Photo of Richard Ermalinski, PhD, Psychologist
Richard Ermalinski
Psychologist, PhD
Verified Verified
Sugar Land, TX 77478
I work with couples to develop a mindful marriage where they experience security, safety and acceptance.
Couples caught in marital gridlock experience either emotional bickering and blaming or withdrawal and isolation. Marital gridlock can be caused by a betrayal, control issues, a lack of intimacy or important personality differences. This will leave us with a married life of emotional isolation and confusion. When we lose our sense of self in our marriage it can seem impossible to stop reliving the same negative patterns repeatedly. Where did the best of us go and our ability to respond effectively to difficult situations?
I work with couples to develop a mindful marriage where they experience security, safety and acceptance.
Couples caught in marital gridlock experience either emotional bickering and blaming or withdrawal and isolation. Marital gridlock can be caused by a betrayal, control issues, a lack of intimacy or important personality differences. This will leave us with a married life of emotional isolation and confusion. When we lose our sense of self in our marriage it can seem impossible to stop reliving the same negative patterns repeatedly. Where did the best of us go and our ability to respond effectively to difficult situations?
(281) 601-1481 View (281) 601-1481
Photo of Ken Waldman, PhD, LMFT, Psychologist
Ken Waldman
Psychologist, PhD, LMFT
Verified Verified
Sugar Land, TX 77479  (Online Only)
I specialize in couples counseling and adult relationships. I have been doing couples work since 1977 and also have experience teaching graduate students in Marriage and Family Counseling. Courses included Separation, Divorce and Remarriage as well as Introduction to Marriage and Family Counseling. Previously I was Director of the Counseling Center at University of Houston where I had a staff of Psychologists and trained Psychologists.
I specialize in couples counseling and adult relationships. I have been doing couples work since 1977 and also have experience teaching graduate students in Marriage and Family Counseling. Courses included Separation, Divorce and Remarriage as well as Introduction to Marriage and Family Counseling. Previously I was Director of the Counseling Center at University of Houston where I had a staff of Psychologists and trained Psychologists.
(713) 338-9194 View (713) 338-9194
Photo of Dr. Roger D. Vazquez, PhD, LPC, LCDC, Licensed Professional Counselor
Dr. Roger D. Vazquez
Licensed Professional Counselor, PhD, LPC, LCDC
Verified Verified
Sugar Land, TX 77478
I have experience working with a wide variety of life problems and mental health disorders, but my primary interests include depression, anxiety, bipolar disorder, Attention Deficit Hyperactivity Disorder (ADHD), Post Traumatic Stress Disorder (PTSD), academic issues, panic/phobias, anger management, addiction, couples, marriage, and family relationship issues.
I have experience working with a wide variety of life problems and mental health disorders, but my primary interests include depression, anxiety, bipolar disorder, Attention Deficit Hyperactivity Disorder (ADHD), Post Traumatic Stress Disorder (PTSD), academic issues, panic/phobias, anger management, addiction, couples, marriage, and family relationship issues.
(281) 666-9607 View (281) 666-9607
Photo of Bobby Price, LPC-S, Licensed Professional Counselor
Bobby Price
Licensed Professional Counselor, LPC-S
Verified Verified
Sugar Land, TX 77478
My main goal is to use my experience and insight to help individuals, families, and couples.
Hello, I am Dr. Bobby Price, I graduated from Texas Southern University with a Doctorate degree in Counseling. I am a Licensed Professional Counselor-Supervisor and have been practicing in Texas for over 20 years. I utilize Cognitive Behavioral Therapy, Solution Focused Therapy and Brief Therapy in my practice. My goal is to provide a genuine therapeutic relationship with each client and help them feel heard and respected, regardless of the issue or struggles they are facing.
My main goal is to use my experience and insight to help individuals, families, and couples.
Hello, I am Dr. Bobby Price, I graduated from Texas Southern University with a Doctorate degree in Counseling. I am a Licensed Professional Counselor-Supervisor and have been practicing in Texas for over 20 years. I utilize Cognitive Behavioral Therapy, Solution Focused Therapy and Brief Therapy in my practice. My goal is to provide a genuine therapeutic relationship with each client and help them feel heard and respected, regardless of the issue or struggles they are facing.
(346) 423-3140 View (346) 423-3140
Photo of Gerald W Ford, MDiv, MA, LPC, LMFT, Marriage & Family Therapist
Gerald W Ford
Marriage & Family Therapist, MDiv, MA, LPC, LMFT
Verified Verified
2 Endorsed
Sugar Land, TX 77478  (Online Only)
I use a Collaborative Marriage Skills Approach I love seeing couples build a healthy marriage, with 1) clear, genuine communication 2) conflict resolution that treats the relationship as more important than the issue, 3) mutual satisfaction by each person caring about the needs of the other.
Everything can be different, so said Psychologist, Alfred Adler. I believe it, too. We are not trapped in our past, we are locked in our ideas that we hold about ourselves, and about our future... and ideas can change. I invite you to join me in an adventure of finding encouragement, and finding new ideas about your life. I offer counseling sessions which will focus on...Personal Growth... Marriage and Relationship Issues... Communication Skills... Assertiveness Skills... Overcoming Depression... Overcoming Anxiety... Let's Talk- Everything Can Be Different.
I use a Collaborative Marriage Skills Approach I love seeing couples build a healthy marriage, with 1) clear, genuine communication 2) conflict resolution that treats the relationship as more important than the issue, 3) mutual satisfaction by each person caring about the needs of the other.
Everything can be different, so said Psychologist, Alfred Adler. I believe it, too. We are not trapped in our past, we are locked in our ideas that we hold about ourselves, and about our future... and ideas can change. I invite you to join me in an adventure of finding encouragement, and finding new ideas about your life. I offer counseling sessions which will focus on...Personal Growth... Marriage and Relationship Issues... Communication Skills... Assertiveness Skills... Overcoming Depression... Overcoming Anxiety... Let's Talk- Everything Can Be Different.
(281) 408-4225 View (281) 408-4225
Photo of Jared Pizzitola, MEd, LPC, Licensed Professional Counselor
Jared Pizzitola
Licensed Professional Counselor, MEd, LPC
Verified Verified
1 Endorsed
Sugar Land, TX 77478
I counsel individuals (teens, adults, athletes) with stress, anxiety, depression, anger, trauma, and relationship struggles. Additionally, I help couples repair their relationship and connect on a deeper level.
I counsel individuals (teens, adults, athletes) with stress, anxiety, depression, anger, trauma, and relationship struggles. Additionally, I help couples repair their relationship and connect on a deeper level.
(281) 305-8932 View (281) 305-8932
Photo of Chuck Gray, PhD, Psychologist
Chuck Gray
Psychologist, PhD
Verified Verified
Sugar Land, TX 77479  (Online Only)
I deeply value marital and relationship fulfillment. If you are an adult seeking marriage, dating, premarital, affairs, or other relationship counseling, then we are likely to be a good fit for each other. Since 1987 I have focused as a psychologist full-time on developing and implementing specialized expertise in couples and other adult relationship counseling. Together we may assess in a friendly way what is happening in your relationship, how it developed to be this way, and what may be done to improve communication, build trust, strengthen emotional connections, enhance intimacy, and otherwise fulfill your relationship goals.
I deeply value marital and relationship fulfillment. If you are an adult seeking marriage, dating, premarital, affairs, or other relationship counseling, then we are likely to be a good fit for each other. Since 1987 I have focused as a psychologist full-time on developing and implementing specialized expertise in couples and other adult relationship counseling. Together we may assess in a friendly way what is happening in your relationship, how it developed to be this way, and what may be done to improve communication, build trust, strengthen emotional connections, enhance intimacy, and otherwise fulfill your relationship goals.
(713) 338-9087 View (713) 338-9087
Photo of Jehanzeb Dar, LPC, Licensed Professional Counselor
Jehanzeb Dar
Licensed Professional Counselor, LPC
Verified Verified
Sugar Land, TX 77498  (Online Only)
Have you thought about therapy before, but were worried that you'd be misunderstood or judged? Did you grow up in an environment where asking for help was seen as a sign of "weakness"? Do you find yourself not wanting to share your thoughts, feelings, and needs in your relationship because you're worried about "saying the wrong thing" and how your partner will react? Whether you're facing challenges with anxiety, depression, trauma, relationship issues, family dysfunction, addictions, racism, or other obstacles, my goal is to help you discover your strengths, deepen your relationships, and live closer to your most authentic self.
Have you thought about therapy before, but were worried that you'd be misunderstood or judged? Did you grow up in an environment where asking for help was seen as a sign of "weakness"? Do you find yourself not wanting to share your thoughts, feelings, and needs in your relationship because you're worried about "saying the wrong thing" and how your partner will react? Whether you're facing challenges with anxiety, depression, trauma, relationship issues, family dysfunction, addictions, racism, or other obstacles, my goal is to help you discover your strengths, deepen your relationships, and live closer to your most authentic self.
(346) 787-1893 x100 View (346) 787-1893 x100
Photo of Harold Haven Boggs, MS, LMFT, LCDC, EMDR, Marriage & Family Therapist
Harold Haven Boggs
Marriage & Family Therapist, MS, LMFT, LCDC, EMDR
Verified Verified
1 Endorsed
Sugar Land, TX 77478  (Online Only)
I help adults with: (divorce, remarriage, PTSD, alcohol, drugs, depression, anxiety, grief, suicide prevention, compulsive sex, job loss; physical illness and disability; eldering); male teens: (problems with self-confidence, sexuality and identity; relationship with parents; alcohol drug problems, depression, grief); with : parents' divorce, or remarriage); families with : (Covenant Marriage, pre-marriage, remarriage, blended families, conflict and violence, abuse, divorce, empty nest), parents : (parent-child conflicts, problems with co-parenting, single-parenting and/or blending families, difficulties with CPS cases, and in-laws
I help adults with: (divorce, remarriage, PTSD, alcohol, drugs, depression, anxiety, grief, suicide prevention, compulsive sex, job loss; physical illness and disability; eldering); male teens: (problems with self-confidence, sexuality and identity; relationship with parents; alcohol drug problems, depression, grief); with : parents' divorce, or remarriage); families with : (Covenant Marriage, pre-marriage, remarriage, blended families, conflict and violence, abuse, divorce, empty nest), parents : (parent-child conflicts, problems with co-parenting, single-parenting and/or blending families, difficulties with CPS cases, and in-laws
(281) 978-2998 View (281) 978-2998
Photo of Tyrone Obaseki, MDiv, MA, LPC-S, LCDC, LSOTP, Licensed Professional Counselor
Tyrone Obaseki
Licensed Professional Counselor, MDiv, MA, LPC-S, LCDC, LSOTP
Verified Verified
Sugar Land, TX 77479
Welcome to Transformative Counseling & Wellness Solutions! We believe in renewing the mind and dealing with the total person! Healing starts with being transparent, and opening up about your life’s journey to your therapist, who responds with compassion, empathy, and wisdom. Our therapeutic relationship can be the building block and the catalyst towards your new life! We provide affordable counseling, traditional & wellness services. If you want to journey beyond life's obstacles, don't hesitate to call. Together we will navigate your path towards freedom, success, and happiness.
Welcome to Transformative Counseling & Wellness Solutions! We believe in renewing the mind and dealing with the total person! Healing starts with being transparent, and opening up about your life’s journey to your therapist, who responds with compassion, empathy, and wisdom. Our therapeutic relationship can be the building block and the catalyst towards your new life! We provide affordable counseling, traditional & wellness services. If you want to journey beyond life's obstacles, don't hesitate to call. Together we will navigate your path towards freedom, success, and happiness.
(832) 562-3196 View (832) 562-3196
Photo of Jason Drake - Katy Teen & Family Counseling, LCSW-S, BCN, Clinical Social Work/Therapist
Katy Teen & Family Counseling
Clinical Social Work/Therapist, LCSW-S, BCN
Verified Verified
2 Endorsed
Sugar Land, TX 77478
With a combined 70+ years experience, we specialize in the family system: teens, young adults, families, & couples.
One of the most heartbreaking things we as parents will experience is having a teen or young adult who is struggling. Our teens & young adults will not know the depth of our love until they have kids themselves. We work hard to ensure our children grow up to be happy & healthy teens & young adults. There are things that can impact our ability to help our them. Things like depression, anxiety, ADHD/ADD, trauma, Autism Spectrum Disorders, these are all complex challenges that can test our parenting skills to the limit. Largely outside of our control, these can have an impact on our teen's happiness & future growth.
With a combined 70+ years experience, we specialize in the family system: teens, young adults, families, & couples.
One of the most heartbreaking things we as parents will experience is having a teen or young adult who is struggling. Our teens & young adults will not know the depth of our love until they have kids themselves. We work hard to ensure our children grow up to be happy & healthy teens & young adults. There are things that can impact our ability to help our them. Things like depression, anxiety, ADHD/ADD, trauma, Autism Spectrum Disorders, these are all complex challenges that can test our parenting skills to the limit. Largely outside of our control, these can have an impact on our teen's happiness & future growth.
(346) 220-1536 View (346) 220-1536
Photo of Michael Allen Chalfan Jr, MEd, LMFT-A, Marriage & Family Therapist Associate
Michael Allen Chalfan Jr
Marriage & Family Therapist Associate, MEd, LMFT-A
Verified Verified
1 Endorsed
Sugar Land, TX 77479
My perfect client is someone who wants to enhance their overall well-being—mentally, physically, and spiritually. I welcome individuals of any ethnicity, socioeconomic status, sexual orientation, age, religion, and gender. I work with individuals, families, couples, children, and relationships. Every client is unique, so they will receive a customized plan for their therapy. I integrate various therapeutic approaches to offer a diverse range of therapies. My goal is to support positive behavioral changes, enhance relationship skills, improve coping abilities, and assist in making informed decisions.
My perfect client is someone who wants to enhance their overall well-being—mentally, physically, and spiritually. I welcome individuals of any ethnicity, socioeconomic status, sexual orientation, age, religion, and gender. I work with individuals, families, couples, children, and relationships. Every client is unique, so they will receive a customized plan for their therapy. I integrate various therapeutic approaches to offer a diverse range of therapies. My goal is to support positive behavioral changes, enhance relationship skills, improve coping abilities, and assist in making informed decisions.
(281) 369-8790 View (281) 369-8790
Photo of John Vincent, PhD, LMFT, Marriage & Family Therapist
John Vincent
Marriage & Family Therapist, PhD, LMFT
Verified Verified
Sugar Land, TX 77478
I am a licensed, board certified clinical psychologist and marriage and family therapist. In addition to my clinical practice with adults, couples and families, I am a professor in a doctoral level clinical psychology program. When working with individuals and couples, I begin with a thorough assessment of problem areas and strengths and then formulate a plan to address those issues using the latest, evidence-based treatment methods. Based on a thorough understanding of the interplay between thoughts, feelings and actions. The people I work with learn to replace self-defeating strategies with constructive alternatives.
I am a licensed, board certified clinical psychologist and marriage and family therapist. In addition to my clinical practice with adults, couples and families, I am a professor in a doctoral level clinical psychology program. When working with individuals and couples, I begin with a thorough assessment of problem areas and strengths and then formulate a plan to address those issues using the latest, evidence-based treatment methods. Based on a thorough understanding of the interplay between thoughts, feelings and actions. The people I work with learn to replace self-defeating strategies with constructive alternatives.
(713) 338-9223 View (713) 338-9223
Photo of Dr. Jonathan Morris, PhD, BCET, DCM, DPM, Psychologist
Dr. Jonathan Morris
Psychologist, PhD, BCET, DCM, DPM
Verified Verified
Sugar Land, TX 77478
For individual, couples, adults and teens, the pursuit of ones therapeutic goals is a deeply personal endeavor, one that entails time, effort, occasional discomfort and some expense. I am keenly aware of the burden of trust, inherent in my participation in so intimate and earnest an undertaking, and will apply my clinical judgment, professional acumen, interpersonal skills and 35-years of experience, to discern and address those needs. In doing so, respect for your values, reverence for your individuality and deference to your aspirations, will guide our endeavor, enabling you to attain your goals with dignity and true contentment.
For individual, couples, adults and teens, the pursuit of ones therapeutic goals is a deeply personal endeavor, one that entails time, effort, occasional discomfort and some expense. I am keenly aware of the burden of trust, inherent in my participation in so intimate and earnest an undertaking, and will apply my clinical judgment, professional acumen, interpersonal skills and 35-years of experience, to discern and address those needs. In doing so, respect for your values, reverence for your individuality and deference to your aspirations, will guide our endeavor, enabling you to attain your goals with dignity and true contentment.
(281) 937-8306 View (281) 937-8306
Photo of Sabastan Moore, MA, Licensed Professional Counselor
Sabastan Moore
Licensed Professional Counselor, MA
Verified Verified
1 Endorsed
Sugar Land, TX 77498  (Online Only)
Whether working with couples in various stages of relationships or individuals seeking to break the cycle of counterproductive behavior, we help find realistic choices for your situation.
At Progress to Purpose Concierge Therapy, we understand that managing the difficulties of life often causes pain but accepting that pain as unavoidable can limit the joy of that life. We focus on identifying the source of that pain so we can work together to develop individualized strategies that will lead to your betterment. Whether that be through our certified Anger Management classes, our TDCJ-CJAD approved BIPP (Battery Intervention & Prevention Programming) course for court-mandates or traditional therapeutic work, the opportunity to progress in your relationships, profession and life become clear and your purpose-attainable.
Whether working with couples in various stages of relationships or individuals seeking to break the cycle of counterproductive behavior, we help find realistic choices for your situation.
At Progress to Purpose Concierge Therapy, we understand that managing the difficulties of life often causes pain but accepting that pain as unavoidable can limit the joy of that life. We focus on identifying the source of that pain so we can work together to develop individualized strategies that will lead to your betterment. Whether that be through our certified Anger Management classes, our TDCJ-CJAD approved BIPP (Battery Intervention & Prevention Programming) course for court-mandates or traditional therapeutic work, the opportunity to progress in your relationships, profession and life become clear and your purpose-attainable.
(832) 777-7808 View (832) 777-7808
Photo of Hans J Meyer, MSW, LCSW, Clinical Social Work/Therapist
Hans J Meyer
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
Sugar Land, TX 77478
There are many reasons a person might benefit from therapuetic support; whether you're experiencing a problem with your mood or a situation that feels intolerable. You may be struggling over the end of a relationship or making difficult changes in your life. Having someone to support, understand, and guide you can be incredibly valuable. I utilize a relational approach that begins with developing a better understanding of your concerns, its context, and impact on your life. Together, we will identify strategies to address your concerns so that you are able to experience the life satisfaction you desire and deserve.
There are many reasons a person might benefit from therapuetic support; whether you're experiencing a problem with your mood or a situation that feels intolerable. You may be struggling over the end of a relationship or making difficult changes in your life. Having someone to support, understand, and guide you can be incredibly valuable. I utilize a relational approach that begins with developing a better understanding of your concerns, its context, and impact on your life. Together, we will identify strategies to address your concerns so that you are able to experience the life satisfaction you desire and deserve.
(281) 839-2744 View (281) 839-2744
Photo of James S. Guerrero, Psy D, Psychologist
James S. Guerrero
Psychologist, Psy D
Verified Verified
Sugar Land, TX 77498
I was born and raised in Hawaii, and got my doctorate in Chicago. After my doctorate I moved to the great state of Texas 14 years ago. I have worked with people in many different settings including psychiatric hospitals, outpatient and inpatient clinics, residential treatment centers for children, and rehabilitation and long-term care centers. As a licensed psychologist I specialize in individual, couples, and family psychotherapy. I've done Cognitive Behavioral Therapy with children, adults, and older adults. I also incorporate behavioral interventions such as imagery, progressive muscle and relaxation training.
I was born and raised in Hawaii, and got my doctorate in Chicago. After my doctorate I moved to the great state of Texas 14 years ago. I have worked with people in many different settings including psychiatric hospitals, outpatient and inpatient clinics, residential treatment centers for children, and rehabilitation and long-term care centers. As a licensed psychologist I specialize in individual, couples, and family psychotherapy. I've done Cognitive Behavioral Therapy with children, adults, and older adults. I also incorporate behavioral interventions such as imagery, progressive muscle and relaxation training.
(281) 672-8957 View (281) 672-8957
Photo of Antoine A Lee, LMHC, LPC, Counselor
Antoine A Lee
Counselor, LMHC, LPC
Verified Verified
Sugar Land, TX 77487  (Online Only)
Relationships and core emotional needs are the foundation of our well-being. With over 20 years of Christian experience in working with couples and individuals, I offer to the coaching and counseling setting a biblical, as well as a clinical, relational perspective. I am a graduate of Nyack Christian College and a Licensed Mental Health Counselor. If you are struggling with issues related to past wounds, increasing relational pressures, or a recent major life challenge, I offer treatment that addresses past trauma, emotional wounds, and current life transitions. You can call to arrange for a 15-minute free phone consultation.
Relationships and core emotional needs are the foundation of our well-being. With over 20 years of Christian experience in working with couples and individuals, I offer to the coaching and counseling setting a biblical, as well as a clinical, relational perspective. I am a graduate of Nyack Christian College and a Licensed Mental Health Counselor. If you are struggling with issues related to past wounds, increasing relational pressures, or a recent major life challenge, I offer treatment that addresses past trauma, emotional wounds, and current life transitions. You can call to arrange for a 15-minute free phone consultation.
(646) 798-5469 View (646) 798-5469
Photo of Brian Hindert, LCSW, Clinical Social Work/Therapist
Brian Hindert
Clinical Social Work/Therapist, LCSW
Verified Verified
Sugar Land, TX 77479  (Online Only)
I am a Licensed Clinical Social Worker licensed in Texas with years of experience working with clients suffering from varying levels of anxiety, depression, trauma, relationship issues, parenting problems, career challenges, and or addictions.
It takes courage and willingness to seek a more fulfilling and happier life. If you are suffering from stress, anxiety, family issues, or maybe an addiction and you are ready to find a different way to live, I am here to support and empower you. Most people do not understand what is truly happening within themselves so I am here to help you find the root of your troubles, take the appropriate actions to heal the issue(s), and live a better life.
I am a Licensed Clinical Social Worker licensed in Texas with years of experience working with clients suffering from varying levels of anxiety, depression, trauma, relationship issues, parenting problems, career challenges, and or addictions.
It takes courage and willingness to seek a more fulfilling and happier life. If you are suffering from stress, anxiety, family issues, or maybe an addiction and you are ready to find a different way to live, I am here to support and empower you. Most people do not understand what is truly happening within themselves so I am here to help you find the root of your troubles, take the appropriate actions to heal the issue(s), and live a better life.
(830) 468-7775 View (830) 468-7775
Photo of Quique Autrey, MS, MDiv, Licensed Professional Counselor
Quique Autrey
Licensed Professional Counselor, MS, MDiv
Verified Verified
1 Endorsed
Sugar Land, TX 77479
I utilize a relationship-centered approach which tailors the therapy to each specific client.
Hello, thank you for stopping by! I offer personalized services to children, adolescents and adults in the greater Houston area. I have experience working with male teenagers, high functioning young adults on the Autism spectrum, OCD, and men struggling with life transitions. I work with clients who are stuck in depression, facing relationship issues and experiencing loss. I also enjoy helping couples navigate conflict and strengthen their emotional and sexual connection.
I utilize a relationship-centered approach which tailors the therapy to each specific client.
Hello, thank you for stopping by! I offer personalized services to children, adolescents and adults in the greater Houston area. I have experience working with male teenagers, high functioning young adults on the Autism spectrum, OCD, and men struggling with life transitions. I work with clients who are stuck in depression, facing relationship issues and experiencing loss. I also enjoy helping couples navigate conflict and strengthen their emotional and sexual connection.
(713) 804-7762 View (713) 804-7762
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.