Gottman Method Therapists in Wisconsin

Photo of Karla Angel, Marriage & Family Therapist Intern in Wisconsin
Karla Angel
Marriage & Family Therapist Intern
Verified Verified
Madison, WI 53711
I am training in the Gottman Method of Couples Therapy, Internal Family Systems, and Sensorimotor Psychotherapy theories to support holistic healing.
I work with people who want to build confidence - in themselves, their relationships, and their paths forward. My 1:1 clients feel overwhelmed, burnt out, and they often say they have imposter syndrome. Our work focuses on improving the relationship they have with themselves so that they have more peace and balance in their daily lives.
I am training in the Gottman Method of Couples Therapy, Internal Family Systems, and Sensorimotor Psychotherapy theories to support holistic healing.
I work with people who want to build confidence - in themselves, their relationships, and their paths forward. My 1:1 clients feel overwhelmed, burnt out, and they often say they have imposter syndrome. Our work focuses on improving the relationship they have with themselves so that they have more peace and balance in their daily lives.
(608) 650-6025 View (608) 650-6025
Photo of Elizabeth Pequet, Marriage & Family Therapist in Wisconsin
Elizabeth Pequet
Marriage & Family Therapist, LMFT
Verified Verified
Greenfield, WI 53220
Other modalities include Solution Focused Therapy, Gottman Method, Emotionally Focused, Person Centered, Mindfulness, CBT and Trauma Focused CBT.
There are times in our lives when we feel lost, trapped or unable to find peace in our daily routine. We try to cope and find solace, but may end up feeling more defeated. While it may feel impossible, I believe we all have immense strength and resilience to find our way. In order to find that inner strength, I believe it is essential to discover what is causing the symptoms. Through this uncovering, we can start our journey of healing and growth. I facilitate awareness and deeper understanding to the what and why these thoughts are all consuming. At your own pace, I offer space to challenge patterns that no longer serve you.
Other modalities include Solution Focused Therapy, Gottman Method, Emotionally Focused, Person Centered, Mindfulness, CBT and Trauma Focused CBT.
There are times in our lives when we feel lost, trapped or unable to find peace in our daily routine. We try to cope and find solace, but may end up feeling more defeated. While it may feel impossible, I believe we all have immense strength and resilience to find our way. In order to find that inner strength, I believe it is essential to discover what is causing the symptoms. Through this uncovering, we can start our journey of healing and growth. I facilitate awareness and deeper understanding to the what and why these thoughts are all consuming. At your own pace, I offer space to challenge patterns that no longer serve you.
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Photo of Rebecca Compton, Licensed Professional Counselor in Wisconsin
Rebecca Compton
Licensed Professional Counselor, MEd, LPC, CGP, NCC, BCC
Verified Verified
6 Endorsed
Madison, WI 53705
For couples, I have Level 3 (advanced) training in the Gottman Method.
For 35 years, I've been honored to offer my clients an experience that combines expertise, collaboration, and creativity. Whether it is a new problem, an ongoing pattern, or an unexpected life crisis, your therapy is built on a trusting relationship to facilitate lasting change. I help clients have happier, more satisfying relationships, overcome depression and anxiety, manage worries about career, family, and friends. Some learn how to have a productive disagreement, how to show empathy, how to set boundaries, and how to ask for what they need. Others learn to take the steps forward while healing from painful events and trauma.
For couples, I have Level 3 (advanced) training in the Gottman Method.
For 35 years, I've been honored to offer my clients an experience that combines expertise, collaboration, and creativity. Whether it is a new problem, an ongoing pattern, or an unexpected life crisis, your therapy is built on a trusting relationship to facilitate lasting change. I help clients have happier, more satisfying relationships, overcome depression and anxiety, manage worries about career, family, and friends. Some learn how to have a productive disagreement, how to show empathy, how to set boundaries, and how to ask for what they need. Others learn to take the steps forward while healing from painful events and trauma.
(608) 396-6511 View (608) 396-6511
Photo of Grace Garoutte-Mohammed, Pre-Licensed Professional in Wisconsin
Grace Garoutte-Mohammed
Pre-Licensed Professional, MA, LPC-IT
Verified Verified
Pewaukee, WI 53072
I utilize the Gottman Method for couples therapy.
I have a passion to help people cope with trauma, anxiety and stress through individual and couples work. Clients describe me as warm, supportive, encouraging, and gently challenging. As your therapist, I will come along side you and provide the guidance and support you need to work through your challenges.
I utilize the Gottman Method for couples therapy.
I have a passion to help people cope with trauma, anxiety and stress through individual and couples work. Clients describe me as warm, supportive, encouraging, and gently challenging. As your therapist, I will come along side you and provide the guidance and support you need to work through your challenges.
(262) 400-2492 View (262) 400-2492
Photo of Amy Munson, Marriage & Family Therapist in Wisconsin
Amy Munson
Marriage & Family Therapist, MS, MFT
Verified Verified
Madison, WI 53719
Amy works with couples and adults (18+) navigating relationship and communication challenges, life transitions, anxiety, depression, and grief. Amy has specialized training in Gottman Method Couples Therapy. Amy believes we are a collection of our life experiences. They can shape our perspectives and worldviews, especially those experiences that are most challenging. Amy’s goal as a therapist is to provide a safe, nurturing, and healing space to work collaboratively with clients while tailoring treatment specific to each and every client.
Amy works with couples and adults (18+) navigating relationship and communication challenges, life transitions, anxiety, depression, and grief. Amy has specialized training in Gottman Method Couples Therapy. Amy believes we are a collection of our life experiences. They can shape our perspectives and worldviews, especially those experiences that are most challenging. Amy’s goal as a therapist is to provide a safe, nurturing, and healing space to work collaboratively with clients while tailoring treatment specific to each and every client.
(608) 856-3587 View (608) 856-3587
Photo of Kelly Janes, Marriage & Family Therapist in Wisconsin
Kelly Janes
Marriage & Family Therapist, MA, LMFT, SAC
Verified Verified
1 Endorsed
Janesville, WI 53546  (Online Only)
Kelly specializes in couples counseling. She utilizes the Gottman Method in all of her couples counseling. Expect meaningful and productive work, homework activities in between sessions and even some laughs when working with her. In your work together you will learn to do the small things again, change hard and damaging conversations to productive conversations allowing you to feel heard, understood and so much more. Kelly provides in-depth assessment to ensure she knows you as a couple, including both the good and bad times.
Kelly specializes in couples counseling. She utilizes the Gottman Method in all of her couples counseling. Expect meaningful and productive work, homework activities in between sessions and even some laughs when working with her. In your work together you will learn to do the small things again, change hard and damaging conversations to productive conversations allowing you to feel heard, understood and so much more. Kelly provides in-depth assessment to ensure she knows you as a couple, including both the good and bad times.
(608) 352-9283 View (608) 352-9283
Photo of Leah Hoffman, Clinical Social Work/Therapist in Wisconsin
Leah Hoffman
Clinical Social Work/Therapist, LCSW, LICSW
Verified Verified
Hudson, WI 54016
I utilize the tools of self-compassion, mindfulness, ART - Accelerated Resolution Therapy (advanced trained), Emotionally Focused Therapy, Gottman Method (level 3 practicum trained), and structural family therapy to assist client/s in reaching their goals.
Welcome! I am a Licensed Clinical Social Worker here to help you feel more connected, confident, and excited about who you are and the relationships around you. I enjoy working with adults and couples and am passionate about helping clients reach their goals. Special areas of interest include trauma, life transitions, relationship conflict, premarital counseling, and couples contemplating separation or divorce. I have found that a genuine and compassionate therapeutic style can assist clients in finding courage within themselves to navigate their life journey with confidence.
I utilize the tools of self-compassion, mindfulness, ART - Accelerated Resolution Therapy (advanced trained), Emotionally Focused Therapy, Gottman Method (level 3 practicum trained), and structural family therapy to assist client/s in reaching their goals.
Welcome! I am a Licensed Clinical Social Worker here to help you feel more connected, confident, and excited about who you are and the relationships around you. I enjoy working with adults and couples and am passionate about helping clients reach their goals. Special areas of interest include trauma, life transitions, relationship conflict, premarital counseling, and couples contemplating separation or divorce. I have found that a genuine and compassionate therapeutic style can assist clients in finding courage within themselves to navigate their life journey with confidence.
(612) 441-4760 View (612) 441-4760
Photo of Renee St Clair, Marriage & Family Therapist in Wisconsin
Renee St Clair
Marriage & Family Therapist, PhD, LMFT
Verified Verified
1 Endorsed
Madison, WI 53719
Using Positive Psychology, Mindfulness, Meditation, Solution-Focused Therapy, Cognitive-Behavioral Therapy, DBT, ACT, EFT, Gottman Method and Strategic Family Therapy, the interventions I use with individuals, families, and couples will definitely work! I use a Faith-Based Model of counseling for those clients in need of spiritual counseling.
Do you want immediate relief and help? I have a significant success rate with anyone living with anxiety, depression or relationship issues. My therapy style is best described as honest and strategic in helping you discover the root of your problem and coming up with solutions that fit your specific problem. Life can be hard yet you can achieve happiness through all of it. Learning to really live life on life's terms is the key! As an LMFT and Ph.D. in counseling I can help you take a leap of faith and start working on you!
Using Positive Psychology, Mindfulness, Meditation, Solution-Focused Therapy, Cognitive-Behavioral Therapy, DBT, ACT, EFT, Gottman Method and Strategic Family Therapy, the interventions I use with individuals, families, and couples will definitely work! I use a Faith-Based Model of counseling for those clients in need of spiritual counseling.
Do you want immediate relief and help? I have a significant success rate with anyone living with anxiety, depression or relationship issues. My therapy style is best described as honest and strategic in helping you discover the root of your problem and coming up with solutions that fit your specific problem. Life can be hard yet you can achieve happiness through all of it. Learning to really live life on life's terms is the key! As an LMFT and Ph.D. in counseling I can help you take a leap of faith and start working on you!
(608) 208-6847 View (608) 208-6847
Photo of Karyn Kiedrowski, Licensed Professional Counselor in Wisconsin
Karyn Kiedrowski
Licensed Professional Counselor, MA, LPC
Verified Verified
Green Bay, WI 54304
I provide a safe environment in which I utilize evidence based modalities for treatment such as: Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Prolonged Exposure, Motivational interviewing, Solution Focused Therapy, IFS, and Gottman Method techniques.
Life can often feel overwhelming and sometimes we find ourselves feeling depressed, anxious, and stuck. Although it can be hard making that first call, therapy can help. By sharing your thoughts, feelings, and experiences it can lead to a new perspective. This new perspective can improve our relationships with ourselves, others, and provide the balance that we may have been lacking. My specialty is helping individuals and couples struggling with: trauma/PTSD, anxiety, depression, personality disorders, hoarding, stress management, life transitions, co-dependency, and relationship concerns.
I provide a safe environment in which I utilize evidence based modalities for treatment such as: Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Prolonged Exposure, Motivational interviewing, Solution Focused Therapy, IFS, and Gottman Method techniques.
Life can often feel overwhelming and sometimes we find ourselves feeling depressed, anxious, and stuck. Although it can be hard making that first call, therapy can help. By sharing your thoughts, feelings, and experiences it can lead to a new perspective. This new perspective can improve our relationships with ourselves, others, and provide the balance that we may have been lacking. My specialty is helping individuals and couples struggling with: trauma/PTSD, anxiety, depression, personality disorders, hoarding, stress management, life transitions, co-dependency, and relationship concerns.
(920) 663-4527 View (920) 663-4527
Photo of Beth Hopkins, Pre-Licensed Professional in Wisconsin
Beth Hopkins
Pre-Licensed Professional, MFT-IT
Verified Verified
1 Endorsed
Madison, WI 53711
My goal is to create a warm and welcoming environment that fosters healing, growth, and understanding. I take a collaborative approach where together we identify your goals, your strengths, and what is most meaningful to you. Everyone has their own unique experience and perspective and I meet clients wherever they are on their journey. I work with individuals and couples with a variety of concerns including anxiety, life transitions, self-esteem, and relational conflicts. I am certified in Level 1 of Gottman Method Couples Therapy.
My goal is to create a warm and welcoming environment that fosters healing, growth, and understanding. I take a collaborative approach where together we identify your goals, your strengths, and what is most meaningful to you. Everyone has their own unique experience and perspective and I meet clients wherever they are on their journey. I work with individuals and couples with a variety of concerns including anxiety, life transitions, self-esteem, and relational conflicts. I am certified in Level 1 of Gottman Method Couples Therapy.
(608) 344-6871 View (608) 344-6871
Photo of Katherine Usher, Marriage & Family Therapist Intern in Wisconsin
Katherine Usher
Marriage & Family Therapist Intern, MFT-IT
Verified Verified
1 Endorsed
Madison, WI 53711
I seek to create a non-judgmental and collaborative environment to explore one's current, past, and future goals. I am learning Internal Family Systems Therapy as well as Sensorimotor Therapy to work with adolescents, adults, couples, and families. I have experience working with adolescents, anxiety, divorce, life transitions, and religious or cult trauma. I offer both in-person and virtual therapy sessions, as well as group therapy and workshops. If you’re curious about becoming a client, the first step is a conversation. I have completed Level 1 training in Gottman Method Couples Therapy.
I seek to create a non-judgmental and collaborative environment to explore one's current, past, and future goals. I am learning Internal Family Systems Therapy as well as Sensorimotor Therapy to work with adolescents, adults, couples, and families. I have experience working with adolescents, anxiety, divorce, life transitions, and religious or cult trauma. I offer both in-person and virtual therapy sessions, as well as group therapy and workshops. If you’re curious about becoming a client, the first step is a conversation. I have completed Level 1 training in Gottman Method Couples Therapy.
(608) 465-4661 View (608) 465-4661
Photo of Joe Leonard, Marriage & Family Therapist in Wisconsin
Joe Leonard
Marriage & Family Therapist, MS, LMFT, CFNC, CIMHP
Verified Verified
Fitchburg, WI 53711
My ideal client is someone coping with mental health challenges, such as anxiety, depression, mood disorders, and/or substance abuse. I specialize in Behavioral Activation - an evidenced based intervention for treating mood disorders and moving clients toward their goals. I also enjoy working with couples and families to help them communicate better and resolve interpersonal conflicts in a healthy way. I have been passionate about systemic couple and family therapy since becoming a therapist in 2019. I'm a certified Prepare-Enrich marital/premarital counselor and trained in the Gottman Method of couples therapy, with good outcomes.
My ideal client is someone coping with mental health challenges, such as anxiety, depression, mood disorders, and/or substance abuse. I specialize in Behavioral Activation - an evidenced based intervention for treating mood disorders and moving clients toward their goals. I also enjoy working with couples and families to help them communicate better and resolve interpersonal conflicts in a healthy way. I have been passionate about systemic couple and family therapy since becoming a therapist in 2019. I'm a certified Prepare-Enrich marital/premarital counselor and trained in the Gottman Method of couples therapy, with good outcomes.
(608) 336-3974 View (608) 336-3974
Photo of Kim Erin Keyes, Pre-Licensed Professional in Wisconsin
Kim Erin Keyes
Pre-Licensed Professional, MS, MFT
Verified Verified
1 Endorsed
Madison, WI 53704
Kim (she/her/hers) works with individuals, couples, and families. Kim has specialized training in Gottman Method Couples Therapy, using this powerful, evidence-based therapy model to help couples find clarity in their connection and work through difficult relationship terrain. She also has experience working with consensual non-monogamous couples and all forms of relationship structures. In addition, Kim works with individuals seeking therapy that inspires new ways to navigate the obstacles preventing them from experiencing life to its fullest and welcomes families looking to create a healthier and more balanced family dynamic.
Kim (she/her/hers) works with individuals, couples, and families. Kim has specialized training in Gottman Method Couples Therapy, using this powerful, evidence-based therapy model to help couples find clarity in their connection and work through difficult relationship terrain. She also has experience working with consensual non-monogamous couples and all forms of relationship structures. In addition, Kim works with individuals seeking therapy that inspires new ways to navigate the obstacles preventing them from experiencing life to its fullest and welcomes families looking to create a healthier and more balanced family dynamic.
(608) 200-5869 x28 View (608) 200-5869 x28
Photo of Vacation Counseling - Couples Retreat by Dr. April, Counselor in Wisconsin
Vacation Counseling - Couples Retreat by Dr. April
Counselor, LMHC, CST, NCC, LPC
Verified Verified
2 Endorsed
Oconomowoc, WI 53066
The Therapists at Vacation Counseling have over 100+ years of experience and we utilized a variety of methods for couples, such as the Gottman Method, EMDR, Temperament Therapy, Solution-Focused, Intimacy Therapy, and Emotionally Focused Therapy.
Are you wanting a personalized intimate retreat that focuses on your specific needs and goals in your relationship? A retreat that will heal the hurts and traumas in the relationship? Vacation counseling will help you and your relationship find a new perspective on how intimacy can help resolve conflicts in your relationship. We offer many different options to fit your needs, one couple at a time. We can provide you with in-person and online counseling, located in beautiful Florida, where couples stay in exclusive, luxurious vacation rentals. Vacation Counseling can travel to your Vacation.
The Therapists at Vacation Counseling have over 100+ years of experience and we utilized a variety of methods for couples, such as the Gottman Method, EMDR, Temperament Therapy, Solution-Focused, Intimacy Therapy, and Emotionally Focused Therapy.
Are you wanting a personalized intimate retreat that focuses on your specific needs and goals in your relationship? A retreat that will heal the hurts and traumas in the relationship? Vacation counseling will help you and your relationship find a new perspective on how intimacy can help resolve conflicts in your relationship. We offer many different options to fit your needs, one couple at a time. We can provide you with in-person and online counseling, located in beautiful Florida, where couples stay in exclusive, luxurious vacation rentals. Vacation Counseling can travel to your Vacation.
(941) 759-5754 View (941) 759-5754
Photo of Jeana Wescott, Marriage & Family Therapist in Wisconsin
Jeana Wescott
Marriage & Family Therapist, MDiv, MA, LMFT
Verified Verified
1 Endorsed
Hudson, WI 54016
I'm Level 3 trained in the Gottman Method Couples Therapy, Gottman Method to Treating Affairs, EFT Externship for Emotionally Focused Therapy, and EFIT for individual therapy.
Offering Intensive Couples Therapy Weekends using the Gottman Method Couples Therapy. I help couples find healing, repair past hurts, and learn to communicate and fight better. Connection and communication off? Recently discover your partner had an affair and now you're marriage is in crisis? Going through divorce and finding yourself single again? Like my clients, you deserve to be in a relationship you feel good about. I'm passionate about working with couples and individuals to help you understand your stuck cycles and teach you the skills to get the relationship you desire.
I'm Level 3 trained in the Gottman Method Couples Therapy, Gottman Method to Treating Affairs, EFT Externship for Emotionally Focused Therapy, and EFIT for individual therapy.
Offering Intensive Couples Therapy Weekends using the Gottman Method Couples Therapy. I help couples find healing, repair past hurts, and learn to communicate and fight better. Connection and communication off? Recently discover your partner had an affair and now you're marriage is in crisis? Going through divorce and finding yourself single again? Like my clients, you deserve to be in a relationship you feel good about. I'm passionate about working with couples and individuals to help you understand your stuck cycles and teach you the skills to get the relationship you desire.
(763) 710-6435 View (763) 710-6435
Photo of Katie Harrison, Licensed Professional Counselor in Wisconsin
Katie Harrison
Licensed Professional Counselor
Verified Verified
Brookfield, WI 53005  (Online Only)
Katie Harrison is a Licensed Professional Counselor with over 16 years of experience working with clients of all ages who come from a multitude of ethnic backgrounds. She helps treat individuals, families, and couples, too and specializes in helping her clients to cope with anxiety, trauma, depression, and addiction.
Katie Harrison is a Licensed Professional Counselor with over 16 years of experience working with clients of all ages who come from a multitude of ethnic backgrounds. She helps treat individuals, families, and couples, too and specializes in helping her clients to cope with anxiety, trauma, depression, and addiction.
(414) 441-4032 View (414) 441-4032
Photo of Rachel Fashing, Marriage & Family Therapist in Wisconsin
Rachel Fashing
Marriage & Family Therapist, LMFT
Verified Verified
Madison, WI 53703
Pain. Pain is at the root of what typically initiates the desire for change. We have all endured some type of pain…however our world has somehow taught us to compare it to other’s. When we do this, we tend to not trust or believe that ours is enough to be looked at, enough to be talked about, enough to be held. I promise you whatever it is it deserves to be processed and healed.
Pain. Pain is at the root of what typically initiates the desire for change. We have all endured some type of pain…however our world has somehow taught us to compare it to other’s. When we do this, we tend to not trust or believe that ours is enough to be looked at, enough to be talked about, enough to be held. I promise you whatever it is it deserves to be processed and healed.
(608) 573-5197 View (608) 573-5197
Photo of Revive Counseling for Women , Marriage & Family Therapist in Wisconsin
Revive Counseling for Women
Marriage & Family Therapist, LMFT
Verified Verified
Delafield, WI 53018
Now accepting new clients! Offering psychotherapy for clients located in Wisconsin, Indiana, Michigan, Illinois, Tennessee, Florida, New Jersey, Oregon, North Carolina, Mississippi, and Texas.
Now accepting new clients! Offering psychotherapy for clients located in Wisconsin, Indiana, Michigan, Illinois, Tennessee, Florida, New Jersey, Oregon, North Carolina, Mississippi, and Texas.
(262) 587-6177 View (262) 587-6177
Photo of Shana Lee Conradt, Counselor in Wisconsin
Shana Lee Conradt
Counselor, PhD, LPC
Verified Verified
Appleton, WI 54913
Love can be one of the greatest gifts as well as one of the most painful emotions. The goal of Shana Lee Counseling is to teach people how to love themselves and their partners more honestly, openly and without judgment or assumption. We provide services for all couples and individuals. Check out the site and if you're curious if I'd be a good fit for your needs, let's talk!
Love can be one of the greatest gifts as well as one of the most painful emotions. The goal of Shana Lee Counseling is to teach people how to love themselves and their partners more honestly, openly and without judgment or assumption. We provide services for all couples and individuals. Check out the site and if you're curious if I'd be a good fit for your needs, let's talk!
(920) 944-6123 View (920) 944-6123
Photo of Deb Sarnowski, Licensed Professional Counselor in Wisconsin
Deb Sarnowski
Licensed Professional Counselor, MA, LPC, SAC
Verified Verified
Waukesha, WI 53188
Life's transitions and conflicts leaving you feeling overwhelmed? Feeling unsupported and weighed down with depression, anxiety, and family struggles? As a therapist, my compassionate and collaborative approach will assist and support you as you cultivate new skills and build hope for the future. I work with adults and adolescents, trauma, relationship difficulties, adult children and parent communication difficulties, life transitions, addictions, and anxiety and depression.
Life's transitions and conflicts leaving you feeling overwhelmed? Feeling unsupported and weighed down with depression, anxiety, and family struggles? As a therapist, my compassionate and collaborative approach will assist and support you as you cultivate new skills and build hope for the future. I work with adults and adolescents, trauma, relationship difficulties, adult children and parent communication difficulties, life transitions, addictions, and anxiety and depression.
(262) 287-9627 View (262) 287-9627
Gottman Method Therapists

How does the Gottman method work?

One of the core doctrines of the Gottman method is that negative emotions hurt relationships about five times more than positive emotions help them. Thus, couples require five times more positive interactions than negative interactions with each other. The therapist will guide clients on how to improve communication and understanding of each other to manage conflict and have their emotional needs met. The therapist will also advise couples on how to repair relations with each other when conflict arises, and therefore avoid lasting damage.

Is the Gottman method evidence-based?

Yes, this method is an evidence-based approach to couples therapy. The method is based on more than 40 years of research by Drs. John and Julie Gottman, the psychologists who developed the method. The Gottmans analyzed decades of data to draw conclusions about what types of interactions are likely to lead to specific results, and which interventions are most likely to lead to success. Studies have found that this approach leads to improvements in relationship satisfaction, intimacy, communication skills, and a lower rate of divorce.

How long does the Gottman method take?

The duration of treatment depends on the specific challenges clients face. Sessions are typically 60 to 90 minutes long, and an average course of treatment is around 10 sessions. In some cases, such as for couples dealing with a critical problem, the therapist will suggest an intensive course of treatment, with daily sessions over the first two to four days. Treatment is complete when the couple is satisfied and has met the goals they’ve set, and when the therapist believes they have the skills to continue on their own.

Is the Gottman method effective?

Through the Gottman method, couples can achieve changes that are real and sustainable. This treatment has been used for more than 40 years; the method is supported by empirical research, including randomized controlled trials that have demonstrated effectiveness in improving relationship outcomes for couples. Like any talk therapy, success or failure depends in large part on how committed the clients are to making positive changes and working toward results.