Couples Counseling Therapists in Johns Island, SC

Photo of Noelle Nevins Counseling LLC, Licensed Professional Counselor in Johns Island, SC
Noelle Nevins Counseling LLC
Licensed Professional Counselor, MA CMHC, LPC, CT & SC
Verified Verified
Johns Island, SC 29455  (Online Only)
If you are ready for a partner to walk with you on a journey to wellness, contact me to discuss virtual therapy from the privacy and convenience of your preferred space.
Are you challenged by a major life transition like launching after a graduation; contemplating career change or divorce; experiencing mid-life review or empty nest syndrome? Do you have difficulty forming or maintaining healthy relationships? Are you overly concerned about what others think or struggle with low self-esteem? Do you find yourself in a chronic state of overwhelm or profound sadness and lack of joy? Life can be difficult and navigating these seasons all on our own can be too much, resulting in paralyzing anxiety and depressive symptoms. You are not alone. It is ok to ask for help and I am at the ready.
If you are ready for a partner to walk with you on a journey to wellness, contact me to discuss virtual therapy from the privacy and convenience of your preferred space.
Are you challenged by a major life transition like launching after a graduation; contemplating career change or divorce; experiencing mid-life review or empty nest syndrome? Do you have difficulty forming or maintaining healthy relationships? Are you overly concerned about what others think or struggle with low self-esteem? Do you find yourself in a chronic state of overwhelm or profound sadness and lack of joy? Life can be difficult and navigating these seasons all on our own can be too much, resulting in paralyzing anxiety and depressive symptoms. You are not alone. It is ok to ask for help and I am at the ready.
(843) 396-3078 View (843) 396-3078
Photo of Brittany Mainord, Licensed Professional Counselor Associate in Johns Island, SC
Brittany Mainord
Licensed Professional Counselor Associate, MA, LPC-A
Verified Verified
4 Endorsed
Johns Island, SC 29455  (Online Only)
Maybe you're looking for support because you're struggling with self-worth. Maybe you're here because you're growing tired of perfectionism, anxiety, and/or depression. Maybe you're here because you're over feeling disconnected in your relationship(s). I believe that under the root of all of these things, is trauma and that in order to achieve true healing, the trauma must be addressed. These traumas can be overt, like physical abuse or neglect, or more subtle, like the weight of being labeled "the golden child." These experiences all contribute to the formation of limiting beliefs and that inner critic we all want to go away.
Maybe you're looking for support because you're struggling with self-worth. Maybe you're here because you're growing tired of perfectionism, anxiety, and/or depression. Maybe you're here because you're over feeling disconnected in your relationship(s). I believe that under the root of all of these things, is trauma and that in order to achieve true healing, the trauma must be addressed. These traumas can be overt, like physical abuse or neglect, or more subtle, like the weight of being labeled "the golden child." These experiences all contribute to the formation of limiting beliefs and that inner critic we all want to go away.
(843) 733-7162 View (843) 733-7162
Photo of Lisa Barnes Lcsw-C Tidewater Counseling Services, Clinical Social Work/Therapist in Johns Island, SC
Lisa Barnes Lcsw-C Tidewater Counseling Services
Clinical Social Work/Therapist, MSW, LCSW-C, LISW-CP
Verified Verified
2 Endorsed
Johns Island, SC 29455  (Online Only)
My areas of specialty include: Substance abuse/addiction disorders, family and addiction recovery, codependency, depression, anxiety disorders, relationship stressors, and the grief associated with separation or divorce.
It really takes courage to seek a more fulfilling and happier life and I congratulate you on taking this first step! Tidewater Counseling Services offers individual counseling services to clients 16 years of age and older. I am interested in learning about your mental health concerns and will tailor sessions to meet your unique and specific needs. I meet you where you are and work collaboratively to assist you in achieving your goals.
My areas of specialty include: Substance abuse/addiction disorders, family and addiction recovery, codependency, depression, anxiety disorders, relationship stressors, and the grief associated with separation or divorce.
It really takes courage to seek a more fulfilling and happier life and I congratulate you on taking this first step! Tidewater Counseling Services offers individual counseling services to clients 16 years of age and older. I am interested in learning about your mental health concerns and will tailor sessions to meet your unique and specific needs. I meet you where you are and work collaboratively to assist you in achieving your goals.
(843) 825-1290 View (843) 825-1290
Photo of Chantelle Kapp, Marriage & Family Therapist in Johns Island, SC
Chantelle Kapp
Marriage & Family Therapist, LAMFT, MA
Verified Verified
Johns Island, SC 29455
Hello, I'm Chantelle, a Marriage and Family Therapist at Angel Oak Counseling. Originally from South Africa, my husband and I have made the United States our home for the past 14 years. With firsthand experience of significant life changes, I possess a deep understanding of the intense emotions that accompany such transitions. My passion lies in assisting families and couples as they navigate these adjustments across various phases of life.
Hello, I'm Chantelle, a Marriage and Family Therapist at Angel Oak Counseling. Originally from South Africa, my husband and I have made the United States our home for the past 14 years. With firsthand experience of significant life changes, I possess a deep understanding of the intense emotions that accompany such transitions. My passion lies in assisting families and couples as they navigate these adjustments across various phases of life.
(843) 428-8718 View (843) 428-8718
Photo of Linda Ligenza, Clinical Social Work/Therapist in Johns Island, SC
Linda Ligenza
Clinical Social Work/Therapist, LISW
Verified Verified
Johns Island, SC 29455
I have spent my career empowering students, women, men, older adults and couples with the knowledge and skills needed to achieve their goals and a sense of well-being.
Most people seeking help want a therapist or coach who is a good listener, someone who is empathetic and can tailor the therapeutic approach to match their individual needs, challenges and goals. You will find these values and behaviors reflected in my work. My priorities are to gain trust, create a strong partnership and build upon your strengths, talents and skills. If you or a loved one is struggling with depression or anxiety, relationship issues, life transitions; experiencing stress, loss or a crisis; or feel burdened by a physical health concern such as Alzheimer’s Disease, you are not alone.
I have spent my career empowering students, women, men, older adults and couples with the knowledge and skills needed to achieve their goals and a sense of well-being.
Most people seeking help want a therapist or coach who is a good listener, someone who is empathetic and can tailor the therapeutic approach to match their individual needs, challenges and goals. You will find these values and behaviors reflected in my work. My priorities are to gain trust, create a strong partnership and build upon your strengths, talents and skills. If you or a loved one is struggling with depression or anxiety, relationship issues, life transitions; experiencing stress, loss or a crisis; or feel burdened by a physical health concern such as Alzheimer’s Disease, you are not alone.
(301) 861-4334 View (301) 861-4334
Photo of Daphne Timmons, PhD, Psychologist in Johns Island, SC
Daphne Timmons, PhD
Psychologist, PhD
Verified Verified
2 Endorsed
Johns Island, SC 29455
I am a clinical psychologist providing counseling to couples, families, and adults. My services are offered to the greater Charlotte area and with telehealth in South Carolina. I provide treatment for depression, anxiety, stress, medical problems, attention and focus problems and grief and loss issues. I completed my doctorate at the University of South Carolina. I am passionate about my work with clients and enjoy learning and developing new skills and techniques to support them in managing the complexity of their daily lives.
I am a clinical psychologist providing counseling to couples, families, and adults. My services are offered to the greater Charlotte area and with telehealth in South Carolina. I provide treatment for depression, anxiety, stress, medical problems, attention and focus problems and grief and loss issues. I completed my doctorate at the University of South Carolina. I am passionate about my work with clients and enjoy learning and developing new skills and techniques to support them in managing the complexity of their daily lives.
(704) 761-4980 View (704) 761-4980
Photo of Abigail Harmon, Licensed Professional Counselor Associate in Johns Island, SC
Abigail Harmon
Licensed Professional Counselor Associate, MS, LPCA
Verified Verified
Johns Island, SC 29455
My passion in counseling is creating a relationship built on trust and safety where all parts of you are accepted and integrated in meaningful ways in a relaxed and unfiltered environment.
Accepting new clients! Depression and anxiety in modern life can leave us feeling fragmented and lonely. Life as a queer person facing adverse religious messaging or feelings of anxiety around climate change can feel especially isolating in a southern context. I work with individual adults seeking support for religious trauma, faith transition, queer identity/life, climate anxiety/depression, and high sensitivity. I also work with general issues and use a variety of holistic approaches including internal family systems and EMDR to catalyze deep and lasting healing.
My passion in counseling is creating a relationship built on trust and safety where all parts of you are accepted and integrated in meaningful ways in a relaxed and unfiltered environment.
Accepting new clients! Depression and anxiety in modern life can leave us feeling fragmented and lonely. Life as a queer person facing adverse religious messaging or feelings of anxiety around climate change can feel especially isolating in a southern context. I work with individual adults seeking support for religious trauma, faith transition, queer identity/life, climate anxiety/depression, and high sensitivity. I also work with general issues and use a variety of holistic approaches including internal family systems and EMDR to catalyze deep and lasting healing.
(843) 594-4253 View (843) 594-4253
Photo of Nicole Johns, Counselor in Johns Island, SC
Nicole Johns
Counselor, LMHC, LPC
Verified Verified
Johns Island, SC 29457  (Online Only)
The importance of relationships within our daily lives is often overlooked or forgotten when we struggle. Focusing on relationships, I use personal interaction to promote healing inside and outside of the therapeutic setting. Through the use of video conferencing, I work with individuals and couples who struggle in areas such as anxiety, depression, trauma, and grief, as well as family and couples relational dynamics. My treatment style integrates compassion, support, and humor to build resiliency through self-regulation, encourage growth, and promote self-discovery.
The importance of relationships within our daily lives is often overlooked or forgotten when we struggle. Focusing on relationships, I use personal interaction to promote healing inside and outside of the therapeutic setting. Through the use of video conferencing, I work with individuals and couples who struggle in areas such as anxiety, depression, trauma, and grief, as well as family and couples relational dynamics. My treatment style integrates compassion, support, and humor to build resiliency through self-regulation, encourage growth, and promote self-discovery.
(843) 509-7655 View (843) 509-7655
Photo of Melissa-Miles Dunn, Licensed Professional Counselor in Johns Island, SC
Melissa-Miles Dunn
Licensed Professional Counselor, MA, LPC
Verified Verified
4 Endorsed
Johns Island, SC 29455
We begin by establishing a safe and trusting working relationship built on warmth, affirmation, and non-judgement.
We're in this together. Counseling is a collaborative process between client and practitioner. When you show up with desire to create meaningful life change, I show up to support you in reaching goals, provide expertise in brain-based techniques to address current concerns, and equip you with specific skills to more successfully cope with challenges. Together, we will tailor the process to meet you where you are in the present moment and create a more balanced life.
We begin by establishing a safe and trusting working relationship built on warmth, affirmation, and non-judgement.
We're in this together. Counseling is a collaborative process between client and practitioner. When you show up with desire to create meaningful life change, I show up to support you in reaching goals, provide expertise in brain-based techniques to address current concerns, and equip you with specific skills to more successfully cope with challenges. Together, we will tailor the process to meet you where you are in the present moment and create a more balanced life.
(843) 380-6679 View (843) 380-6679
Photo of Jennifer Goldfarb, Clinical Social Work/Therapist in Johns Island, SC
Jennifer Goldfarb
Clinical Social Work/Therapist, LISW-CP
Verified Verified
1 Endorsed
Johns Island, SC 29455  (Online Only)
I have 20+ years of experience, though I believe that the therapeutic relationship is the most vital part of therapy.
Are negative past experiences impacting the way you view yourself and how you interact with others? Do you feel alone with your problems, or stuck in patterns of behavior that are self-defeating? Trauma, anxiety, or depression may be getting in the way of your happiness and growth.You can learn to live without the constant nagging and badgering of perfectionism, people pleasing, anxiety and depression. You can implement healthy boundaries that support the life you want to be living. I use evidence-based practices, rooted in compassion and empathy, to help you find healing and a feeling of empowerment. You deserve to enjoy your life.
I have 20+ years of experience, though I believe that the therapeutic relationship is the most vital part of therapy.
Are negative past experiences impacting the way you view yourself and how you interact with others? Do you feel alone with your problems, or stuck in patterns of behavior that are self-defeating? Trauma, anxiety, or depression may be getting in the way of your happiness and growth.You can learn to live without the constant nagging and badgering of perfectionism, people pleasing, anxiety and depression. You can implement healthy boundaries that support the life you want to be living. I use evidence-based practices, rooted in compassion and empathy, to help you find healing and a feeling of empowerment. You deserve to enjoy your life.
(843) 868-5013 View (843) 868-5013
Photo of Dawn J LaCosta, Pastoral Counselor in Johns Island, SC
Dawn J LaCosta
Pastoral Counselor, DMin
Verified Verified
Johns Island, SC 29455  (Online Only)
Make TODAY the day you determine you are sick and tired of being sick and tired! Take back your life! Join those who have been set FREE from the BONDAGE & BAGGAGE of: Anxiety, Addiction, Fear, Panic, Depression, Grief & Loss, Trauma (PTSD) Guilt & Shame, Broken Relationships, Communication Issues, Anger & Frustration, Parenting Challenges, Emotional Disorders, Lack of Validation & Worth, Conflict Resolution, No Self Control, Retirement Adjustment, Spiritual Struggles. Our center offers independent professional practices that have come together to provide overall health and wellness. The Wellness Center is founded on the belief that our client's needs are of the utmost importance.
Make TODAY the day you determine you are sick and tired of being sick and tired! Take back your life! Join those who have been set FREE from the BONDAGE & BAGGAGE of: Anxiety, Addiction, Fear, Panic, Depression, Grief & Loss, Trauma (PTSD) Guilt & Shame, Broken Relationships, Communication Issues, Anger & Frustration, Parenting Challenges, Emotional Disorders, Lack of Validation & Worth, Conflict Resolution, No Self Control, Retirement Adjustment, Spiritual Struggles. Our center offers independent professional practices that have come together to provide overall health and wellness. The Wellness Center is founded on the belief that our client's needs are of the utmost importance.
(732) 810-0126 View (732) 810-0126
Photo of Beverly McBee Zimmerman, Licensed Professional Counselor in Johns Island, SC
Beverly McBee Zimmerman
Licensed Professional Counselor, LPC
Verified Verified
Johns Island, SC 29455
Overwhelmed. Detached. Lost. Do you feel like you are living in survival mode? Sometimes in life feelings of hopelessness, anxiety, or low self-worth can prevent you from living a fully engaged life. You feel derailed by intense feelings and thoughts that keep you trapped in a cycle that often leads to self-destructive behaviors and coping patterns.
Overwhelmed. Detached. Lost. Do you feel like you are living in survival mode? Sometimes in life feelings of hopelessness, anxiety, or low self-worth can prevent you from living a fully engaged life. You feel derailed by intense feelings and thoughts that keep you trapped in a cycle that often leads to self-destructive behaviors and coping patterns.
(843) 938-5728 View (843) 938-5728
Photo of Island Transitions Counseling and Consulting, LLC., Clinical Social Work/Therapist in Johns Island, SC
Island Transitions Counseling and Consulting, LLC.
Clinical Social Work/Therapist, PhD, LISW-CP, LCSW-C
Verified Verified
Johns Island, SC 29455
Waitlist for new clients
Fully-licensed since 2014, I’ve been helping clients develop balance and facilitating their self-growth. If you are feeling overwhelmed by life’s demands, my services aim to introduce clarity and self-motivation. I also teach techniques to better manage the emotional stress of everyday life, including but not limited to Mindfulness and Meditation.
Fully-licensed since 2014, I’ve been helping clients develop balance and facilitating their self-growth. If you are feeling overwhelmed by life’s demands, my services aim to introduce clarity and self-motivation. I also teach techniques to better manage the emotional stress of everyday life, including but not limited to Mindfulness and Meditation.
(843) 279-8838 View (843) 279-8838
Photo of Jeannine Monnier, Psychologist in Johns Island, SC
Jeannine Monnier
Psychologist, PhD
Verified Verified
Johns Island, SC 29455
As a clinical psychologist with over twenty years of experience, my goal is to help you discover your true potential and lead a life that is worth celebrating. By deciding to engage in therapy, you can move closer to a new you where you feel empowered and on a positive path to growth and well-being. If you're looking to reduce anxiety, to improve mood, for extra support and guidance through a challenging situation or you are ready to move in a new direction in your life, I look forward to working with you to achieve your goals.
As a clinical psychologist with over twenty years of experience, my goal is to help you discover your true potential and lead a life that is worth celebrating. By deciding to engage in therapy, you can move closer to a new you where you feel empowered and on a positive path to growth and well-being. If you're looking to reduce anxiety, to improve mood, for extra support and guidance through a challenging situation or you are ready to move in a new direction in your life, I look forward to working with you to achieve your goals.
(843) 536-0130 View (843) 536-0130
Photo of Maureen Burke Clayton, Clinical Social Work/Therapist in Johns Island, SC
Maureen Burke Clayton
Clinical Social Work/Therapist, LISW-CP
Verified Verified
Johns Island, SC 29455
Not accepting new clients
Do you find yourself sad or worried much of the time? Are you overwhelmed with the demands or losses in your life? Do you feel like you're having more bad days than good days? Has your grief overtaken your life. I invite you to come in and work with me to process and problem solve together in a safe, healing and client centered space. We will work together to overcome your challenges and improve your life. I work with adolescents, adults, couples and families on issues of trauma, anxiety, stress management and depression, grief, loss and relationship issues.
Do you find yourself sad or worried much of the time? Are you overwhelmed with the demands or losses in your life? Do you feel like you're having more bad days than good days? Has your grief overtaken your life. I invite you to come in and work with me to process and problem solve together in a safe, healing and client centered space. We will work together to overcome your challenges and improve your life. I work with adolescents, adults, couples and families on issues of trauma, anxiety, stress management and depression, grief, loss and relationship issues.
(854) 220-9440 View (854) 220-9440
Photo of Wendy Molinaroli, MEd, LPC, NCC, Counselor in Johns Island, SC
Wendy Molinaroli, MEd, LPC, NCC
Counselor, LPC, NCC
Verified Verified
1 Endorsed
Johns Island, SC 29455
Not accepting new clients
I see therapy as a courageous journey of hope and healing, and I enjoy working with individuals and couples who want a better life. As a Gottman Certified Therapist, I am passionate about working with couples, helping to resolve years of hurts and misunderstandings, deepening friendship, and improving communication. The work can be hard, but it leads to a richer, deeper emotional intimacy than either one could have dreamed of alone. As a CSAT candidate, I am passionate about working with sex addiction, sexual anorexia, and trauma. I love seeing clients heal & become the person they were always meant to be.
I see therapy as a courageous journey of hope and healing, and I enjoy working with individuals and couples who want a better life. As a Gottman Certified Therapist, I am passionate about working with couples, helping to resolve years of hurts and misunderstandings, deepening friendship, and improving communication. The work can be hard, but it leads to a richer, deeper emotional intimacy than either one could have dreamed of alone. As a CSAT candidate, I am passionate about working with sex addiction, sexual anorexia, and trauma. I love seeing clients heal & become the person they were always meant to be.
(843) 258-1411 View (843) 258-1411

More Therapists Nearby

Photo of Dr. Jeff J. Rocker, Licensed Professional Counselor in Johns Island, SC
Dr. Jeff J. Rocker
Licensed Professional Counselor, PhD, NCC, LPC, LMHC, LCPC
Verified Verified
1 Endorsed
Kiawah Island, SC 29455
Rocker is nationally recognized for his innovative techniques and approaches towards troubled teens, interpersonal relationship partner conflicts, and professionals struggling with work-life balance.
With 12 years of experience working with clients going through individual, relationship, and family issues, Celebrity Therapist Dr. Jeff Rocker has provided therapeutic services to clients nationwide. He is Licensed in 22 states and has served clients from all age groups. Over the years, Dr. Jeff has organized lectures and various events in the community, including excursions and retreats for couples to improve their communication and better understand each other. He has experience working with athletes in the NFL, NBA, and MLB. In addition, Dr. Jeff has also worked with clients in the Movie, Music, and Entertainment Industries.
Rocker is nationally recognized for his innovative techniques and approaches towards troubled teens, interpersonal relationship partner conflicts, and professionals struggling with work-life balance.
With 12 years of experience working with clients going through individual, relationship, and family issues, Celebrity Therapist Dr. Jeff Rocker has provided therapeutic services to clients nationwide. He is Licensed in 22 states and has served clients from all age groups. Over the years, Dr. Jeff has organized lectures and various events in the community, including excursions and retreats for couples to improve their communication and better understand each other. He has experience working with athletes in the NFL, NBA, and MLB. In addition, Dr. Jeff has also worked with clients in the Movie, Music, and Entertainment Industries.
(843) 351-1518 View (843) 351-1518
Photo of Erin Murrell, Marriage & Family Therapist in Johns Island, SC
Erin Murrell
Marriage & Family Therapist, LMFT
Verified Verified
Kiawah Island, SC 29455  (Online Only)
Experiencing relationship distress can be very challenging and is often filled with disconnection, resentment & hurts.
Have you been trying to connect with yourself or your partner yet find yourself feeling further away? You are not alone. Navigate the challenges of life, relationships, and growth is a difficult process. Communication, building trust, and strengthening connection to yourself and your loved ones takes sustained effort and effective support.
Experiencing relationship distress can be very challenging and is often filled with disconnection, resentment & hurts.
Have you been trying to connect with yourself or your partner yet find yourself feeling further away? You are not alone. Navigate the challenges of life, relationships, and growth is a difficult process. Communication, building trust, and strengthening connection to yourself and your loved ones takes sustained effort and effective support.
(843) 829-5017 View (843) 829-5017
Photo of Elizabeth J Dixon, Licensed Professional Counselor in Johns Island, SC
Elizabeth J Dixon
Licensed Professional Counselor, MA, LPCS
Verified Verified
5 Endorsed
Kiawah Island, SC 29455
Is what you are doing working? If not, I can help! I enjoy working with individuals who want to have better relationships. I specialize in working with individuals who struggle with relationship difficulties (separation, divorce, difficulty maintaining relationships), anxiety (worry, obsessions, etc), mood disorders (depression, bi-polar) and women's issues (adults and teens).
Is what you are doing working? If not, I can help! I enjoy working with individuals who want to have better relationships. I specialize in working with individuals who struggle with relationship difficulties (separation, divorce, difficulty maintaining relationships), anxiety (worry, obsessions, etc), mood disorders (depression, bi-polar) and women's issues (adults and teens).
(843) 213-6770 View (843) 213-6770
Photo of David Andre, Licensed Professional Counselor in Johns Island, SC
David Andre
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Kiawah Island, SC 29455
I'd like the opportunity to partner with you to help you achieve your wellness goals!.
**Accepting New Clients** … Are you feeling sad or anxious? Perhaps you're feeling discouraged or even depressed about your present circumstances or the future? Feelings like sadness, hopelessness, and depression can be overwhelming. Maybe you're struggling with an unwanted addiction such as alcohol abuse, the internet, video games, pornography, or substance abuse? Let me encourage you that there is hope! I specialize in working with men who suffer from depression, anxiety, trauma, and addiction. Your time is important and I will promptly return your call within 24 hours.
I'd like the opportunity to partner with you to help you achieve your wellness goals!.
**Accepting New Clients** … Are you feeling sad or anxious? Perhaps you're feeling discouraged or even depressed about your present circumstances or the future? Feelings like sadness, hopelessness, and depression can be overwhelming. Maybe you're struggling with an unwanted addiction such as alcohol abuse, the internet, video games, pornography, or substance abuse? Let me encourage you that there is hope! I specialize in working with men who suffer from depression, anxiety, trauma, and addiction. Your time is important and I will promptly return your call within 24 hours.
(843) 281-7104 View (843) 281-7104

See more therapy options for Johns Island

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.