Photo of Katharine L. Bertolet Psyd, Psychologist in 19118, PA
Katharine L. Bertolet Psyd
Psychologist, PsyD, MA, BA
Verified Verified
Philadelphia, PA 19118
The quality of the therapeutic relationship is key to personal growth.
The psychotherapy I do is depth-oriented, offered in a safe and peaceful setting, where we can build your sense of inner peace. We will uncover your family legacy, as well as the maladaptive patterns you are living that underlie your suffering. Within that context, we will practice awareness of the present moment and unhook you from the influences of the past. We can work to improve your relationships, clarify your life goals and help you find a sense of ease and confidence in yourself. If you are depressed and/or anxious, we will find the ways to release you from emotional pain and move toward personal fulfillment.
The quality of the therapeutic relationship is key to personal growth.
The psychotherapy I do is depth-oriented, offered in a safe and peaceful setting, where we can build your sense of inner peace. We will uncover your family legacy, as well as the maladaptive patterns you are living that underlie your suffering. Within that context, we will practice awareness of the present moment and unhook you from the influences of the past. We can work to improve your relationships, clarify your life goals and help you find a sense of ease and confidence in yourself. If you are depressed and/or anxious, we will find the ways to release you from emotional pain and move toward personal fulfillment.
(215) 987-5281 View (215) 987-5281
Photo of Zemi Moore, Marriage & Family Therapist in 19118, PA
Zemi Moore
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Philadelphia, PA 19118  (Online Only)
Everyone & every relationship can get stuck in cycle that they're not quite sure how to get out of.
Have you ever found yourself wondering: why does this keep happening? Perhaps your relationships all tend to end the same or your friendships never seem as close as you thought they were. Or no matter what you do you can't seem to shake this feeling of worry or sadness. I am dedicated to helping you in understanding your depression, anxiety, adult ADHD, relationship distress/sexual difficulties, gender identity issues, & parent-child relationships (just to name a few) and assisting you in making the changes to improve.
Everyone & every relationship can get stuck in cycle that they're not quite sure how to get out of.
Have you ever found yourself wondering: why does this keep happening? Perhaps your relationships all tend to end the same or your friendships never seem as close as you thought they were. Or no matter what you do you can't seem to shake this feeling of worry or sadness. I am dedicated to helping you in understanding your depression, anxiety, adult ADHD, relationship distress/sexual difficulties, gender identity issues, & parent-child relationships (just to name a few) and assisting you in making the changes to improve.
(484) 361-4210 View (484) 361-4210
Photo of Evergreen Counseling and Psychological Associates, Psychologist in 19118, PA
Evergreen Counseling and Psychological Associates
Psychologist, PsyD, PhD, LCSW, LPC
Verified Verified
Philadelphia, PA 19118
Waitlist for new clients
Our clinicians have training, certification in CBT, Short Term Psychodynamic, Mindfulness, EMDR, Family Therapy (Systems, Structural), and Couples Therapy, Autism Evaluation and Diagnosis, educational testing and full battery psychological assessment for children and adults.
We welcome you to Evergreen! We are a private practice group of compassionate and skilled Clinical Psychologists, Clinical Social Workers, Licensed Professional Counselors in Chestnut Hill, Philadelphia. We understand it's not easy to open up to someone you don't know, but we strive to make your experience as easy and comfortable as possible. We are here to support you, to help develop workable solutions, and to improve overall health and well-being. We know that change and happiness are possible. You don't have to struggle; help is available. Our office staff are here and want to hear from you.
Our clinicians have training, certification in CBT, Short Term Psychodynamic, Mindfulness, EMDR, Family Therapy (Systems, Structural), and Couples Therapy, Autism Evaluation and Diagnosis, educational testing and full battery psychological assessment for children and adults.
We welcome you to Evergreen! We are a private practice group of compassionate and skilled Clinical Psychologists, Clinical Social Workers, Licensed Professional Counselors in Chestnut Hill, Philadelphia. We understand it's not easy to open up to someone you don't know, but we strive to make your experience as easy and comfortable as possible. We are here to support you, to help develop workable solutions, and to improve overall health and well-being. We know that change and happiness are possible. You don't have to struggle; help is available. Our office staff are here and want to hear from you.
(215) 392-6685 View (215) 392-6685
Photo of Capable Family Coaching, Psychologist in 19118, PA
Capable Family Coaching
Psychologist, MS
Not Verified Not Verified
Philadelphia, PA 19118
Jennifer Paget, MS, will partner with you to develop parenting practices that fit both your child's abilities and the needs of your family.
Every day is filled with parenting battles that leave you exhausted and guilt-ridden, having lost your temper too many times. You ache for a more peaceful home and a loving relationship with your child or teen, but you don’t know how to get there. General advice and tips sound good on paper but they are not working with your child, and you don’t know why. Your energy and resilience are taking a serious hit. Worst of all, you are afraid that your child will be emotionally harmed by all the turmoil that goes on from day to day.
Jennifer Paget, MS, will partner with you to develop parenting practices that fit both your child's abilities and the needs of your family.
Every day is filled with parenting battles that leave you exhausted and guilt-ridden, having lost your temper too many times. You ache for a more peaceful home and a loving relationship with your child or teen, but you don’t know how to get there. General advice and tips sound good on paper but they are not working with your child, and you don’t know why. Your energy and resilience are taking a serious hit. Worst of all, you are afraid that your child will be emotionally harmed by all the turmoil that goes on from day to day.
(267) 376-7438 View (267) 376-7438
Photo of Laura Hertz, Psychologist in 19118, PA
Laura Hertz
Psychologist, PhD, BCC
Verified Verified
Philadelphia, PA 19118
I offer individual, couple, and family therapy. Sessions can be conducted face:face or via video telehealth (HIPAA compliant). Much of my work centers on supporting people who are facing career and/or relationship challenges. Many are going through difficult life transitions. Additionally, I frequently treat people with PTSD, depression, and anxiety. I am trained in various approaches, including Cognitive Processing Therapy, Prolonged Exposure Therapy, Motivational Interviewing, and Integrative Behavioral Couple Therapy (IBCT). Please see the IBCT website (http://ibct.psych.ucla.edu/about.html) for more information.
I offer individual, couple, and family therapy. Sessions can be conducted face:face or via video telehealth (HIPAA compliant). Much of my work centers on supporting people who are facing career and/or relationship challenges. Many are going through difficult life transitions. Additionally, I frequently treat people with PTSD, depression, and anxiety. I am trained in various approaches, including Cognitive Processing Therapy, Prolonged Exposure Therapy, Motivational Interviewing, and Integrative Behavioral Couple Therapy (IBCT). Please see the IBCT website (http://ibct.psych.ucla.edu/about.html) for more information.
(215) 310-5695 View (215) 310-5695
Photo of Shadana Davis, PsyD PLLC, Psychologist in 19118, PA
Shadana Davis, PsyD PLLC
Psychologist, PsyD, LCSW
Verified Verified
Philadelphia, PA 19118
Waitlist for new clients
I applaud your bravery in taking this step in your journey to wellness. As we engage in the process of awareness and healing we can conquer life’s challenges and thrive. I serve individuals, couples, and families struggling with relational difficulties, anxiety, depression, adjustment, inattention, and cultural diversity related concerns. I also serve athletes, professionals, and executives on addressing issues including depression, anxiety, work/life balance, coping with stressors, relational difficulties, adjustment challenges, and maintaining mental wellness.
I applaud your bravery in taking this step in your journey to wellness. As we engage in the process of awareness and healing we can conquer life’s challenges and thrive. I serve individuals, couples, and families struggling with relational difficulties, anxiety, depression, adjustment, inattention, and cultural diversity related concerns. I also serve athletes, professionals, and executives on addressing issues including depression, anxiety, work/life balance, coping with stressors, relational difficulties, adjustment challenges, and maintaining mental wellness.
(215) 515-6910 View (215) 515-6910
Photo of Dr. Dena DiNardo, Marriage & Family Therapist in 19118, PA
Dr. Dena DiNardo
Marriage & Family Therapist, PsyD, LMFT
Verified Verified
3 Endorsed
Philadelphia, PA 19118  (Online Only)
Hello and congratulations on your decision to explore therapy. I welcome individuals, couples, and families navigating a variety of relational issues, although often centered around improving communication. If you are ready to explore hard-to-change patterns in yourself and in your relationships, appreciate an outcome-focused approach to healing, and hope for a non-judgmental, open-minded therapist who can help you effectively address your barriers to change - let's talk. I might be the right fit for you.
Hello and congratulations on your decision to explore therapy. I welcome individuals, couples, and families navigating a variety of relational issues, although often centered around improving communication. If you are ready to explore hard-to-change patterns in yourself and in your relationships, appreciate an outcome-focused approach to healing, and hope for a non-judgmental, open-minded therapist who can help you effectively address your barriers to change - let's talk. I might be the right fit for you.
(267) 867-5192 View (267) 867-5192
Photo of Karla Pazzi, Clinical Social Work/Therapist in 19118, PA
Karla Pazzi
Clinical Social Work/Therapist, LCSW, C-DBT
Verified Verified
1 Endorsed
Philadelphia, PA 19118
My specialties include depression, anxiety, relationship and family issues, school/career stress, and adjusting to change.
As a therapist, my passion is helping clients develop a greater ability to understand themselves and handle what happens to them. I use an integrative approach which is grounded in research and shows that the most effective healing occurs in the context of a strong client-therapist relationship. Beginning therapy can be intimidating so I try to create a warm, safe space by using an empathic, nonjudgmental, and, at times, humorous approach. Clients have described my style as compassionate and supportive while also being honest and direct.
My specialties include depression, anxiety, relationship and family issues, school/career stress, and adjusting to change.
As a therapist, my passion is helping clients develop a greater ability to understand themselves and handle what happens to them. I use an integrative approach which is grounded in research and shows that the most effective healing occurs in the context of a strong client-therapist relationship. Beginning therapy can be intimidating so I try to create a warm, safe space by using an empathic, nonjudgmental, and, at times, humorous approach. Clients have described my style as compassionate and supportive while also being honest and direct.
(484) 380-9227 View (484) 380-9227
Photo of Kaiyan Griffith, Marriage & Family Therapist in 19118, PA
Kaiyan Griffith
Marriage & Family Therapist, MFT
Verified Verified
1 Endorsed
Philadelphia, PA 19118  (Online Only)
I specialize in providing therapy to teenagers(14 &up) and adults alike and provide an array of services such as family therapy, couples therapy, individual counseling, and sex therapy.
My ideal clients are from all walks of life. From helping a someone explore their gender identity, guiding polyamorous partners through conflict/understanding, to helping parents with their teenager who struggles with depression. Everyone client I meet is unique, and I'm honored to be apart of their healing journey.
I specialize in providing therapy to teenagers(14 &up) and adults alike and provide an array of services such as family therapy, couples therapy, individual counseling, and sex therapy.
My ideal clients are from all walks of life. From helping a someone explore their gender identity, guiding polyamorous partners through conflict/understanding, to helping parents with their teenager who struggles with depression. Everyone client I meet is unique, and I'm honored to be apart of their healing journey.
(267) 662-1553 x102 View (267) 662-1553 x102
Photo of Rachel Helen Ascione, Pre-Licensed Professional in 19118, PA
Rachel Helen Ascione
Pre-Licensed Professional, PsyD, MA
Verified Verified
Philadelphia, PA 19118  (Online Only)
I work with couples and individuals struggling with anything from anxiety and depression to repairing relationships and grief. I have extensive training in trauma and LGBTQA+ issues. My practice aims to help clients find a better quality of life and gain the tools they need to honor their past, thrive in their present, and look forward to their future.
I work with couples and individuals struggling with anything from anxiety and depression to repairing relationships and grief. I have extensive training in trauma and LGBTQA+ issues. My practice aims to help clients find a better quality of life and gain the tools they need to honor their past, thrive in their present, and look forward to their future.
(215) 999-7396 View (215) 999-7396
Photo of Lisa Richman, Clinical Social Work/Therapist in 19118, PA
Lisa Richman
Clinical Social Work/Therapist, LCSW
Verified Verified
Philadelphia, PA 19118  (Online Only)
Having also worked with couples and families, I can provide the guidance necessary to work through difficult relationship dynamics.
The only constant in life is change. However, change can often be challenging and painful, leaving us feeling stuck in old patterns. I believe that every individual is capable of change, given the right tools and support. Utilizing a client-centered, humanistic, and trauma-informed approach, I provide the safe, supportive space that my clients need in order to achieve the growth and change that they seek. Having worked most recently with members of the LGBTQ community, I understand how important it is to have the acceptance and support of someone in a non-judgmental space in order to grow.
Having also worked with couples and families, I can provide the guidance necessary to work through difficult relationship dynamics.
The only constant in life is change. However, change can often be challenging and painful, leaving us feeling stuck in old patterns. I believe that every individual is capable of change, given the right tools and support. Utilizing a client-centered, humanistic, and trauma-informed approach, I provide the safe, supportive space that my clients need in order to achieve the growth and change that they seek. Having worked most recently with members of the LGBTQ community, I understand how important it is to have the acceptance and support of someone in a non-judgmental space in order to grow.
(267) 729-9858 View (267) 729-9858
Photo of Adalina East in 19118, PA
Adalina East
MRes, MSc
Verified Verified
Philadelphia, PA 19118
You are not in this alone! I would be honored to partner with you in recovering from what brought you here.
I am a queer-identified therapist working in New York, Pennsylvania and New Mexico. EMDR, Internal Family Systems and Somatic Experiencing are my guides to gently lead people towards healing themselves, something I believe we are all capable of. Together, we will set goals for recovery from trauma and major life stressors, incorporating neuroscience-backed strategies and spirituality where you are comfortable.
You are not in this alone! I would be honored to partner with you in recovering from what brought you here.
I am a queer-identified therapist working in New York, Pennsylvania and New Mexico. EMDR, Internal Family Systems and Somatic Experiencing are my guides to gently lead people towards healing themselves, something I believe we are all capable of. Together, we will set goals for recovery from trauma and major life stressors, incorporating neuroscience-backed strategies and spirituality where you are comfortable.
(505) 657-4637 View (505) 657-4637
Photo of Allison Middleton, Pre-Licensed Professional in 19118, PA
Allison Middleton
Pre-Licensed Professional, LSW
Verified Verified
1 Endorsed
Philadelphia, PA 19118
It is time to see if we are a great fit for a therapeutic relationship.
Texting available at 215-436-8115. You deserve the best version of you! There is hope. Are you looking for a safe space to explore yourself? Do you wish to learn how to affirm, support, and love yourself for being you? I can help you discover the self-care that is best for you and how to be the best in your relationships, using tools like the Enneagram. I am trauma informed and am happy to help change what is negatively impacting you in your life. I am also passionate about seeing couples and helping relationships develop true intimacy and healthy communication skills. This therapeutic relationship can change your life.
It is time to see if we are a great fit for a therapeutic relationship.
Texting available at 215-436-8115. You deserve the best version of you! There is hope. Are you looking for a safe space to explore yourself? Do you wish to learn how to affirm, support, and love yourself for being you? I can help you discover the self-care that is best for you and how to be the best in your relationships, using tools like the Enneagram. I am trauma informed and am happy to help change what is negatively impacting you in your life. I am also passionate about seeing couples and helping relationships develop true intimacy and healthy communication skills. This therapeutic relationship can change your life.
(215) 910-4073 View (215) 910-4073
Photo of Marion Rudin Frank, Psychologist in 19118, PA
Marion Rudin Frank
Psychologist, EdD, MA
Verified Verified
Philadelphia, PA 19118
For couples, I may use an initial 4 session model.
As a licensed psychologist, board certified clinical hypnotherapist and medical psychotherapist, I have been in private practice for 30 years in center city Philadelphia and Chestnut Hill,Pa. I am primarily Jungian, feminist, and cognitive/behavioral in orientation and use a blend of whatever suits the person and situation. My specialties include relationships, depression and anxiety/panic, self-esteem. trauma, and life transitions. I am widely published, formerly on staff at the Belmont Center and at Hahnemann and Temple Universities.The goal is to diminish negative symptoms and patterns, facilitate individuation, find your path and personal meaning in life, at work and in relationships.
For couples, I may use an initial 4 session model.
As a licensed psychologist, board certified clinical hypnotherapist and medical psychotherapist, I have been in private practice for 30 years in center city Philadelphia and Chestnut Hill,Pa. I am primarily Jungian, feminist, and cognitive/behavioral in orientation and use a blend of whatever suits the person and situation. My specialties include relationships, depression and anxiety/panic, self-esteem. trauma, and life transitions. I am widely published, formerly on staff at the Belmont Center and at Hahnemann and Temple Universities.The goal is to diminish negative symptoms and patterns, facilitate individuation, find your path and personal meaning in life, at work and in relationships.
(267) 348-4075 x1 View (267) 348-4075 x1
Photo of Neal King, Clinical Social Work/Therapist in 19118, PA
Neal King
Clinical Social Work/Therapist, LCSW
Verified Verified
Philadelphia, PA 19118
My experience covers adults, families, couples, teens and children.
Licensed in PA and NJ - Accepting Telehealth Let’s take a direct, head-on approach to managing ANXIETY and STRESS – as that is known to be the trigger to many other ailments. I am on a personal mission to HELP TEENS and ADULTS GAIN INSIGHT into their anxious triggers that are self-limiting their incredible potential. I am a strength-based therapist with emphasis on mindfulness and stress management as it relates to improving your daily interactions and functioning. Let's learn and use effective problem-solving and cognitive restructuring skills; so your confidence and capabilities toward solutions will become part of you.
My experience covers adults, families, couples, teens and children.
Licensed in PA and NJ - Accepting Telehealth Let’s take a direct, head-on approach to managing ANXIETY and STRESS – as that is known to be the trigger to many other ailments. I am on a personal mission to HELP TEENS and ADULTS GAIN INSIGHT into their anxious triggers that are self-limiting their incredible potential. I am a strength-based therapist with emphasis on mindfulness and stress management as it relates to improving your daily interactions and functioning. Let's learn and use effective problem-solving and cognitive restructuring skills; so your confidence and capabilities toward solutions will become part of you.
(267) 613-9109 View (267) 613-9109
Photo of Nourish Center for Therapy & Wellness, Licensed Professional Counselor in 19118, PA
Nourish Center for Therapy & Wellness
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Philadelphia, PA 19118
In need of change and encouragement? A supportive, accepting and accountable relationship with your therapist is key to see positive change. It is time for you to be free of what has kept you stuck and hurting. Our team are down to earth, relatable therapists ready to help you heal. Our practice offers a wide range of services for children, adolescents and adults such as traditional talk therapy, EMDR, somatic body work & dance movement therapy. Nourish also offers EMDR intensives. Reach out today to connect!
In need of change and encouragement? A supportive, accepting and accountable relationship with your therapist is key to see positive change. It is time for you to be free of what has kept you stuck and hurting. Our team are down to earth, relatable therapists ready to help you heal. Our practice offers a wide range of services for children, adolescents and adults such as traditional talk therapy, EMDR, somatic body work & dance movement therapy. Nourish also offers EMDR intensives. Reach out today to connect!
(215) 709-2160 View (215) 709-2160
Photo of Laurie Baker. Psychotherapist, Clinical Social Work/Therapist in 19118, PA
Laurie Baker. Psychotherapist
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Philadelphia, PA 19118  (Online Only)
Are you feeling overwhelmed, afraid, hopeless or stuck? I provide caring, supportive psychotherapy for adults, couples and adolescents age 15 and up. I teach many skills to improve coping, communication and behavior. I help my clients to manage depression, anxiety, stress, life transitions, low self-esteem, mood swings, grief, trauma and anger.
Are you feeling overwhelmed, afraid, hopeless or stuck? I provide caring, supportive psychotherapy for adults, couples and adolescents age 15 and up. I teach many skills to improve coping, communication and behavior. I help my clients to manage depression, anxiety, stress, life transitions, low self-esteem, mood swings, grief, trauma and anger.
(267) 274-4036 View (267) 274-4036
Photo of Council for Relationships, Marriage & Family Therapist in 19118, PA
Council for Relationships
Marriage & Family Therapist, LCSW, LMFT, CST, AAMFT-A, Supervi
Verified Verified
2 Endorsed
Philadelphia, PA 19118
Individuals,couples and in the area of relationship, couple and sex therapy.
Lucy S. Raizman, MSW, LCSW. LMFT, is a licensed Clinical Social Worker and Marriage and Family Therapist and AASECT-certified Sex Therapist for the Council for Relationships, a well-respected not-for-profit counseling organization that offers expertise in individual and couple relationship and intimacy issues and offers a sliding fee scale. I am a therapist with more than 20+ years of experience working with individuals and couples in the suburban offices of Blue Bell, Pa. Montgomery County outside Philadelphia, Pa.
Individuals,couples and in the area of relationship, couple and sex therapy.
Lucy S. Raizman, MSW, LCSW. LMFT, is a licensed Clinical Social Worker and Marriage and Family Therapist and AASECT-certified Sex Therapist for the Council for Relationships, a well-respected not-for-profit counseling organization that offers expertise in individual and couple relationship and intimacy issues and offers a sliding fee scale. I am a therapist with more than 20+ years of experience working with individuals and couples in the suburban offices of Blue Bell, Pa. Montgomery County outside Philadelphia, Pa.
(267) 999-9977 View (267) 999-9977
Photo of Lauren G Kahn, Marriage & Family Therapist in 19118, PA
Lauren G Kahn
Marriage & Family Therapist, MSW, LMFT
Verified Verified
2 Endorsed
Philadelphia, PA 19118
I work with couples, individuals and families.
As an experienced therapist I will work with you to generate the movement you are seeking in your life using novel approaches to help you on your journey. I specialize in helping couples find new ways to understand and communicate with one another and bring better balance to their relationships. In addition to working in the office or online we can take your sessions outdoors into nature. I am based in Mt. Airy, Philadelphia and see people virtually, outdoors or in the office. During the winter months, Jan, Feb and March, I can meet with you in person in Basalt, Colorado or online.
I work with couples, individuals and families.
As an experienced therapist I will work with you to generate the movement you are seeking in your life using novel approaches to help you on your journey. I specialize in helping couples find new ways to understand and communicate with one another and bring better balance to their relationships. In addition to working in the office or online we can take your sessions outdoors into nature. I am based in Mt. Airy, Philadelphia and see people virtually, outdoors or in the office. During the winter months, Jan, Feb and March, I can meet with you in person in Basalt, Colorado or online.
(215) 839-1239 View (215) 839-1239
Photo of Gail Post, Psychologist in 19118, PA
Gail Post
Psychologist, PhD
Verified Verified
1 Endorsed
Philadelphia, PA 19118
I am a clinical psychologist, parenting coach, author, and workshop leader, in practice for over 35 years. I am also a Clinical Associate Professor of Psychiatry at the University of Pennsylvania School of Medicine. Therapy works best as a collaborative relationship between therapist and client - a process that encourages personal growth, behavioral changes, and self-awareness. While offering my experience and perspective, I encourage an interactive, respectful, and engaged therapy process. I am currently offering individual, couples, and family therapy through teletherapy throughout PA and in PSYPACT authorized states.
I am a clinical psychologist, parenting coach, author, and workshop leader, in practice for over 35 years. I am also a Clinical Associate Professor of Psychiatry at the University of Pennsylvania School of Medicine. Therapy works best as a collaborative relationship between therapist and client - a process that encourages personal growth, behavioral changes, and self-awareness. While offering my experience and perspective, I encourage an interactive, respectful, and engaged therapy process. I am currently offering individual, couples, and family therapy through teletherapy throughout PA and in PSYPACT authorized states.
(267) 338-4181 View (267) 338-4181
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.