Photo of Colleen Cotter, Marriage & Family Therapist in Midtown, Sacramento, CA
Colleen Cotter
Marriage & Family Therapist, MA, LMFT
Verified Verified
Midtown, Sacramento, CA 95811
Trauma informed care for relationship distress, life changes, childhood abuse, people with parents that have mental illness or addiction, family issues, metoo etc.
Clients that find me usually feel that trauma has informed or altered their life in some way. Or they face personal or relational distress. I meet each client with their unique challenges and life experiences and offer a place to explore what you are needing in therapy. My ideal client wants to understand and grow to their full potential and I am here as a guide to offer tools, options, a place to process your emotions and/or trauma. Adults that have been through child abuse, mental illness in family, addiction, sexual abuse, relationship distress, anxiety and depression.
Trauma informed care for relationship distress, life changes, childhood abuse, people with parents that have mental illness or addiction, family issues, metoo etc.
Clients that find me usually feel that trauma has informed or altered their life in some way. Or they face personal or relational distress. I meet each client with their unique challenges and life experiences and offer a place to explore what you are needing in therapy. My ideal client wants to understand and grow to their full potential and I am here as a guide to offer tools, options, a place to process your emotions and/or trauma. Adults that have been through child abuse, mental illness in family, addiction, sexual abuse, relationship distress, anxiety and depression.
(916) 237-9292 View (916) 237-9292
Photo of Adam Sisson, Marriage & Family Therapist Associate in Midtown, Sacramento, CA
Adam Sisson
Marriage & Family Therapist Associate, AMFT
Verified Verified
Midtown, Sacramento, CA 95816
When working with teens, I focus first and foremost on the relationship.
Hello and welcome! It takes courage to reach out for help. Congratulate yourself, searching this site is a win! I am a good fit for someone who is working through trauma and the symptoms of trauma: depression, anxiety, detachment from self and others, and addiction. I focus on creating deeper and more meaningful relationships with yourself, your loved ones, and the world around you. I believe we are always on a journey to create a meaningful story for our lives, and I believe our need for healthy and meaningful relationships is core to the human experience.
When working with teens, I focus first and foremost on the relationship.
Hello and welcome! It takes courage to reach out for help. Congratulate yourself, searching this site is a win! I am a good fit for someone who is working through trauma and the symptoms of trauma: depression, anxiety, detachment from self and others, and addiction. I focus on creating deeper and more meaningful relationships with yourself, your loved ones, and the world around you. I believe we are always on a journey to create a meaningful story for our lives, and I believe our need for healthy and meaningful relationships is core to the human experience.
(530) 290-8422 View (530) 290-8422
Photo of Jesus Sanchez, Marriage & Family Therapist in Midtown, Sacramento, CA
Jesus Sanchez
Marriage & Family Therapist, LMFT
Verified Verified
Midtown, Sacramento, CA 95816
Mr. Sanchez is a trained Marriage and Family Therapist with a background in Indigenous arts and cultural traditions. By engaging traditional approaches of psychotherapy, art, and culture, he works with clients to identify their strengths as determined by the health of their social, cultural, family, spiritual and behavioral cycles. His approach offers strength based therapeutic interventions, while utilizing art and culture to support clients in creating practices to strengthen coping skills, relationship patterns, systems of support, concepts of self, and increasing awareness of their role in creating their healing process.
Mr. Sanchez is a trained Marriage and Family Therapist with a background in Indigenous arts and cultural traditions. By engaging traditional approaches of psychotherapy, art, and culture, he works with clients to identify their strengths as determined by the health of their social, cultural, family, spiritual and behavioral cycles. His approach offers strength based therapeutic interventions, while utilizing art and culture to support clients in creating practices to strengthen coping skills, relationship patterns, systems of support, concepts of self, and increasing awareness of their role in creating their healing process.
(916) 597-1146 View (916) 597-1146
Photo of D. Meghan French, Clinical Social Work/Therapist in Midtown, Sacramento, CA
D. Meghan French
Clinical Social Work/Therapist, LCSW
Verified Verified
Midtown, Sacramento, CA 95816
I work with couples and individuals struggling with fertility issues.
Welcome! I appreciate you stopping at my page. Stress, depression, anxiety and grief can rob us of the energy to enjoy life and stay connected with the people around us. I became a therapist in the hopes of helping people find peace, happiness and wellbeing. I strive to create a safe, supportive environment wherein you can share your story and we can work together to find meaningful and lasting change.
I work with couples and individuals struggling with fertility issues.
Welcome! I appreciate you stopping at my page. Stress, depression, anxiety and grief can rob us of the energy to enjoy life and stay connected with the people around us. I became a therapist in the hopes of helping people find peace, happiness and wellbeing. I strive to create a safe, supportive environment wherein you can share your story and we can work together to find meaningful and lasting change.
(916) 694-1840 View (916) 694-1840
Photo of Lindsay Glass, Marriage & Family Therapist in Midtown, Sacramento, CA
Lindsay Glass
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Midtown, Sacramento, CA 95816
You love your partner, but you are exhausted and overwhelmed by having the same conversation or argument over and over again only to feel even more alone, unheard, and unloved each time . I am a relationship therapist who supports adult couples and individuals with emotional and physical intimacy, communication, anxiety, and loss. I use an attachment-focused lens and have advanced training in Emotionally Focused Therapy for Couples and Individuals. Visit www.lovehealgrow.com to learn more or schedule your first appointment today.
You love your partner, but you are exhausted and overwhelmed by having the same conversation or argument over and over again only to feel even more alone, unheard, and unloved each time . I am a relationship therapist who supports adult couples and individuals with emotional and physical intimacy, communication, anxiety, and loss. I use an attachment-focused lens and have advanced training in Emotionally Focused Therapy for Couples and Individuals. Visit www.lovehealgrow.com to learn more or schedule your first appointment today.
(530) 420-8204 View (530) 420-8204
Photo of Sandra A Warne, Marriage & Family Therapist in Midtown, Sacramento, CA
Sandra A Warne
Marriage & Family Therapist, MA, LMFT
Verified Verified
Midtown, Sacramento, CA 95816
I am interested in meeting you individually or with your partner or spouse if you are not living your life to its fullest potential for joy, growth and connection with others. I specialize in trauma resolution through the utilization of EMDR, which is effective in clearing negative influences from the past so you can flourish in the present. My goal is for you is to live with balance, joy, and fulfillment. I also employ a gentle approach to reduce suffering through mindfulness based psychotherapy. Working with couples and diverse populations are interests, and specialties of mine.
I am interested in meeting you individually or with your partner or spouse if you are not living your life to its fullest potential for joy, growth and connection with others. I specialize in trauma resolution through the utilization of EMDR, which is effective in clearing negative influences from the past so you can flourish in the present. My goal is for you is to live with balance, joy, and fulfillment. I also employ a gentle approach to reduce suffering through mindfulness based psychotherapy. Working with couples and diverse populations are interests, and specialties of mine.
(916) 568-1025 View (916) 568-1025
Photo of Adrian Eric Scharfetter, Marriage & Family Therapist in Midtown, Sacramento, CA
Adrian Eric Scharfetter
Marriage & Family Therapist, PhD, LMFT, CST
Verified Verified
3 Endorsed
Midtown, Sacramento, CA 95814  (Online Only)
I am an AASECT Certified Sex Therapist. I work with low sexual desire, infidelity, mismatched desires and needs, erectile dysfunction, delayed or impaired orgasms, ejaculation concerns, LGBTQIA health or curiosity, sexual trauma, embarrassment and anxiety in regard to sex and sexuality. Exploring types of sexual behaviors, relationship configurations and non heteronormative expressions. Singles and couples who may be exploring or approaching issues in alternative relationships and alternative family structures, including ethical non-monogamy, polyamory, kink, living single, co-parenting, and chosen family.
I am an AASECT Certified Sex Therapist. I work with low sexual desire, infidelity, mismatched desires and needs, erectile dysfunction, delayed or impaired orgasms, ejaculation concerns, LGBTQIA health or curiosity, sexual trauma, embarrassment and anxiety in regard to sex and sexuality. Exploring types of sexual behaviors, relationship configurations and non heteronormative expressions. Singles and couples who may be exploring or approaching issues in alternative relationships and alternative family structures, including ethical non-monogamy, polyamory, kink, living single, co-parenting, and chosen family.
(916) 469-0790 View (916) 469-0790
Photo of Stephen Trichter, Psychologist in Midtown, Sacramento, CA
Stephen Trichter
Psychologist, PsyD
Verified Verified
Midtown, Sacramento, CA 95816
I will work with you in a collaborative, trusting, respectful therapeutic relationship so that you will learn to face life's challenges with greater awareness, moving towards more fulfilling relationships and greater creativity and spontaneity in your life.
I offer a holistic approach, drawing on depth psychology, somatics, spirituality, psychedelic medicine, relational theory and social justice activism in my work with patients. I am interested in working closely with adults, adolescents and couples, supporting them in their development and helping them reach their goals.
I will work with you in a collaborative, trusting, respectful therapeutic relationship so that you will learn to face life's challenges with greater awareness, moving towards more fulfilling relationships and greater creativity and spontaneity in your life.
I offer a holistic approach, drawing on depth psychology, somatics, spirituality, psychedelic medicine, relational theory and social justice activism in my work with patients. I am interested in working closely with adults, adolescents and couples, supporting them in their development and helping them reach their goals.
(415) 689-9969 View (415) 689-9969
Photo of Madison Ale Gomez, Marriage & Family Therapist in Midtown, Sacramento, CA
Madison Ale Gomez
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Midtown, Sacramento, CA 95816
I have worked with children, teenagers, adults&couples going through life transitions.
Hi there, I am currently booking for March & April of 2024, please email using the link or text (916) 884-3812. My goal is to create safety in vulnerability, inner acceptance & understanding. I work from an emotionally & trauma focused perspective. I assist clients in understanding current conflict while exploring your past trauma. Much of the work is through the battling the unconscious questions & creating inner awareness. My client's work becomes possible by disabling self-sabotaging situations, defensiveness, childhood wounds & trauma. My wish is for you to create a positive self image. In doing so, the work allows for you
I have worked with children, teenagers, adults&couples going through life transitions.
Hi there, I am currently booking for March & April of 2024, please email using the link or text (916) 884-3812. My goal is to create safety in vulnerability, inner acceptance & understanding. I work from an emotionally & trauma focused perspective. I assist clients in understanding current conflict while exploring your past trauma. Much of the work is through the battling the unconscious questions & creating inner awareness. My client's work becomes possible by disabling self-sabotaging situations, defensiveness, childhood wounds & trauma. My wish is for you to create a positive self image. In doing so, the work allows for you
(916) 414-9406 View (916) 414-9406
Photo of Jeanine Bogart, MSC, LMFT, Marriage & Family Therapist in Midtown, Sacramento, CA
Jeanine Bogart, MSC, LMFT
Marriage & Family Therapist, MS, LMFT
Verified Verified
Midtown, Sacramento, CA 95816
I believe my role is one of confidante, partner, & guide to help clients gain insight, recover from past trauma and deal with current challenges.
My primary purpose is to help my clients the way I have been helped on my own healing journey. The empathy, compassion, & unconditional positive regard I feel toward my clients allows us to build a foundation of rapport & trust very easily! I feel a passionate calling to work with clients whose issues mirror the struggles & challenges that I, too, have overcome. I also see myself as a protector of children, including our inner children, to help them stay safe, feel loved and protected, and heal their wounds. Do you desire health, peace, prosperity, joy, abundance, freedom, happiness, and serenity? We can work toward all of this 4 U!
I believe my role is one of confidante, partner, & guide to help clients gain insight, recover from past trauma and deal with current challenges.
My primary purpose is to help my clients the way I have been helped on my own healing journey. The empathy, compassion, & unconditional positive regard I feel toward my clients allows us to build a foundation of rapport & trust very easily! I feel a passionate calling to work with clients whose issues mirror the struggles & challenges that I, too, have overcome. I also see myself as a protector of children, including our inner children, to help them stay safe, feel loved and protected, and heal their wounds. Do you desire health, peace, prosperity, joy, abundance, freedom, happiness, and serenity? We can work toward all of this 4 U!
(916) 623-8071 View (916) 623-8071
Photo of Arielle Hastings, Marriage & Family Therapist Associate in Midtown, Sacramento, CA
Arielle Hastings
Marriage & Family Therapist Associate, AMFT
Verified Verified
1 Endorsed
Midtown, Sacramento, CA 94203
I am offering in-person and telehealth. I support my clients through the use of expressive arts and somatic awareness. I work with youth, teens, young professionals, parents/single-parents and couples supporting issues with anxiety, fear, shame, life transitions, grief, daily stressors, relationship challenges of many varieties, and formation/re-formation of self. You are capable of transforming challenges, pain, breakdowns or trauma into self-actuating power and wisdom. I offer warm presence, encouraging easeful participation and invitation of your creative spirit.
I am offering in-person and telehealth. I support my clients through the use of expressive arts and somatic awareness. I work with youth, teens, young professionals, parents/single-parents and couples supporting issues with anxiety, fear, shame, life transitions, grief, daily stressors, relationship challenges of many varieties, and formation/re-formation of self. You are capable of transforming challenges, pain, breakdowns or trauma into self-actuating power and wisdom. I offer warm presence, encouraging easeful participation and invitation of your creative spirit.
(530) 457-1986 View (530) 457-1986
Photo of Debbie Cherry Lmft - Couples Therapy, Marriage & Family Therapist in Midtown, Sacramento, CA
Debbie Cherry Lmft - Couples Therapy
Marriage & Family Therapist, LMFT
Verified Verified
Midtown, Sacramento, CA 94208
Couples come to me when they are sick of small disagreements turning into BIG arguments. Many therapists start with the problems… I start with solutions. I’ve created simple tools to help couples communicate based on seeing what successful couples do differently for over 20 years in practice.
Couples come to me when they are sick of small disagreements turning into BIG arguments. Many therapists start with the problems… I start with solutions. I’ve created simple tools to help couples communicate based on seeing what successful couples do differently for over 20 years in practice.
(415) 729-2128 View (415) 729-2128
Photo of Jarrad Malamed, Clinical Social Work/Therapist in Midtown, Sacramento, CA
Jarrad Malamed
Clinical Social Work/Therapist, LCSW
Verified Verified
Midtown, Sacramento, CA 95811
In psychotherapy, I, Jarrad Malamed, an LGBTQIA-identified therapist, prioritize diversity and inclusivity. Through an integrative approach blending interpersonal, relational, gestalt, experiential, and cognitive-behavioral therapies (CBT), I aim to customize healing and growth experiences for my clients. Interpersonal therapy (IPT) focuses on relationships' impact on mental well-being, emphasizing communication, conflict resolution, and healthy boundaries. Relational therapy explores past and present relationship dynamics, aiding clients in understanding attachment styles and fostering authentic connections.
In psychotherapy, I, Jarrad Malamed, an LGBTQIA-identified therapist, prioritize diversity and inclusivity. Through an integrative approach blending interpersonal, relational, gestalt, experiential, and cognitive-behavioral therapies (CBT), I aim to customize healing and growth experiences for my clients. Interpersonal therapy (IPT) focuses on relationships' impact on mental well-being, emphasizing communication, conflict resolution, and healthy boundaries. Relational therapy explores past and present relationship dynamics, aiding clients in understanding attachment styles and fostering authentic connections.
(424) 688-7011 View (424) 688-7011
Photo of Alexandra M Jansen, Marriage & Family Therapist Associate in Midtown, Sacramento, CA
Alexandra M Jansen
Marriage & Family Therapist Associate, AMFT
Verified Verified
2 Endorsed
Midtown, Sacramento, CA 95816  (Online Only)
Welcome, I work primarily with clients that are within the LGBTQIA+ and Kink/BDSM communities. I also am body positive, sex positive, poly positive, geek/nerd positive, and trauma informed. I feel that the therapy space should feel safe and build on your strengths. If you’re here, you’re probably struggling with a significant burden in your life. Whether it’s anxiety, depression, trauma, or even difficulties with relationships, I want you to know that researching your future therapist is a great first step. In fact, having a good relationship with them has been known to be a major factor in achieving progress in your therapy.
Welcome, I work primarily with clients that are within the LGBTQIA+ and Kink/BDSM communities. I also am body positive, sex positive, poly positive, geek/nerd positive, and trauma informed. I feel that the therapy space should feel safe and build on your strengths. If you’re here, you’re probably struggling with a significant burden in your life. Whether it’s anxiety, depression, trauma, or even difficulties with relationships, I want you to know that researching your future therapist is a great first step. In fact, having a good relationship with them has been known to be a major factor in achieving progress in your therapy.
(916) 823-8761 View (916) 823-8761
Photo of Catherine Zanzi, Marriage & Family Therapist in Midtown, Sacramento, CA
Catherine Zanzi
Marriage & Family Therapist, MA, LMFT
Verified Verified
Midtown, Sacramento, CA 95826
I have a special interest, experience, and training working with couples and relationships, including sexual issues.
You can bring more peace into your life, strengthen your relationships, and increase your joy! I would love to work with you. By integrating healthy principles of mind, body, and spirit, I can help you rediscover and develop your core strengths. You will learn new tools to help heal emotional pain, communicate more effectively, decrease your stress, and increase your life enjoyment. You are worthy of unconditional love and acceptance, and you hold unique gifts to share with the world. Let's work together to use your unique strengths for self-healing.
I have a special interest, experience, and training working with couples and relationships, including sexual issues.
You can bring more peace into your life, strengthen your relationships, and increase your joy! I would love to work with you. By integrating healthy principles of mind, body, and spirit, I can help you rediscover and develop your core strengths. You will learn new tools to help heal emotional pain, communicate more effectively, decrease your stress, and increase your life enjoyment. You are worthy of unconditional love and acceptance, and you hold unique gifts to share with the world. Let's work together to use your unique strengths for self-healing.
(916) 678-1977 View (916) 678-1977
Photo of Sarah Hammill, Clinical Social Work/Therapist in Midtown, Sacramento, CA
Sarah Hammill
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Midtown, Sacramento, CA 95816
Have you survived a trauma but can't shake the effects of it? Do you want help reclaiming your thoughts, feelings and relationships? I specialize in treating people who have experienced traumatic events such as sexual assault, sudden loss, childhood abuse or divorce. I work with my clients to treat common trauma symptoms such as depression, anxiety, issues with sexuality, and chronic pain. Because trauma affects the body, I combine traditional psychotherapy with a somatic focus to bring relief to the whole self. Ultimately, we work together to alleviate distress and create a life you love.
Have you survived a trauma but can't shake the effects of it? Do you want help reclaiming your thoughts, feelings and relationships? I specialize in treating people who have experienced traumatic events such as sexual assault, sudden loss, childhood abuse or divorce. I work with my clients to treat common trauma symptoms such as depression, anxiety, issues with sexuality, and chronic pain. Because trauma affects the body, I combine traditional psychotherapy with a somatic focus to bring relief to the whole self. Ultimately, we work together to alleviate distress and create a life you love.
(510) 454-8430 View (510) 454-8430
Photo of Jason Baynes, Marriage & Family Therapist in Midtown, Sacramento, CA
Jason Baynes
Marriage & Family Therapist, MA, LMFT
Verified Verified
5 Endorsed
Midtown, Sacramento, CA 95816
You are human. And if you are reading this you are somewhere in the middle of living out a great story - your life. Epics like these have been written for thousands of years. We find ourselves, now, existing in a long line of dramas, tragedies, romances, and comedies. But writing our own stories can be, and most often is, difficult. We can get stuck in chapters that seem to have no endings, desperately wanting to turn the page, but feeling, somehow, stuck and trapped. In our modern age, symptoms become characters that speak to us. Depression, Anger, Despair, and Anxiety, to name a few, start to fill our story.
You are human. And if you are reading this you are somewhere in the middle of living out a great story - your life. Epics like these have been written for thousands of years. We find ourselves, now, existing in a long line of dramas, tragedies, romances, and comedies. But writing our own stories can be, and most often is, difficult. We can get stuck in chapters that seem to have no endings, desperately wanting to turn the page, but feeling, somehow, stuck and trapped. In our modern age, symptoms become characters that speak to us. Depression, Anger, Despair, and Anxiety, to name a few, start to fill our story.
(916) 318-5501 View (916) 318-5501
Photo of Chanin Hardwick, Counselor in Midtown, Sacramento, CA
Chanin Hardwick
Counselor, MA-MFT, LPCC, C-IAYT
Verified Verified
1 Endorsed
Midtown, Sacramento, CA 95816
Transition, trauma, and transformation are my specialties. Life transition, career transition, transition in relationships, racial trauma, the trauma of loss, sexual assault trauma, imposter syndrome, and personal transformation. Much comes with each and using the mind, body, soul connection I support you in finding healing, and a new sense of being. Healing is done in connection with others through embodied connection, awareness, and meaning or faith. Together through connection, you can bring healing into your life.
Transition, trauma, and transformation are my specialties. Life transition, career transition, transition in relationships, racial trauma, the trauma of loss, sexual assault trauma, imposter syndrome, and personal transformation. Much comes with each and using the mind, body, soul connection I support you in finding healing, and a new sense of being. Healing is done in connection with others through embodied connection, awareness, and meaning or faith. Together through connection, you can bring healing into your life.
(916) 318-3850 View (916) 318-3850
Photo of Hannah Berstein, Marriage & Family Therapist in Midtown, Sacramento, CA
Hannah Berstein
Marriage & Family Therapist, LMFT, EMDR
Verified Verified
Midtown, Sacramento, CA 95816
Are you struggling with anxiety and trauma and turning towards unhealthy coping mechanisms in an attempt to manage your emotions? Now is a trying time for almost everyone, and if you have a trauma background what's coming up in the current environment may be reminiscent of the stress, isolation, and fear induced by early childhood experiences. You don't have to handle this alone, and with clinically tested techniques to regulate the mind and body, it's possible to shift from a place of disempowerment to strength.
Are you struggling with anxiety and trauma and turning towards unhealthy coping mechanisms in an attempt to manage your emotions? Now is a trying time for almost everyone, and if you have a trauma background what's coming up in the current environment may be reminiscent of the stress, isolation, and fear induced by early childhood experiences. You don't have to handle this alone, and with clinically tested techniques to regulate the mind and body, it's possible to shift from a place of disempowerment to strength.
(415) 329-8420 View (415) 329-8420
Photo of Barbara Eggenberger, Marriage & Family Therapist in Midtown, Sacramento, CA
Barbara Eggenberger
Marriage & Family Therapist, MFT
Verified Verified
Midtown, Sacramento, CA 95816  (Online Only)
I am a licensed Marriage Family Therapist serving clients via zoom in California and Oregon. If you struggle with chronic issues and have tried other therapists and are still struggling, I may be the therapist for you. I am a specialist in accessing early trauma and clearing it through the use of brain-based therapies such as EMDR and Brainspotting. I am certified in Brainspotting and Systemic Family Constellations and trained in EMDR I/II. I combine these three methods plus my natural empathic abilities to access blockages and clear them. You will feel immediately better!
I am a licensed Marriage Family Therapist serving clients via zoom in California and Oregon. If you struggle with chronic issues and have tried other therapists and are still struggling, I may be the therapist for you. I am a specialist in accessing early trauma and clearing it through the use of brain-based therapies such as EMDR and Brainspotting. I am certified in Brainspotting and Systemic Family Constellations and trained in EMDR I/II. I combine these three methods plus my natural empathic abilities to access blockages and clear them. You will feel immediately better!
(916) 571-9297 View (916) 571-9297

See more therapy options for Midtown, Sacramento

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.