What Is Couples Therapy and How Does It Work?

Emmanuel Daniel
Jun 5
5 min read

Understanding the Process, Purpose, and Power of Relationship Counselling

**What Is Couples Therapy and How Does It Work? | The Harvest Clinic**

Romantic relationships can be sources of deep fulfillment, but they can also be complex, emotionally charged, and sometimes overwhelming. Whether you're navigating long-standing patterns, rebuilding after a rupture, or simply trying to reconnect, couples therapy offers a structured, supportive, and evidence-based path forward.

At The Harvest Clinic, we recognize that healthy relationships don’t just happen; they're cultivated with care, communication, and the right support. In this guide, we explore the heart of couples therapy: what it is, how it works, who it's for, what to expect, and how it can truly transform the way you relate to your partner, and to yourself.

What Is Couples Therapy?

Couples therapy, sometimes called relationship counselling or marriage therapy, is a type of psychotherapy that helps two people in a romantic relationship understand each other better, resolve conflicts, and improve relationship satisfaction. It involves both partners meeting with a licensed therapist who facilitates discussions, teaches communication skills, and guides the couple toward mutually agreed-upon goals.

Importantly, couples therapy is not only for those in crisis. Many couples seek support to:

Strengthen their emotional or physical connection
Improve everyday communication
Prepare for marriage or long-term commitment
Navigate transitions (e.g., becoming parents, moving, retirement)
Rebuild after betrayal, trauma, or infidelity
Address sexual or intimacy concerns
Learn to fight “fair” and manage conflict in healthier ways

Whether you're dating, engaged, married, cohabiting, separated, or in a blended family, couples therapy can help foster a deeper, more compassionate connection.

How Does Couples Therapy Work?

While every relationship is unique, couples therapy often follows a structured process designed to uncover patterns, foster understanding, and develop new ways of relating.

The Intake and Assessment Phase

Your first few sessions typically involve:

Getting to know the couple: The therapist gathers background information, relationship history, communication patterns, and major concerns.
Clarifying goals: What do you each hope to gain from therapy? Are you trying to stay together, separate peacefully, or simply understand one another better?
Identifying presenting issues: These might include frequent arguments, lack of intimacy, parenting disagreements, trust issues, or emotional distance.

Some therapists may also conduct individual sessions with each partner to better understand personal histories, trauma, or mental health factors that may be impacting the relationship.

Understanding Relationship Dynamics

A major part of couples therapy involves identifying negative cycles or patterns. Many couples get stuck in repeating behaviors that leave both people feeling misunderstood, disconnected, or resentful.

Common patterns include:

The pursuer–withdrawer dynamic: One partner seeks connection while the other withdraws.
The blame–defend cycle: One criticizes, the other becomes defensive.
The silent stalemate: Both avoid hard conversations, leading to emotional distance.

Your therapist will help you understand how these patterns form and what each partner may be trying (but failing) to communicate underneath the surface.

Developing Communication and Emotional Skills

This is the heart of the work. Couples learn to:

Communicate more clearly (express needs without blaming or shaming)
Listen actively and empathically
Validate each other’s feelings (even when you disagree)
De-escalate conflicts
Identify triggers and emotional needs
Take ownership of personal behaviors and responses

Many therapists introduce communication tools and frameworks, such as:

"I" Statements: Speaking from your perspective rather than accusing (“I feel hurt when…” instead of “You always…”)
Active Listening: Restating and reflecting what your partner has said before responding
Time-outs and repair strategies for conflict regulation

Addressing Deeper Issues

Not all problems are surface-level. Therapy often brings forward deeper emotional and psychological factors such as:

Childhood attachment wounds
Unresolved trauma or grief
Shame, guilt, or low self-worth
Family-of-origin beliefs around love, roles, or conflict
Cultural or religious expectations
Mental health challenges (e.g., anxiety, depression, trauma responses)

A therapist helps each partner reflect on how these deeper layers influence the current relationship, without assigning blame.

Evidence-Based Approaches Used in Couples Therapy

At The Harvest Clinic, our clinicians are trained in evidence-based therapeutic models designed specifically for couples work. These include:

Gottman Method Couples Therapy

Developed by Drs. John and Julie Gottman, this approach is grounded in over 40 years of relationship research. It focuses on:

Building friendship and fondness
Managing conflict constructively
Creating shared meaning
Repairing after arguments
Developing trust and commitment

Emotionally Focused Therapy (EFT)

This model, created by Dr. Sue Johnson, helps couples identify and change rigid emotional patterns that cause disconnection. EFT helps partners become more responsive and attuned to one another’s emotional needs, building a more secure bond.

Solution-Focused Brief Therapy (SFBT)

SFBT is a goal-oriented model that helps couples focus on what’s working, rather than just what’s broken. It’s ideal for couples seeking short-term support to strengthen a relationship or resolve a specific issue.

What Does a Typical Couples Therapy Session Look Like?

While each therapist has a unique style, here’s what you can generally expect:

Check-in: How have things been since the last session?
Focus topic: One or two issues are explored in-depth.
Skills-building: The therapist may introduce tools or frameworks to practice.
Reflection: Partners reflect on what they learned or felt during the session.
Homework: You may be given practical exercises to do between sessions.

Sessions typically last 50 to 90 minutes, depending on the therapist’s format.

How Long Does Couples Therapy Take?

There is no universal timeline. It depends on:

The severity and complexity of issues
Willingness and commitment from both partners
The therapeutic approach being used
Session frequency (weekly, fortnightly, etc.)

Some couples see major improvements in 6–10 sessions, while others may engage in therapy for several months or longer.

At The Harvest Clinic, our therapists use a collaborative, short-term, and solution-focused approach, meaning therapy is always goal-oriented and tailored to your relationship needs.

Who Can Benefit from Couples Therapy?

Couples therapy is beneficial at many stages of a relationship—not just when things are falling apart. Consider therapy if:

You’re stuck in recurring arguments
You’ve grown emotionally distant
There’s been a betrayal, breach of trust, or infidelity
You’re facing life changes (e.g., a new baby, job change, relocation)
Intimacy and connection have faded
One or both partners feels unheard, unloved, or misunderstood
You want to part ways respectfully and consciously (e.g., separation counselling)
You simply want to strengthen your bond and build better habits

Even strong relationships can benefit from tuning up communication skills, revisiting shared goals, and deepening emotional intimacy.

Why Choose The Harvest Clinic?

At The Harvest Clinic, we offer telehealth couples therapy across Australia, including to clients in rural and regional communities. Our approach is:

Accessible: Book from anywhere in Australia via secure video sessions.
Flexible: Appointments that fit around your lifestyle.
Confidential and Compassionate: Your privacy and comfort matter to us.
Evidence-Based: Our therapists are trained in proven methods that work.

We understand that reaching out for help can be daunting. That’s why we create a non-judgmental, warm, and collaborative space where both partners can feel safe and heard.