Understanding the Process

What is couples therapy?

When two people work with a therapist to understand what's actually happening between them

The short answer

Couples therapy is a form of psychotherapy where two people in a relationship work with a therapist to understand and change the patterns between them.

The popular image is two people on a sofa learning to use "I statements" and validate each other's feelings. That's one version. But deeper couples work isn't about communication techniques.

It's about understanding why you keep getting stuck in the same conflicts. What each of you brings from your history. How those histories collide in ways neither of you chose or fully understand.

You each arrived in this relationship with an instruction manual written in childhood - rules about love, conflict, need, and safety that you absorbed before you could question them. Couples therapy makes those invisible manuals visible.

What it's not

It's not a referee deciding who's right. If you're hoping the therapist will finally make your partner see how wrong they are, you'll be disappointed. The work isn't about blame.

It's not couples coaching with homework and action plans. Some approaches work that way, but psychodynamic couples therapy is more interested in understanding than fixing.

It's not a last resort before divorce - though many couples treat it that way. By then, the damage is often deep. The best time to start is before you're desperate.

And it's not guaranteed to save your relationship. Sometimes the work reveals that you've grown into different people, or that the relationship was built on foundations that can't hold. Understanding that clearly is still valuable - it lets you separate without destroying each other.

The space between you

In individual therapy, the focus is on one person's inner world. In couples therapy, the focus is on the relationship itself - the space between you.

That space has its own patterns, its own history, its own logic. You've created something together that neither of you fully controls. One pursues while the other withdraws. One explodes while the other freezes. You fight about dishes when it's really about respect, about sex when it's really about feeling wanted, about money when it's really about power.

The presenting problem is rarely the actual problem. Underneath the content of your arguments is a pattern - and underneath that pattern is history.

Couples therapy traces those threads. Not to blame your families or excuse your behaviour, but to understand why this particular person triggers you in this particular way. Why you both keep ending up in the same painful place despite your best intentions.

When it helps

When you keep having the same argument in different words.

When one of you feels consistently unheard and the other feels constantly criticised.

When you're more like flatmates than partners - polite, distant, going through the motions.

When something happened - an affair, a betrayal, a loss - and you don't know how to move forward.

When you love each other but can't seem to stop hurting each other.

When you're considering ending it but want to understand what went wrong first.

The common thread: you're stuck in a pattern you can't shift on your own, and the usual approaches - talking it out, giving each other space, trying harder - aren't working.

What changes

You start to see the dance. The pattern that was invisible becomes visible. You catch yourselves mid-dynamic: "We're doing that thing again."

You begin to hear what your partner is actually saying underneath their words. The criticism that's really fear. The withdrawal that's really hurt. The anger that's really grief.

You understand your own triggers better - why that particular tone of voice sends you spinning, why that look on their face makes you want to leave the room.

The fights don't necessarily stop, but they change. They become less annihilating. You recover faster. You can repair.

Or - and this is also a valid outcome - you realise clearly that you want different things. That the relationship has run its course. That you can love someone and still not be able to build a life together. Understanding this is painful, but it's better than another decade of the same deadlock.

Common questions

What to expect from couples therapy and how it compares to other approaches.

What happens in couples therapy sessions?

Both partners attend together. You'll talk about what's happening in your relationship while the therapist observes the dynamics between you - not just what you say but how you say it, who interrupts, who withdraws, what topics make you both tense. The patterns that cause problems at home show up in the room too. One of you will start explaining something and the other will roll their eyes. Someone will say "you always" and someone else will shut down. These moments aren't interruptions to the work - they are the work. A good couples therapist doesn't just listen to your stories about each other. They watch the relationship happening in real time.

How is couples therapy different from individual therapy?

In individual therapy, the focus is on you - your patterns, your history, your inner world. The therapist is your ally. In couples therapy, the focus is on the relationship itself - the space between you. The therapist isn't on either person's side. They're working with the dynamic, the dance you've created together, the ways you trigger each other and the history behind those triggers. This can feel strange at first. You might want the therapist to see how wrong your partner is. But the work isn't about deciding who's right. It's about understanding why you both keep ending up in the same painful place.

Does couples therapy actually work?

It can, but not in the way people often hope. Couples therapy won't save a relationship that can't be saved. It won't make your partner into someone they're not. It won't undo years of damage in a few sessions. What it does is help you understand what's actually happening between you - why you keep having the same fights, what you're both really asking for underneath the surface complaints, what you're afraid of that you haven't named yet. Sometimes that understanding helps you reconnect. Sometimes it helps you separate without destroying each other. Either way, you stop repeating the same script.

When should couples go to therapy?

Most couples wait too long. They arrive when one person has already mentally left, or after years of accumulated resentment, or in the aftermath of something that feels unforgivable. The best time is when you first notice you're stuck in patterns you can't shift on your own. The same argument keeps happening in different words. Someone feels consistently unheard. The distance between you is growing and you don't know why. You're great in a crisis but terrible at ordinary Tuesday evenings. If you're wondering whether you need couples therapy, you probably do.

What if only one of us wants to go?

This is common. Usually one person has been thinking about therapy for months while the other is blindsided by the suggestion - or defensive about it, hearing it as "you think something's wrong with me." Couples therapy requires both people in the room. But if your partner won't come, individual therapy can still help you understand your part in the dynamic. Sometimes when one person changes, the whole system shifts. Sometimes it becomes clearer that the relationship can't give you what you need. Either way, you're not stuck just because your partner won't engage.

How is this different from marriage counselling?

The terms are often used interchangeably, but there can be differences in approach. Marriage counselling sometimes focuses on practical problem-solving - communication techniques, conflict resolution skills, ways to negotiate differences. This can be helpful for specific issues. Psychodynamic couples therapy goes deeper. It's interested in why you chose each other in the first place, what unconscious needs the relationship was meant to meet, what childhood patterns you're both recreating without realising it. Not just how to argue better, but why these particular arguments feel so devastating. Both approaches have value. It depends what you need.

Working with me

I'm a psychodynamic therapist working with couples in Croydon, South London. I'm currently training at Tavistock Relationships - the UK's leading centre for couple psychotherapy and one of the most influential in the world. Modern couples therapy essentially started here; even Relate has its roots in this organisation.

If you're curious whether couples therapy might help, you can read more about how I work with couples or who I am. The FAQ covers practical questions about sessions and fees.

Or you can just get in touch.

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