Couples Counseling Therapists in Saint Louis, MO

Photo of Healing Exchange LLC, Clinical Social Work/Therapist in Saint Louis, MO
Healing Exchange LLC
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Saint Louis, MO 63108
Are you ready to set healthy boundaries in your relationships? Have you been wanting to explore your sexuality but didn't know where to start? Is your non-monogamous relationship experiencing friction? Maybe you are the survivor, strong friend, and problem solver who appears to have it all together. Yet on the inside you feel overwhelmed while also wondering, "Is this worth going to therapy for?" If your boundaries leave you questioning yourself, if you want to explore your sexuality, or if you and your partner(s) want support, it's worth going to therapy for. Our relationship, sexuality, and trauma experts are here for you.
Are you ready to set healthy boundaries in your relationships? Have you been wanting to explore your sexuality but didn't know where to start? Is your non-monogamous relationship experiencing friction? Maybe you are the survivor, strong friend, and problem solver who appears to have it all together. Yet on the inside you feel overwhelmed while also wondering, "Is this worth going to therapy for?" If your boundaries leave you questioning yourself, if you want to explore your sexuality, or if you and your partner(s) want support, it's worth going to therapy for. Our relationship, sexuality, and trauma experts are here for you.
(314) 593-2416 View (314) 593-2416
Photo of Cheryl M Thompson, Licensed Professional Counselor in Saint Louis, MO
Cheryl M Thompson
Licensed Professional Counselor, MEd, LPC
Verified Verified
Saint Louis, MO 63108
Did you know that couples on average wait 6 years before seeking help for a troubled marriage. Are you and your spouse wanting renewal, connection and joy. There is hope whether the problem is trust, emotional distance, or escalating conflict. I start with a strengths based focus using research based Gottman method interventions that work. Do you have more than 20 days in the month of sadness, irritability or anxious worry? Individual counseling is a place to tell your story in order to build new skills and experiences to increase the days of happiness and contentment each month.
Did you know that couples on average wait 6 years before seeking help for a troubled marriage. Are you and your spouse wanting renewal, connection and joy. There is hope whether the problem is trust, emotional distance, or escalating conflict. I start with a strengths based focus using research based Gottman method interventions that work. Do you have more than 20 days in the month of sadness, irritability or anxious worry? Individual counseling is a place to tell your story in order to build new skills and experiences to increase the days of happiness and contentment each month.
(314) 207-3278 View (314) 207-3278
Photo of Alicia Michelle Collier, Licensed Professional Counselor in Saint Louis, MO
Alicia Michelle Collier
Licensed Professional Counselor, MA, LPC, LCPC
Verified Verified
Saint Louis, MO 63101  (Online Only)
In addition Other Alternatives do provide counseling to Men, LGBT Community, and Couples.
Vision: To help individuals, children, teenagers, parents, and families discover other alternatives to unhealthy behaviors. Values: Honesty, Empowerment, and Respect
In addition Other Alternatives do provide counseling to Men, LGBT Community, and Couples.
Vision: To help individuals, children, teenagers, parents, and families discover other alternatives to unhealthy behaviors. Values: Honesty, Empowerment, and Respect
(618) 508-4891 View (618) 508-4891
Photo of Patricia M Bitter, Clinical Social Work/Therapist in Saint Louis, MO
Patricia M Bitter
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Saint Louis, MO 63127
I have worked with many individuals, and couples over the past 34 years to help navigate the "ups and downs" of life and relationships. I work with couples who want to improve communication skills, conflict resolution, parenting, recovery from addiction or infidelity, and more. I work with individuals who want to improve self esteem, reduce negative self talk, improve work/career and love and life choices. I began my career in the substance abuse field. I find it an honor to journey with someone as they seek personal growth, healing in relationships and peace with their life choices.
I have worked with many individuals, and couples over the past 34 years to help navigate the "ups and downs" of life and relationships. I work with couples who want to improve communication skills, conflict resolution, parenting, recovery from addiction or infidelity, and more. I work with individuals who want to improve self esteem, reduce negative self talk, improve work/career and love and life choices. I began my career in the substance abuse field. I find it an honor to journey with someone as they seek personal growth, healing in relationships and peace with their life choices.
(636) 362-6965 View (636) 362-6965
Photo of Mark Joiner, Licensed Professional Counselor in Saint Louis, MO
Mark Joiner
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Saint Louis, MO 63119
I help individuals & couples pursue change that brings health and healing.
My hope is to be a first step in overcoming feelings of isolation and loneliness. If your world has been turned upside-down, either from the loss of a loved one or life's hardships, let's connect. Learning how to trust and practice new life skills are foundational in moving forward in relationships.
I help individuals & couples pursue change that brings health and healing.
My hope is to be a first step in overcoming feelings of isolation and loneliness. If your world has been turned upside-down, either from the loss of a loved one or life's hardships, let's connect. Learning how to trust and practice new life skills are foundational in moving forward in relationships.
(314) 310-8319 View (314) 310-8319
Photo of Lindsey Herzog, Clinical Social Work/Therapist in Saint Louis, MO
Lindsey Herzog
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Saint Louis, MO 63119
Reaching out for support can feel overwhelming. However, everyone deserves the chance to explore underlying struggles that may be impacting daily living, contentment and happiness. I am a Licensed Clinical Social Worker with over fifteen years of experience. I have experience working with adults, young adults, adolescents, couples, and families in a variety of clinical settings. My treatment approach is compassionate, non-judgmental, and collaborative. I will help you set goals, examine unhealthy coping patterns and build on internal strengths. We will work together to learn healthier ways to navigate life's challenges.
Reaching out for support can feel overwhelming. However, everyone deserves the chance to explore underlying struggles that may be impacting daily living, contentment and happiness. I am a Licensed Clinical Social Worker with over fifteen years of experience. I have experience working with adults, young adults, adolescents, couples, and families in a variety of clinical settings. My treatment approach is compassionate, non-judgmental, and collaborative. I will help you set goals, examine unhealthy coping patterns and build on internal strengths. We will work together to learn healthier ways to navigate life's challenges.
(314) 328-7580 View (314) 328-7580
Photo of Kathy Bearman, Clinical Social Work/Therapist in Saint Louis, MO
Kathy Bearman
Clinical Social Work/Therapist, LCSW
Verified Verified
Saint Louis, MO 63141
Feeling confused, depressed or overwhelmed? I can help. Talking with someone who listens without judging, understands your concerns and helps you clarify issues can be invaluable. I provide a warm, compassionate, accepting environment where you can safely explore personal issues and conflicts. Together we will work to create a greater sense of peace, balance and fulfillment within your life. I work with teens, adults and couples seeking help with issues such as grief or loss, cancer support, relationship issues, depression, anxiety and stress. I often incorporate meditation, mindfulness and imagery techniques along with more traditional approaches if clients desire.
Feeling confused, depressed or overwhelmed? I can help. Talking with someone who listens without judging, understands your concerns and helps you clarify issues can be invaluable. I provide a warm, compassionate, accepting environment where you can safely explore personal issues and conflicts. Together we will work to create a greater sense of peace, balance and fulfillment within your life. I work with teens, adults and couples seeking help with issues such as grief or loss, cancer support, relationship issues, depression, anxiety and stress. I often incorporate meditation, mindfulness and imagery techniques along with more traditional approaches if clients desire.
(314) 582-0916 View (314) 582-0916
Photo of Christine Balliett McEvoy, Licensed Professional Counselor in Saint Louis, MO
Christine Balliett McEvoy
Licensed Professional Counselor, MA, LPC
Verified Verified
Saint Louis, MO 63117
Waitlist for new clients
Working extensively with individuals who struggle with eating struggles and addictions, often include a variety of issues such as perfectionism, low self-esteem, poor body image, relationship issues, boundaries and assertiveness.
Christine McEvoy has been a Counselor for over 20 years. Her straight- forward and non-judgemental approach makes it easier for a person to address topics that often bring up feelings of shame and embarrassment. She has extensive experience working with individuals who struggle with addiction issues and eating struggles. Christine has years of experience helping others implement specific techniques that help prevent relapse.
Working extensively with individuals who struggle with eating struggles and addictions, often include a variety of issues such as perfectionism, low self-esteem, poor body image, relationship issues, boundaries and assertiveness.
Christine McEvoy has been a Counselor for over 20 years. Her straight- forward and non-judgemental approach makes it easier for a person to address topics that often bring up feelings of shame and embarrassment. She has extensive experience working with individuals who struggle with addiction issues and eating struggles. Christine has years of experience helping others implement specific techniques that help prevent relapse.
(314) 884-1822 View (314) 884-1822
Photo of Justin Dodd, Pre-Licensed Professional in Saint Louis, MO
Justin Dodd
Pre-Licensed Professional, PLPC
Verified Verified
5 Endorsed
Saint Louis, MO 63117
Are you tired, worried, or feeling alone? Maybe you're nervous or unsure what more can be done for a relationship you want badly to work. Do you feel frustrated, stuck, or hopeless in patterns you want to change? Do you long for tomorrow to feel different than today? Maybe a confidential space might just be a comfort right now. Wherever you are, it is often a hard thing to need help. It is often harder still to ask for it. I'm glad you're here and hanging on.
Are you tired, worried, or feeling alone? Maybe you're nervous or unsure what more can be done for a relationship you want badly to work. Do you feel frustrated, stuck, or hopeless in patterns you want to change? Do you long for tomorrow to feel different than today? Maybe a confidential space might just be a comfort right now. Wherever you are, it is often a hard thing to need help. It is often harder still to ask for it. I'm glad you're here and hanging on.
(314) 582-4216 x7 View (314) 582-4216 x7
Photo of Courtney Loosemore, Pre-Licensed Professional in Saint Louis, MO
Courtney Loosemore
Pre-Licensed Professional, MA, PLPC
Verified Verified
1 Endorsed
Saint Louis, MO 63131
Courtney has experience working with individuals and couples-with special interests in anxiety, depression, life transitions, family of origin issues, intimacy, facing past traumas, families with young children, identity issues and those serving in ministry.
"You are loved and you are safe" are words we long to feel as we walk through our days, months and years. Yet, many of us walk through our days feeling fearful, powerless and alone. It is a brave journey to enter into your story and Courtney counts it a privilege to come along side you as you grow towards hope in the midst of the darkness. Courtney desires to partner with you and together explore how you can begin to live life more fully and see growth in areas of struggle.
Courtney has experience working with individuals and couples-with special interests in anxiety, depression, life transitions, family of origin issues, intimacy, facing past traumas, families with young children, identity issues and those serving in ministry.
"You are loved and you are safe" are words we long to feel as we walk through our days, months and years. Yet, many of us walk through our days feeling fearful, powerless and alone. It is a brave journey to enter into your story and Courtney counts it a privilege to come along side you as you grow towards hope in the midst of the darkness. Courtney desires to partner with you and together explore how you can begin to live life more fully and see growth in areas of struggle.
(314) 632-6815 View (314) 632-6815
Photo of Transforming Lives Counseling Service, LLC, Licensed Professional Counselor in Saint Louis, MO
Transforming Lives Counseling Service, LLC
Licensed Professional Counselor, MA, LPC
Verified Verified
Saint Louis, MO 63177  (Online Only)
I help with women's and men's issues, self-esteem, confidence, relationship challenges, work stressors, parenting and grief/loss.
At some point in life we all encounter a challenge, struggle or obstacle that may cause us to stumble or fall short of our dreams or expectations. We have a difficult time discerning the next step we should take and are confused by the many different opinions and influences of others. It is in these times that help from a professional counselor may be in order to aid in getting back or getting to the life we deserve. My name is Roshanda Neal and I am passionate about helping you to become victorious as you strive towards living your best life.
I help with women's and men's issues, self-esteem, confidence, relationship challenges, work stressors, parenting and grief/loss.
At some point in life we all encounter a challenge, struggle or obstacle that may cause us to stumble or fall short of our dreams or expectations. We have a difficult time discerning the next step we should take and are confused by the many different opinions and influences of others. It is in these times that help from a professional counselor may be in order to aid in getting back or getting to the life we deserve. My name is Roshanda Neal and I am passionate about helping you to become victorious as you strive towards living your best life.
(314) 628-8175 View (314) 628-8175
Photo of Dr. Cherie Baetz-Davis, Psychologist in Saint Louis, MO
Dr. Cherie Baetz-Davis
Psychologist, PhD
Verified Verified
1 Endorsed
Saint Louis, MO 63141
Specialties: Physical/Sexual Abuse Survivors, Depression/Postpartum Depression, Anxiety, Self-Injury, Binge Eating, Family/Couples, LGBTQ+ Issues, Stress, OCD, Multicultural Issues, Codependency/Assertiveness, Relationships, and Work-Related Issues.
If you need a warm, supportive space where you can feel safe to explore, learn, and make changes, you've come to the right place! I work with people from diverse backgrounds in a compassionate manner focusing on improving communication, recovering from past trauma, and developing effective strategies for stress/coping. I am directive at times and will challenge you to take on new perspectives and try out new behaviors, but at a pace that is comfortable to you. I use cognitive-behavioral techniques, role-playing, goal setting, exposure/response prevention, assertiveness training, internal family systems, and others.
Specialties: Physical/Sexual Abuse Survivors, Depression/Postpartum Depression, Anxiety, Self-Injury, Binge Eating, Family/Couples, LGBTQ+ Issues, Stress, OCD, Multicultural Issues, Codependency/Assertiveness, Relationships, and Work-Related Issues.
If you need a warm, supportive space where you can feel safe to explore, learn, and make changes, you've come to the right place! I work with people from diverse backgrounds in a compassionate manner focusing on improving communication, recovering from past trauma, and developing effective strategies for stress/coping. I am directive at times and will challenge you to take on new perspectives and try out new behaviors, but at a pace that is comfortable to you. I use cognitive-behavioral techniques, role-playing, goal setting, exposure/response prevention, assertiveness training, internal family systems, and others.
(314) 720-6036 View (314) 720-6036
Photo of Juliana Varela, Clinical Social Work/Therapist in Saint Louis, MO
Juliana Varela
Clinical Social Work/Therapist, LCSW
Verified Verified
Saint Louis, MO 63117
I aim to define a unique relationship where together we can nurture curiosity and harvest increasingly satisfying ways for you to live your life.
People seek therapy for variety of reasons, ranging from difficulties with a specific life event or a general pursuit for greater purpose and connectedness. Psychotherapy offers an arena for self exploration unlike any other and can prove to be a profoundly moving experience. I work with individuals affected by trauma, difficulties in relationships, depression/post-partum depression, infertility, adoption, parenting, struggles in cultural adaptation and immigration, identity, self-esteem, sexuality, etc. Often I find that the most meaningful change comes from those who are open and willing to engage in the journey. The change you seek comes from you and will be our guiding force.
I aim to define a unique relationship where together we can nurture curiosity and harvest increasingly satisfying ways for you to live your life.
People seek therapy for variety of reasons, ranging from difficulties with a specific life event or a general pursuit for greater purpose and connectedness. Psychotherapy offers an arena for self exploration unlike any other and can prove to be a profoundly moving experience. I work with individuals affected by trauma, difficulties in relationships, depression/post-partum depression, infertility, adoption, parenting, struggles in cultural adaptation and immigration, identity, self-esteem, sexuality, etc. Often I find that the most meaningful change comes from those who are open and willing to engage in the journey. The change you seek comes from you and will be our guiding force.
(314) 591-5187 View (314) 591-5187
Photo of Lauren Bialecki, Licensed Professional Counselor in Saint Louis, MO
Lauren Bialecki
Licensed Professional Counselor, PhD, LPC
Verified Verified
Saint Louis, MO 63119
I work with individuals, couples, and families who are navigating a variety of life’s challenges. My approach to therapy is strength-based and collaborative. I believe that people inherently have the resources inside of them that they need to create the kind of life that they want. My role is to help people implement strategies to access and further develop those resources. I use evidence-based practices and my clinical training to help my clients lead lives where they feel healthier and more connected to themselves and their loved ones. I see psychotherapy as an avenue to pursue personal growth, empowerment, and positive change.
I work with individuals, couples, and families who are navigating a variety of life’s challenges. My approach to therapy is strength-based and collaborative. I believe that people inherently have the resources inside of them that they need to create the kind of life that they want. My role is to help people implement strategies to access and further develop those resources. I use evidence-based practices and my clinical training to help my clients lead lives where they feel healthier and more connected to themselves and their loved ones. I see psychotherapy as an avenue to pursue personal growth, empowerment, and positive change.
(314) 714-4257 View (314) 714-4257
Photo of Lacey Burch, Licensed Professional Counselor in Saint Louis, MO
Lacey Burch
Licensed Professional Counselor, MA, LPC
Verified Verified
Saint Louis, MO 63141
I have extensive experience with difficult relationships including relationship endings, narcissistic abuse, and navigating relationships with personality disordered or antagonistic people from partners to parents to co-workers, and these challenging dynamics.
My name is Lacey, and I am so glad you're here. I specialize in assisting people who are struggling with emotional distress, difficulty coping with daily life, stressful relationships, and pivotal moments. Are you wondering how to take the next steps in your life, questioning how you got where you are now? Are you ready to examine your life on a deeper level and make changes, or get more comfortable with who you already are? Are you longing for a person and space to explore any and all of yourself and your life with a supportive and objective person to help guide you through? If so, I look forward to starting our journey together.
I have extensive experience with difficult relationships including relationship endings, narcissistic abuse, and navigating relationships with personality disordered or antagonistic people from partners to parents to co-workers, and these challenging dynamics.
My name is Lacey, and I am so glad you're here. I specialize in assisting people who are struggling with emotional distress, difficulty coping with daily life, stressful relationships, and pivotal moments. Are you wondering how to take the next steps in your life, questioning how you got where you are now? Are you ready to examine your life on a deeper level and make changes, or get more comfortable with who you already are? Are you longing for a person and space to explore any and all of yourself and your life with a supportive and objective person to help guide you through? If so, I look forward to starting our journey together.
(314) 736-3450 View (314) 736-3450
Photo of Open Arms Wellness Therapy and Counseling, Licensed Professional Counselor in Saint Louis, MO
Open Arms Wellness Therapy and Counseling
Licensed Professional Counselor, LPC, PhD
Verified Verified
1 Endorsed
Saint Louis, MO 63144
Are you having trouble in your relationship? We are Couple's Counseling experts.
Frustrated with calling therapists and not receiving a call back? We pride ourselves in finding expert clinicians in each speciality in the greater St. Louis area and we have openings. We can help match you to a clinician that has proven success helping clients with similar issues. Our approach assists clients in exploring the source of their problems. We listen. We find unique strategies that build on your passions to bring healing to your life. You won't believe how much better it can get when you work with our handpicked professionals.
Are you having trouble in your relationship? We are Couple's Counseling experts.
Frustrated with calling therapists and not receiving a call back? We pride ourselves in finding expert clinicians in each speciality in the greater St. Louis area and we have openings. We can help match you to a clinician that has proven success helping clients with similar issues. Our approach assists clients in exploring the source of their problems. We listen. We find unique strategies that build on your passions to bring healing to your life. You won't believe how much better it can get when you work with our handpicked professionals.
(314) 648-8192 View (314) 648-8192
Photo of Latina Gaston, Licensed Professional Counselor in Saint Louis, MO
Latina Gaston
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Saint Louis, MO 63112  (Online Only)
As they say now, "Life be life'n!" Challenges arise everyday that may cause you stress, anxiety, or maybe even feel a little less motivated. You need someone neutral to talk to and help you gain an understanding and a different perspective. You want to find solutions to those concerns, but you don't know where to start. Together, we will unpack and explore any challenges. We will work together to reframe negative thought patterns. We will brainstorm and partner on how to navigate your concerns. I will provide tools and resources that you may find helpful along the way.
As they say now, "Life be life'n!" Challenges arise everyday that may cause you stress, anxiety, or maybe even feel a little less motivated. You need someone neutral to talk to and help you gain an understanding and a different perspective. You want to find solutions to those concerns, but you don't know where to start. Together, we will unpack and explore any challenges. We will work together to reframe negative thought patterns. We will brainstorm and partner on how to navigate your concerns. I will provide tools and resources that you may find helpful along the way.
(314) 601-1953 View (314) 601-1953
Photo of Kathryn Beskrowni, Licensed Professional Counselor in Saint Louis, MO
Kathryn Beskrowni
Licensed Professional Counselor, LPC, NCC, MEd
Verified Verified
1 Endorsed
Saint Louis, MO 63139
Waitlist for new clients
I provide therapeutic services to adults, adolescents, couples, and families. Clients that tend to best fit my approach are seeking purpose and meaning, navigating feelings of uncertainty, alienation, or perpetual conflict, and are interested in examining ways outward dynamics reflect their inner selves. In other words, my work specializes in relational growth and development – in our communities, families, partnerships, and within ourselves.
I provide therapeutic services to adults, adolescents, couples, and families. Clients that tend to best fit my approach are seeking purpose and meaning, navigating feelings of uncertainty, alienation, or perpetual conflict, and are interested in examining ways outward dynamics reflect their inner selves. In other words, my work specializes in relational growth and development – in our communities, families, partnerships, and within ourselves.
(314) 949-3992 View (314) 949-3992
Photo of Hannah Campbell, Marriage & Family Therapist in Saint Louis, MO
Hannah Campbell
Marriage & Family Therapist, MA, LMFT, LPCC
Verified Verified
Saint Louis, MO 63130
I believe you will find me to be a committed, non-judgmental, and celebratory partner in this process.
I'm glad you're here: you have taken a courageous and healing step by seeking support. I provide an integrative, resiliency-focused approach to therapy, pulling from your strengths and values to guide our work and help you regain a sense of mastery, meaning, and connection in your life. My perspective is that we are built to survive and often develop ways of relating which once helped us get by, but may no longer be helpful to a current situation. My goal is to form a safe connection to explore these factors that may contribute to ongoing difficulties, re-process experiences, and ultimately co-create your next chapter.
I believe you will find me to be a committed, non-judgmental, and celebratory partner in this process.
I'm glad you're here: you have taken a courageous and healing step by seeking support. I provide an integrative, resiliency-focused approach to therapy, pulling from your strengths and values to guide our work and help you regain a sense of mastery, meaning, and connection in your life. My perspective is that we are built to survive and often develop ways of relating which once helped us get by, but may no longer be helpful to a current situation. My goal is to form a safe connection to explore these factors that may contribute to ongoing difficulties, re-process experiences, and ultimately co-create your next chapter.
(314) 675-7902 View (314) 675-7902
Photo of Bayla M. Myer, Psychologist in Saint Louis, MO
Bayla M. Myer
Psychologist, PhD
Verified Verified
1 Endorsed
Saint Louis, MO 63128
I have over thirty-five years of experience treating individuals, couples, and families dealing with depression, anxiety disorders, marital discord, and family dysfunction. Changing oneself, therefore changing others around you, can lead to happier relationships. Understanding and insight can raise self-esteem. I provide a safe, confidential, and trusting environment to explore one's feelings and consider options to produce different and improved results. Video and telehealth sessions have been added to accommodate the COVID-19 safety protocols.
I have over thirty-five years of experience treating individuals, couples, and families dealing with depression, anxiety disorders, marital discord, and family dysfunction. Changing oneself, therefore changing others around you, can lead to happier relationships. Understanding and insight can raise self-esteem. I provide a safe, confidential, and trusting environment to explore one's feelings and consider options to produce different and improved results. Video and telehealth sessions have been added to accommodate the COVID-19 safety protocols.
(314) 828-2354 View (314) 828-2354

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.