Couples Counseling Therapists in Portland, OR

Photo of Caitlyn Trullinger-Dwyer, Pre-Licensed Professional in Portland, OR
Caitlyn Trullinger-Dwyer
Pre-Licensed Professional, MA
Verified Verified
Portland, OR 97219
Waitlist for new clients
There are many types of relationships: romantic, friends, family, and your relationship to yourself. Are you struggling to navigate any of these? Would you like someone to help ground you and establish lasting changes that serve you and those around you? I'm here for that. My practice centers on helping people who feel stuck, whether they have been in therapy before, or are seeking it for the first time. I have a background in neurobiology, and understand that change is always possible. I focus on working with adults across the lifespan, specializing in the LGBTQIA+ community and non-monogamous folks.
There are many types of relationships: romantic, friends, family, and your relationship to yourself. Are you struggling to navigate any of these? Would you like someone to help ground you and establish lasting changes that serve you and those around you? I'm here for that. My practice centers on helping people who feel stuck, whether they have been in therapy before, or are seeking it for the first time. I have a background in neurobiology, and understand that change is always possible. I focus on working with adults across the lifespan, specializing in the LGBTQIA+ community and non-monogamous folks.
(503) 744-7394 View (503) 744-7394
Photo of Olivia Lin, Marriage & Family Therapist Associate in Portland, OR
Olivia Lin
Marriage & Family Therapist Associate
Verified Verified
Portland, OR 97266
Olivia works with young adults, neurodivergent learners, children & adolescents, couples and families, the elderly, and individuals in transition.
Olivia utilizes a holistic, client-centered approach marked by presence and curiosity, honoring people's lived experiences. Trauma sensitivity, socioeconomic awareness, and cultural intersectionality inform her practice. Olivia is committed to fostering a non-judgmental therapeutic environment while exploring the facets of clients' lives that clients wish to navigate. Employing an array of integrated tools and leveraging client strengths, Olivia works collaboratively with individuals, couples, and families, illuminating pathways for personal and systemic growth.
Olivia works with young adults, neurodivergent learners, children & adolescents, couples and families, the elderly, and individuals in transition.
Olivia utilizes a holistic, client-centered approach marked by presence and curiosity, honoring people's lived experiences. Trauma sensitivity, socioeconomic awareness, and cultural intersectionality inform her practice. Olivia is committed to fostering a non-judgmental therapeutic environment while exploring the facets of clients' lives that clients wish to navigate. Employing an array of integrated tools and leveraging client strengths, Olivia works collaboratively with individuals, couples, and families, illuminating pathways for personal and systemic growth.
(503) 300-5176 View (503) 300-5176
Photo of Dr. Sara Aslan, Psychologist in Portland, OR
Dr. Sara Aslan
Psychologist, PhD, MA
Verified Verified
Portland, OR 97219
Waitlist for new clients
I’m Dr. Sara Aslan, PhD, I am a licensed Psychologist, I have been providing therapeutic services to individuals, couples, and families for over 14 years. I am currently providing virtual sessions to adults and adolescents residing in Oregon, Washington, and PSYPACT states; and in-person sessions in the Portland, Oregon area. I began working with Eating Disorders in 2010. I quickly realized that I was also seeing experiences of trauma interfere with my client’s healing processes, and knew learning to adequately treat trauma was something that was imperative to the overall wellbeing of my clients. I began providing trauma
I’m Dr. Sara Aslan, PhD, I am a licensed Psychologist, I have been providing therapeutic services to individuals, couples, and families for over 14 years. I am currently providing virtual sessions to adults and adolescents residing in Oregon, Washington, and PSYPACT states; and in-person sessions in the Portland, Oregon area. I began working with Eating Disorders in 2010. I quickly realized that I was also seeing experiences of trauma interfere with my client’s healing processes, and knew learning to adequately treat trauma was something that was imperative to the overall wellbeing of my clients. I began providing trauma
(971) 251-1514 View (971) 251-1514
Photo of Holly Wigmore, Professional Counselor Associate in Portland, OR
Holly Wigmore
Professional Counselor Associate, MS, NCC
Verified Verified
Portland, OR 97214  (Online Only)
Waitlist for new clients
Looking for a therapist can be overwhelming - especially if you are feeling overwhelmed in the first place! Having a trusting, safe, and nonjudgmental relationship with your therapist is an essential component of the therapy process.
I think of counseling as a journey. Maybe you're not sure what the next steps are to get where you want to go. Perhaps you are feeling a lost, stuck, or unsure of what peak to journey to next. Maybe you've lost reception completely and need help syncing GPS to even find where you are! That's where I come in. As a therapist, I see my role as journeying alongside you on your unique path of self-exploration. I have a backpack of supplies and tools for us to get there but ultimately, it is your journey that we will be on.
Looking for a therapist can be overwhelming - especially if you are feeling overwhelmed in the first place! Having a trusting, safe, and nonjudgmental relationship with your therapist is an essential component of the therapy process.
I think of counseling as a journey. Maybe you're not sure what the next steps are to get where you want to go. Perhaps you are feeling a lost, stuck, or unsure of what peak to journey to next. Maybe you've lost reception completely and need help syncing GPS to even find where you are! That's where I come in. As a therapist, I see my role as journeying alongside you on your unique path of self-exploration. I have a backpack of supplies and tools for us to get there but ultimately, it is your journey that we will be on.
(503) 907-6890 View (503) 907-6890
Photo of Noelle Ferguson, Marriage & Family Therapist in Portland, OR
Noelle Ferguson
Marriage & Family Therapist, MS, LMFT, PMH-C
Verified Verified
Portland, OR 97219
Therapy (and parenting) can be an intimidating and vulnerable process and I am honored and humbled to partner with you in creating the family life that you hope for.
Despite what Instagram, TikTok, or an opinionated in-law may have us believe, none of us are born knowing how to parent, and many of us are actively working on changing intergenerational patterns in our own families in order to better support the growth and development of our children, in essence, reparenting ourselves. This process is a difficult one, and not meant to be done in isolation. Together we can look at how you were parented, how you want to parent, and how to bridge any gaps in between.
Therapy (and parenting) can be an intimidating and vulnerable process and I am honored and humbled to partner with you in creating the family life that you hope for.
Despite what Instagram, TikTok, or an opinionated in-law may have us believe, none of us are born knowing how to parent, and many of us are actively working on changing intergenerational patterns in our own families in order to better support the growth and development of our children, in essence, reparenting ourselves. This process is a difficult one, and not meant to be done in isolation. Together we can look at how you were parented, how you want to parent, and how to bridge any gaps in between.
(503) 461-1025 View (503) 461-1025
Photo of Dan Rubin, Psychologist in Portland, OR
Dan Rubin
Psychologist, PsyD
Verified Verified
Portland, OR 97214  (Online Only)
My approach to therapy is based on mindfulness and self-compassion. Mindfulness teaches us how to be present and self-compassion teaches how to be a friend and ally to ourselves no matter what. I offer a warm and safe relationship, good old fashioned listening, and skills to improve effective communication, managing and learning from emotions, self-acceptance, compassion, and connecting with and living your values. Mindfulness-based therapy is practical, evidence-based, and it works. You don't have to be stuck, overwhelmed, or feel disconnected from your life. You can make positive changes, heal, grow, and thrive.
My approach to therapy is based on mindfulness and self-compassion. Mindfulness teaches us how to be present and self-compassion teaches how to be a friend and ally to ourselves no matter what. I offer a warm and safe relationship, good old fashioned listening, and skills to improve effective communication, managing and learning from emotions, self-acceptance, compassion, and connecting with and living your values. Mindfulness-based therapy is practical, evidence-based, and it works. You don't have to be stuck, overwhelmed, or feel disconnected from your life. You can make positive changes, heal, grow, and thrive.
(503) 894-3068 View (503) 894-3068
Photo of Dr. Chandra Mundon, Psychologist in Portland, OR
Dr. Chandra Mundon
Psychologist, PsyD
Verified Verified
Portland, OR 97232
Everybody deserves a space where they can feel truly seen, heard, and understood without judgment. As a clinical psychologist, I strive to provide therapy that is collaborative, effective, and uniquely tailored to every client. I have extensive training and clinical experience working with clients from all walks of life on a wide range of issues including (but not limited to): depression, anxiety, stress, self-esteem, family-of-origin, cultural identity, codependency, relationships, etc. I also enjoy working with couples (monogamous or non-monogamous) and families.
Everybody deserves a space where they can feel truly seen, heard, and understood without judgment. As a clinical psychologist, I strive to provide therapy that is collaborative, effective, and uniquely tailored to every client. I have extensive training and clinical experience working with clients from all walks of life on a wide range of issues including (but not limited to): depression, anxiety, stress, self-esteem, family-of-origin, cultural identity, codependency, relationships, etc. I also enjoy working with couples (monogamous or non-monogamous) and families.
(503) 343-4306 View (503) 343-4306
Photo of Kristina Barnett, Marriage & Family Therapist Associate in Portland, OR
Kristina Barnett
Marriage & Family Therapist Associate
Verified Verified
1 Endorsed
Portland, OR 97232  (Online Only)
I'm so glad you found me! Whether you are struggling with relationship issues or experiencing anxiety and depression symptoms, I am here to help. Many of our human struggles emerge from troubled connections with significant people in our lives or with ourselves. Together, we will explore and change the patterns in your life that are getting in the way of your peace and well-being by cultivating a sense of safety and healthy boundaries.
I'm so glad you found me! Whether you are struggling with relationship issues or experiencing anxiety and depression symptoms, I am here to help. Many of our human struggles emerge from troubled connections with significant people in our lives or with ourselves. Together, we will explore and change the patterns in your life that are getting in the way of your peace and well-being by cultivating a sense of safety and healthy boundaries.
(503) 461-7367 View (503) 461-7367
Photo of Robin Lieberman, Clinical Social Work/Therapist in Portland, OR
Robin Lieberman
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Portland, OR 97205
More recently, I have combined my life-long passion for painting with my enthusiasm for the healing power of the psychotherapeutic relationship.
I have been practicing psychotherapy in Portland, Oregon for over thirty years. Initially trained as a child and family therapist in the psychodynamic tradition at the University of Michigan, I have since continued to broaden and deepen my experience and skills through further training in and study of Gestalt therapy theory, contemporary psychoanalysis, Collaborative Couple Therapy, anthroposophy, and hatha yoga. Please feel free to check my website for more information on everything I offer.
More recently, I have combined my life-long passion for painting with my enthusiasm for the healing power of the psychotherapeutic relationship.
I have been practicing psychotherapy in Portland, Oregon for over thirty years. Initially trained as a child and family therapist in the psychodynamic tradition at the University of Michigan, I have since continued to broaden and deepen my experience and skills through further training in and study of Gestalt therapy theory, contemporary psychoanalysis, Collaborative Couple Therapy, anthroposophy, and hatha yoga. Please feel free to check my website for more information on everything I offer.
(503) 683-7067 View (503) 683-7067
Photo of Thea Renee Hosford, Clinical Social Work/Therapist in Portland, OR
Thea Renee Hosford
Clinical Social Work/Therapist, LICSW, LCSW, MSW
Verified Verified
Portland, OR 97217
Waitlist for new clients
Are you looking for support? Are you feeling stuck? Reaching out and deciding to seek therapy can be scary. My goal as your therapist is to help you navigate your way through learned negative beliefs about yourself and the world and to begin to build and install healthier ones. I am a Licensed Independent Clinical Social Worker/Therapist with over 25 years of clinical experience working with individuals in the emergency department, ICU, trauma and inpatient settings. My area of focus includes depression, anxiety disorders, relationship/communication issues, grief/loss, mid life/end of life transitions, elder issues, and hospice.
Are you looking for support? Are you feeling stuck? Reaching out and deciding to seek therapy can be scary. My goal as your therapist is to help you navigate your way through learned negative beliefs about yourself and the world and to begin to build and install healthier ones. I am a Licensed Independent Clinical Social Worker/Therapist with over 25 years of clinical experience working with individuals in the emergency department, ICU, trauma and inpatient settings. My area of focus includes depression, anxiety disorders, relationship/communication issues, grief/loss, mid life/end of life transitions, elder issues, and hospice.
(206) 350-5434 View (206) 350-5434
Photo of Esther Berg, Marriage & Family Therapist Associate in Portland, OR
Esther Berg
Marriage & Family Therapist Associate, MA
Verified Verified
2 Endorsed
Portland, OR 97229  (Online Only)
The weight of anxiety, anger, sadness, fear, trauma, and confusion is heavy. Seeking therapy is a brave step towards a happier, healthier life. It's a chance to share your thoughts and feelings, gain valuable insights, and get emotional support for life's challenges. Whether you're dealing with stress, trauma, anxiety, depression, relationship issues, or seeking personal growth, therapy is life changing. It helps you understand yourself, build resilience, and work toward fulfillment. You're not alone, help and hope are here for you.
The weight of anxiety, anger, sadness, fear, trauma, and confusion is heavy. Seeking therapy is a brave step towards a happier, healthier life. It's a chance to share your thoughts and feelings, gain valuable insights, and get emotional support for life's challenges. Whether you're dealing with stress, trauma, anxiety, depression, relationship issues, or seeking personal growth, therapy is life changing. It helps you understand yourself, build resilience, and work toward fulfillment. You're not alone, help and hope are here for you.
(503) 782-6715 View (503) 782-6715
Photo of L. Rebecca Propst, Psychologist in Portland, OR
L. Rebecca Propst
Psychologist, PhD
Verified Verified
Portland, OR 97219  (Online Only)
Life can hurt. Set-backs, emotional pain, social awkwardness, fear of anger, shame or rejection can block that which we desire most-loving nurturing relationships, affirmation from others, and self-valuing. I have been helping individuals and couples better achieve those desires for 40+ years. I bring a long history of a variety of skills to a mutually created process.
Life can hurt. Set-backs, emotional pain, social awkwardness, fear of anger, shame or rejection can block that which we desire most-loving nurturing relationships, affirmation from others, and self-valuing. I have been helping individuals and couples better achieve those desires for 40+ years. I bring a long history of a variety of skills to a mutually created process.
(503) 542-9730 View (503) 542-9730
Photo of Azin Ghoreyshi, Professional Counselor Associate in Portland, OR
Azin Ghoreyshi
Professional Counselor Associate
Verified Verified
Portland, OR 97231  (Online Only)
accepting new clients! My areas of expertise include anxiety, depression, and relationship issues. Are you self-aware, but needing some extra support around understanding your experience and making necessary changes in order to thrive? Are you navigating a challenging relationship, situation or transition? Do you need new tools for self-regulating? My primary objective as a therapist is to establish a nonjudgmental and nurturing environment where I can help you recognize and address the thought patterns and behaviors that may be impeding your progress towards realizing your highest potential.
accepting new clients! My areas of expertise include anxiety, depression, and relationship issues. Are you self-aware, but needing some extra support around understanding your experience and making necessary changes in order to thrive? Are you navigating a challenging relationship, situation or transition? Do you need new tools for self-regulating? My primary objective as a therapist is to establish a nonjudgmental and nurturing environment where I can help you recognize and address the thought patterns and behaviors that may be impeding your progress towards realizing your highest potential.
(503) 743-7330 View (503) 743-7330
Photo of Gregory Maloof, Licensed Professional Counselor in Portland, OR
Gregory Maloof
Licensed Professional Counselor, MA, LPC
Verified Verified
Portland, OR 97206
Hello, My name is Gregory Maloof. I am a Licensed Professional Counselor in Portland, Oregon. I have been working professionally in the mental health and social services field for over 14 years and I have experience working with individuals, couples, and families of all ages. I also have experience supporting clients in a variety of settings, including private practice, home-based services, schools, residential facilities, hospitals, and community mental health centers.
Hello, My name is Gregory Maloof. I am a Licensed Professional Counselor in Portland, Oregon. I have been working professionally in the mental health and social services field for over 14 years and I have experience working with individuals, couples, and families of all ages. I also have experience supporting clients in a variety of settings, including private practice, home-based services, schools, residential facilities, hospitals, and community mental health centers.
(503) 461-8576 View (503) 461-8576
Photo of Sakura Counseling, Licensed Professional Counselor in Portland, OR
Sakura Counseling
Licensed Professional Counselor, LPC, LPC-A, LCSW, QMHP-R, Intern
Verified Verified
Portland, OR 97209  (Online Only)
As a group practice, we have the ability to provide therapy for most issues with specialized areas of Trauma, Social Justice, Multi-cultural concerns, Anxiety, Suicide, Grief and Loss, Domestic Violence, Couples Relationship Repair.
At Sakura Counseling, we aspire to create an environment that is all inclusive and provides a safe space for diversity in all forms to untangle the challenges that have been holding you back from being authentically you. We are collaborative in our approach, holding high regard for your experience in your environment, paying close attention to the many systems of our society that play a part in perpetuating oppression.
As a group practice, we have the ability to provide therapy for most issues with specialized areas of Trauma, Social Justice, Multi-cultural concerns, Anxiety, Suicide, Grief and Loss, Domestic Violence, Couples Relationship Repair.
At Sakura Counseling, we aspire to create an environment that is all inclusive and provides a safe space for diversity in all forms to untangle the challenges that have been holding you back from being authentically you. We are collaborative in our approach, holding high regard for your experience in your environment, paying close attention to the many systems of our society that play a part in perpetuating oppression.
(971) 206-6273 View (971) 206-6273
Photo of Dr. Shaun M. Burns, Psychologist in Portland, OR
Dr. Shaun M. Burns
Psychologist, PhD
Verified Verified
Portland, OR 97213
I am a licensed Psychologist with 17 years of experience treating adults with a variety of emotional, behavioral, and interpersonal difficulties. Treatment I offer focuses on helping people better understand themselves and their emotional patterns, while learning adaptive and constructive ways of coping. In therapy, I develop an interpersonally warm, honest, and collaborative relationship to work toward my patients' goals and help them improve their functioning and life satisfaction. My office is conveniently located in Portland's Laurelhurst neighborhood and numerous free, on-street parking options.
I am a licensed Psychologist with 17 years of experience treating adults with a variety of emotional, behavioral, and interpersonal difficulties. Treatment I offer focuses on helping people better understand themselves and their emotional patterns, while learning adaptive and constructive ways of coping. In therapy, I develop an interpersonally warm, honest, and collaborative relationship to work toward my patients' goals and help them improve their functioning and life satisfaction. My office is conveniently located in Portland's Laurelhurst neighborhood and numerous free, on-street parking options.
(503) 483-6500 View (503) 483-6500
Photo of Nikki Humes, Marriage & Family Therapist in Portland, OR
Nikki Humes
Marriage & Family Therapist, LMFT
Verified Verified
Portland, OR 97215  (Online Only)
I work with couples and individuals who wish to transform their life and relationships.
Clients typically reach out to me when some area of their life is not working well. This could be a new instance of something not working well, or it’s possible that something hasn’t been working well for a very long time. It could be a behavior, a relationship, a job, an attitude, a way of thinking or feeling, or it could be that the ways you used to cope are no longer working or serving you anymore. It’s a painful place to be when the old way doesn’t work anymore but you don’t yet know a new way. Therapy can be a powerful place to learn new tools for engaging in life and relationships that serve you and those around you better.
I work with couples and individuals who wish to transform their life and relationships.
Clients typically reach out to me when some area of their life is not working well. This could be a new instance of something not working well, or it’s possible that something hasn’t been working well for a very long time. It could be a behavior, a relationship, a job, an attitude, a way of thinking or feeling, or it could be that the ways you used to cope are no longer working or serving you anymore. It’s a painful place to be when the old way doesn’t work anymore but you don’t yet know a new way. Therapy can be a powerful place to learn new tools for engaging in life and relationships that serve you and those around you better.
(503) 300-2907 View (503) 300-2907
Photo of Marriage and Relationship Counseling, Marriage & Family Therapist in Portland, OR
Marriage and Relationship Counseling
Marriage & Family Therapist, PhD, LMFT, MA, MBA
Verified Verified
Portland, OR 97232
I am a Relationship Specialist, Licensed Marriage and Family Therapist, and the founder of The Portland Couples Counseling Center.
Hello, my name is Steven Cohn. Since the onset of Covid 19 I am currently conducting all of my couples sessions via teleconferencing. I meet with couples who live anywhere in Oregon, including Bend, Eugene, and Ashland. My clients are reporting that our online sessions feel just as meaningful and productive as our in-office sessions. If love, intimacy, and passion has faded from your relationship, then I'm here to help. Poor communications, financial problems, low sexual desire, blending a family, child rearing, an affair, in-laws, and/or health concerns can slowly erode relationship vitality in even the most loving unions.
I am a Relationship Specialist, Licensed Marriage and Family Therapist, and the founder of The Portland Couples Counseling Center.
Hello, my name is Steven Cohn. Since the onset of Covid 19 I am currently conducting all of my couples sessions via teleconferencing. I meet with couples who live anywhere in Oregon, including Bend, Eugene, and Ashland. My clients are reporting that our online sessions feel just as meaningful and productive as our in-office sessions. If love, intimacy, and passion has faded from your relationship, then I'm here to help. Poor communications, financial problems, low sexual desire, blending a family, child rearing, an affair, in-laws, and/or health concerns can slowly erode relationship vitality in even the most loving unions.
(503) 610-5372 View (503) 610-5372
Photo of Mary J DiOrio, Clinical Social Work/Therapist in Portland, OR
Mary J DiOrio
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Portland, OR 97205  (Online Only)
Modalities I draw from include Cognitive Behavioral Therapy, Emotionally Focused Couples and Individual Therapy and Radically Open Dialectical Behaviour Therapy.
I am currently accepting new clients. Helping people achieve a higher quality life with more joy never gets old. Working with full spectrum eating disorders, ranging from people who are grappling with bulimia, anorexia, binge eating, compulsive/emotional eating, to orthorexia. I address body image concerns by helping clients gain insight in order to develop effective coping mechanisms. My practice includes working with clients experiencing anxiety, depression, difficult life transitions, feeling "stuck" or seeking a higher quality of life, social phobias, and obsessive compulsive issues.
Modalities I draw from include Cognitive Behavioral Therapy, Emotionally Focused Couples and Individual Therapy and Radically Open Dialectical Behaviour Therapy.
I am currently accepting new clients. Helping people achieve a higher quality life with more joy never gets old. Working with full spectrum eating disorders, ranging from people who are grappling with bulimia, anorexia, binge eating, compulsive/emotional eating, to orthorexia. I address body image concerns by helping clients gain insight in order to develop effective coping mechanisms. My practice includes working with clients experiencing anxiety, depression, difficult life transitions, feeling "stuck" or seeking a higher quality of life, social phobias, and obsessive compulsive issues.
(971) 832-9986 View (971) 832-9986
Photo of The Mustard Seed for Counseling, LPC Intern in Portland, OR
The Mustard Seed for Counseling
LPC Intern, MA
Verified Verified
Portland, OR 97215
By visiting this website, you most likely are facing transitions in your life and are aware that you need help. By doing so, you have walked half the way for healing. If you are feeling depressed and stuck, living with anxiety, phobias, traumas, or trapped in addiction to substance or behavior, or living in a turbulent relationship, please, do not be discouraged. Step forward and call for help. Your current situation is not all that you have in your life and you have a lot in your toolbox that you haven't utilized yet. Here I am; ready to help.
By visiting this website, you most likely are facing transitions in your life and are aware that you need help. By doing so, you have walked half the way for healing. If you are feeling depressed and stuck, living with anxiety, phobias, traumas, or trapped in addiction to substance or behavior, or living in a turbulent relationship, please, do not be discouraged. Step forward and call for help. Your current situation is not all that you have in your life and you have a lot in your toolbox that you haven't utilized yet. Here I am; ready to help.
(503) 854-0111 View (503) 854-0111
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.