Renue Counseling LLC
Licensed Professional Counselor
Verified Verified
Phoenixville, PA 19460
At Renue Counseling, we offer therapy services tailored to adults, teens, and tweens, helping them navigate life's challenges and discover their inner strength. Whether you're struggling with anxiety, depression, relationship issues, or simply seeking personal growth, our therapists are here to support you every step of the way. In addition to therapy, Renue Counseling provides psychiatric medication management services for children ages 6 and above and adults. Our experienced psychiatric provider works closely with clients to ensure safe and effective treatment, helping them find the right balance of medication.
At Renue Counseling, we offer therapy services tailored to adults, teens, and tweens, helping them navigate life's challenges and discover their inner strength. Whether you're struggling with anxiety, depression, relationship issues, or simply seeking personal growth, our therapists are here to support you every step of the way. In addition to therapy, Renue Counseling provides psychiatric medication management services for children ages 6 and above and adults. Our experienced psychiatric provider works closely with clients to ensure safe and effective treatment, helping them find the right balance of medication.
(484) 662-4116 View (484) 662-4116
Photo of Teresa Helen Jennings, Licensed Professional Counselor in Phoenixville, PA
Teresa Helen Jennings
Licensed Professional Counselor, MA, LPC, ATR-BC
Verified Verified
1 Endorsed
Phoenixville, PA 19460
The therapeutic relationship is one of the most important aspects of effective treatment.
If you are tired of things as they are and need a change - it's time to take that step! Have you felt anxious, stressed, sad, lonely, misunderstood, disconnected, and overwhelmed? Have you come to find that your view of yourself and the way you experience relationships prevents you from finding happiness or meaning? Having a safe space - and taking the time to reflect is crucial. Reconsidering how you view yourself - and the way you relate to those around you - can shift your perspective. This can lead to personal enrichment and healthier boundaries in your life and relationships.
The therapeutic relationship is one of the most important aspects of effective treatment.
If you are tired of things as they are and need a change - it's time to take that step! Have you felt anxious, stressed, sad, lonely, misunderstood, disconnected, and overwhelmed? Have you come to find that your view of yourself and the way you experience relationships prevents you from finding happiness or meaning? Having a safe space - and taking the time to reflect is crucial. Reconsidering how you view yourself - and the way you relate to those around you - can shift your perspective. This can lead to personal enrichment and healthier boundaries in your life and relationships.
(484) 878-5909 View (484) 878-5909
Photo of Heidi Byers, Licensed Professional Counselor in Phoenixville, PA
Heidi Byers
Licensed Professional Counselor, LPC, NCC
Verified Verified
2 Endorsed
Phoenixville, PA 19460
Do you and your partner struggle to find common ground? Are communication breakdowns, unresolved conflicts, or the effects of childhood trauma impacting your relationship? As someone who understands the profound impact that early experiences can have on your emotional well-being, self-esteem, and relationships, I offer a compassionate and trauma-informed approach to healing. Whether you are seeking support as a couple or an individual, we will navigate the challenges, address the root causes of your struggles, and empower you to live a more fulfilling and meaningful life.
Do you and your partner struggle to find common ground? Are communication breakdowns, unresolved conflicts, or the effects of childhood trauma impacting your relationship? As someone who understands the profound impact that early experiences can have on your emotional well-being, self-esteem, and relationships, I offer a compassionate and trauma-informed approach to healing. Whether you are seeking support as a couple or an individual, we will navigate the challenges, address the root causes of your struggles, and empower you to live a more fulfilling and meaningful life.
(484) 285-4343 View (484) 285-4343
Photo of Mallory Pambianchi, Counselor in Phoenixville, PA
Mallory Pambianchi
Counselor, LPC
Verified Verified
Phoenixville, PA 19460  (Online Only)
Some of my specialty areas of treatment are anxiety disorders, panic attacks, social anxiety, somatic conditions, obsessive-compulsive disorder, specific phobias, depression, bi-polar depression, sleep disorders, sexual disorders, relationship/family issues, divorce/infidelity,career counseling,life transitions, eating disorders, domestic violence and abuse.
Hello and Welcome! My name is Mallory and I have over 16 years of experience as a therapist working with a variety of individuals; adults, children and families. I am a culturally sensitive therapist who believes each person has an entirely unique experience and story. I received my Master's in Clinical Psychology in 2007 and am a licensed professional counselor and licensed behavior specialist.
Some of my specialty areas of treatment are anxiety disorders, panic attacks, social anxiety, somatic conditions, obsessive-compulsive disorder, specific phobias, depression, bi-polar depression, sleep disorders, sexual disorders, relationship/family issues, divorce/infidelity,career counseling,life transitions, eating disorders, domestic violence and abuse.
Hello and Welcome! My name is Mallory and I have over 16 years of experience as a therapist working with a variety of individuals; adults, children and families. I am a culturally sensitive therapist who believes each person has an entirely unique experience and story. I received my Master's in Clinical Psychology in 2007 and am a licensed professional counselor and licensed behavior specialist.
(484) 435-7608 View (484) 435-7608
Photo of Steven Shelly, Psychologist in Phoenixville, PA
Steven Shelly
Psychologist, PhD
Verified Verified
Phoenixville, PA 19460
In addition to helping individuals, I also work with couples in conflict or thinking of separating.
In therapy, I try to understand and accept each person. That builds the client's self-esteem. Then I work together with the client to find the unique solution to his or her trouble, whether it's depression, or anxiety, or relationship problems. Different people need different kinds of help, so I don't limit myself to one kind of therapy. I'm trained in several, so the client and I pick the methods we think will help him or her the most. The relationship is one of mutual respect moving forward to overcome an obstacle to the client's happiness.
In addition to helping individuals, I also work with couples in conflict or thinking of separating.
In therapy, I try to understand and accept each person. That builds the client's self-esteem. Then I work together with the client to find the unique solution to his or her trouble, whether it's depression, or anxiety, or relationship problems. Different people need different kinds of help, so I don't limit myself to one kind of therapy. I'm trained in several, so the client and I pick the methods we think will help him or her the most. The relationship is one of mutual respect moving forward to overcome an obstacle to the client's happiness.
(484) 494-2752 View (484) 494-2752
Photo of Jeremy Atkins, Psychologist in Phoenixville, PA
Jeremy Atkins
Psychologist, PsyD
Verified Verified
Phoenixville, PA 19460
I have significant experience working with: anxiety, stress, life-transitions, depression, self-harm, grief, loss, gender dysphoria, victims of abuse (including sexual abuse and complex trauma), bullying, impaired social skills, adolescents with problematic sexual behaviors, and families with communication difficulties and relationship conflicts.
Since starting in the field about 20 years ago, I have had the privilege of working therapeutically with diverse populations in various clinics, hospitals, and schools. Over the past several years I have focused on treating clinical and forensic clients through my private practice. I am currently accepting new clients to be seen either virtually or in person at my office in Phoenixville, PA.
I have significant experience working with: anxiety, stress, life-transitions, depression, self-harm, grief, loss, gender dysphoria, victims of abuse (including sexual abuse and complex trauma), bullying, impaired social skills, adolescents with problematic sexual behaviors, and families with communication difficulties and relationship conflicts.
Since starting in the field about 20 years ago, I have had the privilege of working therapeutically with diverse populations in various clinics, hospitals, and schools. Over the past several years I have focused on treating clinical and forensic clients through my private practice. I am currently accepting new clients to be seen either virtually or in person at my office in Phoenixville, PA.
(610) 697-9818 View (610) 697-9818
The Art of Emotion - Sarah LeBoon
Clinical Social Work/Therapist, MSW, LCSW, QCSW, RPT-S, CAAPT
Verified Verified
Phoenixville, PA 19460
' Clinical therapy services include Children, Adolescents, Adults, Families, and Couples.
At The Art of Emotion, we believe in a collaborative approach to therapy. We work with our clients to create a safe and supportive environment where they can explore their thoughts, feelings, and behaviors. The Art of Emotion is the group psychotherapy practice led by Sarah A. LeBoon, MSW, LCSW, QCSW, RPT-S, CAAPT. Dedicated to providing the highest quality managed services, Ms. LeBoon offers psychotherapy and assessment for a range of emotional issues and diagnoses in the office or remotely.
' Clinical therapy services include Children, Adolescents, Adults, Families, and Couples.
At The Art of Emotion, we believe in a collaborative approach to therapy. We work with our clients to create a safe and supportive environment where they can explore their thoughts, feelings, and behaviors. The Art of Emotion is the group psychotherapy practice led by Sarah A. LeBoon, MSW, LCSW, QCSW, RPT-S, CAAPT. Dedicated to providing the highest quality managed services, Ms. LeBoon offers psychotherapy and assessment for a range of emotional issues and diagnoses in the office or remotely.
(484) 319-4159 View (484) 319-4159
Photo of Tina Leboffe, Licensed Professional Counselor in Phoenixville, PA
Tina Leboffe
Licensed Professional Counselor, LPC, NCC, CCATP, ADHD-CP
Verified Verified
3 Endorsed
Phoenixville, PA 19460
Anxiety, self-doubt, perfectionism, job dissatisfaction & relationship issues are common struggles of a quarterlifer as you navigate transitions in your 20s & 30s.
Do you feel unsatisfied with the way your life is going? I work with those in their 20s & 30s who are dealing with the anxieties that come with new life phases. Maybe you’re adjusting to post-grad life or starting a new job. Or you’re looking to set boundaries as you gain independence from your family. I’m here to help you bridge the gap between your life now and what you want your life to look like, while also giving meaning to the experiences that led you to where you are. I not only bring educational & professional experience to my practice, but also empathy & realness that comes from confronting my own personal challenges.
Anxiety, self-doubt, perfectionism, job dissatisfaction & relationship issues are common struggles of a quarterlifer as you navigate transitions in your 20s & 30s.
Do you feel unsatisfied with the way your life is going? I work with those in their 20s & 30s who are dealing with the anxieties that come with new life phases. Maybe you’re adjusting to post-grad life or starting a new job. Or you’re looking to set boundaries as you gain independence from your family. I’m here to help you bridge the gap between your life now and what you want your life to look like, while also giving meaning to the experiences that led you to where you are. I not only bring educational & professional experience to my practice, but also empathy & realness that comes from confronting my own personal challenges.
(610) 572-4989 View (610) 572-4989
Photo of Jeffrey Faude, Psychologist in Phoenixville, PA
Jeffrey Faude
Psychologist, PhD
Verified Verified
1 Endorsed
Phoenixville, PA 19453  (Online Only)
I am an active and highly engaged therapist who tries to meet people where they are and to develop a collaborative relationship with them in which we can work together to find new ways to experience life in a fuller and richer way.
I focus a great deal on helping people expand their awareness of aspects of themselves and their important relationships that they have difficulty paying attention to and feeling. This increased awareness helps people feel more flexible and free to navigate the obstacles and cross-currents they find facing them in their lives, rather than remain stuck in repetitive cycles of suffering.
I am an active and highly engaged therapist who tries to meet people where they are and to develop a collaborative relationship with them in which we can work together to find new ways to experience life in a fuller and richer way.
I focus a great deal on helping people expand their awareness of aspects of themselves and their important relationships that they have difficulty paying attention to and feeling. This increased awareness helps people feel more flexible and free to navigate the obstacles and cross-currents they find facing them in their lives, rather than remain stuck in repetitive cycles of suffering.
(610) 915-8768 View (610) 915-8768
Photo of Carol Gaspar, Psychologist in Phoenixville, PA
Carol Gaspar
Psychologist, MEd
Verified Verified
2 Endorsed
Phoenixville, PA 19460
I am a Licensed Psychologist with over 30 years of counseling experience working with individual adults, couples, and adolescents.
"The journey of a thousand miles begins with a single step."Lao-tzu You have just taken the first step of that journey. Life presents us with many challenges along the way. We may experience loss and significant changes in our lives. These challenges may present themselves in the many relationships we have with others, in our jobs, at school, and in our families. These challenges may affect our moods, cause us worry and despair, hamper our spirits, sadden us, confuse us and result in either our stumbling off course or losing a sense of direction. Therapy can be most helpful in getting you back on track and continuing your journey.
I am a Licensed Psychologist with over 30 years of counseling experience working with individual adults, couples, and adolescents.
"The journey of a thousand miles begins with a single step."Lao-tzu You have just taken the first step of that journey. Life presents us with many challenges along the way. We may experience loss and significant changes in our lives. These challenges may present themselves in the many relationships we have with others, in our jobs, at school, and in our families. These challenges may affect our moods, cause us worry and despair, hamper our spirits, sadden us, confuse us and result in either our stumbling off course or losing a sense of direction. Therapy can be most helpful in getting you back on track and continuing your journey.
(610) 616-5802 View (610) 616-5802
Photo of Main Line Therapy (Carolyn Smith), Clinical Social Work/Therapist in Phoenixville, PA
Main Line Therapy (Carolyn Smith)
Clinical Social Work/Therapist, LCSW
Verified Verified
Phoenixville, PA 19460
Therapy is learning about yourself and understanding what your triggers are, where they came from and how to best manage them. It's also about learning strategies that will help you cope with stressors specific to what is going on in your life. Whether you are looking for guidance with anxiety or depression, support in maintaining and managing a difficult relationship, tools to better manage your emotions, help with grieving a loss, confronting a fear or gaining insight, self awareness and confidence, you've found the right place and the results can be life changing.
Therapy is learning about yourself and understanding what your triggers are, where they came from and how to best manage them. It's also about learning strategies that will help you cope with stressors specific to what is going on in your life. Whether you are looking for guidance with anxiety or depression, support in maintaining and managing a difficult relationship, tools to better manage your emotions, help with grieving a loss, confronting a fear or gaining insight, self awareness and confidence, you've found the right place and the results can be life changing.
(610) 644-1555 View (610) 644-1555
Photo of Cornerstone Therapy and Wellness, Clinical Social Work/Therapist in Phoenixville, PA
Cornerstone Therapy and Wellness
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Phoenixville, PA 19460
Your full-service psychotherapy practice offering counseling, psychiatry, psychological testing and nutritional services for children, adolescents, adults, couples and families. Our goal is to partner with you in “building the foundation for healthy living,” through providing quality, comprehensive care. Our practice is designed to make quality mental health care as accessible and stress-free as possible. We will streamline care from aligning you with the appropriate therapist to meet your individual needs.
Your full-service psychotherapy practice offering counseling, psychiatry, psychological testing and nutritional services for children, adolescents, adults, couples and families. Our goal is to partner with you in “building the foundation for healthy living,” through providing quality, comprehensive care. Our practice is designed to make quality mental health care as accessible and stress-free as possible. We will streamline care from aligning you with the appropriate therapist to meet your individual needs.
(610) 616-5935 View (610) 616-5935
Photo of Mallory Grivner, Clinical Social Work/Therapist in Phoenixville, PA
Mallory Grivner
Clinical Social Work/Therapist, MSS, LCSW, ACHP-SW
Verified Verified
Phoenixville, PA 19460  (Online Only)
I specialize in treating anxiety, depression, career stress, women's issues, family stress, self esteem and relationship difficulties.
We all struggle at times and life can feel overwhelming and unmanageable. I am so happy that you are taking the first steps in determining what you need to lead a happier, more fulfilled life. I know how difficult it can be to acknowledge that your life may not what you envisioned and it is a privilege to work through these challenges with you. My goal is to help you transition from a place of struggle to a place of hope by providing a safe and comfortable environment to discuss these personal life challenges. I provide a warm and collaborative approach offering guidance, support, insight, and hope for a more meaningful life.
I specialize in treating anxiety, depression, career stress, women's issues, family stress, self esteem and relationship difficulties.
We all struggle at times and life can feel overwhelming and unmanageable. I am so happy that you are taking the first steps in determining what you need to lead a happier, more fulfilled life. I know how difficult it can be to acknowledge that your life may not what you envisioned and it is a privilege to work through these challenges with you. My goal is to help you transition from a place of struggle to a place of hope by providing a safe and comfortable environment to discuss these personal life challenges. I provide a warm and collaborative approach offering guidance, support, insight, and hope for a more meaningful life.
(267) 405-3396 View (267) 405-3396
Photo of Kelsey Reube, Marriage & Family Therapist in Phoenixville, PA
Kelsey Reube
Marriage & Family Therapist, LMFT
Verified Verified
Phoenixville, PA 19460  (Online Only)
I specialize in couples and family therapy and work from a systemic perspective.
Are you feeling stuck and need some guidance for growth? I won't offer band-aid solutions, only lasting and meaningful change. Therapy to me is a process of identifying and understanding who you are and where you want to go. I want to journey with you to the deeper levels of your struggles and find the light. The arrow is a powerful symbol to me that represents the growth we are capable of. In order for an arrow to aim forward, it must be pulled back with the bow to gain strength.
I specialize in couples and family therapy and work from a systemic perspective.
Are you feeling stuck and need some guidance for growth? I won't offer band-aid solutions, only lasting and meaningful change. Therapy to me is a process of identifying and understanding who you are and where you want to go. I want to journey with you to the deeper levels of your struggles and find the light. The arrow is a powerful symbol to me that represents the growth we are capable of. In order for an arrow to aim forward, it must be pulled back with the bow to gain strength.
(610) 215-2454 View (610) 215-2454
Photo of Deborah Kerr, Licensed Professional Counselor in Phoenixville, PA
Deborah Kerr
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Phoenixville, PA 19460  (Online Only)
Are you struggling to reconnect with yourself? Have you lost a sense of peace and security in your life? There are so many reasons that this may be happening. Some of the most common ones are recent life changes, relationship issues, grief, family issues, or childhood trauma. Or, maybe you aren't quite sure how things got to this point. You are not alone, and there IS hope. Together we can move the barriers that are getting in the way of the healthy, peaceful, and meaningful life that you deserve. Therapy is an amazing process that can change your life. I am eager to hear your story and help you find your way.
Are you struggling to reconnect with yourself? Have you lost a sense of peace and security in your life? There are so many reasons that this may be happening. Some of the most common ones are recent life changes, relationship issues, grief, family issues, or childhood trauma. Or, maybe you aren't quite sure how things got to this point. You are not alone, and there IS hope. Together we can move the barriers that are getting in the way of the healthy, peaceful, and meaningful life that you deserve. Therapy is an amazing process that can change your life. I am eager to hear your story and help you find your way.
(215) 593-2408 View (215) 593-2408
Photo of Tina Shea, Licensed Professional Counselor in Phoenixville, PA
Tina Shea
Licensed Professional Counselor, MA, LPC
Verified Verified
3 Endorsed
Phoenixville, PA 19460
Waitlist for new clients
Together, we can look at the stress in your life/relationship and help you make sense of it.
Tired. Irritable. Unmotivated. Disconnected. Each can be a sign that stress is taking a toll on you. Life can feel out of our control and unpredictable— 2 main ingredients for anxiety. It gets overwhelming! You might feel like the issues in your life or relationship aren't "big enough" for counseling, but it's important to know that anything holding you back from having a full & satisfying life is worthy of your attention. We all need support.
Together, we can look at the stress in your life/relationship and help you make sense of it.
Tired. Irritable. Unmotivated. Disconnected. Each can be a sign that stress is taking a toll on you. Life can feel out of our control and unpredictable— 2 main ingredients for anxiety. It gets overwhelming! You might feel like the issues in your life or relationship aren't "big enough" for counseling, but it's important to know that anything holding you back from having a full & satisfying life is worthy of your attention. We all need support.
(610) 601-3235 View (610) 601-3235
Photo of Heather L Vargo, Clinical Social Work/Therapist in Phoenixville, PA
Heather L Vargo
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
1 Endorsed
Phoenixville, PA 19453
As the owner of Life Guidance Associates I love seeing my patients get better! I firmly believe a "good fit" between therapist and patient is key to success! I Integrate evidence based strategies. My style is direct and interpersonal. In treatment we will address not only your current issues but their source. Therapy is always a collaborative experience for my patients. It takes some time to fully resolve years of interpersonal relationship problems, previous trauma, unhealthy coping skills, feelings of emptiness, helplessness, powerlessness, anxiety, depression etc. but with patience and persistence it can be done!
As the owner of Life Guidance Associates I love seeing my patients get better! I firmly believe a "good fit" between therapist and patient is key to success! I Integrate evidence based strategies. My style is direct and interpersonal. In treatment we will address not only your current issues but their source. Therapy is always a collaborative experience for my patients. It takes some time to fully resolve years of interpersonal relationship problems, previous trauma, unhealthy coping skills, feelings of emptiness, helplessness, powerlessness, anxiety, depression etc. but with patience and persistence it can be done!
(610) 890-6205 View (610) 890-6205
Photo of Kristine M. Dolce, Pre-Licensed Professional in Phoenixville, PA
Kristine M. Dolce
Pre-Licensed Professional, MS
Verified Verified
2 Endorsed
Phoenixville, PA 19460
I work with both individuals (ages 12 +) and couples.
Life can be difficult. Are you feeling anxious, emotional or angry and don't know why? Feeling overwhelmed but don't know what to do? Perhaps there is a specific issue weighing you down. I offer a safe space to explore whatever might be troubling you.
I work with both individuals (ages 12 +) and couples.
Life can be difficult. Are you feeling anxious, emotional or angry and don't know why? Feeling overwhelmed but don't know what to do? Perhaps there is a specific issue weighing you down. I offer a safe space to explore whatever might be troubling you.
(215) 509-5167 View (215) 509-5167
Photo of Ellen Davis, Psychologist in Phoenixville, PA
Ellen Davis
Psychologist, PhD
Verified Verified
1 Endorsed
Phoenixville, PA 19460  (Online Only)
I am a licensed psychologist with over 20 years of experience helping people recover from a wide range of challenges including self esteem issues, anxiety, marital conflict, depression, emotional eating, anorexia, bulimia, and stress related issues. I have expertise in treating children, adolescents, and adults. My approach is compassionate as well as goal focused. I would be happy to set up an initial consultation with you to give you clear and helpful feedback regarding how I can help you or your child.
I am a licensed psychologist with over 20 years of experience helping people recover from a wide range of challenges including self esteem issues, anxiety, marital conflict, depression, emotional eating, anorexia, bulimia, and stress related issues. I have expertise in treating children, adolescents, and adults. My approach is compassionate as well as goal focused. I would be happy to set up an initial consultation with you to give you clear and helpful feedback regarding how I can help you or your child.
(484) 652-8142 View (484) 652-8142
Photo of Nathaniel Stuart, Clinical Social Work/Therapist in Phoenixville, PA
Nathaniel Stuart
Clinical Social Work/Therapist, LCSW
Verified Verified
Phoenixville, PA 19460  (Online Only)
You can’t put your finger on it, but you're sure something is wrong. You work hard to do the right things, but there is a persistent feeling of dissatisfaction. It’s as if you only exist to help others. You take on extra assignments at work even if you’re already overwhelmed. You’re always the one friends ask for favors and advice. Your family relies on you to keep everything running smoothly, and you do it all without complaining. But lately, you’ve begun to wonder what it’s all for. You want so desperately to take a moment to figure out what you want, but so many people are counting on you, and you can’t let them down.
You can’t put your finger on it, but you're sure something is wrong. You work hard to do the right things, but there is a persistent feeling of dissatisfaction. It’s as if you only exist to help others. You take on extra assignments at work even if you’re already overwhelmed. You’re always the one friends ask for favors and advice. Your family relies on you to keep everything running smoothly, and you do it all without complaining. But lately, you’ve begun to wonder what it’s all for. You want so desperately to take a moment to figure out what you want, but so many people are counting on you, and you can’t let them down.
(610) 215-2929 View (610) 215-2929

See more therapy options for Phoenixville

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.