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Don’t know what to expect in each couples therapy session? Typically, the first couples therapy session begins with some standard interview questions about the relationship's history, followed by a deep dive into each partner's family of origin, values, and cultural background. If necessary, the therapist or marriage counselor may use the initial sessions for crisis intervention.

The couple's therapist will then assist the couple in identifying the issue that will be the focus of treatment, establishing treatment goals, and planning a structure for treatment for each counseling session.

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During treatment, the therapist will help the couple gain insight into the relational dynamics creating the problem and guide both partners to understand their roles in the dysfunctional interactions. This greater insight on relationship issues and distress will help them change the way they perceive the relationship and each other.

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Although gaining insight is important, changing behaviors is also an important aspect of couples therapy. Couples therapists will frequently assign homework to partners in order for them to apply the skills they have learned in therapy to their day-to-day interactions.

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Most couples come away from therapy with greater knowledge of their relational patterns and with the necessary skills to effectively communicate and problem-solve with their partners.