What Type Of Couples Counseling Is Best?
Home/  Blog/ What Type Of Couples Counseling Is Best?

What Type Of Couples Counseling Is Best?

Beginning couples counseling is a courageous step toward improving your relationship. In this safe space, couples can explore issues, enhance communication, and work towards a more fulfilling partnership with the guidance of a skilled therapist. It’s a proactive commitment to growth and understanding.




Table of Contents

(click on a question to be directed quickly)

What Are The Different Types Of Couples Counseling?

What Types Of Issues Are Addressed In Couples Counseling?

Is Couples Counseling Covered By Insurance?

Is Couples Counseling Effective? Is One Type More Effective Than Another?






What Are The Different Types Of Couples Counseling?


Couples counseling, also known as couples therapy or marriage counseling, encompasses various approaches and techniques to help couples improve their relationships. Different types of couples counseling are often tailored to the specific needs and issues faced by the individuals involved. Here are some common types of couples counseling:

  • Traditional Couples Counseling: This is the most common type of couples counseling, where a licensed therapist or counselor helps couples identify and address their relationship issues. It typically involves talking through problems, improving communication, and developing problem-solving skills.
  • Emotionally Focused Therapy (EFT): EFT is an evidence-based approach that focuses on understanding and reshaping emotional responses within the relationship. It helps couples identify and change negative patterns of interaction by promoting emotional bonding and attachment security.
  • Gottman Method: Developed by Drs. John and Julie Gottman, this approach is based on extensive research into relationship dynamics. It focuses on strengthening the friendship between partners, enhancing communication, and managing conflict more effectively.
  • Imago Relationship Therapy: Imago therapy explores how childhood experiences and past relationships influence current relationship dynamics. Couples learn to understand and empathize with each other’s history and needs to improve their connection.
  • Narrative Therapy: This approach encourages couples to view their relationship issues as separate from themselves, helping them reframe their narratives and find new perspectives on their problems. It can be particularly useful in addressing issues related to identity and self-esteem.
  • Behavioral Couples Therapy: This type of therapy emphasizes behavioral changes and problem-solving. Couples work together to identify negative behaviors and implement strategies to modify them.
  • Integrative Couples Therapy: Integrative therapy combines elements from various approaches to tailor treatment to the specific needs of the couple. Therapists may use techniques from cognitive-behavioral therapy (CBT), psychodynamic therapy, and other modalities.
  • Sex Therapy: This specialized form of couples counseling focuses on sexual issues within the relationship. It helps couples address sexual dysfunction, improve intimacy, and enhance their sexual connection.
  • Family Systems Therapy: Sometimes, relationship issues are rooted in broader family dynamics. Family systems therapy explores how family history and roles influence the couple’s relationship and aims to create healthier patterns.
  • Pre-Marital Counseling: This type of counseling is designed for couples who are considering marriage. It helps them explore and address potential issues, build a strong foundation, and improve their communication skills before tying the knot.
  • Online Couples Counseling: With the advent of technology, some couples choose to receive counseling services through online platforms, which can be convenient and accessible.


The choice of couples counseling type depends on the specific needs and preferences of the couple. It’s essential to work with a qualified and experienced therapist who can help identify the most suitable approach for addressing the couple’s unique challenges and goals.



Couples Therapy

Photo by Elina Fairytale



What Types Of Issues Are Addressed In Couples Counseling?


Relationships are an integral part of human life, offering companionship, emotional support, and the potential for personal growth. However, they are not without their challenges. Couples often encounter various issues that can strain their bond and require effort and communication to overcome. Some of the most common problems couples face include communication breakdown, conflicts and arguments, trust issues, financial stress, and differences in values and priorities.


Communication breakdown is a pervasive issue. Over time, partners may assume they know each other so well that they stop actively listening and sharing their thoughts and feelings. This can lead to misunderstandings and emotional distance. Conflicts and arguments are natural in any relationship, but how they are managed can make all the difference. Unresolved disputes can escalate and erode the relationship’s foundation.


Trust issues can stem from past betrayals or insecurities. Rebuilding trust takes time and consistent effort from both partners. Financial stress is another common problem, as money can be a source of tension and disagreements. Couples must learn to budget, plan, and make financial decisions together.


Differences in values and priorities can lead to conflicts, especially in areas like family planning, career goals, and lifestyle choices. These issues require compromise and understanding.


Emotional disconnection can result from life stressors, miscommunication, or unresolved conflicts. Therapists assist couples in rebuilding emotional intimacy, fostering empathy, and reconnecting on a deeper level.


Infidelity can devastate a relationship, but couples counseling provides a structured framework for addressing trust issues and working towards healing and rebuilding trust.


Intimacy issues, whether physical or emotional, are also common reasons couples seek therapy. Counselors help couples explore the root causes of these issues and develop strategies to enhance their connection.





Is Couples Counseling Covered By Insurance?


Many health insurance plans provide coverage for mental health services, including therapy. However, coverage can vary widely from one insurance plan to another. Some plans may cover couples counseling as part of their mental health benefits, while others may not.


Insurance companies often require a mental health diagnosis to cover therapy services. If one or both individuals in the couple have a diagnosable mental health condition that requires treatment, such as depression or anxiety, the therapy may be more likely to be covered.


Insurance plans typically require that the therapist providing the counseling is a licensed mental health professional, such as a licensed marriage and family therapist (LMFT), licensed professional counselor (LPC), or clinical social worker (LCSW). Check with your insurance provider to ensure that your chosen therapist is in-network and meets their qualifications.


It’s crucial to contact your insurance provider directly to understand your specific coverage and any requirements. Additionally, you can inquire about therapists who are in-network and accept your insurance. If insurance coverage is limited or not available, some couples choose to pay for counseling out of pocket or explore community mental health centers or sliding scale fee options.


Ultimately, the decision to pursue couples counseling and the method of payment should align with your unique circumstances and needs.



Is Couples Counseling Effective? Is One Type More Effective Than Another?

Couples counseling can be highly effective in helping couples improve their relationships and address various issues. Its effectiveness depends on several factors, including the specific problems the couple is facing, the skills and approach of the therapist, the willingness and commitment of the individuals involved, and the timing of the intervention.


There is no one method of Couples Counseling that appears to be more effective than another. It also seems that 70% of people that attend Couples Therapy report an improvement in their relationship.


The qualifications and experience of the therapist play a crucial role in the effectiveness of couples counseling. A skilled and trained therapist can provide guidance, tools, and strategies to help couples work through their challenges.


The willingness of both partners to actively engage in the counseling process is vital. Couples who are committed to making changes and putting in the effort tend to have better outcomes.














Couples counseling is a valuable resource for couples facing relationship challenges. It provides a safe, structured space for partners to address issues, improve communication, and enhance their connection. Through the guidance of a trained therapist, couples can gain insights, develop problem-solving skills, and work together to strengthen their relationship. It’s a proactive step toward building a healthier and more fulfilling partnership.









Medically Reviewed By: Dr. Kyle Zrenchik, PhD, LMFT

Published : 09/03/2023



Disclaimer: ALL IN Therapy Clinic aims to improve people’s lives. We do this through providing effective mental health counseling by passionate professionals. Inspired by this, we write content for your own education. Also, our content is researched, cited, reviewed, and edited by licensed mental health professionals.  However, the information we provide is not intended to be a substitute for professional medical advice, diagnosis, or treatment.  Additionally, it should not be used in place of the advice of a qualified healthcare provider.






Written and reviewed by

Dr Kyle Zrenchik, PhD, ACS, LMFT

Dr. Kyle Zrenchik is the Co-Founder of ALL IN, the Creator of the Couples Erotic Flow model for treating sexual issues in individuals and couples, Designer of the Deep Dive programs at ALL IN, and is one of the most well-respected couples counselors in the Twin Cities.

Need Help ?