Couples therapy – when is the right time?

One of the most common questions I hear from couples: Have we waited too long? My answer: rarely. In most cases it’s never too late – but there is a best moment to take the first step.

When does couples therapy make sense?

Couples therapy is not only for couples on the verge of separation. It can be helpful at many stages of a relationship:

Early on – as prevention

Some couples come to therapy when they notice patterns beginning to form – before they become entrenched. This is one of the most effective uses of couples therapy.

In the middle of a crisis

When conflicts escalate, communication has broken down, or trust has been damaged, couples therapy can provide a safe space to reconnect.

At life transitions

Major changes – having a child, moving, job loss, illness – put relationships under pressure. Therapy helps couples navigate these phases together.

When facing a major decision

Even couples considering whether to separate can benefit from therapy. A respectful separation – especially with children involved – can be supported therapeutically.

What happens in the first session?

The initial session (50 minutes) is primarily about getting to know each other. You share what’s on your mind, I listen and ask questions. I don’t take sides – my role is to give equal space to both partners.

At the end of the first session, we discuss together whether and how we’d like to continue.

Does online couples therapy work?

Yes. Many couples appreciate the option of participating from home. For couples with busy schedules or in long-distance relationships, this is a real relief.

Some couples worry whether the connection online is as personal. My experience: yes – when both are fully present, genuine encounter happens.

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Have questions? I’m happy to answer them. Write to me or book an appointment directly.

Nastassja Volkov, Licensed Psychotherapist