Photo of Maria N Toscano, Marriage & Family Therapist in Contra Costa County, CA
Maria N Toscano
Marriage & Family Therapist, LMFT
Verified Verified
San Ramon, CA 94583
When we are struggling to decide what direction to take in our lives, talking to a professional could help us to clarify our ideas. I have been working with couples, individuals, children, adolescents and families for 7 years. I have been treating anxiety, depression, trauma, infidelity, relational problems, etc. I use client centered models and I am trained in EMDR for trauma. My work is based on my clients goals, supporting them on the way to achieve those goals in a gentle manner. Connection is very important between clients and therapist as an any relationship this will facilitate communication and trust.
When we are struggling to decide what direction to take in our lives, talking to a professional could help us to clarify our ideas. I have been working with couples, individuals, children, adolescents and families for 7 years. I have been treating anxiety, depression, trauma, infidelity, relational problems, etc. I use client centered models and I am trained in EMDR for trauma. My work is based on my clients goals, supporting them on the way to achieve those goals in a gentle manner. Connection is very important between clients and therapist as an any relationship this will facilitate communication and trust.
(925) 799-2304 View (925) 799-2304
Photo of Jonathan Packman, Marriage & Family Therapist Associate in Contra Costa County, CA
Jonathan Packman
Marriage & Family Therapist Associate, MA, AMFT, APCC
Verified Verified
Orinda, CA 94563
Every person is confronted by obstacles in life: internal and external. I work with individuals, families and couples to establish and work towards specific goals, on the way to navigating through or around those obstacles. We'll collaborate to create a safe space to uncover what is getting in the way of growth or healing. I enjoy working with young children, adolescents and young adults to sharpen the skills that are necessary to move through the stages of development on the path towards academic, career, athletic, creative and personal achievement.
Every person is confronted by obstacles in life: internal and external. I work with individuals, families and couples to establish and work towards specific goals, on the way to navigating through or around those obstacles. We'll collaborate to create a safe space to uncover what is getting in the way of growth or healing. I enjoy working with young children, adolescents and young adults to sharpen the skills that are necessary to move through the stages of development on the path towards academic, career, athletic, creative and personal achievement.
(925) 660-7139 View (925) 660-7139
Photo of Remarkable Services, Marriage & Family Therapist in Contra Costa County, CA
Remarkable Services
Marriage & Family Therapist, EdD, LMFT
Verified Verified
Walnut Creek, CA 94596
RS provides therapy counseling support to children, teens, adults, couples, and families.
At some point, we all struggle to adjust to change and fail to respond to life’s challenges with our best effort. It’s normal to feel stuck. We at Remarkable Services (RS) believe people inherently have what it takes within themselves to adjust, change and heal. No matter if it’s a challenging work situation, a parenting struggle, a tough year of high school or college, we all know what it feels like to struggle. Parents and their children are not immune, in that over the course of the first 18 years of life there are bound to be countless transitions, developments, change and of course, points of contention. RS is here to help!
RS provides therapy counseling support to children, teens, adults, couples, and families.
At some point, we all struggle to adjust to change and fail to respond to life’s challenges with our best effort. It’s normal to feel stuck. We at Remarkable Services (RS) believe people inherently have what it takes within themselves to adjust, change and heal. No matter if it’s a challenging work situation, a parenting struggle, a tough year of high school or college, we all know what it feels like to struggle. Parents and their children are not immune, in that over the course of the first 18 years of life there are bound to be countless transitions, developments, change and of course, points of contention. RS is here to help!
(925) 436-1725 View (925) 436-1725
Photo of Haley Hewitt, Marriage & Family Therapist in Contra Costa County, CA
Haley Hewitt
Marriage & Family Therapist, MA, LMFT, E-RYT
Verified Verified
12 Endorsed
Orinda, CA 94563
Waitlist for new clients
My name is Haley Hewitt and I specialize in individual, couples, and family therapy. I believe that because we are complex and unique individuals, an approach that integrates both mind and body is essential for the healing, growth, and resiliency that is the goal of therapeutic counseling. Treatment specializations include: depression and anxiety, couples counseling, children and adolescents, psychedelic-assisted therapies, stress and/or pain management, life transitions, self-esteem, mental illness/mental health issues, gender and/or sexual identity, and LGBTQIA. I am trained in EMDR, Brainspotting, IFS, DBT/CBT & Somatics.
My name is Haley Hewitt and I specialize in individual, couples, and family therapy. I believe that because we are complex and unique individuals, an approach that integrates both mind and body is essential for the healing, growth, and resiliency that is the goal of therapeutic counseling. Treatment specializations include: depression and anxiety, couples counseling, children and adolescents, psychedelic-assisted therapies, stress and/or pain management, life transitions, self-esteem, mental illness/mental health issues, gender and/or sexual identity, and LGBTQIA. I am trained in EMDR, Brainspotting, IFS, DBT/CBT & Somatics.
(925) 275-5742 View (925) 275-5742
Photo of Stacey Bankston, Marriage & Family Therapist in Contra Costa County, CA
Stacey Bankston
Marriage & Family Therapist, MA, LMFT, CCATP, CGP
Verified Verified
Brentwood, CA 94513
Waitlist for new clients
Our thoughts, emotions and actions are all connected. During periods of high stress, negative thoughts and overwhelming emotion can cause dysfunction in our daily lives. Therapy can support you in reframing negative thoughts, so you can better manage your emotional experience and thus, change harmful actions toward yourself and others. My experience includes working with adolescents, teens, families and adults struggling with anxiety, depression, trauma, attachment, eating disorders, opposition, relationship and behavioral problems. I believe that therapy is a collaborative partnership between the client and therapist.
Our thoughts, emotions and actions are all connected. During periods of high stress, negative thoughts and overwhelming emotion can cause dysfunction in our daily lives. Therapy can support you in reframing negative thoughts, so you can better manage your emotional experience and thus, change harmful actions toward yourself and others. My experience includes working with adolescents, teens, families and adults struggling with anxiety, depression, trauma, attachment, eating disorders, opposition, relationship and behavioral problems. I believe that therapy is a collaborative partnership between the client and therapist.
(925) 275-5919 View (925) 275-5919
Photo of Dr. Rebecca A Scott, Psychologist in Contra Costa County, CA
Dr. Rebecca A Scott
Psychologist, PsyD
Verified Verified
Danville, CA 94506  (Online Only)
When we feel stuck in our situation, it can create feelings of hopelessness. In addition to the many problems that complicate our daily lives such as anxiety, panic attacks, depression, patients come to me with complex relationship issues including marital distress, divorce recovery, verbal & emotional abuse, loss of child, parent, or spouse. I approach therapy from a holistic perspective, to address the root problem, not just the symptoms. Like physical therapy, the goal is to get well and end treatment. I offer perspective on your experience, and provide clear, concise directions on meeting your treatment goals.
When we feel stuck in our situation, it can create feelings of hopelessness. In addition to the many problems that complicate our daily lives such as anxiety, panic attacks, depression, patients come to me with complex relationship issues including marital distress, divorce recovery, verbal & emotional abuse, loss of child, parent, or spouse. I approach therapy from a holistic perspective, to address the root problem, not just the symptoms. Like physical therapy, the goal is to get well and end treatment. I offer perspective on your experience, and provide clear, concise directions on meeting your treatment goals.
(925) 413-3305 View (925) 413-3305
Photo of Dr Richard C Hanzy - MyFaith CCS, Marriage & Family Therapist in Contra Costa County, CA
Dr Richard C Hanzy - MyFaith CCS
Marriage & Family Therapist, PsyD, PhD, LMFT
Verified Verified
Antioch, CA 94531
Welcome! And thank you! I love to work with Couples, Families, and individuals who are seeking to overcome barriers in their lives. Some are struggling with: * anger management, * addiction, * Jobs stress, * familial & social relationships issues, * loneliness, * anxiety, * current or past abuse * depression, * poor communication, * relationship issues, * parenting, * Trauma/Traumatic events * poor focus and attention, * low motivation, * veterans support, * VICTIM OF A VIOLENT CRIME (VOC),* and the search for purpose. Often many people are stuck in addictive self-destructive patterns in their lives, which result from an effort to manage their emotional pain.
Welcome! And thank you! I love to work with Couples, Families, and individuals who are seeking to overcome barriers in their lives. Some are struggling with: * anger management, * addiction, * Jobs stress, * familial & social relationships issues, * loneliness, * anxiety, * current or past abuse * depression, * poor communication, * relationship issues, * parenting, * Trauma/Traumatic events * poor focus and attention, * low motivation, * veterans support, * VICTIM OF A VIOLENT CRIME (VOC),* and the search for purpose. Often many people are stuck in addictive self-destructive patterns in their lives, which result from an effort to manage their emotional pain.
(925) 892-3790 View (925) 892-3790
Photo of Private Practice, Marriage & Family Therapist in Contra Costa County, CA
Private Practice
Marriage & Family Therapist, MA, LMFT
Verified Verified
Walnut Creek, CA 94596
EMDR therapist in the East Bay specialized in Trauma / PTSD, Marriage Counseling, Food Issues / Disordered Eating, Anxiety, LGBTQ, Depression, Women's Issues, Spirituality, Life Transitions, Adoption, Parenting, and Teen Issues. I regularly see Couples, Families, Teens and Adults ranging from early adolescence to late 60's.
EMDR therapist in the East Bay specialized in Trauma / PTSD, Marriage Counseling, Food Issues / Disordered Eating, Anxiety, LGBTQ, Depression, Women's Issues, Spirituality, Life Transitions, Adoption, Parenting, and Teen Issues. I regularly see Couples, Families, Teens and Adults ranging from early adolescence to late 60's.
(925) 948-8070 View (925) 948-8070
Photo of Patty Shirley - East Bay Christian Counseling - Serving California And Idaho, Marriage & Family Therapist in Contra Costa County, CA
Patty Shirley - East Bay Christian Counseling - Serving California And Idaho
Marriage & Family Therapist, LMFT, LPCC, CATC, CCTP
Verified Verified
Danville, CA 94526
In-Person, Video / Virtual and Phone Sessions are available for individual, couples and family therapy. Feeling worried, anxious, sad, angry or frustrated? Having relationship and communication issues? I am a LMFT and a Registered Addiction Specialist. Areas of treatment include substance / alcohol /pill abuse, behavioral addictions (sex/porn, love/relationship, exercise, eating disorders, Internet, gambling, shopping, work, etc.), relationship / communication issues (marital, family and teen), stress, grief, depression, anxiety, trauma, abuse (sexual, emotional, spiritual or financial), dementia and Alzheimer's. Call today!
In-Person, Video / Virtual and Phone Sessions are available for individual, couples and family therapy. Feeling worried, anxious, sad, angry or frustrated? Having relationship and communication issues? I am a LMFT and a Registered Addiction Specialist. Areas of treatment include substance / alcohol /pill abuse, behavioral addictions (sex/porn, love/relationship, exercise, eating disorders, Internet, gambling, shopping, work, etc.), relationship / communication issues (marital, family and teen), stress, grief, depression, anxiety, trauma, abuse (sexual, emotional, spiritual or financial), dementia and Alzheimer's. Call today!
(925) 212-1018 View (925) 212-1018
Photo of Vincent Buhagiar, Marriage & Family Therapist in Contra Costa County, CA
Vincent Buhagiar
Marriage & Family Therapist
Verified Verified
3 Endorsed
Concord, CA 94519
I serve individuals, groups, couples & throuples of all gender and sexual orientation over the age of 13.
Not your daddy’s therapist - $190 per 50min session. If you are looking for a therapist just like every other, then keep looking. I am holistic, young, experimental, polyamorous, extremely open-minded, spiritual, transpersonal, weird, awkward, provocative, quirky, heteroflexible, and a sparkle of queer. My life work focuses on the deconstruction of social norms including gender, masculinity/femininity, relationships, sexuality, professionalism, and mental health as a whole. Therapy is not a one size fits all kind of gig. I customize the way I work to match the needs, strengths, and limitations of each individual client.
I serve individuals, groups, couples & throuples of all gender and sexual orientation over the age of 13.
Not your daddy’s therapist - $190 per 50min session. If you are looking for a therapist just like every other, then keep looking. I am holistic, young, experimental, polyamorous, extremely open-minded, spiritual, transpersonal, weird, awkward, provocative, quirky, heteroflexible, and a sparkle of queer. My life work focuses on the deconstruction of social norms including gender, masculinity/femininity, relationships, sexuality, professionalism, and mental health as a whole. Therapy is not a one size fits all kind of gig. I customize the way I work to match the needs, strengths, and limitations of each individual client.
(925) 403-4770 View (925) 403-4770
Photo of Reuel Evans, Marriage & Family Therapist in Contra Costa County, CA
Reuel Evans
Marriage & Family Therapist, MA, LMFT
Verified Verified
Lafayette, CA 94549
Life can be stressful due to relationship issues, the workplace, loss, navigating home and family life or other life challenges. I am here to support you as work through these difficulties. Our collaborative journey will help guide you in a direction where you feel more able to face and overcome the challenges you are experiencing. During our sessions I will provide you with a safe, empathetic, and non judgmental environment where you can explore and address any personal struggles and hardships that you may be experiencing.
Life can be stressful due to relationship issues, the workplace, loss, navigating home and family life or other life challenges. I am here to support you as work through these difficulties. Our collaborative journey will help guide you in a direction where you feel more able to face and overcome the challenges you are experiencing. During our sessions I will provide you with a safe, empathetic, and non judgmental environment where you can explore and address any personal struggles and hardships that you may be experiencing.
(925) 393-0490 View (925) 393-0490
Photo of Michael Cheney, Psychologist in Contra Costa County, CA
Michael Cheney
Psychologist, PsyD
Verified Verified
Walnut Creek, CA 94596
Using insight-oriented and cognitive-behavioral approaches, I have developed an effective psychotherapeutic technique that has helped individuals gain relief from symptoms of depression, anxiety, stress, uncontrollable anger, obsessive compulsive disorder, alcohol/substance abuse, and child acting-out behaviors. I am a Licensed Psychologist and a member of the American Psychological Association and the California Psychological Association. My clinical focus is in providing psychotherapy to children, adolescents and adults. I see individuals, couples and families.
Using insight-oriented and cognitive-behavioral approaches, I have developed an effective psychotherapeutic technique that has helped individuals gain relief from symptoms of depression, anxiety, stress, uncontrollable anger, obsessive compulsive disorder, alcohol/substance abuse, and child acting-out behaviors. I am a Licensed Psychologist and a member of the American Psychological Association and the California Psychological Association. My clinical focus is in providing psychotherapy to children, adolescents and adults. I see individuals, couples and families.
(925) 308-5216 View (925) 308-5216
Photo of Debra Jay Sheppard, Marriage & Family Therapist in Contra Costa County, CA
Debra Jay Sheppard
Marriage & Family Therapist, LMFT, MA, BA
Verified Verified
Orinda, CA 94563
I specialize in working with couples, parenting, parents with special needs children, young adults and grandparents. Family conflict, divorce, blended families who are undergoing a wide range of emotional, behavioral, academic, and relational issues need support and tools. Retirement, aging, caring for aging parents, caring for ill-loved ones, coping with life threatening illness and grief and loss are also important issues impacting life and family. Therapy can bring understanding, increase communication and create healthy relationships, life transitions and families.
I specialize in working with couples, parenting, parents with special needs children, young adults and grandparents. Family conflict, divorce, blended families who are undergoing a wide range of emotional, behavioral, academic, and relational issues need support and tools. Retirement, aging, caring for aging parents, caring for ill-loved ones, coping with life threatening illness and grief and loss are also important issues impacting life and family. Therapy can bring understanding, increase communication and create healthy relationships, life transitions and families.
(925) 357-9935 View (925) 357-9935
Photo of Phillip H Lolonis, Clinical Social Work/Therapist in Contra Costa County, CA
Phillip H Lolonis
Clinical Social Work/Therapist, LCSW, PPSC
Verified Verified
Walnut Creek, CA 94596
I specialize in guiding individuals and families through intricate paths of healing, offering a unique blend of evidence-based models tailored to your specific needs. Whether you are suffering from anxiety, OCD, depression, trauma, relationship challenges, habits/addictions, perfectionism, or grief, my holistic approach spans every facet of life – from home to work, school to sports. With expertise as a guide and therapist, I excel with those who enter with motivation to address their suffering and make the deliberate choice to dedicate time to their healing journey. This is 360 healing and I am here to help you.
I specialize in guiding individuals and families through intricate paths of healing, offering a unique blend of evidence-based models tailored to your specific needs. Whether you are suffering from anxiety, OCD, depression, trauma, relationship challenges, habits/addictions, perfectionism, or grief, my holistic approach spans every facet of life – from home to work, school to sports. With expertise as a guide and therapist, I excel with those who enter with motivation to address their suffering and make the deliberate choice to dedicate time to their healing journey. This is 360 healing and I am here to help you.
(925) 420-8093 View (925) 420-8093
Photo of Tiffany Star Engeldinger, Marriage & Family Therapist in Contra Costa County, CA
Tiffany Star Engeldinger
Marriage & Family Therapist, MA, MFT
Verified Verified
Brentwood, CA 94513
I have been working with individuals, couples and families to provide support and solutions.
Do you feel like your teen or adolescent is out of control? Are you an adult that struggles with anger, depression, anxiety or negative thinking? I specialize in working with clients using CBT along with meeting each client where they are to treat behavioral problems such as defiance, obsessive-compulsive disorder, anxiety, depression and daily stresses . I look at each client as an individual and work with them to identify their personal needs. I have experience treating depression, anxiety, defiant teens, parenting issues, ADHD, social skills, addiction, anger management, bipolar, families, relationships, domestic violence.
I have been working with individuals, couples and families to provide support and solutions.
Do you feel like your teen or adolescent is out of control? Are you an adult that struggles with anger, depression, anxiety or negative thinking? I specialize in working with clients using CBT along with meeting each client where they are to treat behavioral problems such as defiance, obsessive-compulsive disorder, anxiety, depression and daily stresses . I look at each client as an individual and work with them to identify their personal needs. I have experience treating depression, anxiety, defiant teens, parenting issues, ADHD, social skills, addiction, anger management, bipolar, families, relationships, domestic violence.
(510) 760-3233 View (510) 760-3233
Photo of Mary Cabarles, Clinical Social Work/Therapist in Contra Costa County, CA
Mary Cabarles
Clinical Social Work/Therapist, LCSW
Verified Verified
Concord, CA 94520  (Online Only)
I started my private practice in the midst of the pandemic as stress levels rose from fear, job changes, financial issues, child/eldercare, relationship issues, racial injustices, air quality, displacement by the wildfires, climate change, the list goes on.
#1 You are courageous. It is not easy to ask for help or be willing to look at coping strategies or attachment styles that are no longer serving you. I strive to provide an open unbiased environment to develop a comfortable therapist/client dynamic in order to begin processing past or current issues with a focus on goal setting and starting where you're at. Change happens when you believe it can happen and the only failure is in not trying. I strongly believe that there is no destination, only the journey and in focusing on the process and being mindful, you can achieve anything.
I started my private practice in the midst of the pandemic as stress levels rose from fear, job changes, financial issues, child/eldercare, relationship issues, racial injustices, air quality, displacement by the wildfires, climate change, the list goes on.
#1 You are courageous. It is not easy to ask for help or be willing to look at coping strategies or attachment styles that are no longer serving you. I strive to provide an open unbiased environment to develop a comfortable therapist/client dynamic in order to begin processing past or current issues with a focus on goal setting and starting where you're at. Change happens when you believe it can happen and the only failure is in not trying. I strongly believe that there is no destination, only the journey and in focusing on the process and being mindful, you can achieve anything.
(510) 281-8028 View (510) 281-8028
Photo of Donn Bradley, Marriage & Family Therapist in Contra Costa County, CA
Donn Bradley
Marriage & Family Therapist, LMFT, MA
Verified Verified
1 Endorsed
Brentwood, CA 94513
I am passionate about utilizing my varied and valuable experience, in order to help people of all ages, couples and families.
You'll find that I'm not your typical patches-on-the-sleeves, "tell me about your mother" style therapist. After a career as a first responder, I have come in contact with a great many mental health challenges. My clients will find I am very empathetic while at the same time no-nonsense and to the point. Together, we'll explore what your challenges have been historically and find new ways to approach the life (and ultimately, happiness) for which you're looking.
I am passionate about utilizing my varied and valuable experience, in order to help people of all ages, couples and families.
You'll find that I'm not your typical patches-on-the-sleeves, "tell me about your mother" style therapist. After a career as a first responder, I have come in contact with a great many mental health challenges. My clients will find I am very empathetic while at the same time no-nonsense and to the point. Together, we'll explore what your challenges have been historically and find new ways to approach the life (and ultimately, happiness) for which you're looking.
(925) 568-7296 View (925) 568-7296
Photo of Marla Lane-Parks, Marriage & Family Therapist in Contra Costa County, CA
Marla Lane-Parks
Marriage & Family Therapist, LMFT
Verified Verified
Lafayette, CA 94549
For nine years I have had hands-on experience working with individuals, children, couples and families, and have helped my clients deal with the various challenges life brought them. Diversity and inclusion are core beliefs of mine. I feel that every person has value that can be enriched and strengthened.
For nine years I have had hands-on experience working with individuals, children, couples and families, and have helped my clients deal with the various challenges life brought them. Diversity and inclusion are core beliefs of mine. I feel that every person has value that can be enriched and strengthened.
(925) 326-6067 View (925) 326-6067
Photo of Katerina Rozakis - Insight for Wellness Center , Clinical Social Work/Therapist in Contra Costa County, CA
Katerina Rozakis - Insight for Wellness Center
Clinical Social Work/Therapist, PhD, LCSW, BCIM, DAPA
Verified Verified
1 Endorsed
San Ramon, CA 94583
I work with adults, couples and seniors. I use an integrative, narrative and Cognitive Therapeutic Approach. Living in the East Bay for 20+ years has allowed me to connect with the community and collaborate care with some of our finest health professionals. Insight Wellness Center is a beautiful healing space with passionate therapists who see patients and clients from 6 years old to 100+. I am an LCSW and a Dr. of Natural Health Sciences-Board Certified in Integrative Medicines. I offer Video conferencing/Telehealth Services and in office appointments.
I work with adults, couples and seniors. I use an integrative, narrative and Cognitive Therapeutic Approach. Living in the East Bay for 20+ years has allowed me to connect with the community and collaborate care with some of our finest health professionals. Insight Wellness Center is a beautiful healing space with passionate therapists who see patients and clients from 6 years old to 100+. I am an LCSW and a Dr. of Natural Health Sciences-Board Certified in Integrative Medicines. I offer Video conferencing/Telehealth Services and in office appointments.
(925) 418-7228 View (925) 418-7228
Photo of Georgie Abel, Marriage & Family Therapist in Contra Costa County, CA
Georgie Abel
Marriage & Family Therapist, MA, LMFT
Verified Verified
Lafayette, CA 94549  (Online Only)
Trauma and other difficult experiences can impact the way we view our relationships, the world, and ourselves. I support clients in processing traumatic experiences, identifying triggers, and reclaiming their sense of safety and joy. I work with teens, adults, couples/relationships, and families of all kinds. I welcome and affirm non-traditional family structures (donor, adoption, foster, blended families), members of LGBTQ+ community, neurodivergent individuals, and people who have had negative experiences with therapy in the past.
Trauma and other difficult experiences can impact the way we view our relationships, the world, and ourselves. I support clients in processing traumatic experiences, identifying triggers, and reclaiming their sense of safety and joy. I work with teens, adults, couples/relationships, and families of all kinds. I welcome and affirm non-traditional family structures (donor, adoption, foster, blended families), members of LGBTQ+ community, neurodivergent individuals, and people who have had negative experiences with therapy in the past.
(925) 386-6317 View (925) 386-6317

See more therapy options for Contra Costa County

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.