Couples Counselling

Editorial image for Couples Counselling

Couples therapy is designed to help partners resolve conflicts and deepen emotional connection. It empowers couples to build stronger communication, increase empathy, and create a more resilient and satisfying relationship, whether they are working to stay together or they are committing to making thoughtful decisions about their future.

There are many reasons why couples seek therapy, and these often reflect common challenges in long-term relationships. One of the most frequent issues is communication breakdown. Partners may feel misunderstood, or are struggling to express themselves without arguments escalating. Over time, this can lead to resentment and emotional distance which is hard to overcome once they become stuck in repetitive arguments. Infidelity or breaches of trust are also significant motivators for seeking therapy. When trust is broken, couples often struggle to rebuild their connection without guidance. Therapy provides a contained space to process the hurt, understand underlying factors, and work toward repair if both partners are willing.

Additionally, life transitions—such as having children, career changes, relocation, or retirement—can place stress on a relationship and prompt couples to seek support. Emotional disconnection is another common concern. Partners may report feeling more like roommates than romantic companions, with diminished intimacy or affection. In such cases, therapy helps explore what led to the disconnect and how to rekindle closeness.

In terms of what treatment looks like, our process usually begins with an assessment phase. The therapist gathers information about the relationship history, individual backgrounds, and different perspectives on their current concerns. This first phase helps us to identify patterns and set goals for therapy. Sessions typically involve both partners, though occasionally individual sessions may be included.

Our therapists guide conversations to ensure they remain productive and respectful. Techniques often focus on improving communication skills, such as active listening, expressing needs clearly, and avoiding blame or criticism. Couples may learn to recognize negative interaction cycles (for example, one partner withdrawing while the other pursues) and develop strategies to break these patterns.

At Self and Other we place a strong emphasis on emotional awareness and communication - helping partners understand what they feel, why they feel it, how to share it. We encourage partners to identify their contribution to the dynamic and then articulate feelings—such as fear, shame, or longing—that are often hidden beneath anger or defensiveness. By fostering a space where these emotions can be safely expressed and received, we are committed to helping both partners develop greater empathy and curiosity for one another.

Over time, increased insight and receptivity allows couples to interrupt automatic patterns and respond more flexibly. As partners begin to understand both their own internal worlds and those of their partner, they can move from reactive cycles toward more compassionate interactions. In this way, Self and Other couples therapists aim to work towards resolving certain conflicts and transforming the underlying relational patterns that sustain them.

Seeking support for Couples Counselling

Our initial consultation is intended to assess whether Self and Other is a good fit for you, or to make referrals to other healthcare professionals if needed.

Our therapists will also use this time to discuss fees, scheduling, confidentiality, and whatever other concerns you may have about the process of beginning therapy.

I’d like help finding the right therapist

We'll carefully match you with a therapist who's right for you.

I know which therapist I'd like to see

Schedule a free consultation with one of our available therapists.

If you or someone you know is unsafe (suicidal, homicidal, putting oneself or others in danger, or experiencing a medical emergency) call 911 immediately. If you are having any other kind of mental health crisis, please call the King County 24-hour confidential crisis hotline at: 866-4-CRISIS (866-427-4747).

Make an appointment

Self and Other therapists offer in person and online services. Our offices are conveniently located in the Eastlake neighborhood of Seattle, on major bus routes. The building has a dedicated parking lot, and there is ample free street parking nearby.

Our therapists offer secure telehealth sessions for residents of Washington state.