Pre-Marital Counseling: Every couple feels ebb and flow in their levels of closeness and harmony over time. This can range from basic concerns of stagnation to serious expressions of aggressive behavior. Thus, the goals of couples counseling can vary from improving the overall richness in the relationship to trying rebuilding the relationship in the most healthy way for all involved by attempting to resolve conflicts and healing wounds. Common topics leading to distress in marriages or other relationships may include: communication problems, infidelity issues, struggles around sex, anger, unrealistic expectations, and poor strategies to punish or leverage power over the other. Usually we ask couples to meet the first session together and then as needed, they may meet in the individual format as well.