Photo of Kelly Smith, Licensed Professional Counselor in Fairfax, VA
Kelly Smith
Licensed Professional Counselor, LPC, NCC, CSAC, CCPS-C
Verified Verified
Fairfax, VA 22030
I am completing advanced training in the area of Partner Betrayal Trauma after having completed the Multidimensional Partner Trauma Model Training (MPTM) designed by the Association of Partners of Sex Addicts Trauma Specialists (APSATS).
I am a Licensed Professional Counselor in VA who believes that each of us has inner strength to help us cope with life’s struggles. My passion for working with others has been life long and my desire to help others is my greatest gift. I am passionate about helping those who are struggling with addictions, couples and/or spouses whose relationships have been affected by infidelity, and those who have gone through or are going through the process of separation and/or divorce. My goal as a therapist is to help my clients begin the recovery process to repair their marriages or learn to live healthy lives as separate individuals.
I am completing advanced training in the area of Partner Betrayal Trauma after having completed the Multidimensional Partner Trauma Model Training (MPTM) designed by the Association of Partners of Sex Addicts Trauma Specialists (APSATS).
I am a Licensed Professional Counselor in VA who believes that each of us has inner strength to help us cope with life’s struggles. My passion for working with others has been life long and my desire to help others is my greatest gift. I am passionate about helping those who are struggling with addictions, couples and/or spouses whose relationships have been affected by infidelity, and those who have gone through or are going through the process of separation and/or divorce. My goal as a therapist is to help my clients begin the recovery process to repair their marriages or learn to live healthy lives as separate individuals.
(703) 991-4012 View (703) 991-4012
Photo of Dessia Crawmer, LCSW Private Practice, Clinical Social Work/Therapist in Fairfax, VA
Dessia Crawmer, LCSW Private Practice
Clinical Social Work/Therapist, LCSW
Verified Verified
Fairfax, VA 22030
I believe therapeutic skill combined with sensitive attunement can illuminate a healing path, removing psychological barriers and empowering clients to reach their full potential. I am a highly competent psychotherapist with twenty-two years of counseling experience. I specialize in creating a safe environment to explore issues that will result in integration and lasting change. The relationship bond that I form with each client, I consider a sacred trust to be guarded and respected. I use a deeply effective EMDR model which produces desirable results proven by research. I have EMDR certification . I counsel individuals, couples, and families. Visit my website for more information.
I believe therapeutic skill combined with sensitive attunement can illuminate a healing path, removing psychological barriers and empowering clients to reach their full potential. I am a highly competent psychotherapist with twenty-two years of counseling experience. I specialize in creating a safe environment to explore issues that will result in integration and lasting change. The relationship bond that I form with each client, I consider a sacred trust to be guarded and respected. I use a deeply effective EMDR model which produces desirable results proven by research. I have EMDR certification . I counsel individuals, couples, and families. Visit my website for more information.
(703) 496-4550 View (703) 496-4550
Photo of Nancy Elie Kirk, Clinical Social Work/Therapist in Fairfax, VA
Nancy Elie Kirk
Clinical Social Work/Therapist, LCSW, CSAC, CSAT
Verified Verified
1 Endorsed
Fairfax, VA 22030
People come to therapy for a variety of reasons. Those suffering from addictions, compulsions, anxiety, and relationship problems often seek help when they are acting in ways that they don’t want to act or thinking in ways that don’t support their best interests. I am a Certified Sex Addictions Therapist and Couples Counselor in northern Virginia accepting Anthem BCBS. Whether you are experiencing a crisis or are seeking better life balance and a new perspective, you may wish to work with a specialist. I offer warmth, curiosity and an ability to focus on objectives with clients seeking real solutions.
People come to therapy for a variety of reasons. Those suffering from addictions, compulsions, anxiety, and relationship problems often seek help when they are acting in ways that they don’t want to act or thinking in ways that don’t support their best interests. I am a Certified Sex Addictions Therapist and Couples Counselor in northern Virginia accepting Anthem BCBS. Whether you are experiencing a crisis or are seeking better life balance and a new perspective, you may wish to work with a specialist. I offer warmth, curiosity and an ability to focus on objectives with clients seeking real solutions.
(571) 665-4011 View (571) 665-4011
Photo of Maria A Hylton, LCSW, LLC, Clinical Social Work/Therapist in Fairfax, VA
Maria A Hylton, LCSW, LLC
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Fairfax, VA 22030
Has your life gotten off track? Do you need an ASAM substance abuse evaluation because of an alcohol/drug related charge? Has alcohol affected your health or liver status? Have your life goals been put on hold because of an alcohol/drug related issue? Is it time to evaluate your relationship with alcohol/drugs and maybe make some changes? Do you need outpatient follow up from intensive treatment? Are issues such as depression, anxiety, stress management, life skills, grief, post partum depression, or adoption getting in your way? Come meet with a counselor skilled in substance abuse and mental health services to discuss options.
Has your life gotten off track? Do you need an ASAM substance abuse evaluation because of an alcohol/drug related charge? Has alcohol affected your health or liver status? Have your life goals been put on hold because of an alcohol/drug related issue? Is it time to evaluate your relationship with alcohol/drugs and maybe make some changes? Do you need outpatient follow up from intensive treatment? Are issues such as depression, anxiety, stress management, life skills, grief, post partum depression, or adoption getting in your way? Come meet with a counselor skilled in substance abuse and mental health services to discuss options.
(703) 476-2348 View (703) 476-2348
Photo of Tiffany Parkes-Moscova, Clinical Social Work/Therapist in Fairfax, VA
Tiffany Parkes-Moscova
Clinical Social Work/Therapist, MSW, LCSW-S
Verified Verified
1 Endorsed
Fairfax, VA 22030
My speciality area's are working with adults, couples, families and adolescents.
Are you ready to heal from your past trauma’s & do the work to have long, lasting, & loving relationships? Well you’ve found the person to help you on your journey. Hello my name is ​ Tiffany Parkes-Moscova and I have over 17 years of experience in the field of mental health, and substance abuse with adults, couples, adolescents, and families. I give my clients tools to help them with good positive coping mechanisms. We do the work together. The work that it takes to get you to where you need to be to feel empowered, uplifted & understand self awareness.
My speciality area's are working with adults, couples, families and adolescents.
Are you ready to heal from your past trauma’s & do the work to have long, lasting, & loving relationships? Well you’ve found the person to help you on your journey. Hello my name is ​ Tiffany Parkes-Moscova and I have over 17 years of experience in the field of mental health, and substance abuse with adults, couples, adolescents, and families. I give my clients tools to help them with good positive coping mechanisms. We do the work together. The work that it takes to get you to where you need to be to feel empowered, uplifted & understand self awareness.
(571) 554-1953 x646245 View (571) 554-1953 x646245
Photo of Philip Cerrato, Clinical Social Work/Therapist in Fairfax, VA
Philip Cerrato
Clinical Social Work/Therapist, LCSW, MSW, MDiv
Verified Verified
Fairfax, VA 22030
I have seen that recovery works! Whether it is mental health, substance use or relationship issues.
Seek counseling is a sign of inner strength and a desire to be a better person. No matter what the reason you will feel better once you meet with me, a non-judgmental therapist. As a Clinical Social Worker and therapist I am part of a profession that is well known for helping others cope with the passages of life and meeting you where you are. All races, genders and orientations are welcome here. I will walk with you to help you overcome your challenges and assist your growth into loving kindness for yourself and others. Feel free to call me with any questions at 703.508.4578
I have seen that recovery works! Whether it is mental health, substance use or relationship issues.
Seek counseling is a sign of inner strength and a desire to be a better person. No matter what the reason you will feel better once you meet with me, a non-judgmental therapist. As a Clinical Social Worker and therapist I am part of a profession that is well known for helping others cope with the passages of life and meeting you where you are. All races, genders and orientations are welcome here. I will walk with you to help you overcome your challenges and assist your growth into loving kindness for yourself and others. Feel free to call me with any questions at 703.508.4578
(703) 349-7034 View (703) 349-7034
Daniel Martino
Licensed Professional Counselor, LPC, MAC, CSAC, DAPA, MT-BC
Verified Verified
Fairfax, VA 22030
I provide individual, couples' and family therapy.
A recent survey indicates that almost one- third of American adults have no one with whom to discuss important issues. I provide telehealth, phone or in-office sessions. With over 30 years of clinical experience, I am a trauma-informed, culturally competent and strengths-based therapist who has been privileged to work with many different folks, including Holocaust Survivors, hurricane victims and 9/11/01 survivors. I provide a safe environment, meeting you on your terms where your clinical needs can be carefully addressed.
I provide individual, couples' and family therapy.
A recent survey indicates that almost one- third of American adults have no one with whom to discuss important issues. I provide telehealth, phone or in-office sessions. With over 30 years of clinical experience, I am a trauma-informed, culturally competent and strengths-based therapist who has been privileged to work with many different folks, including Holocaust Survivors, hurricane victims and 9/11/01 survivors. I provide a safe environment, meeting you on your terms where your clinical needs can be carefully addressed.
(703) 723-2999 x708 View (703) 723-2999 x708
Photo of Dr. Katherine V. Rosemond, Licensed Professional Counselor in Fairfax, VA
Dr. Katherine V. Rosemond
Licensed Professional Counselor, PhD, MEd, LPC, CPC, EMT-B
Verified Verified
Fairfax, VA 20151
Welcome to your pathway to healing, making positive life changes, and maximizing success in your business and personal life! We'll identify your goals, identify problems and obstacles in your way, develop strategies to overcome these, make positive changes that YOU want, and reach your goals. I offer addictions and mental health counseling as well as Executive, Business, and Personal Coaching. My clients include individuals, couples, families, and public safety workers and those who serve in the military. I am an active operational EMT with over 20 years experience with local volunteer fire/rescue departments and CISM teams.
Welcome to your pathway to healing, making positive life changes, and maximizing success in your business and personal life! We'll identify your goals, identify problems and obstacles in your way, develop strategies to overcome these, make positive changes that YOU want, and reach your goals. I offer addictions and mental health counseling as well as Executive, Business, and Personal Coaching. My clients include individuals, couples, families, and public safety workers and those who serve in the military. I am an active operational EMT with over 20 years experience with local volunteer fire/rescue departments and CISM teams.
(540) 254-0981 View (540) 254-0981
Photo of Caroline Thomas, Licensed Professional Counselor in Fairfax, VA
Caroline Thomas
Licensed Professional Counselor, LPC, CRC
Verified Verified
2 Endorsed
Fairfax, VA 22031
I work with individuals and couples struggling with mood, anxiety, daily stressors, relationship conflict, and life transitions.
Life can feel challenging, overwhelming, and unpredictable, but you are not alone! As a therapist, my goal is to create a safe space for my client's self-discovery and personal growth. My primary focus is nurturing individuals to reach their best selves. Change is often the result of genuinely listening to your worldview and accessing that knowledge with care, compassion, and a little humor!
I work with individuals and couples struggling with mood, anxiety, daily stressors, relationship conflict, and life transitions.
Life can feel challenging, overwhelming, and unpredictable, but you are not alone! As a therapist, my goal is to create a safe space for my client's self-discovery and personal growth. My primary focus is nurturing individuals to reach their best selves. Change is often the result of genuinely listening to your worldview and accessing that knowledge with care, compassion, and a little humor!
(804) 626-5908 View (804) 626-5908
Photo of Kiersten Farrell, Licensed Professional Counselor in Fairfax, VA
Kiersten Farrell
Licensed Professional Counselor, LPC, LSATP
Verified Verified
1 Endorsed
Fairfax, VA 22030  (Online Only)
It's finally time to focus on evolving, letting go of things that no longer serve you. I am a Licensed Professional Counselor and a Licensed Substance Abuse Treatment Practitioner approved by the Virginia Board of Counseling. I have worked in college, hospital, and outpatient settings with kids, teens, and adults. I have extensive work and experience with substance use and abuse struggles, trauma, stress, anxiety, depression, ADHD, relationship issues, narcissistic abuse, criminal behaviors, sports related injuries and stress, and major life transitions. Additionally, I have experience working with couples and family dynamics.
It's finally time to focus on evolving, letting go of things that no longer serve you. I am a Licensed Professional Counselor and a Licensed Substance Abuse Treatment Practitioner approved by the Virginia Board of Counseling. I have worked in college, hospital, and outpatient settings with kids, teens, and adults. I have extensive work and experience with substance use and abuse struggles, trauma, stress, anxiety, depression, ADHD, relationship issues, narcissistic abuse, criminal behaviors, sports related injuries and stress, and major life transitions. Additionally, I have experience working with couples and family dynamics.
(571) 554-5056 View (571) 554-5056
Photo of Silver Lake Psychology, Psychologist in Fairfax, VA
Silver Lake Psychology
Psychologist, PsyD
Verified Verified
Fairfax, VA 22033
Therapy is a process of self-reflection and conversation that honors the struggles of life: career uncertainty, relationship decisions, loneliness, grief, and the ongoing pursuit self-love.
Learn how to feel more connected to yourself, others, and the world around you. Therapy provides all the elements of intimacy: honest communication, vulnerability, and trust. Good therapy is challenging yet warm, providing both structure and empathy for your unique experience.
Therapy is a process of self-reflection and conversation that honors the struggles of life: career uncertainty, relationship decisions, loneliness, grief, and the ongoing pursuit self-love.
Learn how to feel more connected to yourself, others, and the world around you. Therapy provides all the elements of intimacy: honest communication, vulnerability, and trust. Good therapy is challenging yet warm, providing both structure and empathy for your unique experience.
(757) 982-8290 View (757) 982-8290
Photo of LifeLine Psychotherapy Services, Marriage & Family Therapist in Fairfax, VA
LifeLine Psychotherapy Services
Marriage & Family Therapist, LMFT, LPC, CSAC
Verified Verified
Fairfax, VA 22030  (Online Only)
Every relationship will have issues (you won’t find a single relationship that do not have issues), but the right time to seek help and support through relationship therapy can be determined by asking yourself whether you are happy.
All relationships have ups and downs. Things can get a bit stuck & it’s hard to find a positive solution. Help from a skilled relationship therapist can make all the difference. Whether you are feeling things just aren’t quite right or whether you are encountering serious difficulties, I am are here to support you. People are genuinely surprised when we start working together. Some come in feeling nervous, apprehensive, & even doubtful but once we have met a few times & changes happen, they begin to relax & enjoy the process of healing their relat., rebuild their foundation, communicate more effectively, and resolve stuck issues.
Every relationship will have issues (you won’t find a single relationship that do not have issues), but the right time to seek help and support through relationship therapy can be determined by asking yourself whether you are happy.
All relationships have ups and downs. Things can get a bit stuck & it’s hard to find a positive solution. Help from a skilled relationship therapist can make all the difference. Whether you are feeling things just aren’t quite right or whether you are encountering serious difficulties, I am are here to support you. People are genuinely surprised when we start working together. Some come in feeling nervous, apprehensive, & even doubtful but once we have met a few times & changes happen, they begin to relax & enjoy the process of healing their relat., rebuild their foundation, communicate more effectively, and resolve stuck issues.
(703) 782-8387 View (703) 782-8387
Photo of Silver Lake Psychology, Psychologist in Fairfax, VA
Silver Lake Psychology
Psychologist, PsyD
Verified Verified
Fairfax, VA 22037
Therapy is a process of self-reflection and conversation that honors the struggles of life: career uncertainty, relationship decisions, loneliness, grief, and the ongoing pursuit self-love.
Learn how to feel more connected to yourself, others, and the world around you. Therapy provides all the elements of intimacy: honest communication, vulnerability, and trust. Good therapy is challenging yet warm, providing both structure and empathy for your unique experience.
Therapy is a process of self-reflection and conversation that honors the struggles of life: career uncertainty, relationship decisions, loneliness, grief, and the ongoing pursuit self-love.
Learn how to feel more connected to yourself, others, and the world around you. Therapy provides all the elements of intimacy: honest communication, vulnerability, and trust. Good therapy is challenging yet warm, providing both structure and empathy for your unique experience.
(757) 799-1934 View (757) 799-1934
Photo of Silver Lake Psychology, Psychologist in Fairfax, VA
Silver Lake Psychology
Psychologist, PsyD
Verified Verified
Fairfax, VA 22030
Therapy is a process of self-reflection and conversation that honors the struggles of life: career uncertainty, relationship decisions, loneliness, grief, and the ongoing pursuit self-love.
Learn how to feel more connected to yourself, others, and the world around you. Therapy provides all the elements of intimacy: honest communication, vulnerability, and trust. Good therapy is challenging yet warm, providing both structure and empathy for your unique experience.
Therapy is a process of self-reflection and conversation that honors the struggles of life: career uncertainty, relationship decisions, loneliness, grief, and the ongoing pursuit self-love.
Learn how to feel more connected to yourself, others, and the world around you. Therapy provides all the elements of intimacy: honest communication, vulnerability, and trust. Good therapy is challenging yet warm, providing both structure and empathy for your unique experience.
(757) 820-4204 View (757) 820-4204
Photo of Silver Lake Psychology, Psychologist in Fairfax, VA
Silver Lake Psychology
Psychologist, PsyD
Verified Verified
Fairfax, VA 22031
Therapy is a process of self-reflection and conversation that honors the struggles of life: career uncertainty, relationship decisions, loneliness, grief, and the ongoing pursuit self-love.
Learn how to feel more connected to yourself, others, and the world around you. Therapy provides all the elements of intimacy: honest communication, vulnerability, and trust. Good therapy is challenging yet warm, providing both structure and empathy for your unique experience.
Therapy is a process of self-reflection and conversation that honors the struggles of life: career uncertainty, relationship decisions, loneliness, grief, and the ongoing pursuit self-love.
Learn how to feel more connected to yourself, others, and the world around you. Therapy provides all the elements of intimacy: honest communication, vulnerability, and trust. Good therapy is challenging yet warm, providing both structure and empathy for your unique experience.
(757) 801-3617 View (757) 801-3617
Photo of Open Mind Health , Marriage & Family Therapist in Fairfax, VA
Open Mind Health
Marriage & Family Therapist
Verified Verified
1 Endorsed
Fairfax, VA 20151  (Online Only)
Are you struggling with depression, anxiety, loss, trauma, isolation, relationship/family issues? At Open Mind Health, we get to the “root cause” of what’s actually leading to your emotional challenges, while treating the resulting issues and developing lasting solutions to help you feel optimistic and hopeful. With ease-of-access to our advanced telehealth platform or in-person visits, our expert psychiatrists and therapists offer highly individualized care wherever you are and whenever you need it. Our therapists and life coaches are compassionate and forward-thinkers. Call us today at 855-550-6063 to get started!
Are you struggling with depression, anxiety, loss, trauma, isolation, relationship/family issues? At Open Mind Health, we get to the “root cause” of what’s actually leading to your emotional challenges, while treating the resulting issues and developing lasting solutions to help you feel optimistic and hopeful. With ease-of-access to our advanced telehealth platform or in-person visits, our expert psychiatrists and therapists offer highly individualized care wherever you are and whenever you need it. Our therapists and life coaches are compassionate and forward-thinkers. Call us today at 855-550-6063 to get started!
(619) 279-5464 View (619) 279-5464
Photo of Linda Thimons, Licensed Professional Counselor in Fairfax, VA
Linda Thimons
Licensed Professional Counselor, LPC
Verified Verified
Fairfax, VA 22030
I am a Licensed Professional Counselor with fourteen years of experience. My counseling approaches and interventions include person-centered therapy, cognitive behavioral therapy, motivational interviewing, trauma informed care, and more. I specialize in working with addiction, anxiety, depression, trauma, PTSD, and mood disorders. I encourage my clients to define their success and progress by setting goals and defining what progress looks like for them. I will be that support and guidance on their path toward growth.
I am a Licensed Professional Counselor with fourteen years of experience. My counseling approaches and interventions include person-centered therapy, cognitive behavioral therapy, motivational interviewing, trauma informed care, and more. I specialize in working with addiction, anxiety, depression, trauma, PTSD, and mood disorders. I encourage my clients to define their success and progress by setting goals and defining what progress looks like for them. I will be that support and guidance on their path toward growth.
(571) 554-2703 View (571) 554-2703
Photo of Joseph Autry, Licensed Professional Counselor in Fairfax, VA
Joseph Autry
Licensed Professional Counselor, LPC
Verified Verified
Fairfax, VA 22033
Nice to meet you! My name is Joseph Autry and I am a Licensed Professional Counselor with over 8 years of experience. I have worked with clients with anxiety, depression, substance use, personality, mood regulation, suicidal thoughts, self-harm, PTSD, eating disorders, and problems with trauma. I will often use a combination of Cognitive Behavioral Therapy and Dialectical Behavioral Therapy. Motivational Interviewing and Solution Focused Therapy are forms of therapy I usually like to use as well. I believe that being a therapist has allowed me to work and help clients who are feeling depressed and having thoughts of wanting to hurt
Nice to meet you! My name is Joseph Autry and I am a Licensed Professional Counselor with over 8 years of experience. I have worked with clients with anxiety, depression, substance use, personality, mood regulation, suicidal thoughts, self-harm, PTSD, eating disorders, and problems with trauma. I will often use a combination of Cognitive Behavioral Therapy and Dialectical Behavioral Therapy. Motivational Interviewing and Solution Focused Therapy are forms of therapy I usually like to use as well. I believe that being a therapist has allowed me to work and help clients who are feeling depressed and having thoughts of wanting to hurt
(571) 554-5377 View (571) 554-5377
Photo of Jillian Freedman, Licensed Professional Counselor in Fairfax, VA
Jillian Freedman
Licensed Professional Counselor, MA, NCC, LPC
Verified Verified
1 Endorsed
Fairfax, VA 22030
As your therapist I aim to guide you on your journey towards self-growth and self-improvement. Through collaboration, psycho-education, and the application of several interventions including EMDR catered to your current needs I hope to alleviate any pain or stress you may be feeling on a daily basis. Through effective problem-solving and coping strategies, one can also begin to work through any internal or external conflict they are experiencing that may be impacting any personal or interpersonal relationships. I am a huge believer in holistic wellness and that it is important to look at the whole person not just a single part.
As your therapist I aim to guide you on your journey towards self-growth and self-improvement. Through collaboration, psycho-education, and the application of several interventions including EMDR catered to your current needs I hope to alleviate any pain or stress you may be feeling on a daily basis. Through effective problem-solving and coping strategies, one can also begin to work through any internal or external conflict they are experiencing that may be impacting any personal or interpersonal relationships. I am a huge believer in holistic wellness and that it is important to look at the whole person not just a single part.
(703) 783-3566 View (703) 783-3566
Photo of Danielle Cauley, Licensed Professional Counselor in Fairfax, VA
Danielle Cauley
Licensed Professional Counselor, LPC, CSAC
Verified Verified
7 Endorsed
Fairfax, VA 20151
Waitlist for new clients
"Man never made any material as resilient as the human spirit." -Bernard Williams. As a therapist I strive to support my clients in building their resiliency and guiding the healing process. Asking for help is the first step, and I would welcome the opportunity to travel with you on that path. I also believe that in order to feel better, you must start thinking better, so I offer a safe, laid back and non-judgmental atmosphere to do just that. When the fear of judgement is removed, amazing progress can happen.
"Man never made any material as resilient as the human spirit." -Bernard Williams. As a therapist I strive to support my clients in building their resiliency and guiding the healing process. Asking for help is the first step, and I would welcome the opportunity to travel with you on that path. I also believe that in order to feel better, you must start thinking better, so I offer a safe, laid back and non-judgmental atmosphere to do just that. When the fear of judgement is removed, amazing progress can happen.
(757) 347-8796 View (757) 347-8796
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.