Relationships · Couples

When Should Couples Start Therapy? Why Most Wait Too Long, and What Actually Happens in the Room

By Ghazal Sheikhtaheri, RP (Qualifying) · June 10, 2026 · 6 min read

Most couples don't come to therapy because of one terrible fight. They come after the hundredth version of the same one. Or they come when the fighting has stopped altogether, replaced by something quieter and harder to name. A politeness that feels like distance. Conversations about groceries and schedules, but not about each other. Two people sharing a home, managing a life together, and slowly becoming strangers inside it.

For years, the most quoted number in couples therapy was John Gottman's estimate that couples wait an average of six years after problems begin before reaching out for help. More recent research puts the figure closer to two and a half. Better, but still years. Years of the same argument. Years of going to bed with things unsaid. By the time most couples arrive, they aren't just carrying a problem. They are carrying years of practice at the patterns that grew around it.

This article is about closing that gap: how to know when it's time, what actually happens in a couples session, and why asking for help is not the admission of failure so many of us were raised to believe it is.

"Is It Too Soon?"

Many couples treat counselling as a last resort, something you do when the relationship is already ending. The truth is closer to the opposite. Patterns are far easier to change before they harden, and the earlier a couple comes in, the more goodwill there usually is left to work with.

You don't need a crisis to justify the room. Maybe the same argument keeps returning: a new occasion every time, but the same script. Maybe one of you has stopped bringing things up, because what's the point. Maybe the silence in the house has become heavier than the fights ever were. Maybe you feel less like partners and more like roommates, or like efficient co-parents. Maybe the small repairs have quietly disappeared: an apology, a touch, the joke that used to break the tension.

"We want to communicate better" is a complete reason to begin. So is "we're fine, but I miss us."

"Is It Too Late?"

This is the other question couples carry into a first session, usually unspoken. The honest answer is that therapy doesn't come with guarantees, and no ethical therapist will promise you an outcome. What it offers is a structured, honest space at exactly the moment when honesty has become difficult. For some couples, that space is where they find their way back to each other. For others, it brings clarity about what they are choosing. Even that, painful as it can be, is kinder than years spent in limbo.

What Actually Happens in a Couples Session?

Many people arrive braced for a courtroom: evidence will be presented, a verdict delivered, someone declared at fault. That is not what this is. In couples therapy, my client is not you, and it is not your partner. My client is the relationship: the third thing in the room that you built together, and that both of you are now hurting inside of.

A first session usually begins with the story of the relationship. How you met. What the good chapters looked like, a part of the story couples in distress often haven't revisited in years. When things began to shift. And what each of you hopes will come from being here.

From there, much of the work is about slowing things down. An argument that takes ninety seconds at home gets stretched out in session, not to find the villain but to see the cycle. And there almost always is one: one partner pushes for connection and the other pulls away; the pushing feels like attack, the pulling away feels like abandonment, and each reaction confirms the other person's deepest fear. Around and around. Most couples are not really fighting each other. They are fighting the cycle, and losing to it together.

One practical note: couples work tends to need more room than individual work. There are two nervous systems in the session, two histories, two sets of patterns meeting each other in real time. This is why couples sessions run longer, and why many couples choose extended sessions when the conversations go deep.

The Pattern Under the Pattern

Here is something I see again and again: the argument is rarely about the thing it's about. The dishes, the in-laws, the phone at the dinner table are the surface. Underneath, each partner is protecting something much older.

The partner who shuts down during conflict often learned, long ago, that conflict was dangerous and that the safest move was to disappear. The partner who pursues and presses often learned that silence meant someone was about to leave. Beneath the fight, old beliefs are colliding: "If I speak up, I'll be abandoned." "If I give in, I'll disappear." "If I'm not perfect, I'm not lovable."

This is where schema therapy, the foundation of my work, becomes powerful for couples. We trace these beliefs back to where they were formed, usually long before the two of you ever met, and we look at how they activate each other now. Something changes when partners begin to see the wound underneath the reaction: their own, and each other's. The argument loses its sharpest edge. You stop being opponents and become, sometimes for the first time in years, two people on the same side of the problem.

I've written more about how these patterns form in an earlier article on why we keep repeating the same relationship patterns.

"What Happens at Home Stays at Home"

In many cultures, including the Iranian community I belong to and often work with, there is a quiet rule: a marriage's problems belong inside the marriage. Bringing them to a stranger can feel like a betrayal of the home, an admission of failure, a risk to the family's good name. Many of us grew up watching difficulties get managed in silence, and so silence is what we learned.

I want to offer a different way of seeing it. Choosing couples therapy is not an announcement that your relationship is failing. It is one of the most committed things two people can do: sitting down, with help, to fight for the relationship instead of with each other.

And you can do it in the language your relationship actually lives in. Sessions are available in English, in Farsi, or in both, because many of us switch mid-sentence in real life, arguing in one language and softening in another. You should never have to translate your inner world to be understood in it.

Ghazal Sheikhtaheri
Ghazal Sheikhtaheri
Registered Psychotherapist (Qualifying) · CRPO

Schema therapist working with individuals and couples across Ontario, in English and Farsi. Over ten years of experience in psychology.

If something in this article sounds like your relationship, you don't have to wait the years most couples do. I offer virtual couples therapy across Ontario, in English and Farsi, and I'd be glad to help. Reach out for a free 15-minute consultation: a short, low-pressure conversation about what's happening and whether working together feels right.

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