Couples Counseling Therapists in Pittsburgh, PA

Photo of Catherine Davin, Licensed Professional Counselor in Pittsburgh, PA
Catherine Davin
Licensed Professional Counselor, MSCP, LPC
Verified Verified
1 Endorsed
Pittsburgh, PA 15206
To me, therapy revolves around establishing a warm, non-judgmental, and trusting relationship.
* Not accepting new clients at this time * Welcome! I know that searching for a therapist and reaching out for help is not easy, congrats on taking the first step. I get it - life can be hard, especially when dealing with depression, anxiety, anger, and other hardships. Mental health difficulties are treatable and healing is possible! I am here to offer you a space where you can safely process emotions and work through life’s difficulties. I can help you gain clarity in your symptoms, transform your unhelpful thinking patterns, unburden self-critical core beliefs, and feel empowered to live your best life.
To me, therapy revolves around establishing a warm, non-judgmental, and trusting relationship.
* Not accepting new clients at this time * Welcome! I know that searching for a therapist and reaching out for help is not easy, congrats on taking the first step. I get it - life can be hard, especially when dealing with depression, anxiety, anger, and other hardships. Mental health difficulties are treatable and healing is possible! I am here to offer you a space where you can safely process emotions and work through life’s difficulties. I can help you gain clarity in your symptoms, transform your unhelpful thinking patterns, unburden self-critical core beliefs, and feel empowered to live your best life.
(412) 274-8283 View (412) 274-8283
Photo of Minniefield Therapeutic Services, LLC, Licensed Professional Counselor in Pittsburgh, PA
Minniefield Therapeutic Services, LLC
Licensed Professional Counselor, LPC
Verified Verified
Pittsburgh, PA 15218  (Online Only)
Minniefield Therapeutic Services,LLC Owned and operated by Pittsburgh native and military veteran, B.Orlando Minniefield, LPC. Licensed and credential therapist with over twenty years in the mental health industry, licensed for over 12 years, with a proven track record of evidenced based effective care for individuals, couples, families and groups. This dynamic service provider will challenge you and support you. You will not feel judged, or feel you are just a number. You will experience the unique service provision that you deserve. We are all unique individuals, and you will get the unique care that your unique needs require.
Minniefield Therapeutic Services,LLC Owned and operated by Pittsburgh native and military veteran, B.Orlando Minniefield, LPC. Licensed and credential therapist with over twenty years in the mental health industry, licensed for over 12 years, with a proven track record of evidenced based effective care for individuals, couples, families and groups. This dynamic service provider will challenge you and support you. You will not feel judged, or feel you are just a number. You will experience the unique service provision that you deserve. We are all unique individuals, and you will get the unique care that your unique needs require.
(412) 214-8889 View (412) 214-8889
Photo of Karen J Stickel, LCSW, BCD, Clinical Social Work/Therapist in Pittsburgh, PA
Karen J Stickel, LCSW, BCD
Clinical Social Work/Therapist, LCSW, BCD, FAPA
Verified Verified
Pittsburgh, PA 15238
I provide effective help for individuals, couples and families, who are seen by scheduled appointment, in a comfortable and confidential private practice environment.
We all deal with changes. Change is inevitable in our lives and you can either manage change and shape it to your advantage, or let those changes manage and shape you. We have the abilities to cope with the changes in our lives. Sometimes we don't realize that we can and feel overwhelmed in dealing with stress. At other times we find ourselves in unexpected or extreme situations for which our normal coping skills are inadequate. Whatever the sources of your stress, the result could be anxious or depressed moods, panic attacks and more.
I provide effective help for individuals, couples and families, who are seen by scheduled appointment, in a comfortable and confidential private practice environment.
We all deal with changes. Change is inevitable in our lives and you can either manage change and shape it to your advantage, or let those changes manage and shape you. We have the abilities to cope with the changes in our lives. Sometimes we don't realize that we can and feel overwhelmed in dealing with stress. At other times we find ourselves in unexpected or extreme situations for which our normal coping skills are inadequate. Whatever the sources of your stress, the result could be anxious or depressed moods, panic attacks and more.
(412) 214-8785 View (412) 214-8785
Photo of Scanlon Counseling & Consulting, LLC, Licensed Professional Counselor in Pittsburgh, PA
Scanlon Counseling & Consulting, LLC
Licensed Professional Counselor, LPC
Verified Verified
3 Endorsed
Pittsburgh, PA 15234
Specialties: marital & divorce issues (including co-parenting counseling) Grief related to life changes (including death), as well as relationship issues; Adoption support (group & individual).
"I prefer to think of my patients and myself as fellow travelers, a term that abolishes distinctions between 'them' (the afflicted) and 'us' (the healers). ... We are all in this together, and there is no therapist and no person immune to the inherent tragedies of existence." (Borrowed from Dr. Irvin Yalom). My practice makes possible the important work of self-evolution & growth in part due to my eclectic approach & focus on the unique matters of every individual. My lived experiences have greatly influenced my desire to partner with my fellow travelers as we do our 'work' and to do so intentionally and mindfully.
Specialties: marital & divorce issues (including co-parenting counseling) Grief related to life changes (including death), as well as relationship issues; Adoption support (group & individual).
"I prefer to think of my patients and myself as fellow travelers, a term that abolishes distinctions between 'them' (the afflicted) and 'us' (the healers). ... We are all in this together, and there is no therapist and no person immune to the inherent tragedies of existence." (Borrowed from Dr. Irvin Yalom). My practice makes possible the important work of self-evolution & growth in part due to my eclectic approach & focus on the unique matters of every individual. My lived experiences have greatly influenced my desire to partner with my fellow travelers as we do our 'work' and to do so intentionally and mindfully.
(412) 330-1676 View (412) 330-1676
Photo of Dominique Flint, Licensed Professional Counselor in Pittsburgh, PA
Dominique Flint
Licensed Professional Counselor, LPC
Verified Verified
Pittsburgh, PA 15222  (Online Only)
Dominique Flint is a Licensed Professional Counselor (LPC) with over 10 years of experience in the behavioral health field. She is excited to work with adults, parents, friends, and couples who are faced to manage unique challenges. Dominique specializes in treating anxiety, trauma, relationship issues, parenting issues, stress management, women's issues, racial/ethnic challenges, boundary setting and assertiveness skills, and emotional intelligence.
Dominique Flint is a Licensed Professional Counselor (LPC) with over 10 years of experience in the behavioral health field. She is excited to work with adults, parents, friends, and couples who are faced to manage unique challenges. Dominique specializes in treating anxiety, trauma, relationship issues, parenting issues, stress management, women's issues, racial/ethnic challenges, boundary setting and assertiveness skills, and emotional intelligence.
(412) 387-6576 View (412) 387-6576
Photo of Lee Jacobs Riggs, Licensed Professional Counselor in Pittsburgh, PA
Lee Jacobs Riggs
Licensed Professional Counselor, LPC-PA, LCPC-IL
Verified Verified
Pittsburgh, PA 15221  (Online Only)
In my individual, couples, and family work, values of collaboration, mutuality, and connection guide my practice. I partner with clients to identify their own unique strengths that can be used as resources to foster growth and change. I am attentive to the role of early family experiences, cultural values, oppression, and stigma in shaping client's experiences. Particularly when addressing painful or traumatic areas, I attend to clients' emotional safety using mindfulness and body awareness. I believe that healing happens in the context of honest relationships and invite my clients to engage in open dialog about our work together.
In my individual, couples, and family work, values of collaboration, mutuality, and connection guide my practice. I partner with clients to identify their own unique strengths that can be used as resources to foster growth and change. I am attentive to the role of early family experiences, cultural values, oppression, and stigma in shaping client's experiences. Particularly when addressing painful or traumatic areas, I attend to clients' emotional safety using mindfulness and body awareness. I believe that healing happens in the context of honest relationships and invite my clients to engage in open dialog about our work together.
(412) 968-8191 View (412) 968-8191
Photo of Stephanie Dooley, Licensed Professional Counselor in Pittsburgh, PA
Stephanie Dooley
Licensed Professional Counselor, MHC, LPC
Verified Verified
1 Endorsed
Pittsburgh, PA 15217
With couples, we begin by defining goals, which can range from managing a break-up effectively to repairing a relationship in distress, and anything in between.
Here at Sidework Psychotherapy, I seek to provide a compassionate and respectful environment for my clients. I believe people have the capacity within themselves to bring about positive change in their lives; my role is to help facilitate this. While my therapy style is inquisitive and non-judgmental, I am also direct and honest, challenging my clients to make significant, lasting, meaningful change in their lives.
With couples, we begin by defining goals, which can range from managing a break-up effectively to repairing a relationship in distress, and anything in between.
Here at Sidework Psychotherapy, I seek to provide a compassionate and respectful environment for my clients. I believe people have the capacity within themselves to bring about positive change in their lives; my role is to help facilitate this. While my therapy style is inquisitive and non-judgmental, I am also direct and honest, challenging my clients to make significant, lasting, meaningful change in their lives.
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Photo of Kayla Harris, Pre-Licensed Professional in Pittsburgh, PA
Kayla Harris
Pre-Licensed Professional, MS, NCC
Verified Verified
1 Endorsed
Pittsburgh, PA 15206  (Online Only)
Health is Wealth! Mental clarity and peace are among the greatest values and gifts we can offer ourselves. We can explore areas in your life where you feel like you can grow in, while safely navigating through the traumatic experiences and challenges that have caused cracks in your foundation. This is your time to reclaim your narrative and write the story you want for yourself! I believe in the resilience that exists within all of us and the healing power of the therapeutic relationship. I am dedicated to understanding my clients' unique and multi-faceted identities and experiences as well as cultivating their strengths.
Health is Wealth! Mental clarity and peace are among the greatest values and gifts we can offer ourselves. We can explore areas in your life where you feel like you can grow in, while safely navigating through the traumatic experiences and challenges that have caused cracks in your foundation. This is your time to reclaim your narrative and write the story you want for yourself! I believe in the resilience that exists within all of us and the healing power of the therapeutic relationship. I am dedicated to understanding my clients' unique and multi-faceted identities and experiences as well as cultivating their strengths.
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Photo of Rachel Kolman, Clinical Social Work/Therapist in Pittsburgh, PA
Rachel Kolman
Clinical Social Work/Therapist, LMSW
Verified Verified
Pittsburgh, PA 15203
It can be overwhelming to grapple with anxiety, depression, relationship struggles, and the countless stressors that come with everyday life. If you're yearning for relief, clarity, and empowerment, I'm here to walk alongside you on your journey. My practice is founded on the principles of compassion, understanding, and respect for your unique experiences and perspectives. Together, we can explore the underlying factors contributing to your distress, develop coping strategies tailored to your needs, and work towards creating positive changes in your life.
It can be overwhelming to grapple with anxiety, depression, relationship struggles, and the countless stressors that come with everyday life. If you're yearning for relief, clarity, and empowerment, I'm here to walk alongside you on your journey. My practice is founded on the principles of compassion, understanding, and respect for your unique experiences and perspectives. Together, we can explore the underlying factors contributing to your distress, develop coping strategies tailored to your needs, and work towards creating positive changes in your life.
(412) 547-8095 View (412) 547-8095
Photo of Melissa Morris, Licensed Professional Counselor in Pittsburgh, PA
Melissa Morris
Licensed Professional Counselor, LPC
Verified Verified
Pittsburgh, PA 15220
I work with adults, couples, and families to identify patterns and responses that are no longer serving them.
When you find yourself or your family in a time of crisis or high-conflict, extra support and understanding from a therapist can be a great place to start. Your attachment style and/or trauma can have a major impact on the relationships you have with yourself, your family, your friends, and your children. Trauma can have long-reaching effects that can be hard to recognize. It can be difficult to know where to start. When you can understand the “why,” of your thoughts and feelings, it can become the starting point for the change you want to see in your life.
I work with adults, couples, and families to identify patterns and responses that are no longer serving them.
When you find yourself or your family in a time of crisis or high-conflict, extra support and understanding from a therapist can be a great place to start. Your attachment style and/or trauma can have a major impact on the relationships you have with yourself, your family, your friends, and your children. Trauma can have long-reaching effects that can be hard to recognize. It can be difficult to know where to start. When you can understand the “why,” of your thoughts and feelings, it can become the starting point for the change you want to see in your life.
(412) 981-2888 View (412) 981-2888
Photo of Jennifer Candelario, Licensed Professional Counselor in Pittsburgh, PA
Jennifer Candelario
Licensed Professional Counselor, LPC
Verified Verified
Pittsburgh, PA 15203
My primary focus areas include life transitions, depression, anxiety, coping skills development, substance use, and relationship issues.
Are you struggling with difficult life transitions, depression, & anxiety? I enjoy working with clients who feel motivated to take that first step of exploring reasons why they are feeling unhappy or dissatisfied with their lives right now. I work with clients who want to gain insight & learn tangible skills that they can practice outside of the therapeutic sessions to change their lives for the better. My role as a Licensed Professional Counselor is to help individuals gain insight and feel empowered to create positive change in their lives. I offer a collaborative approach to create a unique treatment plan tailored to your needs.
My primary focus areas include life transitions, depression, anxiety, coping skills development, substance use, and relationship issues.
Are you struggling with difficult life transitions, depression, & anxiety? I enjoy working with clients who feel motivated to take that first step of exploring reasons why they are feeling unhappy or dissatisfied with their lives right now. I work with clients who want to gain insight & learn tangible skills that they can practice outside of the therapeutic sessions to change their lives for the better. My role as a Licensed Professional Counselor is to help individuals gain insight and feel empowered to create positive change in their lives. I offer a collaborative approach to create a unique treatment plan tailored to your needs.
(412) 850-4977 View (412) 850-4977
Photo of Mary C Ringgold in Pittsburgh, PA
Mary C Ringgold
MS
Verified Verified
1 Endorsed
Pittsburgh, PA 15206  (Online Only)
My approach to Psychotherapy is warm, inviting, and strength based. I believe that each individual has a unique journey and story that needs to be told. My goal is to foster a safe and trusting therapeutic relationship that will allow for those individuals to tell their story in a safe and welcoming environment, without the fear or worry of being judged. I utilize Cognitive Behavioral Therapy, as well as Person Centered Therapy to incorporate an environment of humor and all around feeling of comfort, about the changes being made in one's life with each completed goal.
My approach to Psychotherapy is warm, inviting, and strength based. I believe that each individual has a unique journey and story that needs to be told. My goal is to foster a safe and trusting therapeutic relationship that will allow for those individuals to tell their story in a safe and welcoming environment, without the fear or worry of being judged. I utilize Cognitive Behavioral Therapy, as well as Person Centered Therapy to incorporate an environment of humor and all around feeling of comfort, about the changes being made in one's life with each completed goal.
(878) 217-0628 View (878) 217-0628
Photo of Alissa Klugh, Licensed Professional Counselor in Pittsburgh, PA
Alissa Klugh
Licensed Professional Counselor, MS, LPC, CIMHP, CCTP-II, CTMH
Verified Verified
1 Endorsed
Pittsburgh, PA 15237  (Online Only)
I help adolescents, families, individuals, couples, and adults, find healthy perceptions of themselves, strengthen relationships, improve communication/interactions, and find guidance so that they can feel complete, hopeful, and at peace. I provide an eclectic compilation of what works best for each client. With 16+ years of experience in the field, I’ve worked with clients struggling with depression, anxiety, mood disorders, anger, self-improvement, co-parenting, couples counseling, working through major life stressors, trauma, and helping them find a new path.
I help adolescents, families, individuals, couples, and adults, find healthy perceptions of themselves, strengthen relationships, improve communication/interactions, and find guidance so that they can feel complete, hopeful, and at peace. I provide an eclectic compilation of what works best for each client. With 16+ years of experience in the field, I’ve worked with clients struggling with depression, anxiety, mood disorders, anger, self-improvement, co-parenting, couples counseling, working through major life stressors, trauma, and helping them find a new path.
(878) 444-2916 View (878) 444-2916
Photo of Molly Maureen Alvord, Clinical Social Work/Therapist in Pittsburgh, PA
Molly Maureen Alvord
Clinical Social Work/Therapist, LCSW
Verified Verified
Pittsburgh, PA 15222  (Online Only)
Molly Alvord is a Licensed Clinical Social Worker (LCSW) in Pennsylvania and Maryland with over 17 years of experience. Working in a variety of settings, Molly has had the pleasure of helping people of all ages and backgrounds by providing individual, couples, family, and group therapy. Her specialties include anxiety, stress, depression, and relationship issues. She earned her Masters of Social Work at the University of Maryland, Baltimore, School of Social Work.
Molly Alvord is a Licensed Clinical Social Worker (LCSW) in Pennsylvania and Maryland with over 17 years of experience. Working in a variety of settings, Molly has had the pleasure of helping people of all ages and backgrounds by providing individual, couples, family, and group therapy. Her specialties include anxiety, stress, depression, and relationship issues. She earned her Masters of Social Work at the University of Maryland, Baltimore, School of Social Work.
(412) 207-3627 View (412) 207-3627
Photo of Lenka Sarzynski, Licensed Professional Counselor in Pittsburgh, PA
Lenka Sarzynski
Licensed Professional Counselor, MEd , LPC
Verified Verified
Pittsburgh, PA 15203
My specialty lies in addressing anxiety, depression, & relationship dynamics.
Are you seeking support in navigating life’s transitions, managing stress, and enhancing overall well-being? Do you yearn for a space where you can freely express yourself and develop coping strategies? Your goal may be cultivating resilience, building self-awareness, and fostering healthier connections with others. I offer a collaborative therapeutic relationship to explore your challenges and embrace personal growth.
My specialty lies in addressing anxiety, depression, & relationship dynamics.
Are you seeking support in navigating life’s transitions, managing stress, and enhancing overall well-being? Do you yearn for a space where you can freely express yourself and develop coping strategies? Your goal may be cultivating resilience, building self-awareness, and fostering healthier connections with others. I offer a collaborative therapeutic relationship to explore your challenges and embrace personal growth.
(412) 850-2561 View (412) 850-2561
Photo of Gina Veschio, Licensed Professional Counselor in Pittsburgh, PA
Gina Veschio
Licensed Professional Counselor, MSEd, LPC
Verified Verified
Pittsburgh, PA 15229  (Online Only)
I lead always with compassion, and care deeply about cultivating an authentic relationship with my clients.
When we feel stuck with our uncomfortable feelings or overwhelming circumstances, therapy can help us discover options to shift into something new. I strive to help clients identify and meet their needs in a healthier way, set appropriate boundaries, navigate crises without destruction, and feel supported when ending or beginning a relationship, career or life stage. I believe that we are all impacted by our families of origin (and honestly, almost anyone and anything around us), but that doesn’t mean we need to be held hostage by the past OR the present. Your feelings matter. You matter. Let's work together on getting unstuck.
I lead always with compassion, and care deeply about cultivating an authentic relationship with my clients.
When we feel stuck with our uncomfortable feelings or overwhelming circumstances, therapy can help us discover options to shift into something new. I strive to help clients identify and meet their needs in a healthier way, set appropriate boundaries, navigate crises without destruction, and feel supported when ending or beginning a relationship, career or life stage. I believe that we are all impacted by our families of origin (and honestly, almost anyone and anything around us), but that doesn’t mean we need to be held hostage by the past OR the present. Your feelings matter. You matter. Let's work together on getting unstuck.
(412) 561-9566 View (412) 561-9566
Photo of Luisa Bonavita, Clinical Social Work/Therapist in Pittsburgh, PA
Luisa Bonavita
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Pittsburgh, PA 15238
I am a licensed clinical social worker with many years of practice experience. My background includes working with individuals, couples, and families affected by depression, anxiety, bipolar disorder, stress, relationship conflicts, drug and alcohol problems, and other mental health issues. I have a particular interest in women's mental health issues including but not limited to, perinatal and postpartum mental health concerns.
I am a licensed clinical social worker with many years of practice experience. My background includes working with individuals, couples, and families affected by depression, anxiety, bipolar disorder, stress, relationship conflicts, drug and alcohol problems, and other mental health issues. I have a particular interest in women's mental health issues including but not limited to, perinatal and postpartum mental health concerns.
(412) 417-9163 View (412) 417-9163
Photo of Margaret Ann Deverin, Clinical Social Work/Therapist in Pittsburgh, PA
Margaret Ann Deverin
Clinical Social Work/Therapist, MSW, LCSW, LLC
Verified Verified
1 Endorsed
Pittsburgh, PA 15241  (Online Only)
I work with individuals, couples and families.
Witnessing positive change in my clients has provided not only professional joy, but unflagging belief in the benefit of psychotherapy as a catalyst for personal growth. Investment in self can bring great personal and professional rewards. I am ready to work with clients who are seeking to identify key areas, issues or goals in their lives that will support recovery, relief and new insights into life's many confounding challenges. Optimizing my clients' potential is my primary focus.
I work with individuals, couples and families.
Witnessing positive change in my clients has provided not only professional joy, but unflagging belief in the benefit of psychotherapy as a catalyst for personal growth. Investment in self can bring great personal and professional rewards. I am ready to work with clients who are seeking to identify key areas, issues or goals in their lives that will support recovery, relief and new insights into life's many confounding challenges. Optimizing my clients' potential is my primary focus.
(412) 307-3671 View (412) 307-3671
Photo of Kathleen A Brenckle, Clinical Social Work/Therapist in Pittsburgh, PA
Kathleen A Brenckle
Clinical Social Work/Therapist, MSW, LCSW, CST, CCTP
Verified Verified
Pittsburgh, PA 15212
Do you feel invisible? Has life lost it's zest? Do you feel like you and your spouse can't communicate? Are you talking about the same things over and over again and not getting anywhere? It is never too late to look at areas of your life that create significant stress and make a change; or take a troubled relationship and turn it into a healthy, loving, supportive union. I have had great success helping individuals & couples identify and resolve persistent issues helping them live the life they want. My passion is to motivate you to realize your full potential and achieve your dreams.
Do you feel invisible? Has life lost it's zest? Do you feel like you and your spouse can't communicate? Are you talking about the same things over and over again and not getting anywhere? It is never too late to look at areas of your life that create significant stress and make a change; or take a troubled relationship and turn it into a healthy, loving, supportive union. I have had great success helping individuals & couples identify and resolve persistent issues helping them live the life they want. My passion is to motivate you to realize your full potential and achieve your dreams.
(724) 479-7929 View (724) 479-7929
Photo of Mindful Matters Counseling Group, Licensed Professional Counselor in Pittsburgh, PA
Mindful Matters Counseling Group
Licensed Professional Counselor, MS, LPC, NCC, ICGC-I
Verified Verified
2 Endorsed
Pittsburgh, PA 15228
Life can leave you feeling stuck or overwhelmed at times. Sometimes one may feel generally dissatisfied with life and wanting more, if any of these are you...you are not alone. Depression, hopelessness, relationship problems, loss, domestic/sexual violence, sexual abuse, and addiction are just a few of the issues that bring people into counseling. Confronting these realities can be a daunting task. Counseling and the therapeutic relationship can help individuals address these adversities, transcend negative emotions and heal. I've learned that a safe and trusting therapeutic relationship is the foundation to combating negative emotions such as; sadness, guilt, shame, anxiety, hurt, and hopelessness.
Life can leave you feeling stuck or overwhelmed at times. Sometimes one may feel generally dissatisfied with life and wanting more, if any of these are you...you are not alone. Depression, hopelessness, relationship problems, loss, domestic/sexual violence, sexual abuse, and addiction are just a few of the issues that bring people into counseling. Confronting these realities can be a daunting task. Counseling and the therapeutic relationship can help individuals address these adversities, transcend negative emotions and heal. I've learned that a safe and trusting therapeutic relationship is the foundation to combating negative emotions such as; sadness, guilt, shame, anxiety, hurt, and hopelessness.
(412) 357-4035 View (412) 357-4035
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.