Effective couples therapy requires strong and empathic therapists who are sensitive to, but not afraid of, sensitive subjects. For many people it can be a relief to have a third, unbiased clinician in the room to help discuss areas of the relationship that are difficult or simply uncomfortable. Sex is often a subject in couples therapy, even if this is not the area of treatment focus. Effective clinicians will look at the “whole picture” to facilitate deeper understand and connectedness between partners to either change or enhance the quality of the relationship.
Many couples consider couples therapy after difficulties begin in their relationship, such as arguing, misunderstandings, hurt feelings, suspicions, etc. But couples therapy is also a wonderful tool before problems are experienced, such as pre-marital counseling, to identify potential issues and take preemptive action before a crisis develops.