Does Couples Therapy Work? What Research Says About Couples Counseling

Medically reviewed by Majesty Purvis, LCMHC
Updated November 14th, 2025 by Regain Editorial Team

Key takeaways

  • Research shows that couples therapy can be effective at helping couples manage various relationship challenges. 
  • During treatment, focusing on changing yourself rather than your partner can lead to better outcomes. 
  • Studies have found that online therapy can be as effective as in-person treatment.

Studies have shown that couples therapy can be effective at helping couples manage a variety of challenges, from sexual difficulties to managing the effects of physical or mental illnesses on a relationship. Therapists can act as neutral mediators, helping partners improve communication. Some couples may only need to attend therapy for a few sessions, while those with complex challenges may need longer courses of treatment. Couples therapy is available in-person and online; research shows that online sessions can be as effective as traditional in-person treatment.

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What does the research say about the effectiveness of couples therapy?

Both reviews and meta-analyses of couples therapy have found that it can be effective in helping couples manage relationships.  Studies have discovered the following about couples and marriage counseling: 

  • Cognitive behavioral marital therapy, integrative behavioral couple therapy, and emotionally focused therapy can all be effective approaches to couples counseling.
  • The average person who receives couples therapy is better off after completing sessions than between 70% to 80% of people not receiving treatment. 
  • Couples therapy can help with various challenges, including sexual difficulties, infidelity, and intimate partner violence. 
  • In addition to helping with dysfunctional relationship patterns, couples therapy can also help with coexisting behavioral or emotional concerns, including depression, anxiety, PTSD, and alcohol misuse.
  • Couples counseling can be beneficial when one partner is diagnosed with a condition impacting their physical health such as cardiovascular disease, cancer, or diabetes.

How does couples therapy work?

Like individual therapy or family therapy, couples therapy typically involves weekly sessions, often with homework to complete between sessions. Throughout the therapy process, partners generally meet with the couple's therapist together, though individual sessions can be a part of the overall process. During sessions, the therapist may offer relationship education and neutral support and guidance, helping partners express themselves and learn effective communication techniques.

How long does treatment last?

Treatment length varies depending on the circumstances. Some couples may only need a few sessions to address specific relationship issues, while others may need longer or ongoing support to manage more complex challenges. 

How it works

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What are some key aspects of effective couples therapy?

If you are interested in starting couples therapy sessions to improve your relationship, here are some tips that can help you get the most out of your sessions.

  • Reflect on why you want to be in therapy, both individually and together. 
  • Focus on changing yourself and remembering that you can’t change your partner. 
  • Accept that you may need to change how you respond to problems. 
  • Ask the right questions to help you get to the root of relationship challenges.
  • Approach communication with openness and respect, but be persistent. 
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Couples therapy can help strengthen your relationship

What are our options for couples therapy?

There are various ways to work with a couples therapist. Options are available both in person and online, and research has found that online couples therapy can be just as effective as in-person treatment

What are the benefits of online therapy?

In some cases, online therapy can be a more convenient and flexible option because it doesn’t require commuting to an office. Partners can attend from anywhere with an internet connection, even if they are in different locations. Get started with Regain to connect with a family therapist or marriage counselor online.

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Takeaway

Research has shown that couples therapy can be effective at helping couples manage various challenges, from sexual difficulties, infidelity, and communication issues to coping with the effects of physical or mental health conditions. Online therapy can be a convenient, effective alternative to in-person treatment.

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