Every couple, no matter how strong their bond, will encounter stress at some point. It can be hard to know when to seek support, and even harder to take that first step. If you and your partner are struggling—whether it’s with constant disagreements, emotional distance, or a rupture that feels impossible to repair—you’re not alone in wondering,
“Do we need to go to couples therapy?”
and
“Does couples therapy actually work?”
In this article we’re going to answer these two essential questions about couples therapy. After reading, my hope is that you’re equipped to have a productive conversation with your partner about whether couples therapy is right for you. So first…
What Is Couples Therapy?
Couples therapy is a guided process where partners work with a trained therapist to navigate relationship challenges. It provides a safe, nonjudgmental space where both people can express their feelings, gain clarity, and develop new ways of relating to one another. No two couples experience therapy the same way because no two relationships are the same. Here are some simple examples of how couples therapy can be different.
For some, couples therapy involves skill building and targeted issues
Some couples come in with what feels like a “check engine light” flashing in their relationship—they can sense that something is off, but they’re not sure what it is or how to fix it. Maybe small arguments are becoming more frequent, communication feels strained, or the connection that once felt effortless now feels harder to maintain. Therapy in this case can help identify the underlying issues and give couples the tools they need to reconnect before things escalate.
As a couple’s therapist, I’ve noticed that couples who seek therapy during periods of moderate stress often experience significant relief from the process. These sessions create a valuable opportunity to discuss essential topics like relationship priorities and communication boundaries. Engaging in therapy when stress is present but the relationship has a solid foundation can help prevent more severe or costly issues from developing in the future.
For others, couples therapy is an essential next step
Other couples enter therapy feeling like they’ve just been in a major car crash—something painful has happened that has shaken the very foundation of their relationship. This could be a betrayal, years of unspoken resentment, or a crisis that makes them question whether their relationship is even repairable. In these moments, therapy provides a structured space to process the hurt, understand each other’s pain, and determine the best path forward—whether that means healing together or finding a way to part with clarity and respect.
In my experience as a couples therapist, it often feels like years of accumulated baggage need to be addressed before real progress can be made. This can be discouraging for couples and may lead to a lack of motivation to engage in the therapeutic process or return to therapy. However, I have observed that the relief these couples experience when they begin to see progress in their relationship is significant. Although it can be challenging for couples to unlearn established patterns of behavior, creating new ways of relating in therapy can lead to a substantial increase in relationship satisfaction and a decrease in stress when facing daily challenges together.
Does Couples Therapy Really Work?
The idea of therapy can feel daunting, especially if you’re already feeling overwhelmed in your relationship. Maybe you’re wondering, Will this help us? Therapy isn’t a quick fix. However, it can be incredibly effective if both partners are willing to engage in the process. My role as a therapist is not to fix or save the relationship. Rather, it is to facilitate new opportunities for connection through insight and empathy.
The effectiveness of couples therapy depends on several factors, including the willingness of both partners to engage in the process, the skill of the therapist, and the approach used. Research shows that evidence-based approaches for couples help improve communication, rebuild trust, and deepen emotional connection. A skilled therapist will not take sides or assign blame. Instead, they will help you and your partner understand each other’s perspectives, break negative cycles, and create healthier patterns of interaction.
I use Restoration Therapy, a method created by Terry and Sharon Hargrave, to help people understand their relationship patterns. This approach focuses on identifying issues from childhood that affect current behaviors in relationships. By bringing awareness to these attachment wounds and teaching new self-regulation skills, we can foster positive changes in how you connect with your partner.
That being said, therapy doesn’t guarantee that every couple will stay together. Sometimes, the healthiest outcome is gaining clarity about what you both need, even if that means making the difficult decision to part ways. But whether therapy leads to reconciliation or a conscious uncoupling, the process can bring healing, understanding, and a stronger sense of self.
When does couples therapy NOT work?
Couples therapy is most effective when both partners are committed to healing and are willing to take responsibility for their actions in the relationship. It can be challenging for couples who struggle with ownership. While therapy can help partners learn to take ownership, progress may feel slow for both the clients and the therapist. This happens if one or both partners have difficulty acknowledging how their behaviors impact the other.
Finding success in therapy can be challenging when one partner is not fully invested in the process. This lack of investment can stem from various reasons, such as being preoccupied with work, feeling skeptical about therapy, or lacking hope in the relationship. In some cases, attending a session just to explore the connection with the therapist can be beneficial. However, there are times when a client’s motivation for therapy may inadvertently hinder progress which can confirm someone’s hesitation for therapy in general.
How do we know if it’s the right time to start couples therapy?
Starting your search for the right couple’s therapist is an important step, even if you feel hesitant about therapy. A quick 15-minute consultation with a skilled professional can help you determine if it’s the right time to begin.
Make sure to discuss your intentions with your partner openly. Emphasize the positive outcomes therapy can bring, such as better communication and a stronger connection, rather than just focusing on the problems that led you to consider therapy. This approach may encourage a more open and willing mindset for both of you.
Is Couples Therapy Right for You?
If you’re feeling disconnected from your partner, overwhelmed by conflict, or unsure of how to move forward together, therapy could be a helpful next step. There is no “right” or “wrong” reason to seek support. What matters is whether you and your partner are open to exploring your challenges with honesty and curiosity.
Relationships require care, just like anything else in life that we value. And just because you’re struggling now doesn’t mean your relationship is doomed. With the right guidance, patience, and willingness to grow, healing is possible. No matter where you are in your journey, you don’t have to navigate it alone.
Schedule a consult call with me today.
