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.
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 you 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 with a trained professional 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:
- Develop new communication skills
- Learn tools to navigate differences better
- Improve your friendship
- Improve emotional and/or physical intimacy
- Discuss and plan for the future, including shared goals
- Navigate roles and responsibilities (husband/wife, mother/father, who does what around the household)
- Rebuild trust
- Process past relationship hurts
- 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 treatment 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?
Although the cost of marriage therapy varies widely by location and expertise, the average cost is between $150-$250/session. Note that these sessions are generally longer than a standard individual session. If finances are a concern, you may be able to locate a provider that offers a sliding scale fee.
Insurance typically doesn’t cover marriage counseling. The exception to this is if one partner has a diagnosable mental health condition 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
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 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
- Mental Health America
- National Alliance on Mental Health
- Best Online Couples Counseling providers: ReGain vs Talkspace vs Our Relationship and more.
- Online Therapist Directory: Sort therapists by specialty, cost, availability and more. Watch intro videos and see articles written by the therapists you’re considering working with. When you’ve found a good match, book an online therapy appointment with them directly.
Are you ready to connect with a therapist but feel a little overwhelmed by all your options? Speak with one of Choosing Therapy’s Client Navigators. Client Navigators are mental health professionals who will listen to what you’re looking for in a therapist and help pair you with the best possible fit. Getting started is free, easy, and confidential.
