Couples therapy can come in many different ways to my office. Sometimes there are people that are presenting in crisis and have little to no patience with each other outside of a setting that provides a safe and therapeutic approach to wade through their conflicts. There are also those that are seeking advice and guidance before commitment in marriage or in a next step of living together to ensure that they have a basic respect and understanding before moving to this new level. And often in many of the couples I see there is clearly a communication breakdown or deficit that needs to be addressed so that each is more aware of their own needs and goals in the relationship. As with my individual clients, I take each couple as a unique case that I first work to understand where they have been and where they would like to go in the future. Through this work couples often leave more inspired and understanding of each other than they have been ever in their joint lives.