Couples many times decide to seek assistance due to communication breakdown between them and/or to problem solve a specific issue identified. In order for Couples Therapy to be successful, parties must be open to compromise and have the willingness to promote change.

The role of a therapist in couples therapy is one of a mediator assisting in finding a compromisable resolution with specific debates and/or arguments, not to take sides with one person or another.

Sometimes individual sessions may be recommended for personal mental health issues to be addressed to further enhance a couples relationship. Individual therapy may take place with same couples therapist or be referred to another therapist as determined what is in the best interest for the individual and the couple.

Couples may also attend pre-marital sessions before marriage, as recommended by religious figures and/or personal choice.