Photo of Josie Nickum, Counselor in Anacortes, WA
Josie Nickum
Counselor, MEd, LMHC
Verified Verified
Anacortes, WA 98221
I offer counseling services for adults, couples and teens in Anacortes, Washington. Remote services are available if you live in Washington State. My areas of expertise include working with clients who are recovering from: historical and complex trauma, work-related burnout, body and food related issues, anxiety and depression. I also love working with couples, adolescents and parents who need help with challenging parent-child dynamics. I use a variety of trauma and attachment informed techniques (internal family systems, emotion-focused & somatic approaches) and anti-oppression theories to guide my work.
I offer counseling services for adults, couples and teens in Anacortes, Washington. Remote services are available if you live in Washington State. My areas of expertise include working with clients who are recovering from: historical and complex trauma, work-related burnout, body and food related issues, anxiety and depression. I also love working with couples, adolescents and parents who need help with challenging parent-child dynamics. I use a variety of trauma and attachment informed techniques (internal family systems, emotion-focused & somatic approaches) and anti-oppression theories to guide my work.
(360) 564-6046 View (360) 564-6046
Photo of Dion Menser-Andreini, Marriage & Family Therapist in Anacortes, WA
Dion Menser-Andreini
Marriage & Family Therapist, MS, LMFT
Verified Verified
Anacortes, WA 98221  (Online Only)
Waitlist for new clients
Working with people facing numerous challenges has shown me incredible resiliency and an amazing capacity for growth found within every human spirit. Together we will seek to discover these potentials within you. It is my belief that our nature as social beings brings an abundance of life nourishing solutions. I offer 23+ years of professional and volunteer experience successfully helping people achieve their individual and relationship goals. Please feel free to inquire about my services through a free initial 20 minute phone consultation at: 360-708-1087.
Working with people facing numerous challenges has shown me incredible resiliency and an amazing capacity for growth found within every human spirit. Together we will seek to discover these potentials within you. It is my belief that our nature as social beings brings an abundance of life nourishing solutions. I offer 23+ years of professional and volunteer experience successfully helping people achieve their individual and relationship goals. Please feel free to inquire about my services through a free initial 20 minute phone consultation at: 360-708-1087.
(360) 329-2906 View (360) 329-2906
Photo of Amy Begnal, Mental Health Counselor in Anacortes, WA
Amy Begnal
Mental Health Counselor, EdS, LPC, LMHC
Verified Verified
4 Endorsed
Anacortes, WA 98221
My experience and training includes working with adolescents, adults, families, and couples to change unwanted behavioral or thought patterns that contribute to undesired outcomes and challenges.
Choosing to explore therapy can elicit a number of emotional responses. For some, this is an important step in recognizing an issue and deciding to move toward resolve. Others may experience a lack of clarity in regards to what exactly needs to change and uncertainty about entering therapy. No matter where you are in your healing, I offer a safe and personal therapeutic process to fit your specific needs. My goal is to work toward your desired outcome by offering a collaborative and supportive exploration of your concerns while utilizing an integrative style of therapeutic modalities that are all firmly established through research.
My experience and training includes working with adolescents, adults, families, and couples to change unwanted behavioral or thought patterns that contribute to undesired outcomes and challenges.
Choosing to explore therapy can elicit a number of emotional responses. For some, this is an important step in recognizing an issue and deciding to move toward resolve. Others may experience a lack of clarity in regards to what exactly needs to change and uncertainty about entering therapy. No matter where you are in your healing, I offer a safe and personal therapeutic process to fit your specific needs. My goal is to work toward your desired outcome by offering a collaborative and supportive exploration of your concerns while utilizing an integrative style of therapeutic modalities that are all firmly established through research.
(360) 472-4490 x505 View (360) 472-4490 x505
Photo of Walter Vyhmeister, Counselor in Anacortes, WA
Walter Vyhmeister
Counselor, MDiv, MA, PhD
Verified Verified
1 Endorsed
Anacortes, WA 98221  (Online Only)
If you are having difficulty coping with the loss of a loved one; have experienced sexual or other types of abuse; if you feel sad, anxious or worried most of the time; if you are having conflict in a personal, marital or family relationship; if you want to improve your parenting skills, or just want to learn how to manage stressful living, I can help you.
Serving as a minister and earning a PhD in Counseling Psychology equipped me to care for people in crises. Working with vulnerable children and their families or caregivers, also proved to be a valuable foundation for clinical care. In a medical academic setting, training residents in the use of spirituality and psychology as they cared for their patients, deepened my own understanding of just how complex clinical issues can become. This also increased my understanding of the level of stress healthcare providers and victims themselves experience during illness.
If you are having difficulty coping with the loss of a loved one; have experienced sexual or other types of abuse; if you feel sad, anxious or worried most of the time; if you are having conflict in a personal, marital or family relationship; if you want to improve your parenting skills, or just want to learn how to manage stressful living, I can help you.
Serving as a minister and earning a PhD in Counseling Psychology equipped me to care for people in crises. Working with vulnerable children and their families or caregivers, also proved to be a valuable foundation for clinical care. In a medical academic setting, training residents in the use of spirituality and psychology as they cared for their patients, deepened my own understanding of just how complex clinical issues can become. This also increased my understanding of the level of stress healthcare providers and victims themselves experience during illness.
(360) 227-5430 View (360) 227-5430
Photo of Erin Welsh, Counselor in Anacortes, WA
Erin Welsh
Counselor, MA, LMHC, EMDR, C-PD
Verified Verified
4 Endorsed
Anacortes, WA 98221
At Hope Clinic Behavioral Health, my approach is based on a person-centered and cognitive-behavioral therapy philosophy of care as I work with individuals, couples, and youth in need of support. Together we outline approaches that best match your needs and goals. I strive to use my experience, and honest and open style of communication to act as a positive support to help you establish and fulfill therapeutic and life goals, providing psychotherapy in accordance with an evidence-based practice recovery model. If you're a couple reaching out for support, I will work with you to encourage a deeper connection and accountability.
At Hope Clinic Behavioral Health, my approach is based on a person-centered and cognitive-behavioral therapy philosophy of care as I work with individuals, couples, and youth in need of support. Together we outline approaches that best match your needs and goals. I strive to use my experience, and honest and open style of communication to act as a positive support to help you establish and fulfill therapeutic and life goals, providing psychotherapy in accordance with an evidence-based practice recovery model. If you're a couple reaching out for support, I will work with you to encourage a deeper connection and accountability.
(360) 202-3605 View (360) 202-3605
Photo of Malka Golden-Wolfe, Marriage & Family Therapist in Anacortes, WA
Malka Golden-Wolfe
Marriage & Family Therapist, LMFT, PhD
Verified Verified
Anacortes, WA 98221  (Online Only)
I can offer you and your spouse, partner or family, Therapy to Support your Life. I have been trained in many modalities and work with my clients in the way that best suites your personality and communication style. I have been a therapist for over three decades working with individuals and family groups to heal wounds, promote understanding, forgiveness and compassion. Strengthen your self Image, become your best self, express your highest potential and awaken your creativity. Live a happy, awakened and conscious LIFE. I can assist and support you in empowering and creating the present and future you desire.
I can offer you and your spouse, partner or family, Therapy to Support your Life. I have been trained in many modalities and work with my clients in the way that best suites your personality and communication style. I have been a therapist for over three decades working with individuals and family groups to heal wounds, promote understanding, forgiveness and compassion. Strengthen your self Image, become your best self, express your highest potential and awaken your creativity. Live a happy, awakened and conscious LIFE. I can assist and support you in empowering and creating the present and future you desire.
(360) 389-2999 View (360) 389-2999
Photo of Whitney Keith, Counselor in Anacortes, WA
Whitney Keith
Counselor, MFTA, MHCA, MA
Verified Verified
1 Endorsed
Anacortes, WA 98221  (Online Only)
I work with couples on communication, parenting, and connection.
I love working with the seekers - the ones who are feeling stuck in relationships or patterns, who have as deep a desire to understand as to move beyond. I am here for the psychologically curious - those who want insight and meaning while they strive to create a life that isn't painful all the time. Your pain needs to be tended to, but your capacity for joy and fun and play must simultaneously be cultivated. Life is complicated and problematic. Our power lies in our creative and flexible responses to our setbacks.
I work with couples on communication, parenting, and connection.
I love working with the seekers - the ones who are feeling stuck in relationships or patterns, who have as deep a desire to understand as to move beyond. I am here for the psychologically curious - those who want insight and meaning while they strive to create a life that isn't painful all the time. Your pain needs to be tended to, but your capacity for joy and fun and play must simultaneously be cultivated. Life is complicated and problematic. Our power lies in our creative and flexible responses to our setbacks.
(360) 531-7436 View (360) 531-7436
Photo of Todd Webb, Counselor in Anacortes, WA
Todd Webb
Counselor, MEd, LMHC
Verified Verified
Anacortes, WA 98221
During my career, I've worked with many diverse individuals, couples, and families to find healing and restoration from a variety of complicated and often very messy problems. I offer a unique measure of acceptance, support, and assistance for my clients. Besides my experience and training, I've personally struggled with difficult life issues myself. I know healing is possible and I am committed to helping you find it. If you choose to work with me, together we'll discover the root causes of your predicament and strive toward making changes that will ultimately lead to greater happiness and satisfaction.
During my career, I've worked with many diverse individuals, couples, and families to find healing and restoration from a variety of complicated and often very messy problems. I offer a unique measure of acceptance, support, and assistance for my clients. Besides my experience and training, I've personally struggled with difficult life issues myself. I know healing is possible and I am committed to helping you find it. If you choose to work with me, together we'll discover the root causes of your predicament and strive toward making changes that will ultimately lead to greater happiness and satisfaction.
(360) 301-7976 View (360) 301-7976
Photo of Che Blaine, Clinical Social Work/Therapist in Anacortes, WA
Che Blaine
Clinical Social Work/Therapist, MS, MSW, LICSW
Verified Verified
Anacortes, WA 98221  (Online Only)
The intention I have is to explore with you your desire to have a more healthy balance in the emotional, mental, spiritual, and physical aspects of your life. A central question that I keep in mind is: "how can I be helpful?" I encourage my clients to make overall goals for our counseling relationship as well as for each appointment. Your happiness and freedom is my goal. My hope is to create together an atmosphere of safety, respect and trust. My focus is to encourage my clients' exploration of their own personal power, wisdom and resources for understanding, healing and happiness.
The intention I have is to explore with you your desire to have a more healthy balance in the emotional, mental, spiritual, and physical aspects of your life. A central question that I keep in mind is: "how can I be helpful?" I encourage my clients to make overall goals for our counseling relationship as well as for each appointment. Your happiness and freedom is my goal. My hope is to create together an atmosphere of safety, respect and trust. My focus is to encourage my clients' exploration of their own personal power, wisdom and resources for understanding, healing and happiness.
(360) 842-0714 View (360) 842-0714
Photo of Lori Nash, Marriage & Family Therapist in Anacortes, WA
Lori Nash
Marriage & Family Therapist, MA, LMFT, LMHC
Verified Verified
4 Endorsed
Anacortes, WA 98221
You want to break free from painful relationship issues, self-defeating behaviors, and just feeling "stuck." The wonderful thing about therapy is that it provides you with a sense of relief - with hope that things CAN get better - by giving you a safe, respectful and non-judgmental space to speak freely about what is troubling you, or what is painful in your relationship. I work to create a safe, respectful and supportive environment that alleviates feelings of aloneness, and facilitates connection, awareness, healing and positive change.
You want to break free from painful relationship issues, self-defeating behaviors, and just feeling "stuck." The wonderful thing about therapy is that it provides you with a sense of relief - with hope that things CAN get better - by giving you a safe, respectful and non-judgmental space to speak freely about what is troubling you, or what is painful in your relationship. I work to create a safe, respectful and supportive environment that alleviates feelings of aloneness, and facilitates connection, awareness, healing and positive change.
(360) 526-0190 View (360) 526-0190
Photo of Heather Varnau, Counselor in Anacortes, WA
Heather Varnau
Counselor, MA, LMHC
Verified Verified
Anacortes, WA 98221
With your partner: Do you feel alone in your relationship? Are you recovering from infidelity or broken trust? Do you want to communicate in a way that pulls for your partner's understanding and connection? For yourself: Do you want to resolve your internal conflicts? Do you want to learn self-compassion and feel at peace with yourself? Do you want to break negative patterns in your relationships? I'm here to help. Over the past 15 years, I've helped hundreds of couples and individuals create emotional security, happiness, and connection through evidence-based and empirically validated therapy methods.
With your partner: Do you feel alone in your relationship? Are you recovering from infidelity or broken trust? Do you want to communicate in a way that pulls for your partner's understanding and connection? For yourself: Do you want to resolve your internal conflicts? Do you want to learn self-compassion and feel at peace with yourself? Do you want to break negative patterns in your relationships? I'm here to help. Over the past 15 years, I've helped hundreds of couples and individuals create emotional security, happiness, and connection through evidence-based and empirically validated therapy methods.
(360) 205-2569 View (360) 205-2569
Photo of Jennifer Sue Wareham, Marriage & Family Therapist in Anacortes, WA
Jennifer Sue Wareham
Marriage & Family Therapist, MS, LMFT
Verified Verified
Anacortes, WA 98221
Relationship scars from the past can be healed and your relationship will become a "safe haven" with intimacy and emotional closeness.
Welcome. With over 25 years experience as a Marriage and Family Therapist, I provide therapy in a comfortable and supportive atmosphere. In addition to my Washington office, I offer teletherapy in the states of Washington, Colorado, Idaho and Utah. I offer a highly personalized approach tailored to each of my clients' individual needs. We work together to reach your personal growth goals. I provide therapy for relationship issues such as loss of closeness, affair recovery, remarriage adjustment, and decision to divorce. Treatment options include weekly therapy, marital issue coaching, and 2-3 day intensive retreats.
Relationship scars from the past can be healed and your relationship will become a "safe haven" with intimacy and emotional closeness.
Welcome. With over 25 years experience as a Marriage and Family Therapist, I provide therapy in a comfortable and supportive atmosphere. In addition to my Washington office, I offer teletherapy in the states of Washington, Colorado, Idaho and Utah. I offer a highly personalized approach tailored to each of my clients' individual needs. We work together to reach your personal growth goals. I provide therapy for relationship issues such as loss of closeness, affair recovery, remarriage adjustment, and decision to divorce. Treatment options include weekly therapy, marital issue coaching, and 2-3 day intensive retreats.
(360) 207-2617 View (360) 207-2617
Photo of Skagit Psychotherapy , Counselor in Anacortes, WA
Skagit Psychotherapy
Counselor, MA, LMHC
Verified Verified
Anacortes, WA 98221
For couples, I use an Emotionally Focused Therapy (EFT) framework.
You’re on a unique journey. Your struggle matters. If you are reading this chances are you may be struggling in a particular area of life or with patterns of thinking, behaving and relating that are no longer serving your deeper intentions. When we are no longer aligned with our deeper intentions we can start to feel anxious or depressed or our relationships can suffer. Often outdated modes of coping learned early in life can become counterproductive. When we can increase positive coping, better regulate our emotions, and understand what our emotions are trying to tell us, we have increased success in all areas of life.
For couples, I use an Emotionally Focused Therapy (EFT) framework.
You’re on a unique journey. Your struggle matters. If you are reading this chances are you may be struggling in a particular area of life or with patterns of thinking, behaving and relating that are no longer serving your deeper intentions. When we are no longer aligned with our deeper intentions we can start to feel anxious or depressed or our relationships can suffer. Often outdated modes of coping learned early in life can become counterproductive. When we can increase positive coping, better regulate our emotions, and understand what our emotions are trying to tell us, we have increased success in all areas of life.
(360) 226-7387 View (360) 226-7387
Photo of Gino Wolfe—Anxiety•depression•grief—Kids Adults, Marriage & Family Therapist Associate in Anacortes, WA
Gino Wolfe—Anxiety•depression•grief—Kids Adults
Marriage & Family Therapist Associate, LMFTA, SUDP, MHP, CMHS
Verified Verified
Anacortes, WA 98221
In a compassionate and non-judgmental environment, you, your partner, and your family can learn skills to manage stress, achieve focus, and connect.
Do you ever feel like you’re alone in life as if the world is resting on your shoulders? Do you feel the burden of caring for loved ones while feeling like no one is there to take care of you? Do you feel disconnected from relationships in your life? Are you in the military and struggling with feelings of anxiety or stress about your deployment? Are you having trouble leaving your experiences from the military behind or experiencing PTSD? Is grief from losing a loved one impacting your relationships and your ability to manage the day-to-day? Through expert therapy, you can learn to move beyond your pain and be happier. Reach out now
In a compassionate and non-judgmental environment, you, your partner, and your family can learn skills to manage stress, achieve focus, and connect.
Do you ever feel like you’re alone in life as if the world is resting on your shoulders? Do you feel the burden of caring for loved ones while feeling like no one is there to take care of you? Do you feel disconnected from relationships in your life? Are you in the military and struggling with feelings of anxiety or stress about your deployment? Are you having trouble leaving your experiences from the military behind or experiencing PTSD? Is grief from losing a loved one impacting your relationships and your ability to manage the day-to-day? Through expert therapy, you can learn to move beyond your pain and be happier. Reach out now
(360) 219-9635 View (360) 219-9635
Photo of Denise Miller, Counselor in Anacortes, WA
Denise Miller
Counselor, MA, LMHC
Verified Verified
Anacortes, WA 98221
Waitlist for new clients
I take a holistic approach to counseling, with an emphasis on mind, body and spirit in relationship to self and others. I specialize in trauma informed practices utilizing modalities such as EMDR, CBT, DBT, and family systems therapy.I am a Children's Mental Health Therapist and a Minority Mental Health Therapist with experience working with Native American, Hispanic and African American and LGBTQ populations.
I take a holistic approach to counseling, with an emphasis on mind, body and spirit in relationship to self and others. I specialize in trauma informed practices utilizing modalities such as EMDR, CBT, DBT, and family systems therapy.I am a Children's Mental Health Therapist and a Minority Mental Health Therapist with experience working with Native American, Hispanic and African American and LGBTQ populations.
(360) 233-8085 View (360) 233-8085
Photo of Lea Kennedy, Marriage & Family Therapist in Anacortes, WA
Lea Kennedy
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Anacortes, WA 98221
Hello, I am an individual, couple and family therapist who helps clients learn to be with themselves and to be with others in a healthy and authentic way. I have interests in working with clients around family life transitions, anxiety and depression, and grief and loss. I work from a strength-based, humanistic, and family systems approach in that I view concerns through an individual lens but also through a much broader relational, social, cultural, spiritual, environmental context.
Hello, I am an individual, couple and family therapist who helps clients learn to be with themselves and to be with others in a healthy and authentic way. I have interests in working with clients around family life transitions, anxiety and depression, and grief and loss. I work from a strength-based, humanistic, and family systems approach in that I view concerns through an individual lens but also through a much broader relational, social, cultural, spiritual, environmental context.
(360) 564-5507 View (360) 564-5507
Photo of CradleStone, LLC , Counselor in Anacortes, WA
CradleStone, LLC
Counselor, MS, MAC, LMHC, SUDP
Verified Verified
Anacortes, WA 98221
Are you alone and feeling no support? Is your teenager struggling to be part of your family? Whether your teen is acting out through high-risk behaviors or isolating through technology, your family is probably feeling the strain. When you aren't sure how to help your teen or what they truly need, it can feel overwhelming and hopeless. I'm here to support you, your teen, and your family so you can move through your challenges together. Individuals seeking help with depressive or anxious feelings can find solutions through me as well.
Are you alone and feeling no support? Is your teenager struggling to be part of your family? Whether your teen is acting out through high-risk behaviors or isolating through technology, your family is probably feeling the strain. When you aren't sure how to help your teen or what they truly need, it can feel overwhelming and hopeless. I'm here to support you, your teen, and your family so you can move through your challenges together. Individuals seeking help with depressive or anxious feelings can find solutions through me as well.
(360) 614-2842 View (360) 614-2842
Photo of Bridget C. Cantrell, Mental Health Counselor in Anacortes, WA
Bridget C. Cantrell
Mental Health Counselor, PhD, NCC, CTS, LMHC
Verified Verified
Anacortes, WA 98221  (Online Only)
I am considered a Subject Matter Expert on PTSD. The goal of my mental health practice is to assist clients in transforming their lives. My office provides a sanctuary, safety and healing, from which to discover ways to re-connect with your life. We will create new ways of coping with your emotional, spiritual and physical health conditions. We work with a variety of issues: PTSD, depression, anxiety, bipolar disorder, substance and alcohol abuse. We provide Readjustment Counseling after life-altering events: war zone trauma, deployment stress, divorce, illness, domestic violence, assault, financial stress, etc. Why wait?
I am considered a Subject Matter Expert on PTSD. The goal of my mental health practice is to assist clients in transforming their lives. My office provides a sanctuary, safety and healing, from which to discover ways to re-connect with your life. We will create new ways of coping with your emotional, spiritual and physical health conditions. We work with a variety of issues: PTSD, depression, anxiety, bipolar disorder, substance and alcohol abuse. We provide Readjustment Counseling after life-altering events: war zone trauma, deployment stress, divorce, illness, domestic violence, assault, financial stress, etc. Why wait?
(360) 529-4776 View (360) 529-4776
Photo of Cindy Kay Rushin-Gallagher, Counselor in Anacortes, WA
Cindy Kay Rushin-Gallagher
Counselor, LMHC
Verified Verified
Anacortes, WA 98221
My 33 years as a Sex Therapist in private practice has enabled me to work with a large variety of relationships, sexual problems & intimacy issues. I can offer a safe place to discuss, explore, and create solutions for whatever difficulty you're experiencing. ​ Some Sex Therapy is short term (1-6 months) and often involves sexual education & permission to experience pleasure. Most Sex Therapy requires longer term therapy (1-2 years) because of relational dynamics, unhealthy beliefs about sexuality, anxiety, attachment issues from childhood, unresolved grief, trauma recovery, learning to identify & convey your sexual needs/wants.
My 33 years as a Sex Therapist in private practice has enabled me to work with a large variety of relationships, sexual problems & intimacy issues. I can offer a safe place to discuss, explore, and create solutions for whatever difficulty you're experiencing. ​ Some Sex Therapy is short term (1-6 months) and often involves sexual education & permission to experience pleasure. Most Sex Therapy requires longer term therapy (1-2 years) because of relational dynamics, unhealthy beliefs about sexuality, anxiety, attachment issues from childhood, unresolved grief, trauma recovery, learning to identify & convey your sexual needs/wants.
(360) 233-8873 View (360) 233-8873
Photo of Monica Matthews, Counselor in Anacortes, WA
Monica Matthews
Counselor, LMHC, SUPDT, MHP
Verified Verified
Anacortes, WA 98221
I believe people want to be heard, seen and validated. It can be challenging to find your voice and identity. Depression, Anxiety, Trauma, and Addiction just add to that weight, fueling avoidance and hopelessness. Trying to navigate all of this alone may feel overwhelming and impossible. You don’t have to go it alone. I would be elated to help! I am accepting new clients for in person therapy and tele-health. I work with teens and adults of all ages.
I believe people want to be heard, seen and validated. It can be challenging to find your voice and identity. Depression, Anxiety, Trauma, and Addiction just add to that weight, fueling avoidance and hopelessness. Trying to navigate all of this alone may feel overwhelming and impossible. You don’t have to go it alone. I would be elated to help! I am accepting new clients for in person therapy and tele-health. I work with teens and adults of all ages.
(360) 495-8905 View (360) 495-8905
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.