Photo of John H Weaver, Licensed Professional Counselor in Richmond, VA
John H Weaver
Licensed Professional Counselor, LPC, CAADC, CSAC, CCTP
Verified Verified
1 Endorsed
Richmond, VA 23225
Waitlist for new clients
I believe that building a therapeutic relationship, rooted in trust and understanding of the issues, will allow you to develop coping skills; strengthen your resilience; and enhance your mental capacity to identify triggers and implement techniques to sustain change.
Life’s challenges may cause us to react and respond in many different ways. Our current situation may or may not be in our immediate control, but when we look at our life, long-term, it will be the decisions that we make today that set the course of the overall outcome. Experiencing depression, anxiety, grief, confusion, and frustration (to name a few) may be a part of that journey, but you do not have to go down that road alone. It's important to have a safe and confidential space to work through challenges, become more resilient, and come out on the other side with confidence and skills to manage the situations you face.
I believe that building a therapeutic relationship, rooted in trust and understanding of the issues, will allow you to develop coping skills; strengthen your resilience; and enhance your mental capacity to identify triggers and implement techniques to sustain change.
Life’s challenges may cause us to react and respond in many different ways. Our current situation may or may not be in our immediate control, but when we look at our life, long-term, it will be the decisions that we make today that set the course of the overall outcome. Experiencing depression, anxiety, grief, confusion, and frustration (to name a few) may be a part of that journey, but you do not have to go down that road alone. It's important to have a safe and confidential space to work through challenges, become more resilient, and come out on the other side with confidence and skills to manage the situations you face.
(804) 315-2893 View (804) 315-2893
Photo of Deborah Howard-Dobbins(Talk Work Heal), Licensed Professional Counselor in Richmond, VA
Deborah Howard-Dobbins(Talk Work Heal)
Licensed Professional Counselor, MEd, LPC
Verified Verified
Richmond, VA 23294  (Online Only)
Let's Talk! If I can show you a better way to enjoy your life would you be interested? Our lives are forever being transformed by the daily events we experience. Navigating life's challenges can be overwhelming and stressful. As your therapist and mindset coach, I want to show you how to adapt in an ever changing world. Together, we will partner to discover ways to transform obstacles into opportunities. If you want to be the best version of yourself and live out your full potential, let's start a new way of living today. Are you ready?
Let's Talk! If I can show you a better way to enjoy your life would you be interested? Our lives are forever being transformed by the daily events we experience. Navigating life's challenges can be overwhelming and stressful. As your therapist and mindset coach, I want to show you how to adapt in an ever changing world. Together, we will partner to discover ways to transform obstacles into opportunities. If you want to be the best version of yourself and live out your full potential, let's start a new way of living today. Are you ready?
(804) 207-5918 View (804) 207-5918
Photo of Susan Ennis, Clinical Social Work/Therapist in Richmond, VA
Susan Ennis
Clinical Social Work/Therapist, LCSW
Verified Verified
Richmond, VA 23222
Hello, I'm a Licensed Clinical Social Worker who works with adults, couples, and children experiencing grief, chronic illness, weight loss, and substance abuse issues. I am also a Certified Parent Coach with experience working with parents, foster parents, grandparents and teachers that may be struggling with children who have some behavioral issues. My goal is to provide an outlet for you to have emotional safety and help you identify your emotions. My approach utilizes CBT as well as Mindfulness techniques to provide you with adaptive coping strategies that allow you to slow down, and work to heal negative thinking.
Hello, I'm a Licensed Clinical Social Worker who works with adults, couples, and children experiencing grief, chronic illness, weight loss, and substance abuse issues. I am also a Certified Parent Coach with experience working with parents, foster parents, grandparents and teachers that may be struggling with children who have some behavioral issues. My goal is to provide an outlet for you to have emotional safety and help you identify your emotions. My approach utilizes CBT as well as Mindfulness techniques to provide you with adaptive coping strategies that allow you to slow down, and work to heal negative thinking.
(757) 997-7059 View (757) 997-7059
Photo of Jalisa A Jones, Licensed Professional Counselor in Richmond, VA
Jalisa A Jones
Licensed Professional Counselor, MA, LPC
Verified Verified
Richmond, VA 23222
One demonstrates great strength, humility, and boldness to seek counseling. I enjoy working with clients who are open to various modalities of treatment and willing to be an active participant in their treatment. Clients experiencing relationship issues, self-esteem, identity, anxiety, depression, family discord, job related stress, initial diagnoses, as well as other concerns, function best when clarity, acceptance, resolve, forgiveness, and empowerment is present.
One demonstrates great strength, humility, and boldness to seek counseling. I enjoy working with clients who are open to various modalities of treatment and willing to be an active participant in their treatment. Clients experiencing relationship issues, self-esteem, identity, anxiety, depression, family discord, job related stress, initial diagnoses, as well as other concerns, function best when clarity, acceptance, resolve, forgiveness, and empowerment is present.
(804) 251-3348 View (804) 251-3348
Photo of Denise M Hill, Licensed Professional Counselor in Richmond, VA
Denise M Hill
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Richmond, VA 23219  (Online Only)
I specialize in mood disorders, relationship issues, anger management, and sports-related issues because sometimes we struggle to recognize the effects of our big emotions.
Making the first step is the most difficult but the most rewarding. Do you possess an open mind? Do you desire personal growth? Have you started to think that "something has to change?" I am here for you. Let us explore your full potential with a goal-oriented mindset.
I specialize in mood disorders, relationship issues, anger management, and sports-related issues because sometimes we struggle to recognize the effects of our big emotions.
Making the first step is the most difficult but the most rewarding. Do you possess an open mind? Do you desire personal growth? Have you started to think that "something has to change?" I am here for you. Let us explore your full potential with a goal-oriented mindset.
(804) 376-8677 View (804) 376-8677
Photo of Eirene Counseling and Consulting, LLC, Licensed Professional Counselor in Richmond, VA
Eirene Counseling and Consulting, LLC
Licensed Professional Counselor
Verified Verified
4 Endorsed
Richmond, VA 23229
Eirene simply means peace and reconciliation within yourself and with other people. How is your relationship with yourself? What about with other people? When those relationships are unbalanced it can look like repeating the same dysfunctional patterns no matter how hard you try. It can feel like you are stuck, unmotivated, frustrated and don't have the energy to make the changes you desire or not being sure of what changes you need to make to live a fuller, more complete life. You may also feel overwhelmed, anxiety filled, doubt in yourself and your abilities, anger/irritation, and setting impossible goals for yourself.
Eirene simply means peace and reconciliation within yourself and with other people. How is your relationship with yourself? What about with other people? When those relationships are unbalanced it can look like repeating the same dysfunctional patterns no matter how hard you try. It can feel like you are stuck, unmotivated, frustrated and don't have the energy to make the changes you desire or not being sure of what changes you need to make to live a fuller, more complete life. You may also feel overwhelmed, anxiety filled, doubt in yourself and your abilities, anger/irritation, and setting impossible goals for yourself.
(804) 455-8035 View (804) 455-8035
Photo of Tara Gallagher, Licensed Professional Counselor in Richmond, VA
Tara Gallagher
Licensed Professional Counselor, LPC
Verified Verified
Richmond, VA 23225  (Online Only)
I have been providing outpatient therapy to individuals, couples, and families since 2019; prior to that, I worked as an intensive in-home counselor and ABA therapist for ten years while I obtained my master's degree and completed my residency. As much as I enjoy seeing my clients in person, I have strengthened my ability to provide therapy virtually, applying various resources and maintaining a strong rapport through my non-judgmental and open-minded approach.
I have been providing outpatient therapy to individuals, couples, and families since 2019; prior to that, I worked as an intensive in-home counselor and ABA therapist for ten years while I obtained my master's degree and completed my residency. As much as I enjoy seeing my clients in person, I have strengthened my ability to provide therapy virtually, applying various resources and maintaining a strong rapport through my non-judgmental and open-minded approach.
(804) 492-8473 View (804) 492-8473
Photo of Counseling Alliance of VA, LLC, Clinical Social Work/Therapist in Richmond, VA
Counseling Alliance of VA, LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Richmond, VA 23294
Serve and care for individuals, couples, and families impacted by mental illness, substance abuse, trauma, foster care and/or other life stressors.
The Counseling Alliance of Virginia believes everyone has the capacity to live a healthy and productive life when offered the support they deserve.
Serve and care for individuals, couples, and families impacted by mental illness, substance abuse, trauma, foster care and/or other life stressors.
The Counseling Alliance of Virginia believes everyone has the capacity to live a healthy and productive life when offered the support they deserve.
(804) 808-1424 View (804) 808-1424
Photo of Angela W Fitzgerald, Resident in Marriage and Family Therapy in Richmond, VA
Angela W Fitzgerald
Resident in Marriage and Family Therapy, LMHP-R, M Ed, MFT-R
Verified Verified
Richmond, VA 23219
I have counseling experience with adults, children, and couples in areas to include Individual and Group Counseling Couples Counseling, Child Behavior and Development, Grief and Loss, Interpersonal Relationships, Life Coaching, Crisis Intervention, Cognitive Behavior Therapy, Emotional Behavior Therapy, and using the Narrative Approach to aid others in achieving a greater well-being for themselves.
I have counseling experience with adults, children, and couples in areas to include Individual and Group Counseling Couples Counseling, Child Behavior and Development, Grief and Loss, Interpersonal Relationships, Life Coaching, Crisis Intervention, Cognitive Behavior Therapy, Emotional Behavior Therapy, and using the Narrative Approach to aid others in achieving a greater well-being for themselves.
(804) 391-7833 View (804) 391-7833
Photo of Michelle O'Brien, Licensed Professional Counselor in Richmond, VA
Michelle O'Brien
Licensed Professional Counselor, LPC, NCC
Verified Verified
1 Endorsed
Richmond, VA 23219  (Online Only)
For those recovering from dealing with a Narcissist or an emotionally abusive relationship, you'll find a safe, supportive space to heal and learn new tools.
Would you like to feel more in control of your life? More comfortable in your own skin? To finally heal old wounds? Change is possible and you will be warmly welcomed here. Therapy isn't always easy but it can be energizing, fun, and something you look forward to. It's vital to find a therapist who is a great match for you. My style is direct, friendly & collaborative using humor & psychoeducation without judgment. Together we'll discover unmet needs that may be blocking you. Other services available are pre-bariatric surgery assessments and follow-up care. I especially enjoy working on anger management and self-confidence!
For those recovering from dealing with a Narcissist or an emotionally abusive relationship, you'll find a safe, supportive space to heal and learn new tools.
Would you like to feel more in control of your life? More comfortable in your own skin? To finally heal old wounds? Change is possible and you will be warmly welcomed here. Therapy isn't always easy but it can be energizing, fun, and something you look forward to. It's vital to find a therapist who is a great match for you. My style is direct, friendly & collaborative using humor & psychoeducation without judgment. Together we'll discover unmet needs that may be blocking you. Other services available are pre-bariatric surgery assessments and follow-up care. I especially enjoy working on anger management and self-confidence!
(804) 215-0873 View (804) 215-0873
Photo of Tamara Carter, Licensed Professional Counselor in Richmond, VA
Tamara Carter
Licensed Professional Counselor, LSATP, CCTP-II, CGP
Verified Verified
1 Endorsed
Richmond, VA 23225  (Online Only)
I enjoy working with ndividuals, groups, couples, and families, and I tailor my treatment approach to meet the needs of every client.
My role as a therapist is to provide an environment that is inviting and beneficial to you.  That means that, at all times, I will accept you as you are and be respectful of your rights, your time, and your position as architect and navigator of your own journey.  I will continually work to build and establish trust with you, being transparent and genuine during our interactions, so that you feel safe and comfortable enough to do the very important work ahead of you.
I enjoy working with ndividuals, groups, couples, and families, and I tailor my treatment approach to meet the needs of every client.
My role as a therapist is to provide an environment that is inviting and beneficial to you.  That means that, at all times, I will accept you as you are and be respectful of your rights, your time, and your position as architect and navigator of your own journey.  I will continually work to build and establish trust with you, being transparent and genuine during our interactions, so that you feel safe and comfortable enough to do the very important work ahead of you.
(571) 600-6940 View (571) 600-6940
Photo of Emily A Franko, Clinical Social Work/Therapist in Richmond, VA
Emily A Franko
Clinical Social Work/Therapist, LICSW
Verified Verified
Richmond, VA 23225  (Online Only)
Whether you're dealing with overwhelming emotions, lack of emotions, relationship issues or cycles of anxiety and depression, I'm here to help.
Ask yourself, “Am I the Best Me?” What is the answer? Do you feel pulled in a million directions, unable to fit it all in? Are you struggling to keep up with your relationships, work and health? Is it hard to be kind to yourself? Perhaps you are not sure what you are feeling or why you are feeling a certain way. Not to worry... Together, we will identify what's not working for you and get you back in balance or take the journey towards being "Intentionally You."
Whether you're dealing with overwhelming emotions, lack of emotions, relationship issues or cycles of anxiety and depression, I'm here to help.
Ask yourself, “Am I the Best Me?” What is the answer? Do you feel pulled in a million directions, unable to fit it all in? Are you struggling to keep up with your relationships, work and health? Is it hard to be kind to yourself? Perhaps you are not sure what you are feeling or why you are feeling a certain way. Not to worry... Together, we will identify what's not working for you and get you back in balance or take the journey towards being "Intentionally You."
(540) 269-4927 View (540) 269-4927
Photo of Matthew T Murphy, Clinical Social Work/Therapist in Richmond, VA
Matthew T Murphy
Clinical Social Work/Therapist, LCSW
Verified Verified
Richmond, VA 23223  (Online Only)
I work to help couples find balance and humor in their relationship.
I practice CBT (cognitive behavioral therapy), ACT (acceptance and commitment therapy), TF-CBT (trauma-focused CBT), ABA (applied behavioral analysis), solution-focused therapy, and structural and strategic family therapy. I love learning about neurobiology and the effects that stress has on the brain. Interpersonally, a client coming into session with me can expect to encounter a warm, compassionate, and encouraging soul who has a dry sense of humor and tends to address problems in a straightforward manner.
I work to help couples find balance and humor in their relationship.
I practice CBT (cognitive behavioral therapy), ACT (acceptance and commitment therapy), TF-CBT (trauma-focused CBT), ABA (applied behavioral analysis), solution-focused therapy, and structural and strategic family therapy. I love learning about neurobiology and the effects that stress has on the brain. Interpersonally, a client coming into session with me can expect to encounter a warm, compassionate, and encouraging soul who has a dry sense of humor and tends to address problems in a straightforward manner.
(804) 258-4624 View (804) 258-4624
Photo of Rashell Gamble, Licensed Professional Counselor in Richmond, VA
Rashell Gamble
Licensed Professional Counselor, LPC
Verified Verified
Richmond, VA 23225  (Online Only)
I work with individuals, couples, families and military service members.
I understand that looking for, and finding, a therapist that you connect with, can feel overwhelming. Trying to manage the things that worry or challenge you can be pushed aside for countless reasons, yet when issues aren't addressed, they can affect every part of your life. Regardless of what led you to seek counseling, I will offer you support, practical feedback, and a little bit of humor, to help you resolve the current or long-standing concerns in your life. Whether you are struggling with a situation, relationship, or change in your life, we will navigate the path of growth and wellness together.
I work with individuals, couples, families and military service members.
I understand that looking for, and finding, a therapist that you connect with, can feel overwhelming. Trying to manage the things that worry or challenge you can be pushed aside for countless reasons, yet when issues aren't addressed, they can affect every part of your life. Regardless of what led you to seek counseling, I will offer you support, practical feedback, and a little bit of humor, to help you resolve the current or long-standing concerns in your life. Whether you are struggling with a situation, relationship, or change in your life, we will navigate the path of growth and wellness together.
(757) 260-3179 View (757) 260-3179
Photo of Donna Platt, Counselor in Richmond, VA
Donna Platt
Counselor, LCPC, MA
Verified Verified
1 Endorsed
Richmond, VA 23173
I also specialize in couples therapy and have completed all levels of training in Gottman Method.
Making the decision to reach out for help when we’re struggling emotionally can be challenging and even a little scary. For most of us, however, there comes a time when the difficulties we are facing gives us the courage to begin the search for change and healing. Finding the right therapist can be a crucial aspect of this journey. The therapist you select needs to be someone who helps you feel connected, accepted and understood. Clients find me to be warm, compassionate and non-judgmental while creating an effective therapeutic environment.
I also specialize in couples therapy and have completed all levels of training in Gottman Method.
Making the decision to reach out for help when we’re struggling emotionally can be challenging and even a little scary. For most of us, however, there comes a time when the difficulties we are facing gives us the courage to begin the search for change and healing. Finding the right therapist can be a crucial aspect of this journey. The therapist you select needs to be someone who helps you feel connected, accepted and understood. Clients find me to be warm, compassionate and non-judgmental while creating an effective therapeutic environment.
(779) 999-4893 View (779) 999-4893
Photo of Stormi Addison, Resident in Counseling in Richmond, VA
Stormi Addison
Resident in Counseling, MA
Verified Verified
1 Endorsed
Richmond, VA 23220  (Online Only)
I also work closely with our military community helping them through their unique difficulties and experiences as I, too, have had difficulty navigating similar aspects of this lifestyle as a military spouse and former civil service employee.
Life can be difficult to navigate with challenges from the past and ongoing stressors which feels as if we're in a constant state of survival. Sound familiar? You are not alone. Therapy can be a safe space to explore and process these stressors, feelings, thoughts, etc. I work from a person-centered perspective to process your feelings, identify strengths, and help you access the tools you need to take back control to navigate the direction of your life. Through the art of processing information and applying evidence-based interventions, we will work together to meet your therapy goals and get a better grip on life.
I also work closely with our military community helping them through their unique difficulties and experiences as I, too, have had difficulty navigating similar aspects of this lifestyle as a military spouse and former civil service employee.
Life can be difficult to navigate with challenges from the past and ongoing stressors which feels as if we're in a constant state of survival. Sound familiar? You are not alone. Therapy can be a safe space to explore and process these stressors, feelings, thoughts, etc. I work from a person-centered perspective to process your feelings, identify strengths, and help you access the tools you need to take back control to navigate the direction of your life. Through the art of processing information and applying evidence-based interventions, we will work together to meet your therapy goals and get a better grip on life.
(757) 210-7412 View (757) 210-7412
Photo of Tiffany Tait, Resident in Counseling in Richmond, VA
Tiffany Tait
Resident in Counseling, MS, ASDI
Verified Verified
2 Endorsed
Richmond, VA 23225  (Online Only)
Currently accepting adult new clients using virtual/teletherapy for concerns including Autism Spectrum Disorder, Borderline Personality Disorder, phobias, bipolar disorder, trauma, anxiety, depression, relationship/intimacy dysfunction, establishing healthy boundaries, assertive communication skills
Currently accepting adult new clients using virtual/teletherapy for concerns including Autism Spectrum Disorder, Borderline Personality Disorder, phobias, bipolar disorder, trauma, anxiety, depression, relationship/intimacy dysfunction, establishing healthy boundaries, assertive communication skills
(571) 517-1794 View (571) 517-1794
Photo of Dr. Angela Cano Sampson, Licensed Professional Counselor in Richmond, VA
Dr. Angela Cano Sampson
Licensed Professional Counselor, PhD, , LPC, NCC, CSC
Verified Verified
Richmond, VA 23220  (Online Only)
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.
(571) 520-4376 View (571) 520-4376
Photo of Christine Oglesby Family Therapy, PLLC, Licensed Professional Counselor in Richmond, VA
Christine Oglesby Family Therapy, PLLC
Licensed Professional Counselor, LPC, LMFT
Verified Verified
1 Endorsed
Richmond, VA 23221
My specialty is in resolving trauma, anxiety, depression, situational, lifestage, co-parenting, couples, difficult individual & family problems.
I feel a genuine responsibility on my part to respect the courage it takes to entrust me; to ask for help. In sharing your life story with me, my responsibility is to hear where you are & where you want to be, not to be judgmental but w/mindfulness, dignity & respect. I will work with individuals, couples, co-parents & families reunify & restore healthy interactions. Since 2003, I have extensive experience working w/ trauma, PTSD, depression, anxiety, co-parenting, LGBTQ+, family pxs. There is hope to resolve difficult problems, move beyond them & create a new life narrative of empowerment. Flex. hrs: Th-Su inc evenings & weekends!
My specialty is in resolving trauma, anxiety, depression, situational, lifestage, co-parenting, couples, difficult individual & family problems.
I feel a genuine responsibility on my part to respect the courage it takes to entrust me; to ask for help. In sharing your life story with me, my responsibility is to hear where you are & where you want to be, not to be judgmental but w/mindfulness, dignity & respect. I will work with individuals, couples, co-parents & families reunify & restore healthy interactions. Since 2003, I have extensive experience working w/ trauma, PTSD, depression, anxiety, co-parenting, LGBTQ+, family pxs. There is hope to resolve difficult problems, move beyond them & create a new life narrative of empowerment. Flex. hrs: Th-Su inc evenings & weekends!
(804) 352-2395 View (804) 352-2395
Photo of Odyssey Counseling LLC, Clinical Social Work/Therapist in Richmond, VA
Odyssey Counseling LLC
Clinical Social Work/Therapist, PhD, LCSW
Verified Verified
Richmond, VA 23225  (Online Only)
I have experience in helping clients with abuse, trauma, couples & relationships, affairs, family conflicts, motivation, self-esteem, depression, and intergenerational, and higher ed issues.
I have been in the helping field for over 30 years. I have experience in clinical practice as well as being a university professor. My belief is that life is not a straight line nor sequential. However, with the right support, you can find solutions and contentment. I will facilitate and empower you on your journey. While I firmly believe in discussing the origin of the issues, I am also practical and do believe in solutions. As such, together we implement tools while continuing to explore the issues deeper. Finally, the "fit" between the therapist and client is clinically crucial. I am happy to meet for a consultation.
I have experience in helping clients with abuse, trauma, couples & relationships, affairs, family conflicts, motivation, self-esteem, depression, and intergenerational, and higher ed issues.
I have been in the helping field for over 30 years. I have experience in clinical practice as well as being a university professor. My belief is that life is not a straight line nor sequential. However, with the right support, you can find solutions and contentment. I will facilitate and empower you on your journey. While I firmly believe in discussing the origin of the issues, I am also practical and do believe in solutions. As such, together we implement tools while continuing to explore the issues deeper. Finally, the "fit" between the therapist and client is clinically crucial. I am happy to meet for a consultation.
(804) 993-8915 View (804) 993-8915
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.