Photo of Melissa Bagnato - Catholic Charities Family & Community Outreach CTR, LPCC-S, IMFT-S, Counselor
Catholic Charities Family & Community Outreach CTR
Counselor, LPCC-S, IMFT-S
Verified Verified
Akron, OH 44310
Catholic Charities Family and Community Outreach Center serves families, couples, and individuals of all ages with mental health, relationship, and substance use issues. We take a holistic and person centered approach to meet the needs of each person and family we serve. We collaborate extensively with other community agencies, hospitals, and residential programs to provide the most complete services possible. We strive to give each individual, couple, and family the health and happiness they seek!
Catholic Charities Family and Community Outreach Center serves families, couples, and individuals of all ages with mental health, relationship, and substance use issues. We take a holistic and person centered approach to meet the needs of each person and family we serve. We collaborate extensively with other community agencies, hospitals, and residential programs to provide the most complete services possible. We strive to give each individual, couple, and family the health and happiness they seek!
(330) 859-4454 View (330) 859-4454
Photo of Rebecca Collins, LISW-S, Clinical Social Work/Therapist
Rebecca Collins
Clinical Social Work/Therapist, LISW-S
Verified Verified
1 Endorsed
Columbus, OH 43214  (Online Only)
I specialize in women's sexual health, relationship issues, anxiety, job related stress, life transitions, and the impacts of trauma, injury, and illness. I view the therapeutic relationship as a collaborative partnership and my goal is to create a supportive environment of trust and acceptance. I practice an insight-oriented and psychodynamic approach, meaning that the past informs the present and can create unconscious patterns of thought and behavior. Once we have awareness of how our experiences impact our lives, healing can begin.
I specialize in women's sexual health, relationship issues, anxiety, job related stress, life transitions, and the impacts of trauma, injury, and illness. I view the therapeutic relationship as a collaborative partnership and my goal is to create a supportive environment of trust and acceptance. I practice an insight-oriented and psychodynamic approach, meaning that the past informs the present and can create unconscious patterns of thought and behavior. Once we have awareness of how our experiences impact our lives, healing can begin.
(614) 808-0225 View (614) 808-0225
Photo of Darcy Jack, MA, LPCC, Counselor
Darcy Jack
Counselor, MA, LPCC
Verified Verified
Cincinnati, OH 45206
As a certified Imago relationship therapist, Darcy has extensive training beyond her counseling license to understand what makes intimate relationships so challenging and why that's actually good news.
In a supportive atmosphere, Darcy assists clients through challenges to create the relationships they long for. Learning to see troubling differences as opportunities to grow, clients develop skills that improve all relationships, with partners/spouses, family, children, friends, colleagues and perhaps most importantly, with themselves. People of all races, ethnicities, ages, spiritual perspectives, sexual and gender expression are warmly welcomed.
As a certified Imago relationship therapist, Darcy has extensive training beyond her counseling license to understand what makes intimate relationships so challenging and why that's actually good news.
In a supportive atmosphere, Darcy assists clients through challenges to create the relationships they long for. Learning to see troubling differences as opportunities to grow, clients develop skills that improve all relationships, with partners/spouses, family, children, friends, colleagues and perhaps most importantly, with themselves. People of all races, ethnicities, ages, spiritual perspectives, sexual and gender expression are warmly welcomed.
(513) 201-7096 View (513) 201-7096
Photo of Cherie Mannino, LISW-S, Clinical Social Work/Therapist
Cherie Mannino
Clinical Social Work/Therapist, LISW-S
Verified Verified
Powell, OH 43065
I have specialized training and experience in Somatic Mind/Body interventions, IMAGO Couples Therapy, Mindfullness Based and Cognitive/Behavioral interventions, Meditation, a certified Yoga instructor for Stress Management and Relaxation, and utilize various forms of Expressive Arts Therapy.
"We have more possibilities available in each moment than we realize." This quote by Thich Nhat Hanh expresses my belief. For over 20 years in the field of Mental Health, it has been my pleasure to accompany others on their journey, working with all issues including relationships, life transitions, stress managment, habits, health, nutrition, grief and loss, anxiety, depression, trauma and spirituality. My perspective is strength-based and views you, a whole person within your unique situation, rather than the typical pathology based medical model of care.
I have specialized training and experience in Somatic Mind/Body interventions, IMAGO Couples Therapy, Mindfullness Based and Cognitive/Behavioral interventions, Meditation, a certified Yoga instructor for Stress Management and Relaxation, and utilize various forms of Expressive Arts Therapy.
"We have more possibilities available in each moment than we realize." This quote by Thich Nhat Hanh expresses my belief. For over 20 years in the field of Mental Health, it has been my pleasure to accompany others on their journey, working with all issues including relationships, life transitions, stress managment, habits, health, nutrition, grief and loss, anxiety, depression, trauma and spirituality. My perspective is strength-based and views you, a whole person within your unique situation, rather than the typical pathology based medical model of care.
(614) 618-3564 View (614) 618-3564
Photo of Kristyn Wolf, MSEd, LPCC-S, CCTP, CSITP, Counselor
Kristyn Wolf
Counselor, MSEd, LPCC-S, CCTP, CSITP
Verified Verified
2 Endorsed
Youngstown, OH 44512
You’re not happy with your sex life. Anxiety, not able to perform as you used to, communication with your sex partner/s, or not feeling good about your body, I’m here to help you find freedom and fulfillment in your sexual life. Together, we’ll learn healthier ways to communicate openly and find the root of sexual issues. There are lots of reasons we experience decreased sexual connection - we get busy, we get bored, and we experience sexual traumas. Sex is a crucial part of health and wellness, and it’s important to process these things with someone who specializes in these areas.
You’re not happy with your sex life. Anxiety, not able to perform as you used to, communication with your sex partner/s, or not feeling good about your body, I’m here to help you find freedom and fulfillment in your sexual life. Together, we’ll learn healthier ways to communicate openly and find the root of sexual issues. There are lots of reasons we experience decreased sexual connection - we get busy, we get bored, and we experience sexual traumas. Sex is a crucial part of health and wellness, and it’s important to process these things with someone who specializes in these areas.
(330) 859-4494 View (330) 859-4494
Photo of Rosalind R Smith, MA, LPCC-S
Rosalind R Smith
Licensed Professional Clinical Counselor, MA, LPCC-S
Verified Verified
3 Endorsed
Cincinnati, OH 45255
Feeling overwhelmed? There is hope! My passion is to help couples and individuals heal from emotional pain and trauma. You will receive a personalized counseling experience tailored to help support you as you work towards identifying and removing barriers that are negatively impacting the quality of your life and relationships.
Feeling overwhelmed? There is hope! My passion is to help couples and individuals heal from emotional pain and trauma. You will receive a personalized counseling experience tailored to help support you as you work towards identifying and removing barriers that are negatively impacting the quality of your life and relationships.
(513) 813-5376 View (513) 813-5376
Photo of Amy Shevrin - Amy Shevrin, LISW-S, LISW-S, Clinical Social Work/Therapist
Amy Shevrin, LISW-S
Clinical Social Work/Therapist, LISW-S
Verified Verified
Columbus, OH 43209
Whether it's stress, depression, anxiety, life transitions, relationship or family concerns, the emotional toll of an illness or a trauma, I have a strong record of helping my clients achieve their mental health goals. I am eager to support your efforts to move forward, address your challenges, and lead a fuller life. Sometimes we feel stuck in our lives. It takes courage to admit that everything we have tried to get ourselves unstuck has not worked. It also takes courage to contact a therapist for the first time, or if you have been in counseling before, trying it again.
Whether it's stress, depression, anxiety, life transitions, relationship or family concerns, the emotional toll of an illness or a trauma, I have a strong record of helping my clients achieve their mental health goals. I am eager to support your efforts to move forward, address your challenges, and lead a fuller life. Sometimes we feel stuck in our lives. It takes courage to admit that everything we have tried to get ourselves unstuck has not worked. It also takes courage to contact a therapist for the first time, or if you have been in counseling before, trying it again.
(614) 450-1964 View (614) 450-1964
Photo of Iten Elyassaki, MA, LPCC, Counselor
Iten Elyassaki
Counselor, MA, LPCC
Verified Verified
Cincinnati, OH 45219  (Online Only)
Waitlist for new clients
I am a compassionate Licensed Professional Counselor experienced in serving many clients with diverse needs. I believe each individual is unique and I want to welcome you to a world of new possibilities. I work with children, adolescents, and adults needing support with navigating life stage transitions, stress management, relationship challenges, self-esteem, behavioral issues, trauma, marital discord, infidelity, parenting difficulties, grief, and addictions. Likewise, I work with those struggling with anxiety, depression and a variety of mood, personality & mental health disorders.
I am a compassionate Licensed Professional Counselor experienced in serving many clients with diverse needs. I believe each individual is unique and I want to welcome you to a world of new possibilities. I work with children, adolescents, and adults needing support with navigating life stage transitions, stress management, relationship challenges, self-esteem, behavioral issues, trauma, marital discord, infidelity, parenting difficulties, grief, and addictions. Likewise, I work with those struggling with anxiety, depression and a variety of mood, personality & mental health disorders.
(513) 952-8826 View (513) 952-8826
Photo of Connie Weil, LISW, Clinical Social Work/Therapist
Connie Weil
Clinical Social Work/Therapist, LISW
Verified Verified
1 Endorsed
Chagrin Falls, OH 44023
If you have a relationship challenge, you have come to the right place. Whether you are struggling with your marriage, an adolescent child, a parent, sibling or even a friend or work colleague; you can sort it out with me. I can support a family that is divorcing to have the most healthy transition. I work with individual issues that effect relationships such as anxiety disorders, current and past abuse, along with the full range of adolescent struggles.
If you have a relationship challenge, you have come to the right place. Whether you are struggling with your marriage, an adolescent child, a parent, sibling or even a friend or work colleague; you can sort it out with me. I can support a family that is divorcing to have the most healthy transition. I work with individual issues that effect relationships such as anxiety disorders, current and past abuse, along with the full range of adolescent struggles.
(216) 452-7302 View (216) 452-7302
Photo of Karen (Michan) Baum, MA, LPCC-S, Counselor
Karen (Michan) Baum
Counselor, MA, LPCC-S
Verified Verified
Findlay, OH 45840  (Online Only)
I am so thankful to have had the opportunity to work with many individuals and couples.
I think I know why you are here. You are looking at my profile so I would bet you feel anxious, frustrated, maybe like you are “going crazy”! You are always stressed out and cannot shut your mind down. Maybe you are having difficulties with your partner. They just do not “hear” you! Sex is not what it used to be. All you do is argue and when you argue you do not accomplish anything except hurting each other. I get it! One good thing is you are trying to get help. The other good thing is I can help you. Give me a call or text 419.277.4355.
I am so thankful to have had the opportunity to work with many individuals and couples.
I think I know why you are here. You are looking at my profile so I would bet you feel anxious, frustrated, maybe like you are “going crazy”! You are always stressed out and cannot shut your mind down. Maybe you are having difficulties with your partner. They just do not “hear” you! Sex is not what it used to be. All you do is argue and when you argue you do not accomplish anything except hurting each other. I get it! One good thing is you are trying to get help. The other good thing is I can help you. Give me a call or text 419.277.4355.
(419) 670-6123 View (419) 670-6123
Photo of Corie Putnam - Putnam Counseling, LMHC, LPC-S, LPCC, CCTP
Putnam Counseling
Licensed Professional Clinical Counselor , LMHC, LPC-S, LPCC, CCTP
Verified Verified
1 Endorsed
Beavercreek, OH 45430
My specialties include individual counseling, military life, trauma/PTSD , premarital counseling, and marriage/couples counseling.
When a difficult situation crops up in life, we often feel like we are alone in our struggles. I am here to tell you that you are not alone, and it is ok to reach out. After months or even years of living with stress, anxiety, PTSD, or a marriage that is no longer serving your needs, it is easy to feel hopeless. I can give you the skills that you need to get through this challenging time. I am here to teach, help, encourage, and empower you to take back your life. There is always hope!
My specialties include individual counseling, military life, trauma/PTSD , premarital counseling, and marriage/couples counseling.
When a difficult situation crops up in life, we often feel like we are alone in our struggles. I am here to tell you that you are not alone, and it is ok to reach out. After months or even years of living with stress, anxiety, PTSD, or a marriage that is no longer serving your needs, it is easy to feel hopeless. I can give you the skills that you need to get through this challenging time. I am here to teach, help, encourage, and empower you to take back your life. There is always hope!
(937) 705-6040 View (937) 705-6040
Photo of Melissa E Bagnato, LPCC-S, IMFT-S, Marriage & Family Therapist
Melissa E Bagnato
Marriage & Family Therapist, LPCC-S, IMFT-S
Verified Verified
Akron, OH 44310
I use my training in Marriage and Family therapy to help couples/families increase their relationship satisfaction and their emotional well being.
I know life can be difficult at times. I want to help you find a sense of peace and well being. I enjoy treating couples/families that are dealing with conflict and/or trust and communication issues. I also assist women that are experiencing emotional issues and/or have experienced past trauma. I use a combination of emotional support, understanding, and empathy to assist with inner turmoil and relationship repairs. I hope to assist clients with finding a healthy balance between self-love and relationship health. I work for Catholic Charities, but I am not a faith based therapist. All clients, beliefs, and struggles are welcome!
I use my training in Marriage and Family therapy to help couples/families increase their relationship satisfaction and their emotional well being.
I know life can be difficult at times. I want to help you find a sense of peace and well being. I enjoy treating couples/families that are dealing with conflict and/or trust and communication issues. I also assist women that are experiencing emotional issues and/or have experienced past trauma. I use a combination of emotional support, understanding, and empathy to assist with inner turmoil and relationship repairs. I hope to assist clients with finding a healthy balance between self-love and relationship health. I work for Catholic Charities, but I am not a faith based therapist. All clients, beliefs, and struggles are welcome!
(330) 752-4751 View (330) 752-4751
Photo of Gretchen S Buckles, LISW, Clinical Social Work/Therapist
Gretchen S Buckles
Clinical Social Work/Therapist, LISW
Verified Verified
Columbus, OH 43212
I have training in Gestalt therapy, Mediation, Imago relationship therapy, and Gottman Method (level I).
For over 20 years, I have tried to create a warm, compassionate and non-judgmental atmosphere in which to address mood disorders, couples' issues, self-esteem, and work and life stress issues. I use a problem solving approach that focuses on strengths.
I have training in Gestalt therapy, Mediation, Imago relationship therapy, and Gottman Method (level I).
For over 20 years, I have tried to create a warm, compassionate and non-judgmental atmosphere in which to address mood disorders, couples' issues, self-esteem, and work and life stress issues. I use a problem solving approach that focuses on strengths.
(614) 664-6013 View (614) 664-6013
Photo of Amy (Amie) Berger, MA, LPC, LCDCIII, Licensed Professional Counselor
Amy (Amie) Berger
Licensed Professional Counselor, MA, LPC, LCDCIII
Verified Verified
Cincinnati, OH 45244
Not every therapist is for a client and not every client for a therapist. The Client-Clinician relationship is of greatest importance. I work with a variety of populations, presenting issues, and within different realms of interventions and theories. It is not a one shoe fits all. I meet the client where they are and work accordingly. Now that is not to say I do not nudge gently with a soft challenge. If I didn't I would not be doing my work, nor the service you (and everyone) deserves! I utilize animals within therapy work in sessions.
Not every therapist is for a client and not every client for a therapist. The Client-Clinician relationship is of greatest importance. I work with a variety of populations, presenting issues, and within different realms of interventions and theories. It is not a one shoe fits all. I meet the client where they are and work accordingly. Now that is not to say I do not nudge gently with a soft challenge. If I didn't I would not be doing my work, nor the service you (and everyone) deserves! I utilize animals within therapy work in sessions.
(513) 866-7093 View (513) 866-7093
Photo of Delilah Grayer, MA, LPCCS-, Counselor
Delilah Grayer
Counselor, MA, LPCCS-
Verified Verified
1 Endorsed
Euclid, OH 44123
Are you and your partner struggling with effective communication? Has infidelity put a strain in your relationship? Have you experienced bouts of depression that impact your life seasonally or all the time? Are you ready for change? What you focus on expands and eventually manifests in your life. We can work on behaviors surrounding the cycles of depression, relationships, anxiety and grief with the goal of building a less stressful life. Treatments and interventions include working through childhood wounds and other unresolved issues to help you feel less broken.
Are you and your partner struggling with effective communication? Has infidelity put a strain in your relationship? Have you experienced bouts of depression that impact your life seasonally or all the time? Are you ready for change? What you focus on expands and eventually manifests in your life. We can work on behaviors surrounding the cycles of depression, relationships, anxiety and grief with the goal of building a less stressful life. Treatments and interventions include working through childhood wounds and other unresolved issues to help you feel less broken.
(216) 930-2492 View (216) 930-2492
Photo of Karen Nelson - Karen L Nelson Counseling, LLC, LPCC-S, CEAP, LICDC, Counselor
Karen L Nelson Counseling, LLC
Counselor, LPCC-S, CEAP, LICDC
Verified Verified
1 Endorsed
Dayton, OH 45429  (Online Only)
For 33 years it has been my privilege to serve individuals and couples as they reshape difficult patterns, expand and strengthen relationship skills, and effectively resolve their concerns.
Insurance accepted for individuals through Headway. Welcome. People choose to speak with a counselor for many reasons. Perhaps one of these following reasons describes you: -I want to feel better -I keep repeating patterns that aren't good for me or my loved ones -We are struggling and considering marriage counseling -We want support for amicably redefining our relationship -I over-react and that is causing problems -I am grieving and my world has changed -I can’t get over something Does this describe you? If you want to explore what is possible, I invite you to be in touch.
For 33 years it has been my privilege to serve individuals and couples as they reshape difficult patterns, expand and strengthen relationship skills, and effectively resolve their concerns.
Insurance accepted for individuals through Headway. Welcome. People choose to speak with a counselor for many reasons. Perhaps one of these following reasons describes you: -I want to feel better -I keep repeating patterns that aren't good for me or my loved ones -We are struggling and considering marriage counseling -We want support for amicably redefining our relationship -I over-react and that is causing problems -I am grieving and my world has changed -I can’t get over something Does this describe you? If you want to explore what is possible, I invite you to be in touch.
(937) 702-3281 View (937) 702-3281
Photo of Kira Hayes - Queer Owned & Staffed - Affirming Pathways, Marriage & Family Therapist
Queer Owned & Staffed - Affirming Pathways
Marriage & Family Therapist
Verified Verified
2 Endorsed
Columbus, OH 43215
We're here to assist with challenges including, but not limited to, finding your authentic self, navigating gender, sexual/affectional, and relationship diverse minority stressors, disclosures, LGBTQ+ family support, any relational topics, ethical non-monogamy, Kink/BDSM, trauma, Neurodiversity (we have diagnosed clinicians), and more!.
We have -immediate- availability with multiple therapists and pride ourselves in offering free video consults with any of our therapists to help you find the best fit! As a Queer-Owned and staffed group practice, we focus on supporting gender, sexual/affectional, and relationship structure diverse communities (LGBTQ+), including ethical non-monogamy, BDSM/Kink, etc. Our priority is fostering a therapeutic space where everyone feels safe, respected, and truly understood. We deeply value providing knowledgeable and affirming mental healthcare for all individuals, relationships, families, and youth.
We're here to assist with challenges including, but not limited to, finding your authentic self, navigating gender, sexual/affectional, and relationship diverse minority stressors, disclosures, LGBTQ+ family support, any relational topics, ethical non-monogamy, Kink/BDSM, trauma, Neurodiversity (we have diagnosed clinicians), and more!.
We have -immediate- availability with multiple therapists and pride ourselves in offering free video consults with any of our therapists to help you find the best fit! As a Queer-Owned and staffed group practice, we focus on supporting gender, sexual/affectional, and relationship structure diverse communities (LGBTQ+), including ethical non-monogamy, BDSM/Kink, etc. Our priority is fostering a therapeutic space where everyone feels safe, respected, and truly understood. We deeply value providing knowledgeable and affirming mental healthcare for all individuals, relationships, families, and youth.
(740) 273-6555 View (740) 273-6555
Photo of Sherry Barbour - The Couples Couch LLC, MA, IMFT-S, Marriage & Family Therapist
The Couples Couch LLC
Marriage & Family Therapist, MA, IMFT-S
Verified Verified
1 Endorsed
Canal Winchester, OH 43110  (Online Only)
At the Couples Couch, we’re here to support you and your partner in becoming closer, fostering an environment where you both can share your true selves.
Welcome to the Couples Couch, where Derrick and Sherry, a married duo of over 25 years, offer not just couples therapy but a solid foundation for experiencing a fulfilling partnership and self-image. Imagine understanding the negative patterns in your marriage and addressing them with guidance from a certified life coach in Derrick and an Imago-trained marriage and family therapist in Sherry. We firmly believe in the sanctity of marriage and in the belief that you’ve chosen the right person to journey through life with.
At the Couples Couch, we’re here to support you and your partner in becoming closer, fostering an environment where you both can share your true selves.
Welcome to the Couples Couch, where Derrick and Sherry, a married duo of over 25 years, offer not just couples therapy but a solid foundation for experiencing a fulfilling partnership and self-image. Imagine understanding the negative patterns in your marriage and addressing them with guidance from a certified life coach in Derrick and an Imago-trained marriage and family therapist in Sherry. We firmly believe in the sanctity of marriage and in the belief that you’ve chosen the right person to journey through life with.
(380) 234-2156 View (380) 234-2156
Photo of Julie Harris Blitz, MSW, LCSW-C, LISW, Clinical Social Work/Therapist
Julie Harris Blitz
Clinical Social Work/Therapist, MSW, LCSW-C, LISW
Verified Verified
1 Endorsed
Cleveland, OH 44108  (Online Only)
My practice is based less on types of presenting issues and more on some fundamental assumptions about humanity. 1) Any client I work with is doing the best they can in the moment I meet them, 2) all people respond to compassion and understanding, and all people are injured by shaming and 3) two opposing things can be true at the same time, and much of our suffering is an inability to sit with that belief. Whoever you are and whatever your reason for seeking treatment, I will meet you exactly where you are the moment you walk in my virtual door. I consider myself your partner in your journey to find and be your most authentic self.
My practice is based less on types of presenting issues and more on some fundamental assumptions about humanity. 1) Any client I work with is doing the best they can in the moment I meet them, 2) all people respond to compassion and understanding, and all people are injured by shaming and 3) two opposing things can be true at the same time, and much of our suffering is an inability to sit with that belief. Whoever you are and whatever your reason for seeking treatment, I will meet you exactly where you are the moment you walk in my virtual door. I consider myself your partner in your journey to find and be your most authentic self.
(216) 304-3710 View (216) 304-3710
Photo of Leslie Hansen, MA, LPCC-S
Leslie Hansen
Licensed Professional Clinical Counselor, MA, LPCC-S
Verified Verified
2 Endorsed
Powell, OH 43065
Since 2005, I have been privileged to work with adults to help improve communication, heal past traumas, and overcome difficult situations that have created emotional upheaval. Whether you are entering counseling with hopes of restoring a relationship, experiencing a new found sense of confidence, or simply knowing you will be heard, I would be honored to work with you. Through counseling, we work together to develop a plan that will help you overcome your current situation and build a sense of strength and resilience so you know you can face other challenges with greater confidence.
Since 2005, I have been privileged to work with adults to help improve communication, heal past traumas, and overcome difficult situations that have created emotional upheaval. Whether you are entering counseling with hopes of restoring a relationship, experiencing a new found sense of confidence, or simply knowing you will be heard, I would be honored to work with you. Through counseling, we work together to develop a plan that will help you overcome your current situation and build a sense of strength and resilience so you know you can face other challenges with greater confidence.
(614) 344-7596 View (614) 344-7596
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.