Couples therapy methods, explained

Neutral overviews of four well-known approaches, each linked to the organization that trains therapists in it. A method is one factor; the therapist's skill and how both of you feel in the room matter as much.

At a glance

MethodMain focusHow it usually startsOfficial site
Relational Life TherapyEach partner's part in the pattern; direct, active therapist; relational skillsDiagnosing the couple's pattern and each partner's historyrelationallife.com
Gottman MethodFriendship, conflict management, shared meaning (Sound Relationship House)Joint session, individual interviews, questionnaires, feedbackgottman.com
Emotionally Focused TherapyAttachment, emotional safety, stepping out of the negative cycleMapping the cycle and the emotions beneath iticeeft.com
Imago Relationship TherapyStructured dialogue: mirroring, validation, empathyLearning and practicing the Imago Dialogueimagorelationships.org

All methods and trainings you can filter by

Profiles show each method with the therapist's training level. A level is marked verified only when we found the therapist on that method's official directory, with the date we checked; otherwise it shows as self-reported. Verification is free for every therapist.

Method or trainingTypeTraining levels shown on profiles
Relational Life Therapy (RLT) Couples method RLT Certified Couples Therapist; RLT Certified Couples Therapist +; RLT Certified Couples Therapist ++ (Advanced Certification); RLT trained (self-study, not certified)
Gottman Method Couples Therapy Couples method Level 1 trained; Level 2 trained; Level 3 trained; Certified Gottman Therapist; Certified Gottman Trainer / Consultant
Gottman: Treating Affairs and Trauma Advanced training Completed Treating Affairs and Trauma
Emotionally Focused Therapy (EFT / EFCT for couples) Couples method Externship completed; Externship + Core Skills; ICEEFT Certified EFT Therapist (EFCT); Supervisor Candidate / Supervisor-in-Training; ICEEFT Certified EFT Supervisor; ICEEFT Certified EFT Trainer
Hold Me Tight program (EFT-based) Program or workshop Hold Me Tight facilitator / presenter
Imago Relationship Therapy Couples method Imago clinical training (Level 1); Certified Imago Relationship Therapist; Advanced Imago Therapist / Advanced Clinician; Certified Imago Clinical Supervisor; Certified Imago Workshop Presenter
PACT (Psychobiological Approach to Couple Therapy) Couples method PACT Level 1 trained; PACT Level 2 trained; PACT Level 3 trained; PACT Certified
Developmental Model of Couples Therapy (Bader-Pearson) Couples method Developmental Model Level 1; Advanced Training (Level 2); Mentor Program
Discernment Counseling (Doherty) Couples method Trained in Discernment Counseling; Certified Discernment Counselor; Discernment Counseling Master Practitioner / Fellow
Internal Family Systems (IFS) Approach IFS Level 1 trained; IFS Level 2 trained; IFS Level 3 trained; Certified IFS Therapist
Intimacy from the Inside Out (IFIO) Couples method IFIO Basic Training (an IFS Level 2 program); IFIO advanced training
Integrative Behavioral Couple Therapy (IBCT) Couples method IBCT trained; IBCT certified
Pragmatic/Experiential Therapy for Couples (PET-C) Couples method PET-C trained; PET-C certified
Sex therapy (AASECT Certified Sex Therapist) Credential AASECT Certified Sex Therapist (CST); AASECT Certified Sex Therapist Supervisor (CST-S); Trained in sex therapy (not AASECT-certified)
Certified Sex Addiction Therapist (CSAT, IITAP) Credential CSAT; CSAT Supervisor
PREPARE/ENRICH Program or workshop Certified PREPARE/ENRICH Facilitator
SYMBIS (Saving Your Marriage Before It Starts) Program or workshop Certified SYMBIS Facilitator
Gottman psychoeducation programs (Seven Principles, Bringing Baby Home, Art and Science of Love) Program or workshop Seven Principles Program Educator; Bringing Baby Home Educator
PREP / Within Our Reach Program or workshop PREP instructor
AAMFT Clinical Fellow / Approved Supervisor Professional membership AAMFT Clinical Fellow; AAMFT Approved Supervisor

Many therapists draw on more than one approach. Ask any therapist to describe their approach in plain words; see our consultation call questions.

Disclosure: MarriageCounseling.io's owner is also CEO of the Relational Life Institute, which trains therapists in RLT. See About.

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