Photo of Sher Winston, Marriage & Family Therapist in Santa Rosa, CA
Sher Winston
Marriage & Family Therapist, MA, MFT, EFTcert
Verified Verified
Santa Rosa, CA 95403
Hi, I welcome and look forward to meeting you. I enjoy working with individuals and couples and believe we all have great capacity to heal ourselves and our relationships. As a therapist, I am interactive, compassionate, intuitive and humorous. I offer a safe, supportive and non-judgmental environment and what is important to you is important to me.
Hi, I welcome and look forward to meeting you. I enjoy working with individuals and couples and believe we all have great capacity to heal ourselves and our relationships. As a therapist, I am interactive, compassionate, intuitive and humorous. I offer a safe, supportive and non-judgmental environment and what is important to you is important to me.
(707) 790-9389 View (707) 790-9389
Photo of Marie F Piazza, Marriage & Family Therapist in Santa Rosa, CA
Marie F Piazza
Marriage & Family Therapist, MFT
Verified Verified
Santa Rosa, CA 95405
I help individuals, couples and families recover from childhood abuse/neglect, domestic violence and divorce.
Is it easier for you to give than to receive? Are you a nurse, therapist, teacher, or in another "helping profession"? Are you tired of struggling with the daily life grind, while longing for a rich and vibrant life? Do you wonder why you often feel so depleted, while others are enjoying life? Are you in a relationship but are struggling with the same issues and can't find your way to a better way of relating? You are not alone! You deserve to be happy and fulfilled. You can heal and learn new ways of living! I hold the space in which a full and rewarding life is possible for you, even if you cannot yet imagine it for yourself.
I help individuals, couples and families recover from childhood abuse/neglect, domestic violence and divorce.
Is it easier for you to give than to receive? Are you a nurse, therapist, teacher, or in another "helping profession"? Are you tired of struggling with the daily life grind, while longing for a rich and vibrant life? Do you wonder why you often feel so depleted, while others are enjoying life? Are you in a relationship but are struggling with the same issues and can't find your way to a better way of relating? You are not alone! You deserve to be happy and fulfilled. You can heal and learn new ways of living! I hold the space in which a full and rewarding life is possible for you, even if you cannot yet imagine it for yourself.
(707) 570-3940 View (707) 570-3940
Photo of Jordan C Morrison, Marriage & Family Therapist in Santa Rosa, CA
Jordan C Morrison
Marriage & Family Therapist, MFT
Verified Verified
Santa Rosa, CA 95404  (Online Only)
I am highly experienced in working with adults from diverse cultural or socioeconomic backgrounds, and I specialize in treating trauma, depression, anxiety, immigration issues, men's issues, life transitions, grief, and relationship problems, often utilizing a psychodynamic approach.
If you are feeling overwhelmed with life and experiencing fear, shame, stress, anxiety or depression, it may be difficult to reach out and ask for the help you want and deserve. Perhaps it seems that these feelings are so deeply painful nothing could possibly change them. Maybe you are wondering how or even if therapy will help. I want to reassure you that feeling doubtful is normal. Especially when life is feeling so hard.
I am highly experienced in working with adults from diverse cultural or socioeconomic backgrounds, and I specialize in treating trauma, depression, anxiety, immigration issues, men's issues, life transitions, grief, and relationship problems, often utilizing a psychodynamic approach.
If you are feeling overwhelmed with life and experiencing fear, shame, stress, anxiety or depression, it may be difficult to reach out and ask for the help you want and deserve. Perhaps it seems that these feelings are so deeply painful nothing could possibly change them. Maybe you are wondering how or even if therapy will help. I want to reassure you that feeling doubtful is normal. Especially when life is feeling so hard.
(707) 466-0415 View (707) 466-0415
Photo of Diane Gleim, Marriage & Family Therapist in Santa Rosa, CA
Diane Gleim
Marriage & Family Therapist, LMFT, CST, CST-S
Verified Verified
16 Endorsed
Santa Rosa, CA 95401
Sexual issues can - and do - happen to anyone. Perhaps there is an aspect of your sexuality that is confusing to you; perhaps you struggle to experience the pleasure of sexuality and eroticism; perhaps you or your partner have a sexual dysfunction like painful intercourse or erectile dysfunction; perhaps you are in a low sex/no sex relationship; or perhaps you're reeling from learning of your partner's betrayal. In our shame-based culture, these are difficult issues to talk about. I am here to help. After all, everyone has the right to a healthy and happy sex life.
Sexual issues can - and do - happen to anyone. Perhaps there is an aspect of your sexuality that is confusing to you; perhaps you struggle to experience the pleasure of sexuality and eroticism; perhaps you or your partner have a sexual dysfunction like painful intercourse or erectile dysfunction; perhaps you are in a low sex/no sex relationship; or perhaps you're reeling from learning of your partner's betrayal. In our shame-based culture, these are difficult issues to talk about. I am here to help. After all, everyone has the right to a healthy and happy sex life.
(707) 535-9650 View (707) 535-9650
Photo of Gabrielle Simmons, Counselor in Santa Rosa, CA
Gabrielle Simmons
Counselor, MA, LPCC
Verified Verified
2 Endorsed
Santa Rosa, CA 95404
If you are feeling disconnected from yourself, your partner, or from others, that the weight of the past is becoming too heavy to carry on your own, or that your life is missing flavor or joy, I would like to work with you to support the change you seek.
If you are feeling disconnected from yourself, your partner, or from others, that the weight of the past is becoming too heavy to carry on your own, or that your life is missing flavor or joy, I would like to work with you to support the change you seek.
(707) 702-5011 View (707) 702-5011
Photo of Aleta Greenspan, Marriage & Family Therapist in Santa Rosa, CA
Aleta Greenspan
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Santa Rosa, CA 95404
My clients are individuals of all ages, as well as couples and families, and I enjoy engaging with a full spectrum of issues across the lifespan.
The word “heal” comes from “to make whole.” Psychotherapy, more aptly psyche-therapy, is a sacred process of tending to the soul wound and waking more fully to one’s aliveness and inherent wholeness. I am deeply passionate about supporting you in healing the fragmented and disowned parts of self that hinder you from living a life of meaningful connections, purposeful self-agency and joy. We work collaboratively to creatively transform unconscious and limiting belief structures, access your resiliencies, welcome emerging truths, skillfully navigate adversity with new tools, and integrate insights for profound and evolving change.
My clients are individuals of all ages, as well as couples and families, and I enjoy engaging with a full spectrum of issues across the lifespan.
The word “heal” comes from “to make whole.” Psychotherapy, more aptly psyche-therapy, is a sacred process of tending to the soul wound and waking more fully to one’s aliveness and inherent wholeness. I am deeply passionate about supporting you in healing the fragmented and disowned parts of self that hinder you from living a life of meaningful connections, purposeful self-agency and joy. We work collaboratively to creatively transform unconscious and limiting belief structures, access your resiliencies, welcome emerging truths, skillfully navigate adversity with new tools, and integrate insights for profound and evolving change.
(707) 475-3119 View (707) 475-3119
Photo of Megan Rooney, Marriage & Family Therapist in Santa Rosa, CA
Megan Rooney
Marriage & Family Therapist, LMFT
Verified Verified
Santa Rosa, CA 95403
I will meet you where you are, from a non-judgmental compassionate approach, and partner with you on your journey of self discovery.
I believe we are all doing the very best we know how to do, and that people seek therapy to learn new ways, ways that help make their lives and relationships work better. It is my honor to support people that are in pain and confusion to learn a better way. I am here to serve as a mirror and a guide so that you can find who you really are and how to more fully express that. I have been a Licensed Marriage and Family Therapist (LMFT 29699) since 1997 and practicing in a variety of settings ever since, including Private Practice, County Behavioral Health and Non-profit agencies.
I will meet you where you are, from a non-judgmental compassionate approach, and partner with you on your journey of self discovery.
I believe we are all doing the very best we know how to do, and that people seek therapy to learn new ways, ways that help make their lives and relationships work better. It is my honor to support people that are in pain and confusion to learn a better way. I am here to serve as a mirror and a guide so that you can find who you really are and how to more fully express that. I have been a Licensed Marriage and Family Therapist (LMFT 29699) since 1997 and practicing in a variety of settings ever since, including Private Practice, County Behavioral Health and Non-profit agencies.
(707) 306-4905 View (707) 306-4905
Photo of Alexis Scarborough, Marriage & Family Therapist Associate in Santa Rosa, CA
Alexis Scarborough
Marriage & Family Therapist Associate, MS, AMFT, APCC
Verified Verified
5 Endorsed
Santa Rosa, CA 95404
I'm a warm, empathic, and engaged therapist offering collaborative support to teens, adults, and couples.
Are you experiencing frustrating patterns of relational conflict? Do you have pervasive feelings of anxiety, worry, and dread? Do you want to understand yourself and your choices more clearly and in greater depth? Perhaps you sense that your past is impacting your current wellbeing, but you aren't quite sure how. One thing is certain: you want to feel better. You may want to feel more confidant, more connected, and more alive in your relationships. You may long to breathe deeply and move through your days with increased ease, relaxation, and personal agency. Therapy can help, and we can do it together!
I'm a warm, empathic, and engaged therapist offering collaborative support to teens, adults, and couples.
Are you experiencing frustrating patterns of relational conflict? Do you have pervasive feelings of anxiety, worry, and dread? Do you want to understand yourself and your choices more clearly and in greater depth? Perhaps you sense that your past is impacting your current wellbeing, but you aren't quite sure how. One thing is certain: you want to feel better. You may want to feel more confidant, more connected, and more alive in your relationships. You may long to breathe deeply and move through your days with increased ease, relaxation, and personal agency. Therapy can help, and we can do it together!
(707) 343-4658 View (707) 343-4658
Photo of Beverly Vistara Benoit, Marriage & Family Therapist in Santa Rosa, CA
Beverly Vistara Benoit
Marriage & Family Therapist, MA, MFT
Verified Verified
Santa Rosa, CA 95404  (Online Only)
I provide guidance towards building trust and balance, by forming a growing alliance with you. Together, we find a pathway to renew your mind/body/spirit connection. We access your inner resources, to create a unified sense of self. If you are experiencing depression, anxiety, fear, isolation, anger, trauma, we pay attention to these signals. We meet vulnerability with a gentle rhythm, so the heart can release these emotions. Our intent is to nurture a relationship to yourself, based on self acceptance, honor and respect. Our focus is to create a feeling of safety within yourself, security in the world, and an opening to wholeness.
I provide guidance towards building trust and balance, by forming a growing alliance with you. Together, we find a pathway to renew your mind/body/spirit connection. We access your inner resources, to create a unified sense of self. If you are experiencing depression, anxiety, fear, isolation, anger, trauma, we pay attention to these signals. We meet vulnerability with a gentle rhythm, so the heart can release these emotions. Our intent is to nurture a relationship to yourself, based on self acceptance, honor and respect. Our focus is to create a feeling of safety within yourself, security in the world, and an opening to wholeness.
(707) 560-3240 View (707) 560-3240
Photo of Jane Gehrke, Marriage & Family Therapist Associate in Santa Rosa, CA
Jane Gehrke
Marriage & Family Therapist Associate, MA, AMFT
Verified Verified
3 Endorsed
Santa Rosa, CA 95405  (Online Only)
I am experienced at effectively addressing anxiety, depression, relationship and self-esteem issues that may stem from developmental wounds or trauma.
Do you need help for anxiety, a challenging inner critic, panic attacks, finding direction in life, dealing with interpersonal conflict, and exploring sexual orientation and/or gender identity? I offer ways to explore finding a sense of greater ease and well-being in relationship with yourself. For couples/relationships, I facilitate and assist in communication and exploration with each other and offer a holding space for underlying disharmony to arise. I am proudly queer-, poly-, and kink-affirming.
I am experienced at effectively addressing anxiety, depression, relationship and self-esteem issues that may stem from developmental wounds or trauma.
Do you need help for anxiety, a challenging inner critic, panic attacks, finding direction in life, dealing with interpersonal conflict, and exploring sexual orientation and/or gender identity? I offer ways to explore finding a sense of greater ease and well-being in relationship with yourself. For couples/relationships, I facilitate and assist in communication and exploration with each other and offer a holding space for underlying disharmony to arise. I am proudly queer-, poly-, and kink-affirming.
(415) 769-3776 View (415) 769-3776
Photo of Dean Carvalho, Marriage & Family Therapist in Santa Rosa, CA
Dean Carvalho
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Santa Rosa, CA 95405
My primary interest is helping male survivors of childhood sexual abuse, though I work with a wide range of people dealing with depression, anxiety, trauma, relationship difficulties, self-esteem, and phase of life challenges.
What is most important in therapy is that you feel deeply supported and understood. Finding a therapist who shares your LGBTQ+ identity is one less obstacle to being understood. My approach to therapy is collaborative and interactive, where we work together to reach your goals in a safe and supportive environment. Together we can find new ways to uncover your strengths and resources and make changes that leave you more balanced, happy, and authentic. My style is warm and curious and I seek to create relationships attuned to each client.
My primary interest is helping male survivors of childhood sexual abuse, though I work with a wide range of people dealing with depression, anxiety, trauma, relationship difficulties, self-esteem, and phase of life challenges.
What is most important in therapy is that you feel deeply supported and understood. Finding a therapist who shares your LGBTQ+ identity is one less obstacle to being understood. My approach to therapy is collaborative and interactive, where we work together to reach your goals in a safe and supportive environment. Together we can find new ways to uncover your strengths and resources and make changes that leave you more balanced, happy, and authentic. My style is warm and curious and I seek to create relationships attuned to each client.
(628) 333-2295 View (628) 333-2295
Photo of Greg Thigpen, Psychologist in Santa Rosa, CA
Greg Thigpen
Psychologist, PsyD
Verified Verified
Santa Rosa, CA 95404
As you read these words, you may be having second thoughts about contacting a therapist. That is understandable. Even as we struggle with personal problems, or work to solve problems with a relationship, it's natural to have questions about reaching out for help. You may wonder whether you will feel comfortable with the person you call, and may be uncertain about how therapy can help.
As you read these words, you may be having second thoughts about contacting a therapist. That is understandable. Even as we struggle with personal problems, or work to solve problems with a relationship, it's natural to have questions about reaching out for help. You may wonder whether you will feel comfortable with the person you call, and may be uncertain about how therapy can help.
(707) 595-2054 View (707) 595-2054
Photo of Tina Sandoval-Dyer, Marriage & Family Therapist in Santa Rosa, CA
Tina Sandoval-Dyer
Marriage & Family Therapist, MA
Verified Verified
Santa Rosa, CA 95404
Making that first call to a therapist can be frightening. Feelings of pride embarrassment, shame and or financial issues can get in the way of living a more fulfilled life. My focus is to provide a welcoming and safe environment and to lend support to couples, individuals and families who are facing life's many challenges. My specialty is in working with couples and relationships. I strongly believe that providing an opportunity for one to experience intense emotions along with the ability to communicate these feelings in a non destructive and respectful mannor is the first step in healing and strengthening a relationship.
Making that first call to a therapist can be frightening. Feelings of pride embarrassment, shame and or financial issues can get in the way of living a more fulfilled life. My focus is to provide a welcoming and safe environment and to lend support to couples, individuals and families who are facing life's many challenges. My specialty is in working with couples and relationships. I strongly believe that providing an opportunity for one to experience intense emotions along with the ability to communicate these feelings in a non destructive and respectful mannor is the first step in healing and strengthening a relationship.
(707) 800-3086 x402 View (707) 800-3086 x402
Photo of Gail Gonick-Hallows, Marriage & Family Therapist in Santa Rosa, CA
Gail Gonick-Hallows
Marriage & Family Therapist, MA, MFT
Verified Verified
3 Endorsed
Santa Rosa, CA 95401
Through individual or couples therapy, we will work together to bring about the positive changes you are seeking to make for yourself and in your relationships.
I accept you as you are, and believe in your ability to heal and to grow. You may be feeling overwhelmed or stuck, needing help to make new personal changes in your life. I offer nonjudgmental support as I assist you to deepen in self awareness and in building coping skills while facing challenges, personal identity issues, dysfunctional relationship patterns, and stage-of-life transitions.
Through individual or couples therapy, we will work together to bring about the positive changes you are seeking to make for yourself and in your relationships.
I accept you as you are, and believe in your ability to heal and to grow. You may be feeling overwhelmed or stuck, needing help to make new personal changes in your life. I offer nonjudgmental support as I assist you to deepen in self awareness and in building coping skills while facing challenges, personal identity issues, dysfunctional relationship patterns, and stage-of-life transitions.
(707) 921-1937 View (707) 921-1937
Photo of Luis Enrique Suarez, Marriage & Family Therapist in Santa Rosa, CA
Luis Enrique Suarez
Marriage & Family Therapist, MACP, MFT
Verified Verified
1 Endorsed
Santa Rosa, CA 95401
My focus is to support individuals, couples, and families on their journey to heal.
Welcome. My participation in helping families in crisis has provided me with a deep understanding of systems, culture, patterns, trauma, substance abuse, and relational dynamics. I'm fully bilingual (Spanish) and bicultural and have worked with people from diverse backgrounds.
My focus is to support individuals, couples, and families on their journey to heal.
Welcome. My participation in helping families in crisis has provided me with a deep understanding of systems, culture, patterns, trauma, substance abuse, and relational dynamics. I'm fully bilingual (Spanish) and bicultural and have worked with people from diverse backgrounds.
(650) 825-9308 View (650) 825-9308
Photo of Lani Lee, Marriage & Family Therapist in Santa Rosa, CA
Lani Lee
Marriage & Family Therapist, MA, MFT
Verified Verified
2 Endorsed
Santa Rosa, CA 95404
With couples I help examine destructive patterns and teach fundamental communication skills to support the health and longevity of the relationship.
Do you want to feel more connected to yourself and others? Do you feel like your potential Self is clouded with overwhelm, worries, doubts, old patterns, or a lack of motivation? I can help you sort through the mire and feel your way to more fulfillment in peer relationships, love life and career. I work with each client to cultivate resilience, encourage healthy self-expression, build self-esteem, access creativity, develop positive relational patterns and communication skills, heal from trauma, and grieve loss. Call to schedule your free 1/2 hour in person consultation. Visit LaniLeeMFT.com for more information.
With couples I help examine destructive patterns and teach fundamental communication skills to support the health and longevity of the relationship.
Do you want to feel more connected to yourself and others? Do you feel like your potential Self is clouded with overwhelm, worries, doubts, old patterns, or a lack of motivation? I can help you sort through the mire and feel your way to more fulfillment in peer relationships, love life and career. I work with each client to cultivate resilience, encourage healthy self-expression, build self-esteem, access creativity, develop positive relational patterns and communication skills, heal from trauma, and grieve loss. Call to schedule your free 1/2 hour in person consultation. Visit LaniLeeMFT.com for more information.
(707) 549-6562 View (707) 549-6562
Photo of Muncie Mary Harper, Marriage & Family Therapist in Santa Rosa, CA
Muncie Mary Harper
Marriage & Family Therapist, RN, MS, LMFT
Verified Verified
4 Endorsed
Santa Rosa, CA 95404
Waitlist for new clients
If issues of anger, anxiety, depression or grief are barriers to achieving your personal goals or changing behaviors, I would be honored to provide guidance in addressing these issues. My many years of life experience and different careers working with diverse populations have assisted me in developing insight, sensitivity, and compassion toward the struggles along life's path. Allow me to help you process past/current traumas, losses, and resolve your relationship challenges as a couple or family system.
If issues of anger, anxiety, depression or grief are barriers to achieving your personal goals or changing behaviors, I would be honored to provide guidance in addressing these issues. My many years of life experience and different careers working with diverse populations have assisted me in developing insight, sensitivity, and compassion toward the struggles along life's path. Allow me to help you process past/current traumas, losses, and resolve your relationship challenges as a couple or family system.
(707) 549-6691 View (707) 549-6691
Photo of Bryan Altaker, Marriage & Family Therapist in Santa Rosa, CA
Bryan Altaker
Marriage & Family Therapist, LMFT
Verified Verified
Santa Rosa, CA 95407  (Online Only)
Additional Specialties: Couples Counseling, Alternative lifestyles, intimacy/sexuality, anxiety/avoidance, anxiety/depression, gender issues, anger management, assertiveness training, life transitions, and spirituality.
Welcome! I believe in reducing emotional pain, resolving relationship struggles, and improving coping skills. I offer both long-term modalities as well as brief, solution-oriented approaches - and am confident that all therapy can be pleasurable, precise, and quickly effective. I use straight-talk, playfulness, curiosity... and I am intuitive, non-judgmental and compassionate with a strong background in both body-centered and transpersonal modalities. I am highly effective in connecting with clients who recognize their desire for personal benefit but dislike and/or mistrust therapists or traditional talk therapy. LGBTQ friendly!
Additional Specialties: Couples Counseling, Alternative lifestyles, intimacy/sexuality, anxiety/avoidance, anxiety/depression, gender issues, anger management, assertiveness training, life transitions, and spirituality.
Welcome! I believe in reducing emotional pain, resolving relationship struggles, and improving coping skills. I offer both long-term modalities as well as brief, solution-oriented approaches - and am confident that all therapy can be pleasurable, precise, and quickly effective. I use straight-talk, playfulness, curiosity... and I am intuitive, non-judgmental and compassionate with a strong background in both body-centered and transpersonal modalities. I am highly effective in connecting with clients who recognize their desire for personal benefit but dislike and/or mistrust therapists or traditional talk therapy. LGBTQ friendly!
(510) 756-3522 View (510) 756-3522
Photo of Sonoma County Counseling, Marriage & Family Therapist in Santa Rosa, CA
Sonoma County Counseling
Marriage & Family Therapist
Verified Verified
1 Endorsed
Santa Rosa, CA 95403
Sonoma County Counseling provides exceptional personalized counseling services for clients of all ages. Sonoma County Counseling was founded with an eye on providing supportive cutting edge therapeutic counseling services to individuals and families, in a professional, welcoming, mindful, inclusive, and enriched environment. We welcome individuals, couples, and families. Sonoma County Counseling specializes in child therapy services that help children (ages 3 - 12), teenagers, and families, as well as adults who are living with acute or chronic mental health challenges.
Sonoma County Counseling provides exceptional personalized counseling services for clients of all ages. Sonoma County Counseling was founded with an eye on providing supportive cutting edge therapeutic counseling services to individuals and families, in a professional, welcoming, mindful, inclusive, and enriched environment. We welcome individuals, couples, and families. Sonoma County Counseling specializes in child therapy services that help children (ages 3 - 12), teenagers, and families, as well as adults who are living with acute or chronic mental health challenges.
(707) 993-4474 View (707) 993-4474
Photo of Jill Valentine, Marriage & Family Therapist in Santa Rosa, CA
Jill Valentine
Marriage & Family Therapist, LMFT
Verified Verified
5 Endorsed
Santa Rosa, CA 95401
I understand that human beings are multifaceted. It can be hard to understand why you think and behave the way you do. You may experience conflicting feelings that lead you in circles or undermine your deepest wishes or goals. You may also be grappling with loss, life transition, family conflict, and the end of a relationship. You may struggle with a new role as a step-parent or new spouse. Life events and transitions can be disruptive and confusing. In therapy, we discover that challenging times lead us to grow into ourselves more fully and authentically.
I understand that human beings are multifaceted. It can be hard to understand why you think and behave the way you do. You may experience conflicting feelings that lead you in circles or undermine your deepest wishes or goals. You may also be grappling with loss, life transition, family conflict, and the end of a relationship. You may struggle with a new role as a step-parent or new spouse. Life events and transitions can be disruptive and confusing. In therapy, we discover that challenging times lead us to grow into ourselves more fully and authentically.
(707) 414-0954 View (707) 414-0954
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.