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What to Expect From Marriage Counseling

Published: April 6, 2021 Updated: May 26, 2022
Published: 04/06/2021 Updated: 05/26/2022
Headshot of Kimberly Panganiban, LMFT
Written by:

Kimberly Panganiban

LMFT
Headshot of Trishanna Sookdeo, MD, MPH, FAAFP
Reviewed by:

Trishanna Sookdeo

MD, MPH, FAAFP
  • What Makes Marriage Counseling Worthwhile?Why It's Worthwhile
  • What Actually Happens In Marriage Counseling? What Happens
  • What to Expect in Marriage Counseling: Your First Session1st Session
  • How to Get the Most Out of Marriage Counseling Maximize
  • How Much Does Marriage Counseling Cost? Cost
  • How to Find the Right Couples Counselor For You How to Find
  • Additional ResourcesResources
  • Infographics About Couples and Marriage CounselingInfographics
Headshot of Kimberly Panganiban, LMFT
Written by:

Kimberly Panganiban

LMFT
Headshot of Trishanna Sookdeo, MD, MPH, FAAFP
Reviewed by:

Trishanna Sookdeo

MD, MPH, FAAFP

Marriage counseling consists of a series of therapy sessions in which you and your partner work with a therapist to improve your relationship and achieve a heightened sense of connection and understanding. In each session, you will both share details on some of the challenging aspects of your relationship, and the therapist will help you navigate your differences.

It’s completely normal to feel nervous or ambivalent about beginning couples counseling. A good therapist will help you feel comfortable and safe as you begin your work together. If you’re still looking for the right counselor to work with, find them on Choosing Therapy. Many therapists accept insurance and most offer convenient evening, weekend, or next-day appointments.

Find a Couples Counselor

What Makes Marriage Counseling Worthwhile?

Marriage counseling is helpful for any couple seeking to strengthen their relationship and/or ensure that it stays on the right track. A trained therapist can help you both see and understand the different dynamics that may be holding your relationship back, as well as what you could be doing differently to improve the relationship.

First, a trained therapist will identify and share the strengths of your relationship and help you navigate the challenges with new tools. By understanding what you are doing well, you can ensure that you continue to do those things. Once the therapist identifies areas that need work, they can help you achieve desired goals in those areas. Those goals could be to learn to communicate, develop skills to manage conflict, improve your friendship, connect more emotionally and/or physically, or heal from past wounds.

Who Could Benefit From Couples Counseling?

Marriage counseling, also referred to as couples counseling, is helpful in many scenarios. For example, it can be beneficial if you’re feeling disconnected from your partner, experiencing a decline in physical intimacy, or wondering whether this is still the right relationship for you.

Marriage counseling can help in the following situations:

  • Increase in frequency or intensity of conflicts
  • Resentments within a relationship
  • Feeling disconnected emotionally
  • Decline in your physical intimacy
  • An affair or betrayal in the relationship
  • Feeling like you are having the same conversation over and over
  • Wondering whether this is still the right relationship for you

However, there don’t need to be “issues” to attend counseling. Some couples in counseling are happy and want to make sure they stay that way. They occasionally come in for a “check-up” to make sure concerns aren’t building or going unnoticed/unaddressed.

Engagement is another time to seek counseling. Premarital counseling can help you learn about one another and the challenges you may face in the relationship. It can also give you tools to keep your relationship strong for a lifetime.

What Actually Happens In Marriage Counseling? 

Marriage counseling consists of the following phases: assessment, treatment, phasing out, and relapse prevention. Following up at variable check-in points ensures that you continue to stay on track in the long term.

Assessment

You can liken this phase to a doctor performing tests before  recommending a treatment. The therapist may require combined or individual sessions to get a history and explore each of your concerns. They will also explore both of your backgrounds and how your unique histories may be impacting your relationship. In addition to sessions, the therapist may also ask you to complete a questionnaire online or in a paper format.

Treatment

In this phase, you begin the work of addressing any issues in your relationship. Your therapist will work on giving you the skills needed to achieve your relationship goals.

This phase may consist of the following nine steps:

  1. Develop new communication skills
  2. Learn tools to navigate differences better
  3. Improve your friendship
  4. Improve emotional and/or physical intimacy
  5. Discuss and plan for the future, including shared goals
  6. Navigate roles and responsibilities (husband/wife, mother/father,  who does what around the household)
  7. Rebuild trust
  8. Process past relationship hurts
  9. Identify and resolve issues related to commitment

Phasing Out

In this phase, your sessions may decrease in frequency to give you and your partner more time to implement learned skills. This could mean going from weekly sessions to monthly sessions. Frequency will be determined by you, your partner, and your therapist, depending on your progress.

Follow Up

It is natural for people to sometimes fall back into old habits, especially if stressed or facing a lot of new challenges. Follow up sessions can help you and your partner stay on the right track. These sessions will be spaced at various intervals, most commonly at the 3 month mark, 6 month mark, and 1 year mark. Even when you feel the relationship is going well, these follow up sessions can be beneficial.

What to Expect in Marriage Counseling: Your First Session

In the first session, you’ll get to know your therapist. Building good rapport is essential to couples counseling being effective. In fact, studies show this is just as important (if not more) than the type of therapy.1 It’s normal to feel anxious, but your therapist should help ease some of this by normalizing how you feel and connecting with you both.

The session will start with your therapist reviewing logistics and what to  expect in treatment. This can include reviewing initial paperwork, talking  about what therapy will look like, and the therapist providing information about themselves. After this has been discussed, you will share what is bringing you to therapy. This is your opportunity to voice concerns  and goals.

Next, your therapist will explore the history of your relationship, because relationship problems don’t develop overnight. After getting a history, the therapist will discuss next steps, including filling out any additional forms and scheduling the next session.

How to Prepare For Your First Session 

Prepare for your first couples counseling session by completing any paperwork your therapist has sent. You will need to sign consent forms, a HIPAA form, and possibly some demographic information. It can also be helpful to give some thought as to what your goals are so you are prepared to share with your therapist. Other than that, you just need to show up.

How to Get the Most Out of Marriage Counseling 

To get the most out of marriage counseling, the first thing you need to do is be open to understanding your role in relationship challenges. The goal is not to “fix” your partner. If this is your mentality, it will prevent you from hearing and understanding the things you need to work on. This mentality also erodes trust, which can be defined as a specific state that exists when you are both willing to change your behavior to benefit your partner.3

The second thing you can do is be vulnerable. It can be scary to open yourself up to potential hurt and rejection but without this, the relationship will suffer. Although emotions can feel overwhelming at times, sharing them with our partner is how we connect.

The third thing you can do is to be honest. If you are not honest with  your partner and the therapist, it will be extremely challenging to make  any progress. Many people lie or keep secrets in a relationship because they don’t want to hurt their partner. While thinking of your partner’s feelings is a good thing, the benefit of that will never outweigh the cost of damaging trust. Holding onto a secret will impact how you relate to your partner whether you are aware of it or not.

How Much Does Marriage Counseling Cost? 

The cost of marriage counseling varies widely by location and  expertise, but you should expect costs to range between $150-$250 per session. Couples session are generally longer than standard sessions for individuals. Unfortunately, medical insurance typically doesn’t cover couples counseling. The exception to this is if one partner has a diagnosable mental health condition, like anxiety or depression, that the marriage counseling is specifically addressing.

The cost of marriage counseling can deter couples from wanting to participate, but remember, a healthy relationship is priceless. Also, getting a divorce costs a lot more than marriage counseling. Research shows numerous benefits to staying married, including health and financial wealth. According to the CDC, “Married persons are healthier for nearly every measure of health.”4

If the typical cost of marriage counseling is prohibitively high, see if you can find a provider that offers a sliding scale fee.

How to Find the Right Couples Counselor For You 

When searching for a therapist, I encourage you to find someone with specific training and/or experience in marriage therapy. Start by researching different modalities, then search a therapist directory to find someone who specializes in one or more.

Modalities of couples counseling include the following:

  • Gottman Method couples therapy
  • Emotionally focused couples therapy
  • Imago relationship therapy
  • Narrative therapy
  • Cognitive behavioral therapy
  • Relational life therapy
  • Behavioral marital couples therapy
  • Insight oriented marital therapy
  • Acceptance based couples therapy

Another good place to start would be to get a referral from a family  member, friend, or your individual therapist (if you have one). You can  also ask your primary care doctor, health insurer, employee assistance program, clergy, or state/local mental health agencies.5

After locating some potential options, call and get to know them better before scheduling. It is recommended to give the therapist 3-5 sessions before deciding whether they are the right fit for you.

Additional Resources

Education is just the first step on our path to improved mental health and emotional wellness. To help our readers take the next step in their journey, Choosing Therapy has partnered with leaders in mental health and wellness. Choosing Therapy may be compensated for referrals by the companies mentioned below.

BetterHelp Online Therapy – BetterHelp has over 20,000 licensed therapists who provide convenient and affordable online therapy. BetterHelp starts at $60 per week. Complete a brief questionnaire and get matched with the right therapist for you. Get Started

Talkspace Online Therapy – Online therapy is convenient with Talkspace. Get therapy for as little as $69 per week, or potentially much less if you have insurance from Cigna, Optum, or UHR. Try Talkspace

Choosing Therapy’s Directory – Find an experienced therapist who is committed to your wellbeing. You can search for a therapist by specialty, availability, insurance, and affordability. Therapist profiles and introductory videos provide insight into the therapist’s personality so you find the right fit. Find a therapist today.

Mindfulness & Meditation App – Headspace is an easy way to incorporate mindfulness and meditation into your routine. See for yourself how a few minutes each day can impact your stress levels, mood, and sleep. A monthly subscription for Headspace is only $12.99 per month and comes with a 7-day free trial. Try Headspace

Online Couples Counseling – Ready to work on your relationship? Get the support and guidance of a ReGain couples counselor. Complete a brief questionnaire and begin online couples counseling for as little as $60 per week. Learn More.

Choosing Therapy partners with leading mental health companies and is compensated for referrals by BetterHelp, Talkspace, and Headspace

For Further Reading

  • Best Online Couples Counseling Providers
  • Best Books for Healthy Marriages
  • Self Help Books for Men
  • Self Help Books for Women
  • Mental Health America
  • National Alliance on Mental Health
  • MentalHealth.gov

Infographics About Couples and Marriage Counseling

What to Expect From Marriage Counseling What is Marriage Counseling Scenarios That May Call for Marriage Counseling

Phases of Marriage Counseling Marriage Counseling Steps of Treatment Searching for a Marriage Counseling Therapist

Getting the Most Out of Marriage Counseling Marriage Counseling Costs

5 sources

Choosing Therapy strives to provide our readers with mental health content that is accurate and actionable. We have high standards for what can be cited within our articles. Acceptable sources include government agencies, universities and colleges, scholarly journals, industry and professional associations, and other high-integrity sources of mental health journalism. Learn more by reviewing our full editorial policy.

  • DeAngelis, T. (2019, November 1). Better Relationships With Patients Lead To Better Outcomes. Monitor on Psychology, P. 38. Retrieved from https://www.apa.org/monitor/2019/11/ce-corner-relationships

  • Gallagher, M. (2000, Autumn). Why Marriage Is Good For You. City Journal, Retrieved from https://www.city-journal.org/html/why-marriage-good-you-12002.html

  • Gottman, J.M. (2012). What Makes Love Last? New York, NY: Simon & Schuster Paperbacks.

  • Hitti, M. (2004, December 15). The Health Perks of Marriage. Retrieved from https://www.webmd.com/balance/news/20041215/health-perks-of-marriage

  • Mayo Clinic Staff. (2019, November 2). Marriage Counseling. Retrieved from https://www.mayoclinic.org/tests-procedures/marriage-counseling/about/pac-20385249

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Headshot of Kimberly Panganiban, LMFT
Written by:

Kimberly Panganiban

LMFT
Headshot of Trishanna Sookdeo, MD, MPH, FAAFP
Reviewed by:

Trishanna Sookdeo

MD, MPH, FAAFP
  • What Makes Marriage Counseling Worthwhile?Why It's Worthwhile
  • What Actually Happens In Marriage Counseling? What Happens
  • What to Expect in Marriage Counseling: Your First Session1st Session
  • How to Get the Most Out of Marriage Counseling Maximize
  • How Much Does Marriage Counseling Cost? Cost
  • How to Find the Right Couples Counselor For You How to Find
  • Additional ResourcesResources
  • Infographics About Couples and Marriage CounselingInfographics
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