Therapy & treatment

Couples Therapy

Couples therapy helps partners improve communication, resolve conflict and strengthen their relationship. Learn common approaches, what sessions involve and when it may help.

What is couples therapy?

Couples therapy is a type of psychotherapy that helps partners understand and improve their relationship. It is for couples of any gender, sexual orientation or relationship stage — dating, living together, married or separating.

Common reasons people seek it

  • Frequent conflict or communication breakdowns
  • Loss of connection or intimacy
  • Trust issues, including after infidelity
  • Major transitions such as a new baby, relocation or illness
  • Disagreements about finances, parenting or family
  • Deciding whether to stay together or separate

Approaches

  • Emotionally focused therapy (EFT): focuses on emotional bonds and patterns of interaction.
  • Integrative behavioral couple therapy (IBCT): combines acceptance and behavior change.
  • Gottman method: focuses on friendship, conflict management and shared meaning.

What to expect

Early sessions usually explore each partner’s perspective and the relationship’s history. Therapists often meet with partners together and sometimes individually. Many couples attend weekly or every other week.

When couples therapy may not be right

If there is ongoing violence, abuse or coercive control, joint therapy can increase risk. Individual support and safety planning are recommended first.

Find care

Find the right support

Compare types of care — from online therapy to psychiatry — and learn what to consider before choosing a provider.

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When to seek professional help

Consider talking with a doctor or licensed mental health professional if symptomslast for more than two weeks, keep coming back, or make it harder to manage work, school, relationships or daily tasks. You don’t need to wait until things feel severe — getting support early often makes things easier.

If you’re thinking about harming yourself or are in immediate danger, call your local emergency number. In the US, call or text 988 (Suicide & Crisis Lifeline).Crisis resources in other countries.

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Frequently asked questions

Do both partners need to attend?
Couples therapy usually involves both partners. If one partner is unwilling, individual therapy focused on the relationship can still help.
Is couples therapy safe if there is abuse?
Joint sessions are generally not recommended when there is ongoing abuse, violence or coercive control. If you are in the US, the National Domestic Violence Hotline (1-800-799-7233) offers confidential support.

References

We rely on government health agencies, professional medical organizations, peer-reviewed research and academic institutions. Read our sourcing standards.

  1. Marriage and family therapists(opens in a new tab)

    U.S. Bureau of Labor Statistics — Occupational Outlook HandbookGovernment health agency

  2. Healthy relationships(opens in a new tab)

    American Psychological AssociationProfessional organization

About this article

Written by

ExploreMentalHealth Editorial Team

Our editors research and write every article using government health agencies, professional medical organizations and peer-reviewed research, following our published editorial standards.

First published
September 8, 2026
Last updated
September 21, 2026
Last medically reviewed
Review pending