Couples Counseling Therapists in 10028

Photo of Prarthita Jain, Counselor in 10028, NY
Prarthita Jain
Counselor, LMHC
Verified Verified
New York, NY 10028  (Online Only)
I am also a Gottman certified couples therapist which ties in well with trauma approaches as we are then able to assess triggers that may be showing up in your relationship and plan treatment accordingly.
Each individual has a unique narrative, experiences, and worldview. As a result, two different people may have a completely different outlook on a common experience. In my approach to therapeutic work, I aspire to explore the intersectionality of various identities that an individual holds. My approach to therapy includes identifying and integrating parts of the individual and their experiences to foster self-awareness, practical solutions, and advance personal growth.During our sessions together, I want to approach my clients in a collaborative manner and provide them the tools and space they need to heal, learn, and grow.
I am also a Gottman certified couples therapist which ties in well with trauma approaches as we are then able to assess triggers that may be showing up in your relationship and plan treatment accordingly.
Each individual has a unique narrative, experiences, and worldview. As a result, two different people may have a completely different outlook on a common experience. In my approach to therapeutic work, I aspire to explore the intersectionality of various identities that an individual holds. My approach to therapy includes identifying and integrating parts of the individual and their experiences to foster self-awareness, practical solutions, and advance personal growth.During our sessions together, I want to approach my clients in a collaborative manner and provide them the tools and space they need to heal, learn, and grow.
(347) 937-3351 View (347) 937-3351
Photo of Anita Gulati, LCSW, Clinical Social Work/Therapist in 10028, NY
Anita Gulati, LCSW
Clinical Social Work/Therapist, LCSW
Verified Verified
New York, NY 10028
I am an accomplished Psychoanalyst, Pre-Marital Counselor and EFT Couples Therapist, and strive to help individuals and couples find their harmony and achieve their life goals. If you are struggling with low self-esteem, anxiety or depression, I look forward to helping you regain your sense of self. If you are a pre-marital couple looking for guidance in achieving marital harmony and success, I look forward to helping you. If you are a couple or family in conflict, I will help you to understand why your relationship has broken down, and how to rebuild safety, trust and healthy communication patterns.
I am an accomplished Psychoanalyst, Pre-Marital Counselor and EFT Couples Therapist, and strive to help individuals and couples find their harmony and achieve their life goals. If you are struggling with low self-esteem, anxiety or depression, I look forward to helping you regain your sense of self. If you are a pre-marital couple looking for guidance in achieving marital harmony and success, I look forward to helping you. If you are a couple or family in conflict, I will help you to understand why your relationship has broken down, and how to rebuild safety, trust and healthy communication patterns.
(212) 247-3631 View (212) 247-3631
Photo of Gerald LaMear Bray, Clinical Social Work/Therapist in 10028, NY
Gerald LaMear Bray
Clinical Social Work/Therapist, LCSW-R, BCD-P
Verified Verified
New York, NY 10028
I have also provided couples and marital therapy and have current experience in panic disorders, phobias, and performance anxiety in the creative arts and sports.
I am an experienced adult psychotherapist with accredited postgraduate training and clinical experience. I have special interests in work-related stress, performance anxiety, eating disorders and interpersonal relationships. I have an active affiliation with many major insurance plans. You can expect to have a consultation within one to two days. My office is conveniently located on the Upper West Side. Curiosity, humor and a toleration of paradox and irony can help. Let's see how we can bring out the best in you and make the world a better place for everyone.
I have also provided couples and marital therapy and have current experience in panic disorders, phobias, and performance anxiety in the creative arts and sports.
I am an experienced adult psychotherapist with accredited postgraduate training and clinical experience. I have special interests in work-related stress, performance anxiety, eating disorders and interpersonal relationships. I have an active affiliation with many major insurance plans. You can expect to have a consultation within one to two days. My office is conveniently located on the Upper West Side. Curiosity, humor and a toleration of paradox and irony can help. Let's see how we can bring out the best in you and make the world a better place for everyone.
(212) 427-8043 View (212) 427-8043
Photo of Beth Lee, Clinical Social Work/Therapist in 10028, NY
Beth Lee
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
New York, NY 10028
I work collaboratively with people who are experiencing anxiety, depression, grief, loss, trauma, or struggles in their relationships. I use a strengths based, relational approach to therapy, helping my clients understand healthy and unhealthy relationship patterns in their lives and how to change them. I am trained in Somatic Experiencing and EMDR which I use with clients who have experienced trauma or are feeling "stuck" in their lives. I work collaboratively with you so that together we may discover your path to a healthier, happier and fulfilling life. I work with families, couples and individuals.
I work collaboratively with people who are experiencing anxiety, depression, grief, loss, trauma, or struggles in their relationships. I use a strengths based, relational approach to therapy, helping my clients understand healthy and unhealthy relationship patterns in their lives and how to change them. I am trained in Somatic Experiencing and EMDR which I use with clients who have experienced trauma or are feeling "stuck" in their lives. I work collaboratively with you so that together we may discover your path to a healthier, happier and fulfilling life. I work with families, couples and individuals.
(646) 663-5096 View (646) 663-5096
Photo of Megan Quinn, Clinical Social Work/Therapist in 10028, NY
Megan Quinn
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
New York, NY 10028  (Online Only)
I have 13 years of experience as a licensed clinician. I find the most important step is to create a comfortable, safe, and supportive environment for everyone I work with. We work together to strengthen motivation, create meaningful goals, and build a strong rapport. I passionately believe in empowering my clients and helping them become stronger and more confident, especially in controlling one's life.
I have 13 years of experience as a licensed clinician. I find the most important step is to create a comfortable, safe, and supportive environment for everyone I work with. We work together to strengthen motivation, create meaningful goals, and build a strong rapport. I passionately believe in empowering my clients and helping them become stronger and more confident, especially in controlling one's life.
(646) 692-0064 View (646) 692-0064
Photo of Sandy M Krohn, Psychologist in 10028, NY
Sandy M Krohn
Psychologist, PsyD, MA
Verified Verified
1 Endorsed
New York, NY 10028
I am a licensed clinical psychologist with over 10 years of experience, specializing in the treatment of anxiety and mood disorders such as excessive worry, depression, panic attacks, obsessive-compulsive disorder, and phobias. I also help individuals adapt to common life stressors such as relational issues, work challenges or general life transitions. At the start of treatment, we will work together to break down negative thought patterns that you may be keeping you stuck.
I am a licensed clinical psychologist with over 10 years of experience, specializing in the treatment of anxiety and mood disorders such as excessive worry, depression, panic attacks, obsessive-compulsive disorder, and phobias. I also help individuals adapt to common life stressors such as relational issues, work challenges or general life transitions. At the start of treatment, we will work together to break down negative thought patterns that you may be keeping you stuck.
(646) 808-3810 View (646) 808-3810
Photo of Ranjana Hari, Pre-Licensed Professional in 10028, NY
Ranjana Hari
Pre-Licensed Professional, PsyD, NCSP
Verified Verified
New York, NY 10028
These approaches are highly effective in treating anxiety, depression, trauma/PTSD, OCD, relationship issues, and low self-esteem.
I'm a dedicated psychotherapist with an extensive and diverse background, spanning private practice, schools, college clinics, foster care, and hospitals, including acute care. With a passion for treating individuals of all ages, I specialize in harnessing the power of evidence-based therapies to create long-lasting positive change, focusing on the core of issues, rather than surface change. I take pride in fostering a safe, warm, and compassionate environment that embraces the unique perspectives of clients from diverse backgrounds. Even the most resistant patients find themselves engaged in the therapeutic process under my care.
These approaches are highly effective in treating anxiety, depression, trauma/PTSD, OCD, relationship issues, and low self-esteem.
I'm a dedicated psychotherapist with an extensive and diverse background, spanning private practice, schools, college clinics, foster care, and hospitals, including acute care. With a passion for treating individuals of all ages, I specialize in harnessing the power of evidence-based therapies to create long-lasting positive change, focusing on the core of issues, rather than surface change. I take pride in fostering a safe, warm, and compassionate environment that embraces the unique perspectives of clients from diverse backgrounds. Even the most resistant patients find themselves engaged in the therapeutic process under my care.
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Photo of Blair Schwartz, Psy.D., Psychologist in 10028, NY
Blair Schwartz, Psy.D.
Psychologist, PsyD
Verified Verified
1 Endorsed
New York, NY 10028  (Online Only)
Please allow me to inform you about my practice and credentials. I am a compassionate and dedicated psychologist serving patients in Manhattan. I treat a broad range of diagnostic conditions, and work with diverse populations. Some of the mental health services that I offer include: addiction counseling, depression treatment, anxiety management, sleep enhancement techniques, self-esteem improvement, anger or stress reduction methods, couples or family therapy, group therapy, and assertiveness or social skills training. I attained my Clinical Psy.D. degree, from Yeshiva University, Ferkauf Graduate School of Psychology in New York, and have been practicing since 1995.
Please allow me to inform you about my practice and credentials. I am a compassionate and dedicated psychologist serving patients in Manhattan. I treat a broad range of diagnostic conditions, and work with diverse populations. Some of the mental health services that I offer include: addiction counseling, depression treatment, anxiety management, sleep enhancement techniques, self-esteem improvement, anger or stress reduction methods, couples or family therapy, group therapy, and assertiveness or social skills training. I attained my Clinical Psy.D. degree, from Yeshiva University, Ferkauf Graduate School of Psychology in New York, and have been practicing since 1995.
(646) 593-7169 View (646) 593-7169
Photo of Elizabeth Flamm Therapy, Clinical Social Work/Therapist in 10028, NY
Elizabeth Flamm Therapy
Clinical Social Work/Therapist, LCSW
Verified Verified
New York, NY 10028
You can't change your situation, but you can change how you deal with it. I want to help you find your own inner voice to overcome obstacles, which can lead to rediscovery and self-empowerment. I received my MSW from Fordham University with a clinical concentration before completing post-graduate training at the prestigious Ackerman Institute. My goal is to encourage individuals, couples and families to cope better with their difficulties. My approach is collaborative, empathetic and non-judgmental in supporting you to find hope and meaning in your life. As an active listener, I bring a sense of calm to address your concerns.
You can't change your situation, but you can change how you deal with it. I want to help you find your own inner voice to overcome obstacles, which can lead to rediscovery and self-empowerment. I received my MSW from Fordham University with a clinical concentration before completing post-graduate training at the prestigious Ackerman Institute. My goal is to encourage individuals, couples and families to cope better with their difficulties. My approach is collaborative, empathetic and non-judgmental in supporting you to find hope and meaning in your life. As an active listener, I bring a sense of calm to address your concerns.
(561) 933-5305 View (561) 933-5305
Photo of Heather Kaufman, Clinical Social Work/Therapist in 10028, NY
Heather Kaufman
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
New York, NY 10028
I have also been trained in family conflict resolution—counseling couples, parents, and families as a unit.
Are you overcome with grief? Do you feel overwhelmed by life and the world around you? Do you feel anxious or depressed? Do your interactions with family members and significant others cause you distress? Do you feel isolated because there is no one to speak to? Let me help you navigate those feelings and find ways to take affirmative steps toward improving the quality of your life. I am an empathetic and engaged therapist. I pride myself on creating a safe, compassionate, and nonjudgmental environment where I promise that you will be heard.
I have also been trained in family conflict resolution—counseling couples, parents, and families as a unit.
Are you overcome with grief? Do you feel overwhelmed by life and the world around you? Do you feel anxious or depressed? Do your interactions with family members and significant others cause you distress? Do you feel isolated because there is no one to speak to? Let me help you navigate those feelings and find ways to take affirmative steps toward improving the quality of your life. I am an empathetic and engaged therapist. I pride myself on creating a safe, compassionate, and nonjudgmental environment where I promise that you will be heard.
(718) 568-6032 View (718) 568-6032
Photo of Dr. Matthew Paldy, Licensed Psychoanalyst in 10028, NY
Dr. Matthew Paldy
Licensed Psychoanalyst, PhD, LP
Verified Verified
New York, NY 10028
You may be going through a difficult time or you may have struggled for a long time with a particular issue. I'll listen carefully and help you better understand yourself and your circumstances. There are often patterns in how we relate to ourselves, others, and the world around us. These patterns emerge from your mind's "central organizing principles," which are often unconscious. I'll help you understand these and get to the root of the problem. If you are unhappy or dissatisfied with some aspect of your life, I'll work with you to address it and help you to feel a greater sense of calm, confidence, and clarity.
You may be going through a difficult time or you may have struggled for a long time with a particular issue. I'll listen carefully and help you better understand yourself and your circumstances. There are often patterns in how we relate to ourselves, others, and the world around us. These patterns emerge from your mind's "central organizing principles," which are often unconscious. I'll help you understand these and get to the root of the problem. If you are unhappy or dissatisfied with some aspect of your life, I'll work with you to address it and help you to feel a greater sense of calm, confidence, and clarity.
(347) 252-3759 View (347) 252-3759
Photo of Elaine K Hicks, Clinical Social Work/Therapist in 10028, NY
Elaine K Hicks
Clinical Social Work/Therapist, LCSW, PhD
Verified Verified
New York, NY 10028
My strengths include a warm and relational manner and a compassionate nature along with experience and intuition, I can help people with relationship issues, including, individuals, couples, families and work related problems. I provide support at all life-stages.I am eclectic while taking into account the particular psycho-dynamics of the individual.I also work extensively with anxiety and depression. I studied at the Harvard Mind and Body Institute. I combine this information into mind body work for anxiety and depression.I have what is most important that is to listen to others with my mind and my heart.
My strengths include a warm and relational manner and a compassionate nature along with experience and intuition, I can help people with relationship issues, including, individuals, couples, families and work related problems. I provide support at all life-stages.I am eclectic while taking into account the particular psycho-dynamics of the individual.I also work extensively with anxiety and depression. I studied at the Harvard Mind and Body Institute. I combine this information into mind body work for anxiety and depression.I have what is most important that is to listen to others with my mind and my heart.
(609) 283-2205 View (609) 283-2205
Photo of Young Tang in 10028, NY
Young Tang
MA, MHC-LP
Verified Verified
New York, NY 10028
Want to Improve Performance? Be Happier? Reduce Stress? Progress in Relationships? Reach Goals? Optimizing Mental Health is a Must. When Living in the New York of Today, balancing Work, Relationships, Finances, Life Changes, Education, and more can be stressful. You may be struggling with marginalized identity due to Culture, Class, Ethnicity, Gender, Sexuality, Immigration Status, Socioeconomic Status, and more. Underlying Problems may be weighing on your Psyche. Whatever your concern is, working on your Mental Health is at least part of if not the whole Solution. Take Control of your Life by Committing to Therapy.
Want to Improve Performance? Be Happier? Reduce Stress? Progress in Relationships? Reach Goals? Optimizing Mental Health is a Must. When Living in the New York of Today, balancing Work, Relationships, Finances, Life Changes, Education, and more can be stressful. You may be struggling with marginalized identity due to Culture, Class, Ethnicity, Gender, Sexuality, Immigration Status, Socioeconomic Status, and more. Underlying Problems may be weighing on your Psyche. Whatever your concern is, working on your Mental Health is at least part of if not the whole Solution. Take Control of your Life by Committing to Therapy.
(347) 492-1848 View (347) 492-1848
Photo of Carrie Gelber Rosenfield, Psy.D., Psychologist in 10028, NY
Carrie Gelber Rosenfield, Psy.D.
Psychologist, PsyD
Verified Verified
New York, NY 10028
Our sessions begin with a conversation. What brings you here? What would you like to be different? What would your life look like if our work together is successful? With over 35 years of experience as a Licensed Clinical Psychologist we can quickly and jointly determine if we are a good fit. I work with adolescents and individual adults as well as couples experiencing relationship, intimacy and/or parenting issues. My expertise in psychodynamic, cognitive, and relational therapy provide a unique combination. Please see my website for more information: www.drcarrierosenfield.com
Our sessions begin with a conversation. What brings you here? What would you like to be different? What would your life look like if our work together is successful? With over 35 years of experience as a Licensed Clinical Psychologist we can quickly and jointly determine if we are a good fit. I work with adolescents and individual adults as well as couples experiencing relationship, intimacy and/or parenting issues. My expertise in psychodynamic, cognitive, and relational therapy provide a unique combination. Please see my website for more information: www.drcarrierosenfield.com
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Photo of Nancy S Gershman At Bhava Therapy Group, Clinical Social Work/Therapist in 10028, NY
Nancy S Gershman At Bhava Therapy Group
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
New York, NY 10028
How do we know when we're healed, "fixed", back to ourselves? There's a lightening up, a kinder voice in our heads, a bursting generosity and restored sense of purpose. And how does one get there with an integrative therapist? We start with The Here and Now. Forming I Fear/ I Wish statements. Figuring out which Selves survived that little t or Big T trauma. Listing the constricting beliefs of your Inner Critic. Inviting you (and your partner?) to play with new self-talk, role-play, power poses or traditions. Maybe diagramming intergenerational intel to re-write the future.
How do we know when we're healed, "fixed", back to ourselves? There's a lightening up, a kinder voice in our heads, a bursting generosity and restored sense of purpose. And how does one get there with an integrative therapist? We start with The Here and Now. Forming I Fear/ I Wish statements. Figuring out which Selves survived that little t or Big T trauma. Listing the constricting beliefs of your Inner Critic. Inviting you (and your partner?) to play with new self-talk, role-play, power poses or traditions. Maybe diagramming intergenerational intel to re-write the future.
(646) 762-4471 View (646) 762-4471
Photo of Katharine Blodget, Clinical Social Work/Therapist in 10028, NY
Katharine Blodget
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
New York, NY 10028
My work is informed by extensive experience in evidence-based practices, dialectical behavioral (DBT) and cognitive behavioral (CBT) therapies and 20+ years working with individuals, families, couples, adolescents and children. In addition to training with The Ackerman Institute for the Family, I've received certifications at Behavioral Tech and the Beck Institute. I specialize in navigating internal and interpersonal conflict in the context of family, intimate partner, parent/child, educational and professional relationships.
My work is informed by extensive experience in evidence-based practices, dialectical behavioral (DBT) and cognitive behavioral (CBT) therapies and 20+ years working with individuals, families, couples, adolescents and children. In addition to training with The Ackerman Institute for the Family, I've received certifications at Behavioral Tech and the Beck Institute. I specialize in navigating internal and interpersonal conflict in the context of family, intimate partner, parent/child, educational and professional relationships.
(646) 832-4651 View (646) 832-4651
Photo of Linda Charnes, Marriage & Family Therapist in 10028, NY
Linda Charnes
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
New York, NY 10028
I help both individuals and couples find personal fulfillment and interpersonal harmony.
What prevents you from having a happy life? What stops you from getting what you really want? You are searching for help. Welcome to the beginning of your healing journey. My patients are usually high functioning people who are genuinely motivated to change, but simply do not know how. My mission is to help people free themselves from limiting patterns and develop healthier skills of living and relating. Stress, unhappiness, anger, self control, dissatisfaction with work or with interpersonal or family relationships: our work together finally offers you a chance to establish and pursue what you really want in your life.
I help both individuals and couples find personal fulfillment and interpersonal harmony.
What prevents you from having a happy life? What stops you from getting what you really want? You are searching for help. Welcome to the beginning of your healing journey. My patients are usually high functioning people who are genuinely motivated to change, but simply do not know how. My mission is to help people free themselves from limiting patterns and develop healthier skills of living and relating. Stress, unhappiness, anger, self control, dissatisfaction with work or with interpersonal or family relationships: our work together finally offers you a chance to establish and pursue what you really want in your life.
(646) 783-0504 View (646) 783-0504
Photo of Lauren Tinaglia, Clinical Social Work/Therapist in 10028, NY
Lauren Tinaglia
Clinical Social Work/Therapist, LCSW-R
Verified Verified
1 Endorsed
New York, NY 10028  (Online Only)
My passion for therapy stems from my belief that it’s powerful and healing to have a space to be heard and supported while addressing challenges and achieving goals. I work with adults of all ages and walks of life who want to live a happier and more satisfying and productive life. Many of my clients are navigating life transitions, trying to understand their career and relationship goals, learning how best to respond to daily stress, anxiety, and challenges, and striving to improve their relationships, mental health, emotions, and self-esteem. Together, we will clarify your goals and develop insight, skills, and self-compassion.
My passion for therapy stems from my belief that it’s powerful and healing to have a space to be heard and supported while addressing challenges and achieving goals. I work with adults of all ages and walks of life who want to live a happier and more satisfying and productive life. Many of my clients are navigating life transitions, trying to understand their career and relationship goals, learning how best to respond to daily stress, anxiety, and challenges, and striving to improve their relationships, mental health, emotions, and self-esteem. Together, we will clarify your goals and develop insight, skills, and self-compassion.
(646) 461-4919 View (646) 461-4919
Photo of Jessica January Behr, Psychologist in 10028, NY
Jessica January Behr
Psychologist, PsyD
Verified Verified
8 Endorsed
New York, NY 10028  (Online Only)
Most people seek therapy when they are unhappy with one or more aspects of their lives. Whether you are struggling with work, love, family or self – you might be wondering, what will really help? I believe that understanding yourself is a great gift and a power. We as people are complicated beings. It takes effort and focused attention to parse out our complexity. It takes will and bravery to face ourselves; our lives, our pasts, presents and futures. It also takes intention to appreciate our strengths and recognize the areas that need strengthening.
Most people seek therapy when they are unhappy with one or more aspects of their lives. Whether you are struggling with work, love, family or self – you might be wondering, what will really help? I believe that understanding yourself is a great gift and a power. We as people are complicated beings. It takes effort and focused attention to parse out our complexity. It takes will and bravery to face ourselves; our lives, our pasts, presents and futures. It also takes intention to appreciate our strengths and recognize the areas that need strengthening.
(646) 693-0338 View (646) 693-0338
Photo of Karen Perlman, Clinical Social Work/Therapist in 10028, NY
Karen Perlman
Clinical Social Work/Therapist, LCSW, HHP
Verified Verified
New York, NY 10028  (Online Only)
Training and Certifications in: Cognitive Behavioral Therapy, Couples and Family Therapy, Integrative Nutrition, ADHD Coaching, Mindfulness and Breath Work, Family Focused Grief Therapy.
As a therapist with a disability, I have a deep appreciation for life's challenges, pain, loss and suffering. I have learned the art of "transforming obstacles into opportunities," with the help of my guide dog Faith, as she literally guides me around obstacles, and has enhanced my life, turning around an otherwise insurmountable feat. Decades of clinical and life experience, keen intuition, along with compassion and a holistic, evidenced-based approach, and a sense of humor, are some of the key ingredients leading my clients towards feeling better, finding direction and actualizing potential.
Training and Certifications in: Cognitive Behavioral Therapy, Couples and Family Therapy, Integrative Nutrition, ADHD Coaching, Mindfulness and Breath Work, Family Focused Grief Therapy.
As a therapist with a disability, I have a deep appreciation for life's challenges, pain, loss and suffering. I have learned the art of "transforming obstacles into opportunities," with the help of my guide dog Faith, as she literally guides me around obstacles, and has enhanced my life, turning around an otherwise insurmountable feat. Decades of clinical and life experience, keen intuition, along with compassion and a holistic, evidenced-based approach, and a sense of humor, are some of the key ingredients leading my clients towards feeling better, finding direction and actualizing potential.
(646) 679-7829 View (646) 679-7829
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.