Photo of Issy Kleiman, Marriage & Family Therapist in Seattle, WA
Issy Kleiman
Marriage & Family Therapist, MA, LMFT
Verified Verified
3 Endorsed
Seattle, WA 98166
Hi there! My name is Israella, but you can call me Issy. I know how crucial finding the right therapist is for your mental health journey. I want to recognize how hard it can be to take the first step. I'm so proud of you. My mission is to provide vital support to couples, families, and individuals of all ages and backgrounds seeking top-tier mental health care in Washington. I empower my clients to gain profound insights into their strengths and weaknesses while developing effective coping mechanisms and communication skills. However, life often presents us with unexpected challenges, leaving us feeling unprepared.
Hi there! My name is Israella, but you can call me Issy. I know how crucial finding the right therapist is for your mental health journey. I want to recognize how hard it can be to take the first step. I'm so proud of you. My mission is to provide vital support to couples, families, and individuals of all ages and backgrounds seeking top-tier mental health care in Washington. I empower my clients to gain profound insights into their strengths and weaknesses while developing effective coping mechanisms and communication skills. However, life often presents us with unexpected challenges, leaving us feeling unprepared.
(206) 745-4691 x102 View (206) 745-4691 x102
Photo of Sam Nabil, Counselor in Seattle, WA
Sam Nabil
Counselor, MA, LPC
Verified Verified
3 Endorsed
Seattle, WA 98104
My clients are managing relationship difficulties, seeking couples counseling, overcoming sexual trauma, working through anxiety & stress, gaining self esteem,getting out of a rut, or engaging in personal growth .
My goal is to help you discover your own strength and resilience and to create the life you want for yourself. I think of my role as your travel partner on your journey to knowing yourself and your motivations better than you ever have before. I draw on 20+ years of experience in human behavior, human performance, and organizational behavior from my careers in counseling, business, marketing and sports.I bring to my counseling a diverse multicultural experience having lived/studied/worked in half a dozen countries around the world. I also created my trade marked counseling approach Positive Existential Therapy.
My clients are managing relationship difficulties, seeking couples counseling, overcoming sexual trauma, working through anxiety & stress, gaining self esteem,getting out of a rut, or engaging in personal growth .
My goal is to help you discover your own strength and resilience and to create the life you want for yourself. I think of my role as your travel partner on your journey to knowing yourself and your motivations better than you ever have before. I draw on 20+ years of experience in human behavior, human performance, and organizational behavior from my careers in counseling, business, marketing and sports.I bring to my counseling a diverse multicultural experience having lived/studied/worked in half a dozen countries around the world. I also created my trade marked counseling approach Positive Existential Therapy.
(206) 590-5209 View (206) 590-5209
Photo of Haley Boscolo, Marriage & Family Therapist Intern in Seattle, WA
Haley Boscolo
Marriage & Family Therapist Intern
Verified Verified
Seattle, WA 98119
Currently only accepting new couples. Conflict in interpersonal relationships is one of the most difficult challenges we may face. If you are looking to overcome a communication rut and get back on the same team with your partner, I am here to help! I can help you rekindle your connection and see a future again. I want you to feel safe to openly explore your challenges as we collaborate on a plan toward change.
Currently only accepting new couples. Conflict in interpersonal relationships is one of the most difficult challenges we may face. If you are looking to overcome a communication rut and get back on the same team with your partner, I am here to help! I can help you rekindle your connection and see a future again. I want you to feel safe to openly explore your challenges as we collaborate on a plan toward change.
(206) 312-4936 View (206) 312-4936
Photo of Sarah Odell, Marriage & Family Therapist in Seattle, WA
Sarah Odell
Marriage & Family Therapist, LMFT, MHP
Verified Verified
Seattle, WA 98126  (Online Only)
I possess strong multicultural & family competence having worked with diverse individuals, couples, and families in the US and abroad.
The decision to pursue therapy is a courageous one, and finding the right therapist can feel daunting but it is possible. I'm a Licensed Marriage and Family Therapist in WA with 15+ years serving clients who are ready to navigate significant life changes, heal from trauma, overcome anxiety, & manage ongoing stress while still pursuing bold dreams and goals. I'm passionate about helping clients live their most fulfilling & integrated life possible, even if it means taking big risks and making hard changes. You and your loved ones are capable of living a fulfilling & joyful life and I would be honored to support you in that journey.
I possess strong multicultural & family competence having worked with diverse individuals, couples, and families in the US and abroad.
The decision to pursue therapy is a courageous one, and finding the right therapist can feel daunting but it is possible. I'm a Licensed Marriage and Family Therapist in WA with 15+ years serving clients who are ready to navigate significant life changes, heal from trauma, overcome anxiety, & manage ongoing stress while still pursuing bold dreams and goals. I'm passionate about helping clients live their most fulfilling & integrated life possible, even if it means taking big risks and making hard changes. You and your loved ones are capable of living a fulfilling & joyful life and I would be honored to support you in that journey.
(206) 737-2822 View (206) 737-2822
Photo of Casey C. Stevens, Marriage & Family Therapist in Seattle, WA
Casey C. Stevens
Marriage & Family Therapist, MS, LMFT, MCC, CCHT
Verified Verified
Seattle, WA 98112
Clients who feel at home in my practice are seekers, empaths, gifted & successful types ready & willing to create lasting radical change. You crave meaning, fulfillment, integrated awareness & true intimacy with Self. You consistently move towards regulation & safety in relational frameworks through Conscious connection. You value holistic & traditional psychologies. You embody your light & shadow aspects. You believe the science of change, organization & healing requires repair on ALL layers & multiple psycho-spiritual methodologies. Women, Men & Couples struggling, stuck or lost, internally or in relationship, are core clients.
Clients who feel at home in my practice are seekers, empaths, gifted & successful types ready & willing to create lasting radical change. You crave meaning, fulfillment, integrated awareness & true intimacy with Self. You consistently move towards regulation & safety in relational frameworks through Conscious connection. You value holistic & traditional psychologies. You embody your light & shadow aspects. You believe the science of change, organization & healing requires repair on ALL layers & multiple psycho-spiritual methodologies. Women, Men & Couples struggling, stuck or lost, internally or in relationship, are core clients.
(206) 922-4516 View (206) 922-4516
Photo of Joe Nelson, Counselor in Seattle, WA
Joe Nelson
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98112
I believe one of the most important things in life is a fulfilling relationship. If you find yourself experiencing disconnection and misunderstanding with your partner, I can help you clarify what is happening for each individual and the relationship as a whole. As a specialist in couples therapy, my goal is helping you experience more fulfilling communication, connection, and intimacy with each other. Working together, we will uncover the negative patterns of interaction preventing your relationship from reaching meaningful connection. We will engage with your deepest attachment needs to bring a greater sense of clarity.
I believe one of the most important things in life is a fulfilling relationship. If you find yourself experiencing disconnection and misunderstanding with your partner, I can help you clarify what is happening for each individual and the relationship as a whole. As a specialist in couples therapy, my goal is helping you experience more fulfilling communication, connection, and intimacy with each other. Working together, we will uncover the negative patterns of interaction preventing your relationship from reaching meaningful connection. We will engage with your deepest attachment needs to bring a greater sense of clarity.
(206) 984-8447 View (206) 984-8447
Photo of Allison Dworkin, Marriage & Family Therapist Associate in Seattle, WA
Allison Dworkin
Marriage & Family Therapist Associate, MA, LMFTA
Verified Verified
Seattle, WA 98122
I support individuals, couples, and families through periods of stress or transition, whether they feel overwhelmed, stuck in negative patterns, or just want to explore and grow. My style is warm, genuine, and down-to-earth. I listen closely, tune in deeply, ask guiding questions, and offer compassionate yet candid observations and a space space to explore. My approach is collaborative, honoring clients' feelings, beliefs, and experiences as valid and true and recognizing the powerful wisdom and resilience that all of us possess. My goal is to help clients utilize their strengths and resources to create a life that's nourishing.
I support individuals, couples, and families through periods of stress or transition, whether they feel overwhelmed, stuck in negative patterns, or just want to explore and grow. My style is warm, genuine, and down-to-earth. I listen closely, tune in deeply, ask guiding questions, and offer compassionate yet candid observations and a space space to explore. My approach is collaborative, honoring clients' feelings, beliefs, and experiences as valid and true and recognizing the powerful wisdom and resilience that all of us possess. My goal is to help clients utilize their strengths and resources to create a life that's nourishing.
(206) 741-0533 View (206) 741-0533
Photo of Jenny Leung, Marriage & Family Therapist in Seattle, WA
Jenny Leung
Marriage & Family Therapist, MA, LMFT, E-RYT
Verified Verified
Seattle, WA 98103
Couple Counseling Only! I am a Licensed Marriage and Family Therapist, Certified in Emotionally-Focused Therapy (EFT). Working exclusively with couples, I help partners to uncover underlying emotions and to communicate more effectively for attention, understanding, compassion and caring. The result is greater warmth, trust, safety and emotional connection. Honest and direct in my approach yet gentle and patient, I am committed to creating compassionate and authentic relationships where each partner feels deeply supported, understood, and seen. I work frequently with couples where one or both partners are of Asian ancestry.
Couple Counseling Only! I am a Licensed Marriage and Family Therapist, Certified in Emotionally-Focused Therapy (EFT). Working exclusively with couples, I help partners to uncover underlying emotions and to communicate more effectively for attention, understanding, compassion and caring. The result is greater warmth, trust, safety and emotional connection. Honest and direct in my approach yet gentle and patient, I am committed to creating compassionate and authentic relationships where each partner feels deeply supported, understood, and seen. I work frequently with couples where one or both partners are of Asian ancestry.
(206) 966-4172 View (206) 966-4172
Photo of Justin Pere, Counselor in Seattle, WA
Justin Pere
Counselor, LMHC, CST, CGT
Verified Verified
2 Endorsed
Seattle, WA 98109  (Online Only)
Now Accepting New Clients! Our team of 7 therapists - Corey, Lisa, Stephen, Misa, Maggie, Lindsey and myself - can help you, with the specialty of our practice, Clarity Counseling Seattle, being Relationships / Couples / Marriage / Premarital and Sex / Sexuality/Intimacy. Couples often use our website (ClarityCounselingSeattle.com) to start receiving help with communication, conflict, and deepening emotional & sexual intimacy. The individuals who often seek us out are looking to feel less stress, less worry, less depression/anxiety, and wanting to experience more joy, contentment, and peace within themselves.
Now Accepting New Clients! Our team of 7 therapists - Corey, Lisa, Stephen, Misa, Maggie, Lindsey and myself - can help you, with the specialty of our practice, Clarity Counseling Seattle, being Relationships / Couples / Marriage / Premarital and Sex / Sexuality/Intimacy. Couples often use our website (ClarityCounselingSeattle.com) to start receiving help with communication, conflict, and deepening emotional & sexual intimacy. The individuals who often seek us out are looking to feel less stress, less worry, less depression/anxiety, and wanting to experience more joy, contentment, and peace within themselves.
(206) 855-3934 View (206) 855-3934
Photo of Sonya Couch, Marriage & Family Therapist in Seattle, WA
Sonya Couch
Marriage & Family Therapist, MS, LMFT
Verified Verified
Seattle, WA 98103
I enjoy working with individuals as well as couples and families. I have a special focus on working with eating disorders, disordered eating and body image issues. I also see many clients for anxiety, depression and relationship issues. I offer a free 15 minute phone consultation as a chance for us to get to know each other and determine if we'll be a good fit to work together. I believe the relationship between therapist and client is very important and therefore I encourage this as a first step!
I enjoy working with individuals as well as couples and families. I have a special focus on working with eating disorders, disordered eating and body image issues. I also see many clients for anxiety, depression and relationship issues. I offer a free 15 minute phone consultation as a chance for us to get to know each other and determine if we'll be a good fit to work together. I believe the relationship between therapist and client is very important and therefore I encourage this as a first step!
(206) 673-5332 View (206) 673-5332
Photo of Sal Barba, Counselor in Seattle, WA
Sal Barba
Counselor, PhD, BCN
Verified Verified
1 Endorsed
Seattle, WA 98103
I specialize neuromodulation therapies. My emphasis is on the interaction of our relationship, the integration of brain, mind and body. What brings you to search for a skilled professional to be present to your inquiry? An inquiry perhaps ignited by an ineffable experience, invoking you to reshape your life, or perhaps an inner call to open deeper connectivity and understanding beyond the multitude of daily cyber interactions? What do you require most to navigate your life through the labyrinth of work, relationships and community? I am available to explore your questions with you, and to support you to awaken to your own potential.
I specialize neuromodulation therapies. My emphasis is on the interaction of our relationship, the integration of brain, mind and body. What brings you to search for a skilled professional to be present to your inquiry? An inquiry perhaps ignited by an ineffable experience, invoking you to reshape your life, or perhaps an inner call to open deeper connectivity and understanding beyond the multitude of daily cyber interactions? What do you require most to navigate your life through the labyrinth of work, relationships and community? I am available to explore your questions with you, and to support you to awaken to your own potential.
(360) 464-1297 View (360) 464-1297
Photo of Bonnie Walchuk at Dream Big Wellness, Marriage & Family Therapist in Seattle, WA
Bonnie Walchuk at Dream Big Wellness
Marriage & Family Therapist, MA, LMFT, ATR-BC
Verified Verified
2 Endorsed
Seattle, WA 98125
Waitlist for new clients
We provide professional art therapy, couples therapy, and counseling to individual adults and groups.
At Dream Big Wellness we warmly welcome our clients in taking this step to find support and compassionate care. We are a team of licensed and experienced clinicians in WA state & nationally registered art therapists. We specialize in supporting people impacted by cancer, medical illness, chronic illness/pain, trauma, stress, bereavement, grief & loss, adjustment & transition, anxiety & depression. Dream Big Wellness is an Art Therapy & Integrative Wellness 501(c)3 Nonprofit increasing access to mental health care, art therapy, and wellness services through our Pay it Forward Program. www.dreambigwellness.org/pay-it-forward/
We provide professional art therapy, couples therapy, and counseling to individual adults and groups.
At Dream Big Wellness we warmly welcome our clients in taking this step to find support and compassionate care. We are a team of licensed and experienced clinicians in WA state & nationally registered art therapists. We specialize in supporting people impacted by cancer, medical illness, chronic illness/pain, trauma, stress, bereavement, grief & loss, adjustment & transition, anxiety & depression. Dream Big Wellness is an Art Therapy & Integrative Wellness 501(c)3 Nonprofit increasing access to mental health care, art therapy, and wellness services through our Pay it Forward Program. www.dreambigwellness.org/pay-it-forward/
(425) 403-2630 View (425) 403-2630
Photo of Sally Whalen, Counselor in Seattle, WA
Sally Whalen
Counselor, LMHC
Verified Verified
1 Endorsed
Seattle, WA 98119
Are you and your partner feeling disconnected? Maybe you’ve been arguing a lot these days. Or perhaps you want to strengthen your relationship and learn the skills to prevent problems before they even begin. You're ready to experience new ways of connecting with each other, but aren't sure where to start. Couples therapy is a space where you and your partner can explore what a fulfilling relationship looks like for you. You're in the right place if you want to work on communicating productively, reducing conflict, increasing understanding, building trust, navigating differences, and deepening intimacy and connection.
Are you and your partner feeling disconnected? Maybe you’ve been arguing a lot these days. Or perhaps you want to strengthen your relationship and learn the skills to prevent problems before they even begin. You're ready to experience new ways of connecting with each other, but aren't sure where to start. Couples therapy is a space where you and your partner can explore what a fulfilling relationship looks like for you. You're in the right place if you want to work on communicating productively, reducing conflict, increasing understanding, building trust, navigating differences, and deepening intimacy and connection.
(206) 222-5122 View (206) 222-5122
Photo of Camila Buleje, Marriage & Family Therapist Associate in Seattle, WA
Camila Buleje
Marriage & Family Therapist Associate, LMFTA, PSSSP, MS
Verified Verified
7 Endorsed
Seattle, WA 98103
Chances are you feel like your relationship lacks trust and intimacy. You might feel like the arguments you have with your loved one always end up in "band-aid" type solutions, and that your partner doesn't quite understand what you're needing or feeling when you express what's important to you. But you're ready to make a change. You're ready to feel like your partner is on your team and would love to build an even deeper connection with him/her/them. You don't want your past to define your future and want to break from old patterns to reach new levels in your relationship where it feels more real and honest.
Chances are you feel like your relationship lacks trust and intimacy. You might feel like the arguments you have with your loved one always end up in "band-aid" type solutions, and that your partner doesn't quite understand what you're needing or feeling when you express what's important to you. But you're ready to make a change. You're ready to feel like your partner is on your team and would love to build an even deeper connection with him/her/them. You don't want your past to define your future and want to break from old patterns to reach new levels in your relationship where it feels more real and honest.
(206) 502-1918 View (206) 502-1918
Photo of Sunburst Psychology, Psychologist in Seattle, WA
Sunburst Psychology
Psychologist, PhD, MA
Verified Verified
2 Endorsed
Seattle, WA 98107
We offer individual therapy, couples therapy, and assessment (ADHD & Autism).
You are trying so hard but it never seem good enough; You are exhausted but can’t seem to rest; You’ve tried to find peace but you can’t seem to quiet your mind; You feel like you are always letting someone down; You catch yourself asking “what is the point”. You want to feel at ease with yourself; You want to feel enough without having to be perfect; You want to feel connected with your loved ones; You want to feel in control of your life; You want to feel present in important moments; You want to find joy and passion once again.
We offer individual therapy, couples therapy, and assessment (ADHD & Autism).
You are trying so hard but it never seem good enough; You are exhausted but can’t seem to rest; You’ve tried to find peace but you can’t seem to quiet your mind; You feel like you are always letting someone down; You catch yourself asking “what is the point”. You want to feel at ease with yourself; You want to feel enough without having to be perfect; You want to feel connected with your loved ones; You want to feel in control of your life; You want to feel present in important moments; You want to find joy and passion once again.
(206) 278-5959 View (206) 278-5959
Photo of Pen Mims, Counselor in Seattle, WA
Pen Mims
Counselor, LMHC, LPC, MA
Verified Verified
1 Endorsed
Seattle, WA 98102  (Online Only)
In relationship counseling, I help partners hold each other’s stories and intimately understand the significance of each other’s histories to facilitate connection, trust, intimacy, and growth.
I believe in the transformative power of expressing who you are and how you truly feel. My intention is to create a warm, relaxed, judgment-free space that gives you the freedom to just be yourself and feel your feelings. My style as a therapist is open-minded, collaborative, and flexible. I prioritize getting to know you and what’s important to you in order to build a secure foundation for our work together. Within the safety of the therapeutic relationship we will work together to make sense of your experiences and build confidence to move forward in your life the way you want to.
In relationship counseling, I help partners hold each other’s stories and intimately understand the significance of each other’s histories to facilitate connection, trust, intimacy, and growth.
I believe in the transformative power of expressing who you are and how you truly feel. My intention is to create a warm, relaxed, judgment-free space that gives you the freedom to just be yourself and feel your feelings. My style as a therapist is open-minded, collaborative, and flexible. I prioritize getting to know you and what’s important to you in order to build a secure foundation for our work together. Within the safety of the therapeutic relationship we will work together to make sense of your experiences and build confidence to move forward in your life the way you want to.
(206) 741-0841 View (206) 741-0841
Photo of Alyx Steadman, Clinical Social Work/Therapist in Seattle, WA
Alyx Steadman
Clinical Social Work/Therapist, LSWAIC
Verified Verified
Seattle, WA 98102
I work with individuals and couples (monogamous, open, polyamorous).
The past is just a story we tell ourselves. Through early formative experiences, we mold core beliefs about belonging, worth, and lovability. Therapy is a place to untangle the narratives we have internalized (perhaps unconsciously) and impact our ability to show up in the world authentically and connect with others deeply. Understanding our past can help us bring compassion and awareness to the present moment. Let us bravely explore the complexity and messiness of the human experience - embracing all that you are.
I work with individuals and couples (monogamous, open, polyamorous).
The past is just a story we tell ourselves. Through early formative experiences, we mold core beliefs about belonging, worth, and lovability. Therapy is a place to untangle the narratives we have internalized (perhaps unconsciously) and impact our ability to show up in the world authentically and connect with others deeply. Understanding our past can help us bring compassion and awareness to the present moment. Let us bravely explore the complexity and messiness of the human experience - embracing all that you are.
View
Photo of Dr. Rachel C Orleck, Psychologist in Seattle, WA
Dr. Rachel C Orleck
Psychologist, PsyD
Verified Verified
2 Endorsed
Seattle, WA 98103
You and your partner are struggling right now, and maybe have been for a long time. Life's transitions such as retirement, marriage, or birth of a new child can make staying connected with your partner quite difficult at times. Or other challenges in your relationship can leave you with difficulty trusting and feeling alone or like roommates. Even if you are in a place that feels hopeless and you don't know where to take the next step, let me assure you that there is hope. I know the roadmap to help you get back on track.
You and your partner are struggling right now, and maybe have been for a long time. Life's transitions such as retirement, marriage, or birth of a new child can make staying connected with your partner quite difficult at times. Or other challenges in your relationship can leave you with difficulty trusting and feeling alone or like roommates. Even if you are in a place that feels hopeless and you don't know where to take the next step, let me assure you that there is hope. I know the roadmap to help you get back on track.
(206) 693-2923 View (206) 693-2923
Photo of Bryan Brown, Mental Health Counselor Associate in Seattle, WA
Bryan Brown
Mental Health Counselor Associate, MA, LMHCA
Verified Verified
4 Endorsed
Seattle, WA 98107  (Online Only)
I work alongside individuals, couples, and groups who are seeking to address experiences of grief, depression, anxiety, relational conflict, racial trauma, LGBTQIA+ issues, spiritual abuse, PTSD, and COVID related issues. Together we will explore the ways that therapy can assist you towards achieving your personal goals for wellbeing. Healing and transformation is a lifestyle and we all require assistance in cultivating a life that will help us navigate unavoidable difficulties. Isolation works against these efforts which is why seeking therapy is truly one of the best things you can offer yourself.
I work alongside individuals, couples, and groups who are seeking to address experiences of grief, depression, anxiety, relational conflict, racial trauma, LGBTQIA+ issues, spiritual abuse, PTSD, and COVID related issues. Together we will explore the ways that therapy can assist you towards achieving your personal goals for wellbeing. Healing and transformation is a lifestyle and we all require assistance in cultivating a life that will help us navigate unavoidable difficulties. Isolation works against these efforts which is why seeking therapy is truly one of the best things you can offer yourself.
(206) 208-2356 View (206) 208-2356
Photo of Unity Collective Counseling Services PLLC, Marriage & Family Therapist in Seattle, WA
Unity Collective Counseling Services PLLC
Marriage & Family Therapist, LMFTA, LMHCA, PhD
Verified Verified
Seattle, WA 98115
We believe there is rich cultural, spiritual, and experiential wisdom within individuals, couples, families and communities and seek to promote a sense of empowerment for our clients. We see each person as possessing agency, deep wisdom, and inner resources for healing. We work to provide tools to help clients reconnect, restore, rebuild and develop further capacities for growth, healing and harmony within themselves and their relationships. We value the time, investment and labor of our clients and our team, believing in the power of mutuality and that wellness is collaborative.
We believe there is rich cultural, spiritual, and experiential wisdom within individuals, couples, families and communities and seek to promote a sense of empowerment for our clients. We see each person as possessing agency, deep wisdom, and inner resources for healing. We work to provide tools to help clients reconnect, restore, rebuild and develop further capacities for growth, healing and harmony within themselves and their relationships. We value the time, investment and labor of our clients and our team, believing in the power of mutuality and that wellness is collaborative.
View
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.