Practice resource · General information

Individual or couples therapy: where to start?

Relationship concerns can belong in individual therapy, couples therapy, or both at different times. The best starting point depends on who wants to participate and what you hope to change.

These questions and steps are general information to help you consider care. They are not a personal assessment or treatment recommendation.

When individual therapy may fit

Individual work gives one person room to reflect on their feelings, history, choices, and patterns. It can be useful when a partner is not ready for joint sessions, when you want to understand your own role in a relationship, or when the main concern reaches beyond the partnership. You can talk about a relationship without making your partner a patient.

When couples therapy may fit

Couples work focuses on the interaction between partners. Both people need a workable way to participate, even if they describe the problem differently. Questions about communication, recurring conflict, trust, and changing roles can be explored together. A clinician should help clarify the goals and structure of joint work before it begins.

  • Is the goal to understand your own experience, the shared pattern, or both?
  • Are both partners willing to attend and speak honestly?
  • Would a private conversation about safety or coercion be needed before joint work?

Ask about structure and fit

Marriage and family therapists may provide care to individuals as well as couples and families. Ask a prospective therapist what they recommend for your situation, how they handle confidentiality in joint work, and whether seeing one partner individually would affect later couples work. If there is intimidation or violence, tell the clinician privately so they can assess whether joint sessions are appropriate.

Getting started

Take the next step when you are ready.

Start a service request to ask about current options, or call if you would rather talk first.