Typically, the goal of couples counseling is to improve the dynamics and functioning of couples that are not where they want to be. Issues in couples counseling usually range from trouble communicating to unmet expectations to other items that appear to create a wedge between you and your partner. Couples sessions usually last about 45 minutes. Initially this time is to learn your story and what help you seek. Then a plan can be developed as to the type of treatment that may be most beneficial. This may include Cognitive Behavioral Therapy, Solution Focused Therapy, Brief Therapy, etc. as well as suggestions for specific techniques and/or psychiatry for medicinal management. Your unique situation and response to treatment will dictate the length of treatment. Couple sessions are typically weekly but can be bi-weekly if necessary.