Marriage Counseling Therapists in Saint Louis, MO

Photo of Ed Killeen, Licensed Professional Counselor in Saint Louis, MO
Ed Killeen
Licensed Professional Counselor, MDiv, MAC, LPC
Verified Verified
3 Endorsed
Saint Louis, MO 63117
In addition to marital and premarital counseling, I see individual men, women, and families on anger, estrangement, anxiety, depression, ADHD, pornography, sexual addictions, and workplace relational struggles.
Over half of my work is with couples. Through training and supervision in Emotion Focused Therapy (EFT), I can see and hear needs and feelings long hidden for fear of being hurt again. I empathize and acknowledge real wrongs and real emotional damage to trust and respect. I hear both sides. I also offer hope. I can see when marital conflict itself offers evidence that partners still desire and need each other. I know how difficult a process forgiveness and then trust building really are. Slowly, when even one is ready to love again, I equip both to express their hearts with a gentle strength, and to hear with compassion.
In addition to marital and premarital counseling, I see individual men, women, and families on anger, estrangement, anxiety, depression, ADHD, pornography, sexual addictions, and workplace relational struggles.
Over half of my work is with couples. Through training and supervision in Emotion Focused Therapy (EFT), I can see and hear needs and feelings long hidden for fear of being hurt again. I empathize and acknowledge real wrongs and real emotional damage to trust and respect. I hear both sides. I also offer hope. I can see when marital conflict itself offers evidence that partners still desire and need each other. I know how difficult a process forgiveness and then trust building really are. Slowly, when even one is ready to love again, I equip both to express their hearts with a gentle strength, and to hear with compassion.
(314) 309-3366 x1 View (314) 309-3366 x1
Photo of Kathryn Muñiz in Saint Louis, MO
Kathryn Muñiz
MA
Verified Verified
2 Endorsed
Saint Louis, MO 63118
Some areas of focus in my practice include family-of-origin trauma, spirituality, and issues related to marriage, relationships and sexuality.
To share your story and start a journey toward healing is profoundly brave and admirable. Being entrusted to walk alongside those who are willing to take that risk is a privilege that I don’t take lightly. I count it as a tremendous honor to be invited to sit with the clients I work with, in moments of vulnerability and hurt and in those of victory and celebration.
Some areas of focus in my practice include family-of-origin trauma, spirituality, and issues related to marriage, relationships and sexuality.
To share your story and start a journey toward healing is profoundly brave and admirable. Being entrusted to walk alongside those who are willing to take that risk is a privilege that I don’t take lightly. I count it as a tremendous honor to be invited to sit with the clients I work with, in moments of vulnerability and hurt and in those of victory and celebration.
(314) 900-3437 View (314) 900-3437
Photo of John A Ware, Clinical Social Work/Therapist in Saint Louis, MO
John A Ware
Clinical Social Work/Therapist, MSW, JD, LCSW
Verified Verified
Saint Louis, MO 63131
I see my role as one who can help clarify and encourage strategies to strengthen one's ability to navigate through stresses and pain. Together, we can develop plans to deal with challenging issues and life transitions in marriage, family, and professional or work situations. My career and life experiences have provided me with unique real world insights into the issues facing men and women today. I understand people who are coping with the difficult balancing of inter-personal relationships, family relationships, and work-related issues including, with increasing frequency, the stress, anxiety and uncertainty created by job loss or career transition.
I see my role as one who can help clarify and encourage strategies to strengthen one's ability to navigate through stresses and pain. Together, we can develop plans to deal with challenging issues and life transitions in marriage, family, and professional or work situations. My career and life experiences have provided me with unique real world insights into the issues facing men and women today. I understand people who are coping with the difficult balancing of inter-personal relationships, family relationships, and work-related issues including, with increasing frequency, the stress, anxiety and uncertainty created by job loss or career transition.
(314) 596-2940 View (314) 596-2940
Photo of Lanny W Mcfarland, Licensed Professional Counselor in Saint Louis, MO
Lanny W Mcfarland
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
2 Endorsed
Saint Louis, MO 63123
If you are reading this, then chances are you or someone you love is in need of professional counseling. I understand this can be a difficult process and cause significant anxiety. But you are just a simple phone call away. So whether you are struggling with depression or anxiety disorder, marital problems, spiritual abuse or issues of faith, trauma from childhood abuse, or some form of addiction, you have turned to the right place. Together, as a relationship of trust begins, we will identify what you hope counseling will provide and a plan to address that hope.
If you are reading this, then chances are you or someone you love is in need of professional counseling. I understand this can be a difficult process and cause significant anxiety. But you are just a simple phone call away. So whether you are struggling with depression or anxiety disorder, marital problems, spiritual abuse or issues of faith, trauma from childhood abuse, or some form of addiction, you have turned to the right place. Together, as a relationship of trust begins, we will identify what you hope counseling will provide and a plan to address that hope.
(314) 736-3593 View (314) 736-3593
Photo of Samuel Bearer, Licensed Professional Counselor in Saint Louis, MO
Samuel Bearer
Licensed Professional Counselor, LPC, MAC
Verified Verified
1 Endorsed
Saint Louis, MO 63117
I seek to provide counseling to couples and individuals, both adults and adolescents. I work with interpersonal, relationship issues including: family of origin dynamics, trauma and maladaptive coping patterns, marriage and pre-marital counseling, improving communication skills, self-image and identity, managing anger, and men's sexual addiction.
I seek to provide counseling to couples and individuals, both adults and adolescents. I work with interpersonal, relationship issues including: family of origin dynamics, trauma and maladaptive coping patterns, marriage and pre-marital counseling, improving communication skills, self-image and identity, managing anger, and men's sexual addiction.
(314) 310-1898 View (314) 310-1898
Photo of Ellen Marting Jayaprabhu, Marriage & Family Therapist in Saint Louis, MO
Ellen Marting Jayaprabhu
Marriage & Family Therapist, MA, LMFT
Verified Verified
Saint Louis, MO 63141
I am a Licensed Marriage and Family Therapist. I provide individual, couple, and family therapy for a variety of clinical issues from psychodynamic and family systems perspectives. I specialize in anxiety, depression, grief, eating disorders, abuse recovery (sexual, physical and emotional), relationship problems, adults and adolescents. I have a passion to work with hurting people and find it an honor to be part of the healing process that can occur through psychotherapy. I value and prioritize developing a strong and authentic relationship with my clients.
I am a Licensed Marriage and Family Therapist. I provide individual, couple, and family therapy for a variety of clinical issues from psychodynamic and family systems perspectives. I specialize in anxiety, depression, grief, eating disorders, abuse recovery (sexual, physical and emotional), relationship problems, adults and adolescents. I have a passion to work with hurting people and find it an honor to be part of the healing process that can occur through psychotherapy. I value and prioritize developing a strong and authentic relationship with my clients.
(314) 635-6505 View (314) 635-6505
Photo of Dr. Fatima La'Juan Muse, Marriage & Family Therapist in Saint Louis, MO
Dr. Fatima La'Juan Muse
Marriage & Family Therapist, PhD, LMFT, MedFT
Verified Verified
3 Endorsed
Saint Louis, MO 63108  (Online Only)
Have you found yourself struggling with life stressors such as fertility problems, chronic illness, marital discord, relationship infidelity, or even difficulty making major decisions? If so, therapy is right for you. Are you blissfully happy and seeking pre-marital counseling with a future spouse? If so, therapy is right for you too! These incentives for counseling have one common thread, a desire to pinpoint areas where you are "stuck", guard against potential threats to your relationship harmony, improve your life, improve your relationship, and become the best version of yourself.
Have you found yourself struggling with life stressors such as fertility problems, chronic illness, marital discord, relationship infidelity, or even difficulty making major decisions? If so, therapy is right for you. Are you blissfully happy and seeking pre-marital counseling with a future spouse? If so, therapy is right for you too! These incentives for counseling have one common thread, a desire to pinpoint areas where you are "stuck", guard against potential threats to your relationship harmony, improve your life, improve your relationship, and become the best version of yourself.
(314) 916-3448 View (314) 916-3448
Photo of Kathryn Louise Manley, Licensed Professional Counselor in Saint Louis, MO
Kathryn Louise Manley
Licensed Professional Counselor, MSEd, LPC, CST
Verified Verified
Saint Louis, MO 63122
Kathryn Manley is a seasoned licensed mental health practitioner and licensed AASECT sex therapist. For over 20 years, she has helped individuals and couples navigate difficult issues relating to communication skills, sexuality, autonomy, and attachment. Kathryn understands the importance of having a safe and trustworthy clinician. Sex therapy can include the many physiological and emotional aspects of intimacy encountered during seasons of life including postpartum depression, differences in sexual desire, infidelity, betrayal trauma, erectile dysfunction, pain, sexless marriage and difficulty with orgasm.
Kathryn Manley is a seasoned licensed mental health practitioner and licensed AASECT sex therapist. For over 20 years, she has helped individuals and couples navigate difficult issues relating to communication skills, sexuality, autonomy, and attachment. Kathryn understands the importance of having a safe and trustworthy clinician. Sex therapy can include the many physiological and emotional aspects of intimacy encountered during seasons of life including postpartum depression, differences in sexual desire, infidelity, betrayal trauma, erectile dysfunction, pain, sexless marriage and difficulty with orgasm.
(636) 205-1296 View (636) 205-1296
Photo of Annie Carrera, Pre-Licensed Professional in Saint Louis, MO
Annie Carrera
Pre-Licensed Professional, MA, PLPC
Verified Verified
Saint Louis, MO 63131
This is a common pattern in many couples’ relationships and maybe this describes you: prior to getting married, you had a dream. A dream that your relationship would be like the ones portrayed in romantic movies, a life of bliss because you found your perfect person. Then, at some point in your marriage, you asked this question: “How did we get here?” Instead of a foundation of joy and security, you and your spouse find yourselves stuck in conflict cycles that leave you feeling bitter, distant, and hopeless.
This is a common pattern in many couples’ relationships and maybe this describes you: prior to getting married, you had a dream. A dream that your relationship would be like the ones portrayed in romantic movies, a life of bliss because you found your perfect person. Then, at some point in your marriage, you asked this question: “How did we get here?” Instead of a foundation of joy and security, you and your spouse find yourselves stuck in conflict cycles that leave you feeling bitter, distant, and hopeless.
(314) 474-7228 View (314) 474-7228
Photo of Marni Deutsch Therapy, LLC in Saint Louis, MO
Marni Deutsch Therapy, LLC
MA, LPC
Verified Verified
Saint Louis, MO 63117
My specialities include anxiety, depression, self-awareness, marital and premarital counseling, relationship challenges, family dynamics, life transitions and women's wellness.
I'm so glad you are considering reaching out. Counseling is a big and exciting step. Don't hesitate to get in touch with me for any questions. Through counseling, you have the power to increase the quality of your own life and you deserve to do so. We will work together through open discussion and strategic collaboration to make positive, lasting changes. We will talk about your anxieties, fears, thinking patterns and behavior choices. In my office, we will not spend much time focusing on unconscious motives or the opinions of others. Our primary focus will be to empower you to realize your ultimate potential.
My specialities include anxiety, depression, self-awareness, marital and premarital counseling, relationship challenges, family dynamics, life transitions and women's wellness.
I'm so glad you are considering reaching out. Counseling is a big and exciting step. Don't hesitate to get in touch with me for any questions. Through counseling, you have the power to increase the quality of your own life and you deserve to do so. We will work together through open discussion and strategic collaboration to make positive, lasting changes. We will talk about your anxieties, fears, thinking patterns and behavior choices. In my office, we will not spend much time focusing on unconscious motives or the opinions of others. Our primary focus will be to empower you to realize your ultimate potential.
(314) 254-9901 View (314) 254-9901
Photo of Melissa T Scolaro, Clinical Social Work/Therapist in Saint Louis, MO
Melissa T Scolaro
Clinical Social Work/Therapist, MSW, LCSW, MA
Verified Verified
Saint Louis, MO 63117
Waitlist for new clients
Areas of special interest or experience include: anxiety, depression, gay and lesbian issues, women's issues including fertility and parenting, men's issues, veterans (trauma, PTSD), grief/loss, life transition, sexuality, attachment, adoption, marriage/couples, premarital work.
When the challenges of life and relationship present you with complex dilemmas and create painful or uncomfortable symptoms, therapy offers an opportunity for healing and long-lasting psychological change. The power of therapy is in the way it expands your choice in behaviors or ways of seeing others, yourself and your life circumstances. Through a compassionate journey of self-exploration I will help you work toward a fuller understanding of yourself which will lead to greater choice in how you live, love, work and play. It is a privilege to join you on your journey of self-discovery and healing.
Areas of special interest or experience include: anxiety, depression, gay and lesbian issues, women's issues including fertility and parenting, men's issues, veterans (trauma, PTSD), grief/loss, life transition, sexuality, attachment, adoption, marriage/couples, premarital work.
When the challenges of life and relationship present you with complex dilemmas and create painful or uncomfortable symptoms, therapy offers an opportunity for healing and long-lasting psychological change. The power of therapy is in the way it expands your choice in behaviors or ways of seeing others, yourself and your life circumstances. Through a compassionate journey of self-exploration I will help you work toward a fuller understanding of yourself which will lead to greater choice in how you live, love, work and play. It is a privilege to join you on your journey of self-discovery and healing.
(314) 828-1020 View (314) 828-1020
Photo of Dr. A. P. Carmichael, Marriage & Family Therapist in Saint Louis, MO
Dr. A. P. Carmichael
Marriage & Family Therapist, PhD, MEd, MA, LMFT
Verified Verified
Saint Louis, MO 63108
Waitlist for new clients
Additionally, I have a second master’s degree in Marital and Family Therapy from St.
Relationships are part of what makes us human. We thrive when connected with others. I am passionate about helping people create and maintain healthy and loving relationships. I work with couples, families, and individuals and have strong experience working with LGBTQ clients. I make it a priority to create a safe space for all of my clients. It is through this atmosphere of acceptance that we can work together to create true change and growth. I work with individuals, families and couples who are going through a crisis, or those who are simply looking to strengthen their relationships.
Additionally, I have a second master’s degree in Marital and Family Therapy from St.
Relationships are part of what makes us human. We thrive when connected with others. I am passionate about helping people create and maintain healthy and loving relationships. I work with couples, families, and individuals and have strong experience working with LGBTQ clients. I make it a priority to create a safe space for all of my clients. It is through this atmosphere of acceptance that we can work together to create true change and growth. I work with individuals, families and couples who are going through a crisis, or those who are simply looking to strengthen their relationships.
(314) 682-4859 View (314) 682-4859
Photo of Sally Gafford, Marriage & Family Therapist in Saint Louis, MO
Sally Gafford
Marriage & Family Therapist, PhD, MA
Verified Verified
Saint Louis, MO 63141
I am a dedicated therapy professional who stays current in several specializations, holding advanced degrees, licenses, and certifications. With solid expertise in the scientific bases of Marriage and Family Therapy, I use the Brief Solution Oriented Cognitive Behavioral approach. The approach I use is an invaluable resource in guiding clients towards positive changes in less time, while allowing clients to maintain their autonomy.
I am a dedicated therapy professional who stays current in several specializations, holding advanced degrees, licenses, and certifications. With solid expertise in the scientific bases of Marriage and Family Therapy, I use the Brief Solution Oriented Cognitive Behavioral approach. The approach I use is an invaluable resource in guiding clients towards positive changes in less time, while allowing clients to maintain their autonomy.
(314) 272-3270 View (314) 272-3270
Photo of Holly Pfisterer Strelow, Licensed Professional Counselor in Saint Louis, MO
Holly Pfisterer Strelow
Licensed Professional Counselor, LPC, NCC, MEd
Verified Verified
2 Endorsed
Saint Louis, MO 63105
Some of these include: mental health, faith journey, marital issues, special needs children, caring for parents, terminal illness, grief, career transitions, sexuality, identity crisis.
About a decade ago I attended a conference at the Omega Institute and was reawakened to the immense suffering in the world and I realized there was no more time to waste. I needed to change careers in order to be of service. All of my life I wanted to be a healer and pursued a Masters degree in Clinical Mental Health. My approach is mindful, practical, respectful and always hopeful. I believe each of us holds the key to our own healing within our highest sense of Self. My role is to help support that discovery process through thoughtful exploration, creativity and a little humor.
Some of these include: mental health, faith journey, marital issues, special needs children, caring for parents, terminal illness, grief, career transitions, sexuality, identity crisis.
About a decade ago I attended a conference at the Omega Institute and was reawakened to the immense suffering in the world and I realized there was no more time to waste. I needed to change careers in order to be of service. All of my life I wanted to be a healer and pursued a Masters degree in Clinical Mental Health. My approach is mindful, practical, respectful and always hopeful. I believe each of us holds the key to our own healing within our highest sense of Self. My role is to help support that discovery process through thoughtful exploration, creativity and a little humor.
(314) 309-3605 View (314) 309-3605
Photo of Doris Wild Helmering, Clinical Social Work/Therapist in Saint Louis, MO
Doris Wild Helmering
Clinical Social Work/Therapist, LCSW, BCD
Verified Verified
Saint Louis, MO 63131
I’ve authored nine self-help books on marriage, relationships and weight loss including a weekly newspaper column for 24-years for the St.
I believe almost all problems are solvable. If you decide to see me for therapy, the first thing I'll probably ask is, "What's going on? Why have you come?" Perhaps you're having difficulty with a relationship or your struggling with a child or your weight. You may be trying to decide if you want to continue in a relationship or look for another job. Or you've noticed that you're drinking too much or getting too angry or obsessing. Maybe you're feeling anxious, depressed or lonely, and despite your best efforts, you can't seem to shake these feelings.
I’ve authored nine self-help books on marriage, relationships and weight loss including a weekly newspaper column for 24-years for the St.
I believe almost all problems are solvable. If you decide to see me for therapy, the first thing I'll probably ask is, "What's going on? Why have you come?" Perhaps you're having difficulty with a relationship or your struggling with a child or your weight. You may be trying to decide if you want to continue in a relationship or look for another job. Or you've noticed that you're drinking too much or getting too angry or obsessing. Maybe you're feeling anxious, depressed or lonely, and despite your best efforts, you can't seem to shake these feelings.
(636) 238-1854 View (636) 238-1854
Photo of Diane Kohm, Marriage & Family Therapist in Saint Louis, MO
Diane Kohm
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Saint Louis, MO 63141
Premarital and marital therapy is provided with a balanced perspective seeking ways to build or rebuild intimate friendship and devoted connection.
Do you want to live more fully in the present moment making choices based on your life values and goals, rather than a life of negative thoughts and maladaptive behavior leading to anxiety, depression or conflict in your intimate, work, and family relationships?
Premarital and marital therapy is provided with a balanced perspective seeking ways to build or rebuild intimate friendship and devoted connection.
Do you want to live more fully in the present moment making choices based on your life values and goals, rather than a life of negative thoughts and maladaptive behavior leading to anxiety, depression or conflict in your intimate, work, and family relationships?
(314) 582-2549 View (314) 582-2549
Photo of Rachel Glik, Licensed Professional Counselor in Saint Louis, MO
Rachel Glik
Licensed Professional Counselor, EdD, MA, LPC
Verified Verified
Saint Louis, MO 63105
After 28 years of counseling individuals, couples and families, and growing the love in a 30+ year marriage myself, I feel privileged to say I specialize in "Relationships." I love inspiring people to look more within themselves for happiness, security, and value; and to understand that friction in relationships can help us grow, and grow closer. Those open to change benefit most; a healthy couple takes healthy people. I also see adults individually, many with relationship challenges, but also seeking help with concerns like low self worth, anxiety, sadness, depression, negative thoughts, addictions, feeling stuck/unfulfilled.
After 28 years of counseling individuals, couples and families, and growing the love in a 30+ year marriage myself, I feel privileged to say I specialize in "Relationships." I love inspiring people to look more within themselves for happiness, security, and value; and to understand that friction in relationships can help us grow, and grow closer. Those open to change benefit most; a healthy couple takes healthy people. I also see adults individually, many with relationship challenges, but also seeking help with concerns like low self worth, anxiety, sadness, depression, negative thoughts, addictions, feeling stuck/unfulfilled.
(314) 925-9098 View (314) 925-9098
Photo of Susie Berg, Licensed Professional Counselor in Saint Louis, MO
Susie Berg
Licensed Professional Counselor, MEd, LPC, NCC, CPAT
Verified Verified
Saint Louis, MO 63141
I work with individuals, couples and families dealing with all types of issues such as stress, anxiety, depression, self-esteem, relationships, transitions, marriage, anger and fear.
I believe a core element of growth lies in the understanding that the only thing you have control over is your thinking and response to any given situation. I seek to provide an atmosphere of non-judgmental support so that you can educate and empower yourself to no longer believe your happiness and contentment lies in anything outside yourself. I invite you, from the heart, to start your journey and discover how to take charge of your wellbeing.
I work with individuals, couples and families dealing with all types of issues such as stress, anxiety, depression, self-esteem, relationships, transitions, marriage, anger and fear.
I believe a core element of growth lies in the understanding that the only thing you have control over is your thinking and response to any given situation. I seek to provide an atmosphere of non-judgmental support so that you can educate and empower yourself to no longer believe your happiness and contentment lies in anything outside yourself. I invite you, from the heart, to start your journey and discover how to take charge of your wellbeing.
(314) 470-9217 View (314) 470-9217
Jean Caine
Clinical Social Work/Therapist, LCSW, LMFT
Verified Verified
Saint Louis, MO 63117
Jean Stanton Caine, LCSW, LMFT, a Menninger trained family therapist, specializes in many issues affecting individuals and families i.e.: grief, illness, sexual and physical abuse, marital stress, child and adolescent problems. She has an eclectic researched approach in her family practice using both short term and long-term therapy. Jean has been in practice for 25 years. She has been past president on St. Louis MAMFT board and the Missouri board of Family Therapy. She has taught for 20 years at Washington University. Jean does accept most insurance plans.
Jean Stanton Caine, LCSW, LMFT, a Menninger trained family therapist, specializes in many issues affecting individuals and families i.e.: grief, illness, sexual and physical abuse, marital stress, child and adolescent problems. She has an eclectic researched approach in her family practice using both short term and long-term therapy. Jean has been in practice for 25 years. She has been past president on St. Louis MAMFT board and the Missouri board of Family Therapy. She has taught for 20 years at Washington University. Jean does accept most insurance plans.
(314) 828-2601 View (314) 828-2601
Photo of Tracy M Schamburg, Licensed Professional Counselor in Saint Louis, MO
Tracy M Schamburg
Licensed Professional Counselor, M Ed, LPC
Verified Verified
Saint Louis, MO 63141
I have been in the counseling field for thirty years, private practice for twenty. I have an outstanding track record helping struggling couples. I am relatable and directive. I work well with men, women and adolescents. I have a book series on Amazon: The Common Sense Guide to Repairing Your Marriage; The Common Sense Guide to Landing on Your Feet; The Common Sense Guide to the 12 Days of Christmas. Check these out and you will definitely get an idea of my style and approach. People come in to counseling for results, and I work hard to provide them.
I have been in the counseling field for thirty years, private practice for twenty. I have an outstanding track record helping struggling couples. I am relatable and directive. I work well with men, women and adolescents. I have a book series on Amazon: The Common Sense Guide to Repairing Your Marriage; The Common Sense Guide to Landing on Your Feet; The Common Sense Guide to the 12 Days of Christmas. Check these out and you will definitely get an idea of my style and approach. People come in to counseling for results, and I work hard to provide them.
(314) 310-4127 View (314) 310-4127

Marriage Counseling Therapists

How does marriage counseling work?

Marriage counseling works by teaching couples concrete skills to communicate with one another and solve disagreements in healthy ways. A trained mental health professional works with both members of a couple to explore difficulties the couple may be having and helps them develop skills to address these matters. Couples who don’t have any difficulties but want to prepare for marriage may develop skills for the future.

How long does marriage counseling typically last?

Marriage counseling is a short-term form of therapy; the process may last between four and eight sessions. Other forms of relationship guidance from mental health professionals, such as couples therapy, are longer lasting, may focus on the past rather than just the present, and are tailored to the individual couple and their emotions, history, and patterns in the relationship. Couples therapy often lasts for 12 weeks or longer.

Is marriage counseling effective?

Marriage counseling helps many couples develop relationship skills that may not have been acquired or tested in a relationship; partners may be better able to communicate and address conflict following counseling. However, there are many different forms of marriage counseling, and this form of counseling does not have as strong an evidence base as other modalities such as couples therapy.

Is marriage counseling effective if only one partner wants to go?

Yes, marriage counseling can still be effective if one partner convinces the other to engage in the process. Of course, whether counseling is effective depends on the couple’s commitment to work on their relationship; however, the short-term, skills-based nature of marriage counseling makes it a relatively easy “ask” of a partner, and the hesitant individual may see its value once counseling begins.