Couples Counseling Therapists in Raleigh, NC

Photo of Ava Baker, Licensed Clinical Mental Health Counselor, LCMHC, NCC
Ava Baker
Licensed Clinical Mental Health Counselor, LCMHC, NCC
Online Only
With over 5 years of experience supporting individuals, couples, and families, I'm dedicated to helping you lead a happier, more fulfilling life.
I am a Licensed Clinical Mental Health Counselor (LCMHC) who works with a wide range of age groups; however, I have a passion for children and adolescents with issues such as anxiety, depression, and ASD. Having a child with autism sparked my passion for individuals and families who face the challenges and struggles associated with a childhood disorder. I embrace the position that every individual can develop the skills to have a healthy and fulfilling life.
With over 5 years of experience supporting individuals, couples, and families, I'm dedicated to helping you lead a happier, more fulfilling life.
I am a Licensed Clinical Mental Health Counselor (LCMHC) who works with a wide range of age groups; however, I have a passion for children and adolescents with issues such as anxiety, depression, and ASD. Having a child with autism sparked my passion for individuals and families who face the challenges and struggles associated with a childhood disorder. I embrace the position that every individual can develop the skills to have a healthy and fulfilling life.
(984) 213-5376 View (984) 213-5376
Photo of Ameenah Ikram, Psychologist, PsyD , HSP-P
Ameenah Ikram
Psychologist, PsyD , HSP-P
4 Endorsed
Raleigh, NC 27615
I utilize Acceptance and Commitment Therapy (ACT), and psychodynamic, interpersonal, and multicultural psychotherapies to help teens, adults, and couples, who may be struggling with low mood, worried thoughts, trauma, perinatal concerns, relationship issues, multicultural identity struggles, and adjustment difficulties.
When life becomes challenging, do you ever feel confused about where to turn? Perhaps you wish to discover the ways in which the past may be holding you back, better understand the reason why you're feeling stagnant in the present, and explore why the future may feel so intimidating for you. It is normal to feel like you need the support of others to feel stable again, and seeking therapy is a brave and courageous first step. Through our work together, we can process your feelings, develop healthy coping skills, and explore new ways of living that feel fulfilling in the here and now. You deserve to feel better, and I can help!
I utilize Acceptance and Commitment Therapy (ACT), and psychodynamic, interpersonal, and multicultural psychotherapies to help teens, adults, and couples, who may be struggling with low mood, worried thoughts, trauma, perinatal concerns, relationship issues, multicultural identity struggles, and adjustment difficulties.
When life becomes challenging, do you ever feel confused about where to turn? Perhaps you wish to discover the ways in which the past may be holding you back, better understand the reason why you're feeling stagnant in the present, and explore why the future may feel so intimidating for you. It is normal to feel like you need the support of others to feel stable again, and seeking therapy is a brave and courageous first step. Through our work together, we can process your feelings, develop healthy coping skills, and explore new ways of living that feel fulfilling in the here and now. You deserve to feel better, and I can help!
(919) 626-8940 x5 View (919) 626-8940 x5
Photo of Janice Cuaresma, Lic Clinical Mental Health Counselor Associate, MA, LCMHCA, NCC
Janice Cuaresma
Lic Clinical Mental Health Counselor Associate, MA, LCMHCA, NCC
4 Endorsed
Raleigh, NC 27601
I believe motivated adults and devoted couples can meaningfully change when they are empowered and heard.
I offer cognitive- and body-based exercises to help you stay grounded and present. For you overthinkers, I reconnect your mind with your body. I foster your sense of feeling understood and seen. Moreover, I enable you to achieve wellness. You gain coping/relaxation strategies, heal from unresolved trauma, and work through a loss with meticulous care.
I believe motivated adults and devoted couples can meaningfully change when they are empowered and heard.
I offer cognitive- and body-based exercises to help you stay grounded and present. For you overthinkers, I reconnect your mind with your body. I foster your sense of feeling understood and seen. Moreover, I enable you to achieve wellness. You gain coping/relaxation strategies, heal from unresolved trauma, and work through a loss with meticulous care.
(919) 737-2682 View (919) 737-2682
Photo of Chandler Smith, LMCHA
Chandler Smith
Verified Verified
Raleigh, NC 27615
In my first session I will work with you to build the therapeutic relationship so that you can feel comfortable in this space and will adapt to what you need.
Do you ever feel that you have too much on your plate or that your emotions overwhelm you or not as secure as you want to be in relationships? It can feel like there is no way to escape these feelings, and that things will never change. It can be hard to go through these issues on your own, but therapy can be a space where these issues can be addressed. It can provide you the opportunity to explore who you are and make the changes that you want to see in your life. In therapy we will address the issue that you see as obstacles from achieving your goals and having a better understanding of yourself.
In my first session I will work with you to build the therapeutic relationship so that you can feel comfortable in this space and will adapt to what you need.
Do you ever feel that you have too much on your plate or that your emotions overwhelm you or not as secure as you want to be in relationships? It can feel like there is no way to escape these feelings, and that things will never change. It can be hard to go through these issues on your own, but therapy can be a space where these issues can be addressed. It can provide you the opportunity to explore who you are and make the changes that you want to see in your life. In therapy we will address the issue that you see as obstacles from achieving your goals and having a better understanding of yourself.
(919) 823-2653 View (919) 823-2653
Photo of Kristin Snyder Brandon, Clinical Social Work/Therapist, MSW, LCSW, LCAC, CPT
Kristin Snyder Brandon
Clinical Social Work/Therapist, MSW, LCSW, LCAC, CPT
2 Endorsed
Raleigh, NC 27615
At those times it is helpful to partner with a skilled & empathetic therapist to regain equilibrium.
I have over 25 years experience working with adults & couples resolving trauma, depression, anxiety, addictions, grief, relationships and healing. I am passionate about partnering with you to create lifestyle changes, heal relationships, live wholeheartedly and create the life you desire within a safe and supportive environment.
At those times it is helpful to partner with a skilled & empathetic therapist to regain equilibrium.
I have over 25 years experience working with adults & couples resolving trauma, depression, anxiety, addictions, grief, relationships and healing. I am passionate about partnering with you to create lifestyle changes, heal relationships, live wholeheartedly and create the life you desire within a safe and supportive environment.
(984) 985-2099 View (984) 985-2099
Photo of Jeremy George, Licensed Clinical Mental Health Counselor
Jeremy George
Licensed Clinical Mental Health Counselor
6 Endorsed
Raleigh, NC 27606
Waitlist for new clients
I believe that most of the challenges we face in life can be resolved and healing can be experienced in a trusting relationship with a key attachment figure.
My primary specialty is attachment theory. Attachment based modalities include Emotionally Focused Therapy (EFT), Emotionally Focused Therapy for Individuals (EFIT) and Emotionally Focused Therapy for Families (EFFT). Other areas of speciality include Eye Movement Desensitization and Reprocessing (EMDR), which is effective in treating trauma, Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT) and Trust Based Relational Intervention (TBRI). I am also growing in my ability to apply Internal Family Systems (IFS) in my practice with clients.
I believe that most of the challenges we face in life can be resolved and healing can be experienced in a trusting relationship with a key attachment figure.
My primary specialty is attachment theory. Attachment based modalities include Emotionally Focused Therapy (EFT), Emotionally Focused Therapy for Individuals (EFIT) and Emotionally Focused Therapy for Families (EFFT). Other areas of speciality include Eye Movement Desensitization and Reprocessing (EMDR), which is effective in treating trauma, Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT) and Trust Based Relational Intervention (TBRI). I am also growing in my ability to apply Internal Family Systems (IFS) in my practice with clients.
(919) 535-4590 View (919) 535-4590
Photo of Tasia Hawkins, Licensed Clinical Mental Health Counselor, LCMHC
Tasia Hawkins
Licensed Clinical Mental Health Counselor, LCMHC
Raleigh, NC 27615
I am a Licensed Clinical Mental Health Counselor and Reiki Energy Healing Practitioner who loves working with teens, adults and couples on issues such as identity; anxiety, depression and stress management; coping skills; emotion regulation; self-esteem; and improving relationships.
Everything you need to improve and transform your life you already possess inside of you. My job as your therapist is to empower you to use your strengths to achieve your goals and change your life.
I am a Licensed Clinical Mental Health Counselor and Reiki Energy Healing Practitioner who loves working with teens, adults and couples on issues such as identity; anxiety, depression and stress management; coping skills; emotion regulation; self-esteem; and improving relationships.
Everything you need to improve and transform your life you already possess inside of you. My job as your therapist is to empower you to use your strengths to achieve your goals and change your life.
(919) 759-6443 View (919) 759-6443
Photo of Nick DeJesus, Licensed Professional Counselor, LCMHCS
Nick DeJesus
Licensed Professional Counselor, LCMHCS
Raleigh, NC 27615
I work with couples and individual’s ages 13-70.
I incorporate Narrative Therapy, Cognitive Behavioral Therapy (CBT), and Acceptance and Commitment Therapy (ACT) techniques to assist clients in achieving their therapy goals. I specialize in working with adolescents, young adults, and adults, the LGBTQIQ community, and anyone who struggles with intimacy, relationships, mood, and sexual addiction.
I work with couples and individual’s ages 13-70.
I incorporate Narrative Therapy, Cognitive Behavioral Therapy (CBT), and Acceptance and Commitment Therapy (ACT) techniques to assist clients in achieving their therapy goals. I specialize in working with adolescents, young adults, and adults, the LGBTQIQ community, and anyone who struggles with intimacy, relationships, mood, and sexual addiction.
(919) 646-3816 View (919) 646-3816
Photo of Eric Fesmire, Counselor, MA, MDiv, LCMHC
Eric Fesmire
Counselor, MA, MDiv, LCMHC
Raleigh, NC 27606
I am also Prepare/Enrich certified for martial or pre-martial assessment, and enjoy working with couples in all stages to improve relationship satisfaction.
I strive to create an environment where you can explore, engage, and rewrite your life-script. We all live from our own unique scripts, the stories we tell ourselves everyday about who we are, where we come from, and what we're capable of. Sometimes these scripts trap us in patterns that harm us and keep us from living a rich life. I will help you engage these scripts, whether they be anxiety, depression, addiction, relational issues, shame, or others. I work with everyone and anyone who desires to engage their story afresh regardless of background, but have unique training to incorporate Christian theology for those interested.
I am also Prepare/Enrich certified for martial or pre-martial assessment, and enjoy working with couples in all stages to improve relationship satisfaction.
I strive to create an environment where you can explore, engage, and rewrite your life-script. We all live from our own unique scripts, the stories we tell ourselves everyday about who we are, where we come from, and what we're capable of. Sometimes these scripts trap us in patterns that harm us and keep us from living a rich life. I will help you engage these scripts, whether they be anxiety, depression, addiction, relational issues, shame, or others. I work with everyone and anyone who desires to engage their story afresh regardless of background, but have unique training to incorporate Christian theology for those interested.
(919) 694-4187 View (919) 694-4187
Photo of Eileen Santaella, Psychologist, PsyD
Eileen Santaella
Psychologist, PsyD
Raleigh, NC 27615
I emphasize the importance of a strong genuine therapeutic relationship, self-care, and self-compassion.
I have extensive training and passion treating individuals struggling with trauma and PTSD. I am trained in both Eye Movement Reprocessing and Desensitization (EMDR) and Cognitive Processing Therapy (CPT). I am also trained in Cognitive Behavioral Therapy (CBT), Dialectal Behavioral Therapy (DBT), and Acceptance and Commitment Therapy (ACT).
I emphasize the importance of a strong genuine therapeutic relationship, self-care, and self-compassion.
I have extensive training and passion treating individuals struggling with trauma and PTSD. I am trained in both Eye Movement Reprocessing and Desensitization (EMDR) and Cognitive Processing Therapy (CPT). I am also trained in Cognitive Behavioral Therapy (CBT), Dialectal Behavioral Therapy (DBT), and Acceptance and Commitment Therapy (ACT).
(919) 373-3166 View (919) 373-3166
Photo of Jen Taylor - Taylor Made Therapy & Wellness, Clinical Social Work/Therapist
Taylor Made Therapy & Wellness
Clinical Social Work/Therapist
Raleigh, NC 27609
I enjoy working with young adults, adults, couples and families.
We all have experienced stress and some trauma in our lives that leaves us at times feeling lost. We go through life sometimes looking for direction and wanting to feel. In my practice, I will work with you so you can go from surviving to thriving. Therapy is an opportunity for you to grow from your experiences so that you can be a better version of yourself. My practice is non-judgmental and welcomes all people. I use a culturally sensitive humanistic approach to person-centered, strength-based therapy, incorporating many therapeutic models such as cognitive behavioral therapy, dialectical behavioral therapy, motivational interview
I enjoy working with young adults, adults, couples and families.
We all have experienced stress and some trauma in our lives that leaves us at times feeling lost. We go through life sometimes looking for direction and wanting to feel. In my practice, I will work with you so you can go from surviving to thriving. Therapy is an opportunity for you to grow from your experiences so that you can be a better version of yourself. My practice is non-judgmental and welcomes all people. I use a culturally sensitive humanistic approach to person-centered, strength-based therapy, incorporating many therapeutic models such as cognitive behavioral therapy, dialectical behavioral therapy, motivational interview
(919) 514-3015 View (919) 514-3015
Photo of Teresita Hernandez Maxey - Core Counseling and Coaching PLLC, Clinical Social Work/Therapist, LCSW, MSW, MA
Core Counseling and Coaching PLLC
Clinical Social Work/Therapist, LCSW, MSW, MA
Online Only
Fees: $100 for 60-minute individual, $200 for 60-minute family or couples.
The ideal client wants to explore ways to create better and healthier responses to difficult situations that occur in daily living. Therapy is an effective and sustainable way to recognize patterns of behavior and learn methods that change behaviors which do not serve us in our lives. El cliente ideal es alguien que quiere explorar formas de crear respuestas mejores y más saludables a situaciones difíciles que ocurren en la vida diaria. La terapia es una forma eficaz y sostenible de reconocer patrones de comportamiento y aprender métodos que cambien comportamientos que no nos sirven en nuestra vidas.
Fees: $100 for 60-minute individual, $200 for 60-minute family or couples.
The ideal client wants to explore ways to create better and healthier responses to difficult situations that occur in daily living. Therapy is an effective and sustainable way to recognize patterns of behavior and learn methods that change behaviors which do not serve us in our lives. El cliente ideal es alguien que quiere explorar formas de crear respuestas mejores y más saludables a situaciones difíciles que ocurren en la vida diaria. La terapia es una forma eficaz y sostenible de reconocer patrones de comportamiento y aprender métodos que cambien comportamientos que no nos sirven en nuestra vidas.
(336) 850-5673 View (336) 850-5673
Photo of Mona Nour - Nour Counseling & Consulting, PLLC
Nour Counseling & Consulting, PLLC
Verified Verified
Online Only
We address a wide array of presenting concerns, including anxiety, depression, racial trauma, oppression and discrimination, career counseling, career conflict, PTSD, life transitions, relationship conflict, ADHD, substance use, bipolar disorder, sexual abuse, narcissistic abuse, and more.
Has finding an inclusive therapist been a challenge for you? Do you need a counselor who understands experiences around BIPOC, LGBTQIA+, neurodiversity, ability differences, and any other wonderful traits that make you who you are? As therapists at Nour Counseling, we self-identify with historically marginalized backgrounds, and have a special passion for supporting our communities. You can come to each therapy session resting assured that your therapist recognizes how the intersection of your various identities impacts the way you experience the world and presenting concerns. We celebrate folx who identify as bicultural, Black, African American, BIPOC, LGBTQIA+, ability diverse, and all who have been historically marginalized because… Everyone means everyone.
We address a wide array of presenting concerns, including anxiety, depression, racial trauma, oppression and discrimination, career counseling, career conflict, PTSD, life transitions, relationship conflict, ADHD, substance use, bipolar disorder, sexual abuse, narcissistic abuse, and more.
Has finding an inclusive therapist been a challenge for you? Do you need a counselor who understands experiences around BIPOC, LGBTQIA+, neurodiversity, ability differences, and any other wonderful traits that make you who you are? As therapists at Nour Counseling, we self-identify with historically marginalized backgrounds, and have a special passion for supporting our communities. You can come to each therapy session resting assured that your therapist recognizes how the intersection of your various identities impacts the way you experience the world and presenting concerns. We celebrate folx who identify as bicultural, Black, African American, BIPOC, LGBTQIA+, ability diverse, and all who have been historically marginalized because… Everyone means everyone.
(919) 587-8394 View (919) 587-8394
Photo of Mike Garrett - Christian Counseling Associates Raleigh, Licensed Professional Counselor, PhD, DMin, LPC
Christian Counseling Associates Raleigh
Licensed Professional Counselor, PhD, DMin, LPC
1 Endorsed
Raleigh, NC 27615
Mike and Rhonda Garrett provide trusted Christian counseling and life coaching for individuals and couples in North Raleigh, NC.
Dr. Mike and Rhonda can each see you and your spouse individually or they are available as a couple upon special scheduling. We specialize in relationships, healing past wounds, anxiety, depression, infidelity, sexual addiction, life coaching, grief and trauma (EMDR Counseling). We also offer adolescent and family counseling.
Mike and Rhonda Garrett provide trusted Christian counseling and life coaching for individuals and couples in North Raleigh, NC.
Dr. Mike and Rhonda can each see you and your spouse individually or they are available as a couple upon special scheduling. We specialize in relationships, healing past wounds, anxiety, depression, infidelity, sexual addiction, life coaching, grief and trauma (EMDR Counseling). We also offer adolescent and family counseling.
(919) 439-6343 View (919) 439-6343
Photo of Jamie Grisham, Psychologist, PsyD, MPH
Jamie Grisham
Psychologist, PsyD, MPH
Raleigh, NC 27605
I specialize in treating adults throughout the life cycle who have anxiety, eating disorders, depression, and/or relationship issues.
Having professional experience in both the United States and Mexico, I am acutely aware of and deeply committed to cultural strengths and diversity, including ethnicity, gender identity, sexual identity, and race. I draw on my professional and life experience to create an environment of wellness, clinical expertise, and inclusion.
I specialize in treating adults throughout the life cycle who have anxiety, eating disorders, depression, and/or relationship issues.
Having professional experience in both the United States and Mexico, I am acutely aware of and deeply committed to cultural strengths and diversity, including ethnicity, gender identity, sexual identity, and race. I draw on my professional and life experience to create an environment of wellness, clinical expertise, and inclusion.
(984) 207-0921 View (984) 207-0921
Photo of Chinyere Harris, Clinical Social Work/Therapist, LCSW
Chinyere Harris
Clinical Social Work/Therapist, LCSW
Online Only
I have been committed to helping individuals and couples manage and cope with their unique life situations.
I enjoy working with individuals and couples realize change they want for a better life. I seek to support my clients navigate difficult life situations and/or challenging issues related to: Parenting, Work/Career, Relationships, Personal Growth and Achievement. My priority is to empower my clients to achieve their goals and improve their quality of life.
I have been committed to helping individuals and couples manage and cope with their unique life situations.
I enjoy working with individuals and couples realize change they want for a better life. I seek to support my clients navigate difficult life situations and/or challenging issues related to: Parenting, Work/Career, Relationships, Personal Growth and Achievement. My priority is to empower my clients to achieve their goals and improve their quality of life.
(984) 224-6786 View (984) 224-6786
Photo of Christine L Jeffreys, Lic Clinical Mental Health Counselor Associate, MA, LCMHCA, NCC
Christine L Jeffreys
Lic Clinical Mental Health Counselor Associate, MA, LCMHCA, NCC
Online Only
I have a heart for serving adults, adolescents, and couples dealing with significant life issues such as the death of a loved one, chronic illness or pain, issues stemming from past trauma, parenting children with special needs, or managing chronic mental health conditions such as ADHD, anxiety and depression.
I provide a warm, accepting environment where clients can feel safe to share, receive the emotional support they need, find resources that may help, and learn new tools for managing their lives effectively. I use a combination of therapeutic techniques, based on the individual.
I have a heart for serving adults, adolescents, and couples dealing with significant life issues such as the death of a loved one, chronic illness or pain, issues stemming from past trauma, parenting children with special needs, or managing chronic mental health conditions such as ADHD, anxiety and depression.
I provide a warm, accepting environment where clients can feel safe to share, receive the emotional support they need, find resources that may help, and learn new tools for managing their lives effectively. I use a combination of therapeutic techniques, based on the individual.
(984) 203-6996 View (984) 203-6996
Photo of Dr. Dorrance Kennedy, Clinical Social Work/Therapist, LCSW
Dr. Dorrance Kennedy
Clinical Social Work/Therapist, LCSW
Online Only
If you are struggling with anxiety, depression, relationship issues, PTSD, and a variety of other issues I can assist you.
Hello, I appreciate your interest in pursuing your best life. I am here to help you navigate this process. My focus is to help you discover your inner strengths and redirect unhealthy patterns that affect your progress, peace, and happiness.
If you are struggling with anxiety, depression, relationship issues, PTSD, and a variety of other issues I can assist you.
Hello, I appreciate your interest in pursuing your best life. I am here to help you navigate this process. My focus is to help you discover your inner strengths and redirect unhealthy patterns that affect your progress, peace, and happiness.
(984) 217-5086 View (984) 217-5086
Photo of Susan Lester, Clinical Social Work/Therapist, MSW, LCSW, LCAS
Susan Lester
Clinical Social Work/Therapist, MSW, LCSW, LCAS
5 Endorsed
Raleigh, NC 27609
Waitlist for new clients
I enjoy working with adults, families, and couples who are struggling with issues related to PTSD/trauma, betrayal trauma, relationship issues, separation/divorce, addiction/codependency, co-occurring disorders, parenting, embodiment, grief/loss, mindfulness, anxiety/depression, attachment, family issues, sexuality, shame and spiritual concerns/abuse.
I received my Bachelor of Social Work with a concentration in family studies from James Madison University and my Masters of Social Work from North Carolina State University with additional certification in addictions. I have worked in inpatient, outpatient, and community settings with children, teens, and adults.
I enjoy working with adults, families, and couples who are struggling with issues related to PTSD/trauma, betrayal trauma, relationship issues, separation/divorce, addiction/codependency, co-occurring disorders, parenting, embodiment, grief/loss, mindfulness, anxiety/depression, attachment, family issues, sexuality, shame and spiritual concerns/abuse.
I received my Bachelor of Social Work with a concentration in family studies from James Madison University and my Masters of Social Work from North Carolina State University with additional certification in addictions. I have worked in inpatient, outpatient, and community settings with children, teens, and adults.
(919) 728-0735 View (919) 728-0735
Photo of Debra K Leeds, Clinical Social Work/Therapist, LCSW
Debra K Leeds
Clinical Social Work/Therapist, LCSW
Raleigh, NC 27615
I work with individuals and couples facing a variety of life issues.
Welcome. I have learned that no one theory works for everyone. By utilizing different therapeutic approaches I help you achieve practical and lasting results. Together we can make the necessary connections in order for you to achieve a greater self-understanding. This understanding is not focused on good or bad, right or wrong but on the underlying reasons and beliefs that motivate your behavior. While we can't change difficult situations of the past, we can work together to better understand and resolve the current challenges in your life.
I work with individuals and couples facing a variety of life issues.
Welcome. I have learned that no one theory works for everyone. By utilizing different therapeutic approaches I help you achieve practical and lasting results. Together we can make the necessary connections in order for you to achieve a greater self-understanding. This understanding is not focused on good or bad, right or wrong but on the underlying reasons and beliefs that motivate your behavior. While we can't change difficult situations of the past, we can work together to better understand and resolve the current challenges in your life.
(984) 207-3281 View (984) 207-3281

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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.