Photo of Shyn Childress, Licensed Professional Counselor Associate in Salem, OR
Shyn Childress
Licensed Professional Counselor Associate, MA
Verified Verified
Salem, OR 97302
I offer a therapeutic environment that provides expertise in individual, group, and couples therapy utilizing Acceptance and Commitment Therapy, Mindfulness-Based Techniques and Psychodynamic Therapeutic Interventions, through an Adlerian lens to heal, energize and become aware of inner strengths.
My vision is to empower every person who seeks help to achieve balance in their lives by offering the opportunity to access new tools and improve unwanted behaviors. I provide affordable therapeutic interventions to the adult population seeking help with depression, anxiety, trauma/PTSD, burnout (political, professional, social media, etc.) or other emotional disturbances. My experience enables me to offer effective outpatient, individualized, psychological care and provide a neutral ground for individuals and couples who are committed to working toward their goals and values.
I offer a therapeutic environment that provides expertise in individual, group, and couples therapy utilizing Acceptance and Commitment Therapy, Mindfulness-Based Techniques and Psychodynamic Therapeutic Interventions, through an Adlerian lens to heal, energize and become aware of inner strengths.
My vision is to empower every person who seeks help to achieve balance in their lives by offering the opportunity to access new tools and improve unwanted behaviors. I provide affordable therapeutic interventions to the adult population seeking help with depression, anxiety, trauma/PTSD, burnout (political, professional, social media, etc.) or other emotional disturbances. My experience enables me to offer effective outpatient, individualized, psychological care and provide a neutral ground for individuals and couples who are committed to working toward their goals and values.
(971) 273-5313 View (971) 273-5313
Photo of Darlene Marie Stimson, Marriage & Family Therapist in Salem, OR
Darlene Marie Stimson
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Salem, OR 97304
I work with adolescents, young adults, college age adults, individuals, couples and families.
Accepting new clients! Life can be filled with unexpected challenges. These vary from change of life situations to loss of job, marital difficulties, divorce, trauma and grief over the loss of a loved one. I welcome you to explore various ways to navigate these experiences in a safe, sensitive and warm environment. Together we can find creative and positive approaches tailored to your circumstances. As a team we can explore your thoughts, feelings, beliefs and behaviors and take action to reach a positive outcome!
I work with adolescents, young adults, college age adults, individuals, couples and families.
Accepting new clients! Life can be filled with unexpected challenges. These vary from change of life situations to loss of job, marital difficulties, divorce, trauma and grief over the loss of a loved one. I welcome you to explore various ways to navigate these experiences in a safe, sensitive and warm environment. Together we can find creative and positive approaches tailored to your circumstances. As a team we can explore your thoughts, feelings, beliefs and behaviors and take action to reach a positive outcome!
(503) 461-4384 View (503) 461-4384
Photo of Lorinda L Sanders, Clinical Social Work/Therapist in Salem, OR
Lorinda L Sanders
Clinical Social Work/Therapist, LCSW
Verified Verified
Salem, OR 97301  (Online Only)
The most important part of counseling is developing trust & confidence in the therapeutic relationship.
Hello and Welcome! I am Lorinda Sanders and I'm a Licensed Clinical Social Worker practicing in Idaho and Oregon. I've been in practice 25 years. I graduated from Walla Walla University with a Master in Social Work in 2000. My experience includes working with individuals with anxiety, depression, trauma, self-esteem, career challenges, LGBTQ, relational conflict, grief and loss, and adjustment/transitional challenges. I use a number of therapeutic techniques including Motivational Interviewing, CBT, ACT, Trauma Informed Care, Mindfulness and strengths based techniques. My goal is to help you become a better version of yourself.
The most important part of counseling is developing trust & confidence in the therapeutic relationship.
Hello and Welcome! I am Lorinda Sanders and I'm a Licensed Clinical Social Worker practicing in Idaho and Oregon. I've been in practice 25 years. I graduated from Walla Walla University with a Master in Social Work in 2000. My experience includes working with individuals with anxiety, depression, trauma, self-esteem, career challenges, LGBTQ, relational conflict, grief and loss, and adjustment/transitional challenges. I use a number of therapeutic techniques including Motivational Interviewing, CBT, ACT, Trauma Informed Care, Mindfulness and strengths based techniques. My goal is to help you become a better version of yourself.
(208) 875-5417 View (208) 875-5417
Photo of New Perspectives Center for Counseling & Therapy, Clinical Social Work/Therapist in Salem, OR
New Perspectives Center for Counseling & Therapy
Clinical Social Work/Therapist, MS
Not Verified Not Verified
1 Endorsed
Salem, OR 97301
TREATMENT ISSUES FOR ADULTS: Depression,anxiety,stress,life adjustment problems,relationship difficulties,career transitions,trauma, addictions,dependency,grief,loss,sexual and physical abuse,chronic illness, sexual dysfunction,identity problems.
NEW PERSPECTIVES CENTER for Counseling and Therapy, LLC is an outpatient behavioral health facility with a multi-disciplinary team of therapists and psychiatric nurse practioners who provide comprehensive services to CHILDREN,ADOLESCENTS,ADULTS, and SENIORS. Working in an atmosphere of safety and acceptance, individuals, couples, families and groups are encouraged to explore and confront the issues affecting their lives. We are licensed by the state of Oregon for both mental health and addiction services. We are covered by most insurance plans and have therapists/nurses on most managed care panels.
TREATMENT ISSUES FOR ADULTS: Depression,anxiety,stress,life adjustment problems,relationship difficulties,career transitions,trauma, addictions,dependency,grief,loss,sexual and physical abuse,chronic illness, sexual dysfunction,identity problems.
NEW PERSPECTIVES CENTER for Counseling and Therapy, LLC is an outpatient behavioral health facility with a multi-disciplinary team of therapists and psychiatric nurse practioners who provide comprehensive services to CHILDREN,ADOLESCENTS,ADULTS, and SENIORS. Working in an atmosphere of safety and acceptance, individuals, couples, families and groups are encouraged to explore and confront the issues affecting their lives. We are licensed by the state of Oregon for both mental health and addiction services. We are covered by most insurance plans and have therapists/nurses on most managed care panels.
(503) 446-5085 View (503) 446-5085
Photo of Night Sky Therapy, LLC, Licensed Professional Counselor in Salem, OR
Night Sky Therapy, LLC
Licensed Professional Counselor, LPC, CADCI
Verified Verified
1 Endorsed
Salem, OR 97301  (Online Only)
I work with individuals, couples/relationship systems, and group therapy.
Living in a society that is both sexually repressed and obsessed with sex is confusing at the best of times. Overwhelmingly we weren’t offered the correct information about our natural urges or bodies, and we are sometimes even shamed for asking. This can often result in low self-esteem, depression, anxiety, guilt, shame, and isolation. I can help you navigate in improving your courage, mastery, and gaining healthier boundaries (that you are worthy of!) in order to be your most genuine self. We will work together at your pace in order to identify strengths and barriers and to gain confidence in making life choices and transitions.
I work with individuals, couples/relationship systems, and group therapy.
Living in a society that is both sexually repressed and obsessed with sex is confusing at the best of times. Overwhelmingly we weren’t offered the correct information about our natural urges or bodies, and we are sometimes even shamed for asking. This can often result in low self-esteem, depression, anxiety, guilt, shame, and isolation. I can help you navigate in improving your courage, mastery, and gaining healthier boundaries (that you are worthy of!) in order to be your most genuine self. We will work together at your pace in order to identify strengths and barriers and to gain confidence in making life choices and transitions.
(503) 854-5626 View (503) 854-5626
Photo of Brad Dehler, Clinical Social Work/Therapist in Salem, OR
Brad Dehler
Clinical Social Work/Therapist, MSW, QMHP, LMHP, CCSOT, LCSW
Verified Verified
Salem, OR 97301
I have worked with varied populations throughout Louisiana and Oregon; most often with male & female adults, couples, adolescents, and children ages 7-11. I have addressed multiple varied needs including sexual dysfunction, gang activity, drug use, domestic violence, PTSD, personality, mood disorders as well as relationship issues. **Education: I have a bachelor's degree (4 years) in Psychology (Oregon State University, Corvallis). I also have (one year) education (Holy Cross College, New Orleans, Louisiana) in Marriage and Family Therapy. I acquired a master's degree in Social Work (3 year master's program) from Portland State University in Portland, Oregon.
I have worked with varied populations throughout Louisiana and Oregon; most often with male & female adults, couples, adolescents, and children ages 7-11. I have addressed multiple varied needs including sexual dysfunction, gang activity, drug use, domestic violence, PTSD, personality, mood disorders as well as relationship issues. **Education: I have a bachelor's degree (4 years) in Psychology (Oregon State University, Corvallis). I also have (one year) education (Holy Cross College, New Orleans, Louisiana) in Marriage and Family Therapy. I acquired a master's degree in Social Work (3 year master's program) from Portland State University in Portland, Oregon.
(541) 846-4075 View (541) 846-4075
Photo of Lunar Tides Therapy LLC, Pre-Licensed Professional in Salem, OR
Lunar Tides Therapy LLC
Pre-Licensed Professional, MA, QMHP, LPCA
Verified Verified
Salem, OR 97301  (Online Only)
I offer therapy services for individuals, couples, and families, and see clients between the ages of 14 and 40 years old. I approach counseling through the understanding that individuals are a product of their environmental contexts and may equally influence those contexts. I also believe that we do not exist in a stagnant and unchanging world, and are continuously evolving as individuals, which shapes my scope of practice. I focus on working with clients towards empowerment and identifying behavioral, cognitive, and emotional patterns that may no longer serve their best interests.
I offer therapy services for individuals, couples, and families, and see clients between the ages of 14 and 40 years old. I approach counseling through the understanding that individuals are a product of their environmental contexts and may equally influence those contexts. I also believe that we do not exist in a stagnant and unchanging world, and are continuously evolving as individuals, which shapes my scope of practice. I focus on working with clients towards empowerment and identifying behavioral, cognitive, and emotional patterns that may no longer serve their best interests.
(425) 640-7009 x9448 View (425) 640-7009 x9448
Photo of Kari Hempel, Licensed Professional Counselor in Salem, OR
Kari Hempel
Licensed Professional Counselor, PhD, LPC
Verified Verified
Salem, OR 97301
I have expertise in helping adults address trauma, relationship difficulties, neurodiversity, problematic sexual interests, and spiritual exploration. I am a therapist who focuses on doing deep work with clients. I am interested in helping people make lasting changes that bring true empowerment and life transformation. Whether you are ready to hit the ground running in your own change process, or are not yet convinced therapy can actually help you, I am ready to meet you where you are at and explore what might be possible.
I have expertise in helping adults address trauma, relationship difficulties, neurodiversity, problematic sexual interests, and spiritual exploration. I am a therapist who focuses on doing deep work with clients. I am interested in helping people make lasting changes that bring true empowerment and life transformation. Whether you are ready to hit the ground running in your own change process, or are not yet convinced therapy can actually help you, I am ready to meet you where you are at and explore what might be possible.
(971) 273-1845 View (971) 273-1845
Photo of Mario de Obaldia, Licensed Professional Counselor in Salem, OR
Mario de Obaldia
Licensed Professional Counselor, MS, LPC, EMDR
Verified Verified
Salem, OR 97301
The relationship built between two closes that chasm.
Every failure we experience we feel as indicative of our future when in fact, everything we attempt, every time, has the potential for failure or success.
The relationship built between two closes that chasm.
Every failure we experience we feel as indicative of our future when in fact, everything we attempt, every time, has the potential for failure or success.
(971) 248-9640 View (971) 248-9640
Photo of Inter-Cultural Center for Psychology, Psychologist in Salem, OR
Inter-Cultural Center for Psychology
Psychologist, PsyD
Verified Verified
Salem, OR 97302
Child, Family, and Adult Services: Evaluation & Consultation, Individual/Couples/Family, Education & Therapy, Strengths Based-Evidence Based Treatment Practices; such as cognitive-behavioral therapy and solution focused therapy,Coordination with Primary Care Physician, Coordination of services, referral, & resources information.
We are a practice group of licensed psychologists that provide mental health services in English, Russian, and Ukrainian. We provide individual, couple, family, and group therapy, for ages 4 years old and up.
Child, Family, and Adult Services: Evaluation & Consultation, Individual/Couples/Family, Education & Therapy, Strengths Based-Evidence Based Treatment Practices; such as cognitive-behavioral therapy and solution focused therapy,Coordination with Primary Care Physician, Coordination of services, referral, & resources information.
We are a practice group of licensed psychologists that provide mental health services in English, Russian, and Ukrainian. We provide individual, couple, family, and group therapy, for ages 4 years old and up.
(503) 877-1329 View (503) 877-1329
Photo of Mary Ann Fahlstrom, Marriage & Family Therapist in Salem, OR
Mary Ann Fahlstrom
Marriage & Family Therapist, MA, LMFT, ATR
Verified Verified
2 Endorsed
Salem, OR 97301
I focus my practice on crisis intervention, children, adolescents, families, couples, and the transitional stressors which we all encounter at times in our lives, and which, when navigated successfully can turn out to be the most precious gifts we have been given.
I am committed to providing respect, compassion, understanding, honest feedback, structure and openness to each of my clients in order to provide the optimum conditions for you to achieve your desired outcomes. I believe that life is a journey which is unique for each person. Psychotherapy can be an important tool in helping an individual or family discover their natural ability to heal, to love and to grow.
I focus my practice on crisis intervention, children, adolescents, families, couples, and the transitional stressors which we all encounter at times in our lives, and which, when navigated successfully can turn out to be the most precious gifts we have been given.
I am committed to providing respect, compassion, understanding, honest feedback, structure and openness to each of my clients in order to provide the optimum conditions for you to achieve your desired outcomes. I believe that life is a journey which is unique for each person. Psychotherapy can be an important tool in helping an individual or family discover their natural ability to heal, to love and to grow.
(503) 298-6609 View (503) 298-6609
Photo of Dr. Corey Gilbert -Christian, Sex & Trauma Expert , Licensed Professional Counselor in Salem, OR
Dr. Corey Gilbert -Christian, Sex & Trauma Expert
Licensed Professional Counselor, PhD, LPC
Verified Verified
Salem, OR 97306
And let's partner together to see HIM work.
Welcome! My name is Dr Corey Gilbert. I have been working with marriages and families for over 23 years. My primary focus is on trauma, gender and sexual identity, infidelity, marriage restoration, & marital sexual stuck points - all from a biblical traditionally Christian worldivew. So if you are looking for that kind of leadership and direction, I am that person. I have been a University professor at the Undergrad, Gradaute, and Doctoral level for 19+ years. My track record is seeing great changes quickly for most. You and I will create a plan that works best for you, your desired outcomes, your budget, and family.
And let's partner together to see HIM work.
Welcome! My name is Dr Corey Gilbert. I have been working with marriages and families for over 23 years. My primary focus is on trauma, gender and sexual identity, infidelity, marriage restoration, & marital sexual stuck points - all from a biblical traditionally Christian worldivew. So if you are looking for that kind of leadership and direction, I am that person. I have been a University professor at the Undergrad, Gradaute, and Doctoral level for 19+ years. My track record is seeing great changes quickly for most. You and I will create a plan that works best for you, your desired outcomes, your budget, and family.
(503) 563-2668 View (503) 563-2668
Photo of Christine Boyington, Marriage & Family Therapist in Salem, OR
Christine Boyington
Marriage & Family Therapist, LMFT, CADC
Verified Verified
Salem, OR 97301
It is hard to share your life story with just anyone, but be rest assured that you will be treated with the utmost respect in my care. Having a trusting relationship with your counselor is one of the most important aspects of counseling effectiveness and something you can count on when working with me! My focus is strength based individual, couple, and family counseling. I see healthy relationships with self and others as the foundation to well being.
It is hard to share your life story with just anyone, but be rest assured that you will be treated with the utmost respect in my care. Having a trusting relationship with your counselor is one of the most important aspects of counseling effectiveness and something you can count on when working with me! My focus is strength based individual, couple, and family counseling. I see healthy relationships with self and others as the foundation to well being.
(971) 248-0997 x3 View (971) 248-0997 x3
Photo of The Healing Haven, Clinical Social Work/Therapist in Salem, OR
The Healing Haven
Clinical Social Work/Therapist, LCSW, ACH
Verified Verified
1 Endorsed
Salem, OR 97302
I have been working in the therapeutic field for 33 years and am licensed Mental Health Therapist and Clinical Hypnotherapist. My strengths are in relationship issues,eating disorders,weight loss,addictions, anxiety, depression, trauma and chronic pain. I work with adults, teens using psychotherapy and/or hypnotherapy. I am totally committed to my work and have numerous references. I can accommodate your work schedule and work schedule. I am the founder of The Healing Haven. Visit our website www.healinghaven.net to see all of our therapists. We are able to provide secure online therapy particularly during this difficult time
I have been working in the therapeutic field for 33 years and am licensed Mental Health Therapist and Clinical Hypnotherapist. My strengths are in relationship issues,eating disorders,weight loss,addictions, anxiety, depression, trauma and chronic pain. I work with adults, teens using psychotherapy and/or hypnotherapy. I am totally committed to my work and have numerous references. I can accommodate your work schedule and work schedule. I am the founder of The Healing Haven. Visit our website www.healinghaven.net to see all of our therapists. We are able to provide secure online therapy particularly during this difficult time
(971) 236-5193 View (971) 236-5193
Photo of Bri Botsch, Professional Counselor Associate in Salem, OR
Bri Botsch
Professional Counselor Associate, MA
Verified Verified
1 Endorsed
Salem, OR 97301
My approach to counseling invites individuals into a warm, nonjudgmental space where they can explore challenges in their lives. I aspire to offer a safe space for individuals to be vulnerable and their authentic selves by practicing empathy, compassion, and support. I believe that individuals are able to make transformative steps in their life when they are motivated to change and offered a healthy and supportive environment to open up in. My client focus is on women with sexual trauma, relationship issues, and intimacy and sexual struggles. I work with adolescents 13-17 years old, adults, and couples.
My approach to counseling invites individuals into a warm, nonjudgmental space where they can explore challenges in their lives. I aspire to offer a safe space for individuals to be vulnerable and their authentic selves by practicing empathy, compassion, and support. I believe that individuals are able to make transformative steps in their life when they are motivated to change and offered a healthy and supportive environment to open up in. My client focus is on women with sexual trauma, relationship issues, and intimacy and sexual struggles. I work with adolescents 13-17 years old, adults, and couples.
View
Lawana S Mount
Licensed Professional Counselor, LPC, MFT
Verified Verified
Salem, OR 97301
I have had the privilege of working in public-service related jobs during my career years and I continue the joy of serving others as a Licensed Professional Counselor. My passion is to help individuals gain mastery over their lives in order to live a more balanced life with a healthy self- image. I assist individuals, couples, and families sort out events, beliefs, etc., that may be keeping them stuck from having a more satisfied and fulfilled life.
I have had the privilege of working in public-service related jobs during my career years and I continue the joy of serving others as a Licensed Professional Counselor. My passion is to help individuals gain mastery over their lives in order to live a more balanced life with a healthy self- image. I assist individuals, couples, and families sort out events, beliefs, etc., that may be keeping them stuck from having a more satisfied and fulfilled life.
(503) 743-8801 View (503) 743-8801
Photo of Nancy L Link, Licensed Professional Counselor in Salem, OR
Nancy L Link
Licensed Professional Counselor, MS, LPC
Verified Verified
Salem, OR 97301  (Online Only)
My expertise is in working with individuals, couples, and families who struggle with mental health issues.
Over 29 years experience as a licensed counselor. Are you looking for a positive change in your life? I can help you. I believe that growth is an essential ingredient for a fulfilling life. I specialize in treating children, adolescents, adults and families. My training and experience is extensive. It includes being certified as a DEH@ practitioner, individual, couple, family therapy, Play/Sand/Art Therapy, hypnosis, and Spiritual Direction/life path exploration. I am a Licensed Professional Counselor in the State of Oregon, trained in Spiritual direction, and certified in delivery of Tele Mental Health services.
My expertise is in working with individuals, couples, and families who struggle with mental health issues.
Over 29 years experience as a licensed counselor. Are you looking for a positive change in your life? I can help you. I believe that growth is an essential ingredient for a fulfilling life. I specialize in treating children, adolescents, adults and families. My training and experience is extensive. It includes being certified as a DEH@ practitioner, individual, couple, family therapy, Play/Sand/Art Therapy, hypnosis, and Spiritual Direction/life path exploration. I am a Licensed Professional Counselor in the State of Oregon, trained in Spiritual direction, and certified in delivery of Tele Mental Health services.
(503) 980-3226 View (503) 980-3226
Photo of Laney Kibel, Clinical Social Work/Therapist in Salem, OR
Laney Kibel
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Salem, OR 97303  (Online Only)
After 25+ years of providing counseling I find my philosophy has grown simpler and more to the point. Successful counseling is built on a positive and trusting relationship, much as successful living is dependent on trusting, healthy relationships. I bring a broad array of treatment tools to my work including gestalt, object relations and psychodynamic theory. Most importantly I bring myself; my heart, my humor, my understanding, knowledge and years of experience. I work with adults and children, couples and groups(this includes families).
After 25+ years of providing counseling I find my philosophy has grown simpler and more to the point. Successful counseling is built on a positive and trusting relationship, much as successful living is dependent on trusting, healthy relationships. I bring a broad array of treatment tools to my work including gestalt, object relations and psychodynamic theory. Most importantly I bring myself; my heart, my humor, my understanding, knowledge and years of experience. I work with adults and children, couples and groups(this includes families).
(971) 236-5012 View (971) 236-5012
Photo of Don Polevacik in Salem, OR
Don Polevacik
MSSA
Verified Verified
Salem, OR 97302
If you are a parent looking for help for your young or adolescent child, I might be the person to help. If your child is struggling, working with me will help them overcome obstacles, build confidence and boost self esteem. I can help with anger management and anxiety issues, and trouble with focus. Children and youth benefit from my practical, supportive approach. In cases where children and adolescents have been affected by abuse, trauma, and sexually reactive behaviors, I am able to meet them where they are, and support their healthy development. I am an empathetic partner and guide to their process of healing and growth.
If you are a parent looking for help for your young or adolescent child, I might be the person to help. If your child is struggling, working with me will help them overcome obstacles, build confidence and boost self esteem. I can help with anger management and anxiety issues, and trouble with focus. Children and youth benefit from my practical, supportive approach. In cases where children and adolescents have been affected by abuse, trauma, and sexually reactive behaviors, I am able to meet them where they are, and support their healthy development. I am an empathetic partner and guide to their process of healing and growth.
(503) 850-0794 View (503) 850-0794
Photo of Chrystal K Johnson, Licensed Professional Counselor in Salem, OR
Chrystal K Johnson
Licensed Professional Counselor, LPC, CADC3, CGAC2
Verified Verified
Salem, OR 97301
I work with individuals, couples, families in individual and group settings.
I believe that recovery is a process which requires active, continuous involvement from the client, the therapist, and the entire treatment team. According to this belief, the four stages of recovery are hope, empowerment, self-responsibility, and establishing a meaningful role in life. The individual most responsible for a successful treatment outcome is you (the client). With your consistent effort and willingness to engage with your therapist the kind of change you are hoping for can and will occur.
I work with individuals, couples, families in individual and group settings.
I believe that recovery is a process which requires active, continuous involvement from the client, the therapist, and the entire treatment team. According to this belief, the four stages of recovery are hope, empowerment, self-responsibility, and establishing a meaningful role in life. The individual most responsible for a successful treatment outcome is you (the client). With your consistent effort and willingness to engage with your therapist the kind of change you are hoping for can and will occur.
(541) 204-8440 View (541) 204-8440

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.