Photo of Riaz Counseling, Licensed Professional Counselor in San Antonio, TX
Riaz Counseling
Licensed Professional Counselor, LPC
Verified Verified
2 Endorsed
San Antonio, TX 78249  (Online Only)
I believe the most important aspect of therapy is building a professional and interpersonal relationship with people and creating a safe space for them to share their thoughts and feelings.
Hi, I'm Natalie! Are you having issues staying on task? Do you have trouble concentrating due to life events that you fee are out of your control? I support adolescent teens, adults and the elder population with multiple different issues who are in need of some type of support in managing issues such as these. Clients will receive the tools necessary to achieve goals of overcoming these issues, and learning how to manage themselves in a way that will increase a more positive outlook for the future.
I believe the most important aspect of therapy is building a professional and interpersonal relationship with people and creating a safe space for them to share their thoughts and feelings.
Hi, I'm Natalie! Are you having issues staying on task? Do you have trouble concentrating due to life events that you fee are out of your control? I support adolescent teens, adults and the elder population with multiple different issues who are in need of some type of support in managing issues such as these. Clients will receive the tools necessary to achieve goals of overcoming these issues, and learning how to manage themselves in a way that will increase a more positive outlook for the future.
(210) 934-7770 View (210) 934-7770
Photo of Dr. Seth Allen Sampson, Licensed Professional Counselor in San Antonio, TX
Dr. Seth Allen Sampson
Licensed Professional Counselor, PhD, LPC-S, NCC, CSC
Verified Verified
San Antonio, TX 78240
from the University of Texas at San Antonio and have experience in counseling adolescents, couples, families, and small groups.
My goal as a licensed professional counselor is to assist clients in fostering positive, sustainable self-growth within a safe, supportive, and non-judgmental environment. I strive to work collaboratively with clients to establish achievable goals, while providing support in understanding the thoughts and behaviors that may be contributing to the issues they are experiencing in life.
from the University of Texas at San Antonio and have experience in counseling adolescents, couples, families, and small groups.
My goal as a licensed professional counselor is to assist clients in fostering positive, sustainable self-growth within a safe, supportive, and non-judgmental environment. I strive to work collaboratively with clients to establish achievable goals, while providing support in understanding the thoughts and behaviors that may be contributing to the issues they are experiencing in life.
(210) 899-6063 View (210) 899-6063
Photo of Migdalia Sosa Pierce, Licensed Professional Counselor in San Antonio, TX
Migdalia Sosa Pierce
Licensed Professional Counselor, LPC
Verified Verified
San Antonio, TX 78228
For as long as I can remember, I always wanted to be a therapist. I truly enjoy working with my clients and am passionate about helping others through tough times in their lives. The therapeutic relationship is a unique relationship in itself that alone can be healing. I have worked with a great variety of problems and would be honored to work with you.
For as long as I can remember, I always wanted to be a therapist. I truly enjoy working with my clients and am passionate about helping others through tough times in their lives. The therapeutic relationship is a unique relationship in itself that alone can be healing. I have worked with a great variety of problems and would be honored to work with you.
(210) 348-3850 View (210) 348-3850
Photo of Remuda Ranch Counseling Services, Licensed Professional Counselor in San Antonio, TX
Remuda Ranch Counseling Services
Licensed Professional Counselor, MA, LPC-Sup, CAAT, CCMHC
Verified Verified
San Antonio, TX 78250
If you are looking for a caring, compassionate therapist who will build on your strengths and abilities while nurturing a positive relationship with yourself, while helping resolve problems between you and your partner, you and your family, you and your ex, you and the new step parent; I am the person that can help you resolve issues you are experiencing.
Are you struggling in your marriage/relationship? Does this sound familiar? Hi, my husband and I do not seem to be happy anymore. Over the years we have both made some bad mistakes and have hurt each other. Now, we hardly talk and when we do it becomes an argument, we say a lot of hurtful things to each other. In our last argument, things got really out of hand, and he left the house, slamming the door, and hasn't been back home since. I have been crying since last night. We love each other, but, after our last fight I just don’t know what to do or where to go from here. I really need some help.
If you are looking for a caring, compassionate therapist who will build on your strengths and abilities while nurturing a positive relationship with yourself, while helping resolve problems between you and your partner, you and your family, you and your ex, you and the new step parent; I am the person that can help you resolve issues you are experiencing.
Are you struggling in your marriage/relationship? Does this sound familiar? Hi, my husband and I do not seem to be happy anymore. Over the years we have both made some bad mistakes and have hurt each other. Now, we hardly talk and when we do it becomes an argument, we say a lot of hurtful things to each other. In our last argument, things got really out of hand, and he left the house, slamming the door, and hasn't been back home since. I have been crying since last night. We love each other, but, after our last fight I just don’t know what to do or where to go from here. I really need some help.
(210) 361-9266 x101 View (210) 361-9266 x101
Photo of Dr. Angela Cano Sampson, Licensed Professional Counselor in San Antonio, TX
Dr. Angela Cano Sampson
Licensed Professional Counselor, PhD, NCC, CSC
Verified Verified
1 Endorsed
San Antonio, TX 78240
Divorced and now Happily Married, I understand the challenges involved with building a strong, team-like, marital relationship and letting go of the OLD to embrace the NEW.
At Evolución, we believe that our journeys in life can leave us all feeling challenged and alone and from time to time it can feel unmanageable. Our hopes at Evolución are to provide support and encouragement for individuals, couples, and families along the path. Our goal at Evolución is your space to discover and EVOLVE without judgment. It is your space in this world to be inspired, supported, and motivated to help you heal, restore and recharge in whatever way you desire. I work with clients as they work their way through social, emotional, identity, and relationship issues that they are faced with in their life journey.
Divorced and now Happily Married, I understand the challenges involved with building a strong, team-like, marital relationship and letting go of the OLD to embrace the NEW.
At Evolución, we believe that our journeys in life can leave us all feeling challenged and alone and from time to time it can feel unmanageable. Our hopes at Evolución are to provide support and encouragement for individuals, couples, and families along the path. Our goal at Evolución is your space to discover and EVOLVE without judgment. It is your space in this world to be inspired, supported, and motivated to help you heal, restore and recharge in whatever way you desire. I work with clients as they work their way through social, emotional, identity, and relationship issues that they are faced with in their life journey.
(210) 714-4355 View (210) 714-4355
Photo of Preston Maverick McNeel, Licensed Professional Counselor in San Antonio, TX
Preston Maverick McNeel
Licensed Professional Counselor, LPC-S, NCC, CART
Verified Verified
San Antonio, TX 78216  (Online Only)
I work with individuals, couples, families, children, and adolescents, utilizing anger management, Cognitive Behavioral, and REBT theories in my practice and tailoring my approach to meet client-specific needs.
Feeling stuck, hopeless, or confused? Need a change, but not sure what it would be? Sometimes life throws challenges that are too overwhelming to handle alone. Whether you are having trouble accepting or believing in yourself, fighting depression or anxiety, managing anger, or dealing with relationship problems; psychotherapy can be an extremely helpful process to facilitate personal growth and insight.
I work with individuals, couples, families, children, and adolescents, utilizing anger management, Cognitive Behavioral, and REBT theories in my practice and tailoring my approach to meet client-specific needs.
Feeling stuck, hopeless, or confused? Need a change, but not sure what it would be? Sometimes life throws challenges that are too overwhelming to handle alone. Whether you are having trouble accepting or believing in yourself, fighting depression or anxiety, managing anger, or dealing with relationship problems; psychotherapy can be an extremely helpful process to facilitate personal growth and insight.
(210) 899-7079 View (210) 899-7079
Photo of Kotia K Whitaker, Marriage & Family Therapist in San Antonio, TX
Kotia K Whitaker
Marriage & Family Therapist, MS, LMFT
Verified Verified
San Antonio, TX 78230
I believe that treating individuals with dignity, respect and compassion transcends all categories and labels, and allows them to openly express their issues, needs and goals. As a systems therapist I understand the significance of a healthy relationship. I will strive to build a therapeutic relationship by creating a safe environment so you can heal, be strengthened by adversity and live life to the fullest.
I believe that treating individuals with dignity, respect and compassion transcends all categories and labels, and allows them to openly express their issues, needs and goals. As a systems therapist I understand the significance of a healthy relationship. I will strive to build a therapeutic relationship by creating a safe environment so you can heal, be strengthened by adversity and live life to the fullest.
(803) 836-9329 View (803) 836-9329
Photo of Joanne Ayala Mylacraine, Marriage & Family Therapist in San Antonio, TX
Joanne Ayala Mylacraine
Marriage & Family Therapist, MA, LMFT
Verified Verified
San Antonio, TX 78232
I am licensed in Texas and have 18 years of professional work experience as an individual, marriage, child/adolescent therapist. There is no greater joy than helping people and I love my profession. I have experience with stress and anxiety, depression, trauma and abuse, grief, life changes, parenting issues, anger management, and an abundance of relationship issues. I am client-centered and your goals are my goals. I have vast knowledge in helping people in many different circumstances. I work alongside my clients to create a trusted and safe environment where your thoughts and feelings can be shared and healing can begin.
I am licensed in Texas and have 18 years of professional work experience as an individual, marriage, child/adolescent therapist. There is no greater joy than helping people and I love my profession. I have experience with stress and anxiety, depression, trauma and abuse, grief, life changes, parenting issues, anger management, and an abundance of relationship issues. I am client-centered and your goals are my goals. I have vast knowledge in helping people in many different circumstances. I work alongside my clients to create a trusted and safe environment where your thoughts and feelings can be shared and healing can begin.
(210) 851-9819 View (210) 851-9819
Photo of Leah Alviar, Licensed Professional Counselor in San Antonio, TX
Leah Alviar
Licensed Professional Counselor, LPC, LCMHC
Verified Verified
San Antonio, TX 78258  (Online Only)
Over the course of my counseling career, I have worked with people who were anxious, depressed, stressed, and simply burned out; I have helped couples who have struggled with communication issues and relationship barriers; I have worked with families regarding parenting, abuse, grief, and death; and I have helped adolescents and adults with career planning, self-esteem building, goal setting, and wellness strategies to cope with major life changes. Clients often come to me feeling stuck or hopeless. Through therapy, they find their voices and begin their journey of change.
Over the course of my counseling career, I have worked with people who were anxious, depressed, stressed, and simply burned out; I have helped couples who have struggled with communication issues and relationship barriers; I have worked with families regarding parenting, abuse, grief, and death; and I have helped adolescents and adults with career planning, self-esteem building, goal setting, and wellness strategies to cope with major life changes. Clients often come to me feeling stuck or hopeless. Through therapy, they find their voices and begin their journey of change.
(833) 913-3157 View (833) 913-3157
Photo of Pernicano Professional Psychology PLLC, Psychologist in San Antonio, TX
Pernicano Professional Psychology PLLC
Psychologist, PhD, ABPP
Verified Verified
San Antonio, TX 78217
I bring to my clients over 40 years of clinical experience, working with Veterans as the retired Chief of Mental Health at the VA in Lexington, KY and in as a clinician in other military and private practice settings. I am Board Certified in Counseling Psychology (ABPP). I am a generalist and use cognitive, behavioral and neurobiological approaches to treat a wide range of problems from anxiety, depression and trauma to couples’ and family issues. I look forward to getting down to the hard work of helping you to overcome whatever personal adversity you may have.
I bring to my clients over 40 years of clinical experience, working with Veterans as the retired Chief of Mental Health at the VA in Lexington, KY and in as a clinician in other military and private practice settings. I am Board Certified in Counseling Psychology (ABPP). I am a generalist and use cognitive, behavioral and neurobiological approaches to treat a wide range of problems from anxiety, depression and trauma to couples’ and family issues. I look forward to getting down to the hard work of helping you to overcome whatever personal adversity you may have.
(210) 405-0882 View (210) 405-0882
Photo of Dr. Ashlee Martinez Anima Mundi Consultation And Psychological Service, Psychologist in San Antonio, TX
Dr. Ashlee Martinez Anima Mundi Consultation And Psychological Service
Psychologist, PsyD
Verified Verified
1 Endorsed
San Antonio, TX 78249  (Online Only)
I am Licensed Psychologist providing services to clients in Texas, Iowa, and PSYPACT participating states. I began working with adults, children, adolescents, families, couples, and individuals of diverse backgrounds back in 2012. I am passionate about helping individuals set and accomplish their treatment goals.
I am Licensed Psychologist providing services to clients in Texas, Iowa, and PSYPACT participating states. I began working with adults, children, adolescents, families, couples, and individuals of diverse backgrounds back in 2012. I am passionate about helping individuals set and accomplish their treatment goals.
(210) 940-1315 View (210) 940-1315
Photo of Chiara M. Scott, Licensed Professional Counselor in San Antonio, TX
Chiara M. Scott
Licensed Professional Counselor, MA, LPC-S
Verified Verified
San Antonio, TX 78240  (Online Only)
My primary mission is to help people resolve mental health and relationship concerns, and find their own paths to happiness.
As an experienced therapist my passion is to help clients find healthy perceptions of themselves and strengthen their relationships. I'm an experienced Licensed Professional Counselor Supervisor in Texas who believes in creating a trusting relationship with clients in order to understand their experiences and contexts. I also works hard to create a nonjudgmental and dynamic environment that amplifies strengths and examines unhelpful patterns that are no longer serving you. I will work with you to examine these patterns and shift them by creating new ways of coping.
My primary mission is to help people resolve mental health and relationship concerns, and find their own paths to happiness.
As an experienced therapist my passion is to help clients find healthy perceptions of themselves and strengthen their relationships. I'm an experienced Licensed Professional Counselor Supervisor in Texas who believes in creating a trusting relationship with clients in order to understand their experiences and contexts. I also works hard to create a nonjudgmental and dynamic environment that amplifies strengths and examines unhelpful patterns that are no longer serving you. I will work with you to examine these patterns and shift them by creating new ways of coping.
(210) 361-8723 View (210) 361-8723
Photo of Tracy Cooper, Licensed Professional Counselor in San Antonio, TX
Tracy Cooper
Licensed Professional Counselor, LPC
Verified Verified
4 Endorsed
San Antonio, TX 78258
I have experience working with children, teens, adults, and couples in a variety of community and private-practice settings.
Accepting New Clients! Life is short. Why spend it unhappy? My goal for you as your counselor is to help you be happy, have meaningful relationships, and live the life you want. This happens in a collaborative counseling relationship. Let's work together to help you reach your goals. I help adults, adolescents, and couples who are struggling with anxiety, depression, relationship issues, negative behaviors, social stressors & more. I believe change is possible and begins with self awareness and the motivation to change. I provide support and encouragement in a safe, warm and empathetic environment.
I have experience working with children, teens, adults, and couples in a variety of community and private-practice settings.
Accepting New Clients! Life is short. Why spend it unhappy? My goal for you as your counselor is to help you be happy, have meaningful relationships, and live the life you want. This happens in a collaborative counseling relationship. Let's work together to help you reach your goals. I help adults, adolescents, and couples who are struggling with anxiety, depression, relationship issues, negative behaviors, social stressors & more. I believe change is possible and begins with self awareness and the motivation to change. I provide support and encouragement in a safe, warm and empathetic environment.
(210) 762-5100 View (210) 762-5100
Photo of Stephanie A Jasso, Licensed Professional Counselor in San Antonio, TX
Stephanie A Jasso
Licensed Professional Counselor, MA, NCC, LPC
Verified Verified
2 Endorsed
San Antonio, TX 78258
Welcome! As a Clinical Mental Health Counselor with a diverse background, I work with Children, Adolescents, Adults, Veterans, and Couples, specializing in counseling approaches unique to the individual's circumstance. My experience has been assisting clients with difficulties dealing with Anxiety, Bipolar Disorder, Depression, Mood Disorders, Psychosis, Substance Abuse, Trauma, and Grief & Loss to help build essential coping skills. I believe in the positive outcomes of counseling as having the power to heal, strengthen, and support an individual as they gain valuable tools to navigate their lives and relationships.
Welcome! As a Clinical Mental Health Counselor with a diverse background, I work with Children, Adolescents, Adults, Veterans, and Couples, specializing in counseling approaches unique to the individual's circumstance. My experience has been assisting clients with difficulties dealing with Anxiety, Bipolar Disorder, Depression, Mood Disorders, Psychosis, Substance Abuse, Trauma, and Grief & Loss to help build essential coping skills. I believe in the positive outcomes of counseling as having the power to heal, strengthen, and support an individual as they gain valuable tools to navigate their lives and relationships.
(210) 794-7606 View (210) 794-7606
Photo of Amanda Jones, Clinical Social Work/Therapist in San Antonio, TX
Amanda Jones
Clinical Social Work/Therapist, LCSW-S, C-SWHC
Verified Verified
1 Endorsed
San Antonio, TX 78249  (Online Only)
Drawing from diverse modalities, I specialize in women's issues, trauma/PTSD, chronic illness, codependency, grief, GLBT and gender concerns, couples' dynamics, mood shifts, life transitions, and holistic counseling, integrating EMDR and Ketamine-Assisted Psychotherapy.
Are you a woman juggling life's demands, feeling stuck or underappreciated? Whether you're a mom, caregiver, or professional woman, I'm here to help. I value healing, inner peace, and security. My expertise includes women's issues, trauma, chronic illness, and more. Seeking EMDR, psychedelics, couples therapy, or traditional therapy? I offer individual and group sessions from your own home. I now offer clinical supervision for aspiring therapists too. Let's embark on this healing journey together.
Drawing from diverse modalities, I specialize in women's issues, trauma/PTSD, chronic illness, codependency, grief, GLBT and gender concerns, couples' dynamics, mood shifts, life transitions, and holistic counseling, integrating EMDR and Ketamine-Assisted Psychotherapy.
Are you a woman juggling life's demands, feeling stuck or underappreciated? Whether you're a mom, caregiver, or professional woman, I'm here to help. I value healing, inner peace, and security. My expertise includes women's issues, trauma, chronic illness, and more. Seeking EMDR, psychedelics, couples therapy, or traditional therapy? I offer individual and group sessions from your own home. I now offer clinical supervision for aspiring therapists too. Let's embark on this healing journey together.
(210) 633-8756 View (210) 633-8756
Photo of Christine Carrier Smith, Licensed Professional Counselor in San Antonio, TX
Christine Carrier Smith
Licensed Professional Counselor, LPC
Verified Verified
San Antonio, TX 78259
I am a Licensed Professional Counselor with more than 25 years of experience in the field of mental health. I have worked with children, adolescents and adults providing outpatient therapy and co-parenting counseling. I have extensive experience working with families undergoing divorce, custody issues, and blended family concerns, for both parents and children. I also work with a range of depression, anxiety and self-esteem issues. My treatment focus comes from a strengths based perspective with a cognitive therapy approach. I am passionate about my work and committed to developing a strong therapeutic relationship with my clients.
I am a Licensed Professional Counselor with more than 25 years of experience in the field of mental health. I have worked with children, adolescents and adults providing outpatient therapy and co-parenting counseling. I have extensive experience working with families undergoing divorce, custody issues, and blended family concerns, for both parents and children. I also work with a range of depression, anxiety and self-esteem issues. My treatment focus comes from a strengths based perspective with a cognitive therapy approach. I am passionate about my work and committed to developing a strong therapeutic relationship with my clients.
(210) 853-2395 View (210) 853-2395
Photo of Eric Joseph Houin Jr, Clinical Social Work/Therapist in San Antonio, TX
Eric Joseph Houin Jr
Clinical Social Work/Therapist, MSW, LCSW-S
Verified Verified
San Antonio, TX 78251
During his time as a behavioral health therapist Eric has helped: families, couples, adults, men, women, adolescents, and children to restore health, wellness, and balance to their everyday lives.
Eric Houin, Jr. is a Licensed Clinical Social Worker, Texas Board Approved Supervisor, and psychotherapist who is currently Texas licensed as an LCSW and has completed his Masters of Social Work degree from Louisiana State University located in Baton Rouge, Louisiana. Eric has over 20 years of clinical counseling experience and has worked in an outpatient therapy settings with children, adolescents, adults, families, and couples. During his time as a behavioral health therapist Eric has helped: families, couples, adults, men, women, children, and adolescents.
During his time as a behavioral health therapist Eric has helped: families, couples, adults, men, women, adolescents, and children to restore health, wellness, and balance to their everyday lives.
Eric Houin, Jr. is a Licensed Clinical Social Worker, Texas Board Approved Supervisor, and psychotherapist who is currently Texas licensed as an LCSW and has completed his Masters of Social Work degree from Louisiana State University located in Baton Rouge, Louisiana. Eric has over 20 years of clinical counseling experience and has worked in an outpatient therapy settings with children, adolescents, adults, families, and couples. During his time as a behavioral health therapist Eric has helped: families, couples, adults, men, women, children, and adolescents.
(210) 899-6362 View (210) 899-6362
Photo of Kristine Benson, Licensed Professional Counselor in San Antonio, TX
Kristine Benson
Licensed Professional Counselor, LPC, RN
Verified Verified
1 Endorsed
San Antonio, TX 78261  (Online Only)
I have focused training and experience providing therapeutic services to adults, children, and couples. My experience spans several areas, including but not limited to domestic violence, crisis intervention, substance abuse, family and relationship challenges, learning challenges, problem-solving skills, building resilience skills, career and vocational guidance, anger and stress management, emotional triggers, and life and resilience skills. I am a 24-year Air Force and Army Veteran with three combat deployments, and I bring a unique understanding of deployments and family separation.
I have focused training and experience providing therapeutic services to adults, children, and couples. My experience spans several areas, including but not limited to domestic violence, crisis intervention, substance abuse, family and relationship challenges, learning challenges, problem-solving skills, building resilience skills, career and vocational guidance, anger and stress management, emotional triggers, and life and resilience skills. I am a 24-year Air Force and Army Veteran with three combat deployments, and I bring a unique understanding of deployments and family separation.
(210) 972-5182 View (210) 972-5182
Photo of Alison Wynn Tierney, Clinical Social Work/Therapist in San Antonio, TX
Alison Wynn Tierney
Clinical Social Work/Therapist, LCSW, MA, EMDR, Gottman
Verified Verified
2 Endorsed
San Antonio, TX 78229
I have extensive experience in providing therapy to adults and couples.
Are you looking for a change? Does your relationship need help? Are you dealing with depression, loss or anxiety? I have 20 years of experience helping adults, couples and people suffering from trauma. I am EMDR and Gottman trained. . I provide an environment of safety, privacy and acceptance where you can express your thoughts, feelings and experiences. I believe that depression and anxiety are major road blocks to success and the quality of an individual's life. Start your journey today!
I have extensive experience in providing therapy to adults and couples.
Are you looking for a change? Does your relationship need help? Are you dealing with depression, loss or anxiety? I have 20 years of experience helping adults, couples and people suffering from trauma. I am EMDR and Gottman trained. . I provide an environment of safety, privacy and acceptance where you can express your thoughts, feelings and experiences. I believe that depression and anxiety are major road blocks to success and the quality of an individual's life. Start your journey today!
(210) 714-1641 View (210) 714-1641
Photo of Kasi Howard, Psychologist in San Antonio, TX
Kasi Howard
Psychologist, PsyD
Verified Verified
San Antonio, TX 78213
I believe in working with you to best meet your goals and needs based on where you are. I work with adolescents, age 16 and up and adults. Please check out our website at www.innovarecoverycenter.com to learn more. We are eager to partner with you on your journey to healing! We also offer speciality programs in the following areas: abuse/trauma/PTSD; sexual addiction.
I believe in working with you to best meet your goals and needs based on where you are. I work with adolescents, age 16 and up and adults. Please check out our website at www.innovarecoverycenter.com to learn more. We are eager to partner with you on your journey to healing! We also offer speciality programs in the following areas: abuse/trauma/PTSD; sexual addiction.
(210) 361-4239 View (210) 361-4239

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.