Choosing a Couples Therapist

How to Find the Right Couples Therapist

Couples therapy begins with an unusual decision: two people have to choose one therapist.

The person who immediately feels right to one partner may not be the person the other would have chosen. One of you may want practical direction, while the other wants help feeling more understood.

The good news is that you do not have to make the decision from instinct alone. A few thoughtful questions can help you find someone with the right training, approach, and ability to connect with both of you.

Look Beyond the Letters After a Therapist’s Name

Psychologists, marriage and family therapists, clinical social workers, and professional counselors can all work with couples. Their professional titles tell you how they entered the mental-health field, but may not show how much of their practice or later training has focused on couples.

An MFT may have more graduate coursework in relationships and family systems, while a therapist from another discipline may have built extensive couples expertise after graduation. Along with asking, “What kind of therapist are you?” consider asking, “What training and supervised experience have you had working specifically with couples?”

Learn to Read the Training Language

“Uses,” “trained in,” and “certified in” are not interchangeable.

  • Familiar with or uses may mean the therapist has attended an introductory course, read about the approach, or incorporates some of its ideas.
  • Trained in is not a standardized credential. It may describe a single weekend or introductory course, or it may represent years of advanced study and supervision.
  • Certified generally means the therapist completed the full requirements established by that model’s training organization. Depending on the approach, certification often represents roughly 100 hours or more of training, supervision, and professional review.

By comparison, someone may accurately say they have been “trained in” an approach after completing one introductory course or weekend. Asking which levels they have completed gives you a clearer picture than the word trained by itself.

Decide What Kind of Help You Want

Two of the best-known approaches to couples therapy—the Gottman Method and Emotionally Focused Therapy (EFT)—offer different ways of creating change.

The Gottman Method generally works more from the outside in. It uses research-based assessments, communication strategies, and specific actions: handle conflict this way, schedule time together, express appreciation, or respond differently.

Those tools can be useful, but many couples already know what they are supposed to do. The difficulty is accessing that knowledge when they feel hurt, rejected, criticized, or disconnected. Instructions to spend time together have limited value when neither partner feels the desire to be close.

Emotionally Focused Therapy works more from the inside out. It focuses on healing the hurt, fear, and disconnection beneath the behavior. As the emotional bond becomes safer, partners often begin to want to reach for each other, spend time together, and speak with greater care. The healthier behavior grows from a changed relationship rather than from a set of instructions alone.

When speaking with a therapist, ask what primary couples-therapy model guides their work and how deeply they have trained in it. Knowing a collection of techniques is different from having a clear roadmap for understanding the relationship and creating lasting change.

Use the Consultation Wisely

A short consultation is not therapy, and you will not know everything from one phone call. It can still tell you whether the therapist answers directly, speaks in language both of you understand, and seems comfortable with your concerns.

Most importantly, notice whether this feels like someone both of you could learn to trust. A therapist may have exceptional qualifications on paper, but therapy is unlikely to be effective if you do not feel safe enough to speak honestly or if one partner never feels understood.

Feeling a connection does not mean the therapist will always agree with you or that every conversation will feel comfortable. It means you sense that the therapist is listening carefully, respects both of you, and can create a space where difficult things can be said without either person feeling dismissed.

Try asking:

  • What formal couples-therapy training have you completed?
  • Do you receive supervision or consultation focused on couples?
  • Approximately how much of your practice is couples work?
  • How would you approach the concerns we have described?
  • What would the first few sessions involve?
  • How do you track whether the work is helping?

After the consultation or first meeting, compare impressions rather than trying to persuade each other. Did each of you feel listened to? Could you both imagine speaking honestly? The therapist with the longest list of credentials is not necessarily the right therapist for the two of you. Training can help you create a shortlist; trust and connection help you make the final choice.

Continue Reading

Learn more about couples therapy in Westlake Village, read why therapy can sometimes feel worse before it feels better, or explore more relationship resources.