Clinical support
10 couples counseling techniques that can help strengthen relationships
Explore couples counseling techniques — plus proven therapy models — that improve communication, rebuild trust, and create lasting relationship growth.
October 16, 2025
By Savanah Harvey, AMFT
12 min read
By Savanah Harvey, AMFT
Working with couples is one of the most rewarding and unique therapeutic relationships. While every couple is complex in their own way, it’s important to remember that our clients go beyond simply two individuals; our client is the relationship itself. Unlike individual therapy, couples therapy requires a balance of two value systems, communication styles, and perspectives. This means that empathy, structure, and validation are needed to invite partners to deepen their awareness of one another.
Below are 10 approaches that you can use in your couples work, as well as five of the most common therapeutic approaches used to provide structure, improve connection, and add lasting impact to the relationship.
1. Assess relationship dynamics
Just like in individual sessions, a thoughtful assessment lays the groundwork for understanding any relationship. Intake sessions should go beyond reflecting on the past. Develop an understanding of each partner’s perspective, family/relationship history, and the couple’s motivation for therapy — both individually and relationally. As the clinician, remember to be observant from the beginning as patterns quickly emerge when both partners are present and emotions are activated. Using structured couples intake questions can help you identify attachment styles, day-to-day dynamics, and the real story of the relationship in a supportive tone that simultaneously builds rapport.
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2. Improve communication skills
The most common presenting problem in couples therapy is the shared desire to address communication struggles within the relationship. Introducing practical tools and techniques such as active listening, reflective statements, and responding rather than reacting gives partners the opportunity to feel heard, validated, and connected. Using communication mapping exercises, like “I” statements and weekly check-ins helps partners connect when conversations become challenging.
3. Explore emotional needs
Understanding, naming, and communicating emotions can be difficult for some clients, especially when asked to do so in a vulnerable setting. Helping partners move through these struggles can clarify the differences between surface frustrations and underlying unmet emotional and attachment needs. Using techniques like taking turns speaking and love-language mapping can create emotional safety and increase intimacy. Using your clinical judgment to decide when to incorporate different techniques will lead to a clear progress note that focuses on the identified client while also mentioning the interactions and impact on the relationship.
4. Rebuild trust
When a relationship is ruptured, couples typically arrive at therapy feeling helpless, hopeless, or both. Building trust takes time and patience, and requires both partners to show up physically, mentally, and emotionally. When both partners are held accountable in the relationship, they create connection, foster attunement, and slowly rebuild safety together. Reestablishing a foundation of trust requires daily effort and consistency, where each partner practices responsibility, empathy, and forgiveness.
5. Address conflict patterns
Every relationship has cycles which often stem from unmet attachment needs. Mapping these cycles out together in session gives each partner the chance to identify, address, and take responsibility for their role in the cycle. Once the cycle is named, visual mapping templates help the couple externalize the loop and understand the pattern as controllable.
6. Strengthen intimacy
Intimacy looks different in every couple. Using each partner's love language is a great way to encourage clients to experiment with connection practices that are specific to their partner. Whether this looks like daily walks to practice quality time, gratitude practices to emphasize words of affirmation, or intentional physical touch, these acts help reinforce safety and closeness. Taking this work at the couple’s pace is important, as every couple’s experience and comfort with intimacy is unique — especially those with histories of trauma.
7. Practice problem-solving together
In order to solve problems together, the couple must be willing to work together. Structured collaboration exercises like assigning small household tasks or brainstorming ideas together can encourage the couple to move away from the pursuer-withdrawer dynamic and towards a relationship that values teamwork. When couples complete these bonding exercises, communication is strengthened. This helps clarify whether current and recurring disagreements are about logistics and frustration, or rooted in deeper relational needs.
8. Build shared goals
Beginning with the intake, the overall goal of therapy is to shift from conflict towards collaboration. Within the larger goal are often a series of long-term goals such as parenting styles, financial decisions, and lifestyle choices, which can be broken up into smaller, manageable short-term goals. Guiding the couple to identify their goals in their relationship — individually as a partner and relationally as a couple — gives couples a sense of responsibility and reinforces their “why” when they find themselves stuck in conflict.
9. Encourage self-awareness
Without self-reflection or the willingness to change, shifting relational patterns is nearly impossible. Giving each partner the opportunity to name their triggers, identify behavior patterns, and process attachment responses can give reasoning to harsh reactions, reduce blame, and lessen defensiveness. Introducing reflective exercises like journaling, mindfulness-based practices, or structured self-assessments can help each partner understand their own emotional process. It can also normalize the importance of self-awareness in the couple's relationship — and the relationship with oneself.
10. Create maintenance plans
Without structure and reinforcement, progress can easily slip away. Working with the couple to design a tailored “maintenance plan” emphasizes growth and empowers the couple to collaboratively take ownership of their relationship. Whether this includes weekly date nights, scheduled check-ins, or quarterly follow up therapy sessions, creating a clear plan together helps set the couple up for connection and success.
Types of couples therapy
When balancing two individuals in one relationship, anchoring your work in an established model provides structure and evidence-based outcomes. At the same time, it gives you a foundation and framework that can guide couples to impactful, lasting change.
Emotionally focused therapy
Commonly known as EFT, emotionally focused therapy introduces “the cycle” with two roles: the pursuer and the withdrawer. With this method, you can give couples a structured, visual roadmap to deescalate, as well as access primary and secondary emotions. This also helps them nurture unmet attachment needs and guides partners to understand how their primary emotions shape their perception of self, which can trigger reactive behaviors.
The Gottman Method
Research-based interventions like the Gottman Method’s Love Maps strengthen the friendship between the couple, improve communication, and build shared meaning. Couples deepen their knowledge of each other’s inner emotional worlds while working together to create strategies to manage conflict with compassion and effectiveness. As a clinician, Gottman’s assessments make it easy and helpful to track growth as progress is clearly measured.
Imago relationship therapy
Childhood experiences, relationships, and wounds have a strong influence on adult relational dynamics. In Imago relationship therapy, partners use structured dialogue to shift away from blame and reactivity toward empathy and understanding. Introducing the Imago dialogue teaches partners how to reflect, validate, and empathize with each other’s lived experiences. This can build a safe place to heal past traumas while creating deeper emotional awareness, intimacy, and connection.
Solution-focused therapy
As the name suggests, solution-focused therapy is future-oriented and to-the-point. This modality helps couples build strength that can propel them through future conflicts. Therapists often invite clients to envision details of their future: where they live, what the feeling is, and how they spend their time together. Using this method’s “miracle question” invites couples to clearly imagine this reality and name the positive changes that are needed to get there.
Narrative therapy for couples
Every relationship has its own story, and narrative therapy helps couples take ownership of their storyline. When separating the couple from the problem, we remove the challenges to give room for the strength and resilience that already exists within the relationship. This modality gives couples the power to create narratives that emphasize meaning, possibility, and growth.
Find a helpful partner in Headway
Working with couples requires skill, support, and patience. And just as your clients are in it together, you don’t have to manage your work alone. As a trusted practice partner, Headway can help you shoulder the burden of insurance credentialing, billing, HIPAA compliance, and more. Speak with one of our practice consultants today so you can get support — and unlock time to focus on what you love most about your practice.
This content is for general informational and educational purposes only and does not constitute clinical, legal, financial, or professional advice. All decisions should be made at the discretion of the individual or organization, in consultation with qualified clinical, legal, or other appropriate professionals.
© 2025 Therapymatch, Inc. dba Headway. All rights reserved. No part of this publication may be reproduced without permission.
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