invisible to others. If you are looking to be able to trust yourself and others and to understand the negative repetitive patterns in your life, then therapy can be a possible solution. We believe in competency, honesty and compassion as necessary qualities for therapists; ultimately you need to be able to trust the therapist you choose. Although life can be full of pain, we want to help reduce your suffering. Therapy is one of the ways you can address your emotional pain. Currently updating website.
(971) 257-1389 View (971) 257-1389
Photo of Robin Lieberman, Clinical Social Work/Therapist in Portland, OR
Robin Lieberman
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Portland, OR 97205
More recently, I have combined my life-long passion for painting with my enthusiasm for the healing power of the psychotherapeutic relationship.
I have been practicing psychotherapy in Portland, Oregon for over thirty years. Initially trained as a child and family therapist in the psychodynamic tradition at the University of Michigan, I have since continued to broaden and deepen my experience and skills through further training in and study of Gestalt therapy theory, contemporary psychoanalysis, Collaborative Couple Therapy, anthroposophy, and hatha yoga. Please feel free to check my website for more information on everything I offer.
More recently, I have combined my life-long passion for painting with my enthusiasm for the healing power of the psychotherapeutic relationship.
I have been practicing psychotherapy in Portland, Oregon for over thirty years. Initially trained as a child and family therapist in the psychodynamic tradition at the University of Michigan, I have since continued to broaden and deepen my experience and skills through further training in and study of Gestalt therapy theory, contemporary psychoanalysis, Collaborative Couple Therapy, anthroposophy, and hatha yoga. Please feel free to check my website for more information on everything I offer.
(503) 683-7067 View (503) 683-7067
Photo of Sharon Elwood, Licensed Professional Counselor in Portland, OR
Sharon Elwood
Licensed Professional Counselor, MA, LPC
Verified Verified
Portland, OR 97210
I work within a wide range of therapy issues. If you are suffering in an unsatisfying relationship or career, or are hungry to understand yourself better therapy can be beneficial. By utilizing the therapeutic skills I've developed you may find hope and possibly a shift in perspective. Feeling better is possible. I bring a supportive approach and have enormous compassion for the human experience, life can be difficult. I offer Telehealth or in person therapy sessions.
I work within a wide range of therapy issues. If you are suffering in an unsatisfying relationship or career, or are hungry to understand yourself better therapy can be beneficial. By utilizing the therapeutic skills I've developed you may find hope and possibly a shift in perspective. Feeling better is possible. I bring a supportive approach and have enormous compassion for the human experience, life can be difficult. I offer Telehealth or in person therapy sessions.
(971) 236-5161 View (971) 236-5161
Photo of C.J. Sanders, Marriage & Family Therapist in Portland, OR
C.J. Sanders
Marriage & Family Therapist, MA, LMFT
Verified Verified
Portland, OR 97280  (Online Only)
Our relationships are our most important asset. And when something feels off it can be excruciating. Through utilizing the latest research in the fields of attachment, neuroscience, and communication we can collaborate to get things back on track. You will learn some new skills in conflict management—even if you are conflict avoidant! And we will get some psychobiological hacks on board quickly which can result in fewer arguments and a greater sense of connection. Many busy couples today are craving a more fulfilling partnership truly sharing the mental and emotional load.
Our relationships are our most important asset. And when something feels off it can be excruciating. Through utilizing the latest research in the fields of attachment, neuroscience, and communication we can collaborate to get things back on track. You will learn some new skills in conflict management—even if you are conflict avoidant! And we will get some psychobiological hacks on board quickly which can result in fewer arguments and a greater sense of connection. Many busy couples today are craving a more fulfilling partnership truly sharing the mental and emotional load.
(971) 252-7556 View (971) 252-7556
Photo of Bill Maier, LCSW, LLC, Clinical Social Work/Therapist in Portland, OR
Bill Maier, LCSW, LLC
Clinical Social Work/Therapist, LCSW
Not Verified Not Verified
Portland, OR 97213  (Online Only)
"When you come into therapy it is a time to expand the sense of yourself. Our job is to get familiar with the values that have helped you get through difficult situations and use them now. You may be a combat veteran, mental health or law enforcement worker having family or relationship problems. You need clear and practical strategies for replacing automatic reactions with mindful responses. Feeling understood by another human being is useful for flexible problem solving and clarifying your values. The majority of my experience is working with Post-Traumatic Stress Disorder. PTSD will definitely get better with knowledgeable treatment."
"When you come into therapy it is a time to expand the sense of yourself. Our job is to get familiar with the values that have helped you get through difficult situations and use them now. You may be a combat veteran, mental health or law enforcement worker having family or relationship problems. You need clear and practical strategies for replacing automatic reactions with mindful responses. Feeling understood by another human being is useful for flexible problem solving and clarifying your values. The majority of my experience is working with Post-Traumatic Stress Disorder. PTSD will definitely get better with knowledgeable treatment."
(503) 832-5987 View (503) 832-5987
Photo of Jenna Washburn, Licensed Professional Counselor in Portland, OR
Jenna Washburn
Licensed Professional Counselor, MA
Verified Verified
1 Endorsed
Portland, OR 97225  (Online Only)
I also offer a unique program called Focused Therapy that seeks to address the following issues: 1) Relationship Struggles and / or Codependency, 2) Caretaker Burnout, 3) Chronic Perfectionism, 4) Building Healthy Boundaries, 5) Surviving Narcissistic Abuse, and / or 6) Counseling Services for Empaths.
It goes without saying these past few years have been an uphill battle. With the stress of a pandemic, the economic hardships facing many, and political divides deepening: it's no wonder anxiety is high. Or depression feels magnified. Or you find yourself falling back into bad habits.  But you don't have to struggle through this time alone. Empathic Counseling can help you cope during this difficult time and empower you to thrive. I work closely with clients across Oregon to help them find freedom from Anxiety, Depression, Addiction, Trauma, or that harsh voice inside you that tells you you're not enough.
I also offer a unique program called Focused Therapy that seeks to address the following issues: 1) Relationship Struggles and / or Codependency, 2) Caretaker Burnout, 3) Chronic Perfectionism, 4) Building Healthy Boundaries, 5) Surviving Narcissistic Abuse, and / or 6) Counseling Services for Empaths.
It goes without saying these past few years have been an uphill battle. With the stress of a pandemic, the economic hardships facing many, and political divides deepening: it's no wonder anxiety is high. Or depression feels magnified. Or you find yourself falling back into bad habits.  But you don't have to struggle through this time alone. Empathic Counseling can help you cope during this difficult time and empower you to thrive. I work closely with clients across Oregon to help them find freedom from Anxiety, Depression, Addiction, Trauma, or that harsh voice inside you that tells you you're not enough.
(503) 739-9189 View (503) 739-9189
Photo of Raquel Harmon, Marriage & Family Therapist Associate in Portland, OR
Raquel Harmon
Marriage & Family Therapist Associate
Verified Verified
Portland, OR 97209
My passion is working with kids, families, and individuals who are navigating relationship challenges, depression and anxiety, life transitions, and challenges connected to ADHD and Autism.
Whether you have tried therapy in the past and are seeking support again, or are just beginning your therapy journey – I’m so glad you are here. I believe healing happens in relationship – to ourselves, to our communities, and to others in our lives who we care deeply for. Through Somatic Mindfulness (body centered), Emotionally Focused Therapy (EFT), and Self-Compassion based theories, I view my role as a guide along the road back to yourself, the ones you love, and the life you want to feel present in.
My passion is working with kids, families, and individuals who are navigating relationship challenges, depression and anxiety, life transitions, and challenges connected to ADHD and Autism.
Whether you have tried therapy in the past and are seeking support again, or are just beginning your therapy journey – I’m so glad you are here. I believe healing happens in relationship – to ourselves, to our communities, and to others in our lives who we care deeply for. Through Somatic Mindfulness (body centered), Emotionally Focused Therapy (EFT), and Self-Compassion based theories, I view my role as a guide along the road back to yourself, the ones you love, and the life you want to feel present in.
(971) 351-1042 View (971) 351-1042
Photo of Patrick Welly, Marriage & Family Therapist in Portland, OR
Patrick Welly
Marriage & Family Therapist, MA, LMFT, Jungian, Analyst
Verified Verified
Portland, OR 97212
I have training in mood and anxiety problems, childhood trauma and abuse, group therapy, couples therapy and relationship issues.
Are you looking for a Jungian Analyst to help you navigate the tension of opposites and live life more deeply, passionately, and intentionally? My practice is rooted primarily in the relationship between my client and myself. It draws upon metaphor; experiental learning; traditional methods of analytical psychology (life narrative, dream exploration, authentic movement, exploring the intersubjective field between us) meditation; visualization; and spiritual inquiry.
I have training in mood and anxiety problems, childhood trauma and abuse, group therapy, couples therapy and relationship issues.
Are you looking for a Jungian Analyst to help you navigate the tension of opposites and live life more deeply, passionately, and intentionally? My practice is rooted primarily in the relationship between my client and myself. It draws upon metaphor; experiental learning; traditional methods of analytical psychology (life narrative, dream exploration, authentic movement, exploring the intersubjective field between us) meditation; visualization; and spiritual inquiry.
(971) 248-0987 View (971) 248-0987
Photo of Caroline Sabi, Licensed Professional Counselor in Portland, OR
Caroline Sabi
Licensed Professional Counselor, MA, LPC
Verified Verified
3 Endorsed
Portland, OR 97210
Waitlist for new clients
I have had the privilege of witnessing people undergo the slow, extremely subtle and remarkable journey of healing and self-transformation. This process of psychological growth is astoundingly complex, multilayered, circular and even mysteriously numinous in its unfolding. My philosophy as a therapist is primarily on core transformation rather than merely symptom management and needless to say, I strongly believe in the centrality of the therapeutic relationship as a significant healing agent. Moving towards our wholeness necessitates the courage to first move into the wounded parts that we all have as members of the human species.
I have had the privilege of witnessing people undergo the slow, extremely subtle and remarkable journey of healing and self-transformation. This process of psychological growth is astoundingly complex, multilayered, circular and even mysteriously numinous in its unfolding. My philosophy as a therapist is primarily on core transformation rather than merely symptom management and needless to say, I strongly believe in the centrality of the therapeutic relationship as a significant healing agent. Moving towards our wholeness necessitates the courage to first move into the wounded parts that we all have as members of the human species.
(503) 994-9514 View (503) 994-9514
Photo of Michelle Butler, Marriage & Family Therapist in Portland, OR
Michelle Butler
Marriage & Family Therapist, MA, LMFT
Verified Verified
Portland, OR 97203  (Online Only)
Waitlist for new clients
I work with individual adults, couples and families looking to restore balance in their lives.
My practice is one of acceptance. My space is a judgement free zone. I am a licensed therapist, driven by a passion for assisting individuals, families, and intimate partners with diverse needs. Regardless of what your needs are, I will always consider how all of the relationships in your life are contributing to the reason you called.
I work with individual adults, couples and families looking to restore balance in their lives.
My practice is one of acceptance. My space is a judgement free zone. I am a licensed therapist, driven by a passion for assisting individuals, families, and intimate partners with diverse needs. Regardless of what your needs are, I will always consider how all of the relationships in your life are contributing to the reason you called.
(971) 257-4582 View (971) 257-4582
Photo of Molly Bowen, Professional Counselor Associate in Portland, OR
Molly Bowen
Professional Counselor Associate, MA
Verified Verified
Portland, OR 97217  (Online Only)
This helps clients engage in the transformative work of increasing connection to their natural healing capacity, enhancing their relationship to themselves, and life.
We treat symptoms of depression, anxiety, trauma, and disorder, etc. from an intention to alleviate or change. This may bring temporary relief but it dismisses the wisdom of these internal states. When we can connect to our whole experience, we learn to be with all aspects of ourselves in a way that naturally brings a sense of aliveness to the vast experience of being human. This aliveness shows us who we are, how to be, and in what way to be of service to the world. It is a guide for meaning and beauty, showing us how to heal and remember what truly provides a sense of well being for our lives.
This helps clients engage in the transformative work of increasing connection to their natural healing capacity, enhancing their relationship to themselves, and life.
We treat symptoms of depression, anxiety, trauma, and disorder, etc. from an intention to alleviate or change. This may bring temporary relief but it dismisses the wisdom of these internal states. When we can connect to our whole experience, we learn to be with all aspects of ourselves in a way that naturally brings a sense of aliveness to the vast experience of being human. This aliveness shows us who we are, how to be, and in what way to be of service to the world. It is a guide for meaning and beauty, showing us how to heal and remember what truly provides a sense of well being for our lives.
(971) 350-9027 View (971) 350-9027
Photo of Kristen Sartor, Clinical Social Work/Therapist in Portland, OR
Kristen Sartor
Clinical Social Work/Therapist, LCSW
Verified Verified
Portland, OR 97205
Waitlist for new clients
Hi! I love working with individuals, families and human beings in all types of relationship structures. Many clients have worked with me on anxiety, healing from trauma, navigating relationships, family conflict, parenting challenges, LGBTQ+ issues, depression and improving their relationships with themselves. My counseling is about supporting you in the way that you need to be supported while empowering you to deeply tune into your authentic self. In my practice, I strive to co-create a compassionate, non-judgmental, open space in which we can collaborate to clarify goals, build healing, strengthen skills and cultivate resilience.
Hi! I love working with individuals, families and human beings in all types of relationship structures. Many clients have worked with me on anxiety, healing from trauma, navigating relationships, family conflict, parenting challenges, LGBTQ+ issues, depression and improving their relationships with themselves. My counseling is about supporting you in the way that you need to be supported while empowering you to deeply tune into your authentic self. In my practice, I strive to co-create a compassionate, non-judgmental, open space in which we can collaborate to clarify goals, build healing, strengthen skills and cultivate resilience.
(971) 272-8668 View (971) 272-8668
Photo of Miles Joyce, Marriage & Family Therapist Associate in Portland, OR
Miles Joyce
Marriage & Family Therapist Associate, MA
Verified Verified
Portland, OR 97209  (Online Only)
Hello. My name is Miles and my heart is devoted to working with individuals, couples, and communities to feel more fully connected to a life of richness and authenticity. I maintain the relational and systemic perspective that problems exist between people, rather than within people. My clients tend to be folks from all walks of life who are interested in taking a holistic approach towards being in a healthier relationship with their wounds for the sake of greater response-ability and belonging.
Hello. My name is Miles and my heart is devoted to working with individuals, couples, and communities to feel more fully connected to a life of richness and authenticity. I maintain the relational and systemic perspective that problems exist between people, rather than within people. My clients tend to be folks from all walks of life who are interested in taking a holistic approach towards being in a healthier relationship with their wounds for the sake of greater response-ability and belonging.
(971) 364-3906 View (971) 364-3906
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.