Couples therapy: what it is and why it’s important

Find out what couples therapy involves, what the benefits are and what to expect from the sessions.

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couples therapy

How to deal with constant arguing, emotional distance or difficulty communicating in a romantic relationship? Couples therapy is increasingly sought by couples who want to overcome conflict, improve communication and increase their emotional connection. In this article, we provide a clear and easy explanation of what couples therapy is, what it’s for, when it should be considered, as well as the precautions and limits of this type of intervention.

 

What is couples therapy?

Couples therapy is a therapeutic approach that focuses on the relationship dynamics of a romantic partnership. With the support of a specialised psychologist, this form of intervention works on emotional, behavioural and relationship issues that may be affecting the interaction and bond between both members of a couple.

In this type of psychotherapy, couples have the opportunity to explore communication patterns, and identify sources of conflict and beliefs that are affecting the relationship, in order to develop strategies for healthier interaction.

The key goal of therapy is to build empathy, encourage active listening, help understand the partner’s point of view and create new ways of dealing with daily challenges.

What is couples therapy for?

Couples therapy can be useful in various situations that involve difficulties in a relationship, even when there isn’t an evident crisis. This intervention isn’t limited to “saving relationships”; rather it provides tools that help couples understand each other better, make more mindful decisions and find healthier ways to interact. We present below some of the key goals and uses of couples therapy:

1. Improve communication

Many couples have difficulty expressing their feelings and needs without generating conflict. Couples therapy helps develop skills such as active listening, clear expression and empathy, to build a more constructive dialogue.

2. Resolve constant conflict

Repeated arguments on the same subjects may indicate dysfunctional patterns or dynamics of interaction. The therapist helps the couple identify these cycles and provides tools for both partners to deal with disagreements, accepting and respecting each other’s opinion and individuality, without compromising individual or joint wellbeing.

3. Build intimacy and emotional connection

Over time, it’s natural for routine, stress or the responsibilities of adult life to affect the emotional bond. Therapy helps couples reconnect and remember what brought them together, exploring new ways to build closeness and intimacy.

4. Overcome crises

Betrayal and loss of trust are deeply painful events that leave scars on any relationship. Therapy creates a safe space for these episodes to be explored with honesty, allowing the couple to decide, consciously, how to overcome these challenges and move on.

5. Make decisions together

Issues like having children, moving to another country, managing finances or dealing with relatives can create tension. Therapy helps the couple align expectations, manage differences and make decisions in a collaborative and constructive manner.

6. Prepare or adapt to changes in the relationship

Phases like getting married, having children or reaching retirement bring changes that require adjustments from both partners. Therapy can be a preventive way of preparing the couple for these transitions, building the relationship’s resilience.

7. Evaluate the viability of the relationship

In some cases, couples seek therapy to understand if they should stay together or separate. Professional support helps explore this decision with maturity, clarity and mutual respect, allowing both partners to understand what they really want and what is healthiest for each individual.

 

What are the limitations of couples therapy?

For the therapeutic process to work, it’s essential for both partners to be willing to participate, listen and be open to change. If only one person is committed, the results will be limited.

Profound change takes time, patience, consistency and emotional availability. It’s common for discomfort and resistance to emerge in the first sessions. This is normal and part of the process  - it’s a sign that important issues are being brought to light and worked on. Therapy doesn’t offer quick fixes; it provides tools to bring about gradual change.

What to expect in a couples therapy session

It’s natural to feel anxious before the first session of couples therapy. Knowing what to expect can help demystify the process and prepare you to get the most out of this support. Although each therapist has their own style and approach, there are common elements that underpin most sessions and help create a space that is safe, collaborative and committed to change.

  • Explaining the process

  • History and context of the relationship

  • Identification of key problems

  • Exploring communication between the couple

  • Active listening and mediation

  • Setting goals together

  • Exercises or tasks between sessions

Exercises in couples therapy

Throughout therapy, couples may be invited to perform exercises that help break down negative patterns, improve communication and build an emotional connection. These exercises can be carried out during the session or as homework, and are always adapted to each couple’s reality.

1. Active listening exercises

One of the partners talks for a few minutes on an important subject, while the other listens without interrupting. Next, in their own words, the other partner repeats what they understood. This exercise builds empathy and reduces misunderstandings.

2. Structured dialogue

Through questions guided by the therapist — such as "What do you value most in me?" or "How do you feel when we argue?" — the couple learns to express their feelings and needs more clearly and with less criticism.

3. Love map

Inspired by the work of John Gottman, this exercise invites the couple to answer questions that deepen their knowledge of each other: tastes, fears, routines, dreams. This builds intimacy and a sense of connection.

4. Schedule quality time

Many couples end up neglecting quality time together. The therapist may suggest simple and regular activities — such as walks, dinners or conversations without mobile phones — to bond and create truly mindful moments.

5. Gratitude or appreciation list

Each partner identifies and shares things they appreciate about each other, even in challenging times. This exercise helps refocus on the positive aspects of the relationship and appreciate the bond.

6. Unsent letters

Each partner writes the other a letter on a difficult subject, without the obligation of delivering it. This exercise helps clarify feelings and relieve inner tension with emotional security.

7. Plan concrete change

With the help of the therapist, the couple defines specific behaviours to be improved and commits to practical actions.

8. Recreate positive memories

Recalling defining moments — like the first date, a special trip or a joint achievement — helps build a sense of “us” and renew emotional commitment.

Because each couple has its own story, every session is unique. Being open to the process — even when it is emotionally demanding — is a significant step towards building a more mindful and healthy relationship.

What precautions to take?

Before beginning couples therapy sessions, make sure the therapist has specific training in couples counselling and is registered in the Portuguese Psychologists Association (Ordem dos Psicólogos). Having experience in relationship contexts is essential to guarantee the right approach. Furthermore, the therapist’s confidentiality and impartiality are crucial to create a safe environment.

Therapy is most effective when both partners are committed to respectful dialogue and active listening. Judgmental, sarcastic or aggressive attitudes undermine therapeutic progress and compromise the development of joint solutions.

It is equally important to align expectations. The goal is not always “to go back to how things were”, but rather to create new ways of being together — or, in some cases, to achieve a respectful and mature separation.

Emotional and relational change doesn’t happen overnight. This process requires continuity, emotional availability and openness to try new ways of communicating and perform exercises proposed by the therapist.

 

When to get couples therapy?

Couples therapy can be useful at various stages of a relationship, even when there are no major crises. We mention below some situations in which therapy can be especially helpful:

  • Frequent or intense arguments that are not resolved through dialogue

  • Feeling emotional distance or loss of intimacy

  • Lack of communication or constantly misinterpreting intentions

  • Difficulty making joint decisions (parenting, finances, etc.)

  • Crises caused by infidelity, unemployment or illness

  • Transitional times: marriage, birth of children, moving to another country

  • Desire to strengthen the bond and prevent future conflict

  • Prepare for a conscious and amicable separation

Couples therapy at Joaquim Chaves Saúde

At Joaquim Chaves Saúde, we provide specialised care in couples therapy, with psychologists experienced in the fields of relationships and marital mediation, namely the renowned professionals Cláudia Rafael, Maria Eduarda Petisca and Rui Miguel Campos Coelho.

Our goal is to offer a safe and neutral space where couples can explore their challenges and work together to improve the quality of their connection. We believe that a healthy relationship is an essential part of individual and family wellbeing. Find out more about our Psychology services and schedule your consultation on your personal section of our website or our app.

Clinical Team

We have a team of doctors and health professionals, specialists in various areas, available to give you the support you need.

Cláudia Rafael
Cláudia Rafael
Speciality/Service
Psychology
Key areas of expertise
Cognitive-behavioral psychotherapy of adolescents and adults, Anxiety Disorders, Panic Attacks, Phobias, Depression, Sexology, Affective Relationship Problems, Couple Therapy, Bereavement consultation, Parental Counseling/ Adolescents, Behavioral Disorders
Healthcare Units
Clínica de Entrecampos, Clínica de Moscavide
Maria Eduarda Petisca
Maria Eduarda Petisca
Speciality/Service
Psychology
Key areas of expertise
Psychological Assessment, Psychotherapy, Family and Couple Therapy
Healthcare Units
Clínica de Moscavide
Rui Miguel Campos Coelho
Rui Miguel Campos Coelho
Speciality/Service
Psychology
Key areas of expertise
Couple Therapy
Healthcare Units
Clínica de Miraflores

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