Couple’s Therapy UK: Strengthening Relationships Together

Medically reviewed by Andrea Brant, LMHC

Updated March 7th, 2025 by BetterHelp Editorial Team

Strong, healthy relationships can be an integral part of overall well-being. On a personal level, supportive relationships foster emotional stability, mental health, and resilience, providing people with a sense of purpose and belonging. They enhance communication skills and offer a foundation for personal growth. Within a broader context, healthy relationships can benefit a society's overall health and stability by reducing conflict, improving cooperation, and creating stable family units that contribute to the next generation’s well-being.

Work-life balance, caring for children or aging parents, and other modern stressors can create challenges that carry over to relationships. In such cases, couples therapy can be an effective tool for enhancing and repairing relationships. Below, find a brief overview of couples counselling, types of relationship therapy, and how these options can support relationship growth.

A man and a woman sit next to each other on a couch in a living room and smile as they look down at a tablet the woman is holding. — Getty/Morsa Images

What is couples therapy?

Couple’s therapy is a type of psychotherapy first developed in the early 20th century. At that time, this method primarily consisted of psychoeducation and advising couples separately on how to be "good spouses.” Couples therapy has since evolved and is now widely practiced worldwide as an evidence-based method that can be tailored to a couple’s unique needs.

Common issues addressed in marriage counselling

People seek guidance from a relationship counsellor for many reasons. For example, some couples may want to overcome communication problems or learn to resolve issues. They may also seek guidance for coping with trust issues (e.g., financial transparency, infidelity) or parenting challenges. In some cases, couples want to build greater intimacy and emotional connection. For others, individual mental health challenges can interfere with relationships. In such cases, people may opt to see a relationship therapist in addition to their primary counselor.

Couples therapy trends in the UK

Relationships in the UK have changed in many ways over the past several decades. Approaches to couples therapy reflect those changes. For example, couples therapy was once referred to as "marital therapy," in which the couple was assumed to be a man and a woman, were legally married, and conformed to a stereotypical set of roles in the family unit. Therapeutic approaches recognize that each relationship is unique, and many stereotypes associated with relationships and family are outdated. Additionally, the stigma associated with therapy of all types is diminishing, leading to greater acceptance and more couples seeking help.

Diversity in modern relationships

With the changing face of relationships comes a demand for more comprehensive approaches to couple’s therapy. Diversity in modern relationships requires therapists to be more culturally sensitive, understand diverse communication styles, and navigate potential conflicts arising from different values and expectations. By openly discussing and navigating such differences, couples can build a stronger foundation for their relationship. Additionally, therapists can help couples cope with external stressors associated with diversity together.

Evolving family dynamics

“Unconventional” family structures can sometimes present unique challenges for couples. For example, blended families often must learn to manage new relationships between stepchildren, stepparents, and stepsiblings. In addition, when children or other common responsibilities are a factor, many blended families must accept past relationships as part of the new dynamic. Studies show that couples can benefit from psychotherapy at all stages of a relationship, which is relevant because a growing number of couples are waiting longer to get married, too. The median age for men and women entering a first-time opposite-sex marriage was 32.7 and 31.2 years (respectively) in 2022.

Increasing awareness of couples therapy as a proactive tool

Surveys suggest a significant rise in young people-including unmarried partners-seek relationship counseling in the UK. Many see counseling as a proactive way to manage challenges rather than waiting until serious issues emerge. Some couples may also use counseling to maintain and improve their relationship, regardless of whether problems exist.

Benefits of relationship counselling

Some people think the sole purpose of relationship counseling is to address serious concerns like trust issues, past trauma, or power imbalances that may be impacting the relationship. Couples may only pursue counseling when they recognize negative behaviors or dynamics hindering the relationship. However, couples may learn and benefit from plenty of other tools in counseling at all stages of their relationship, including but not limited to the following:

Healthier communication patterns like active listening, assertive expression, and reducing blame language to understand each other's needs and perspectives better
Developing strategies to address disagreements constructively, navigate difficult conversations, and find compromise for both partners
Gaining mutual understanding and insights into each other’s thoughts and feelings to foster greater compassion and connection
Developing healthier ways to express emotions and needs for greater emotional intimacy and connection
Learning coping mechanisms to manage stress and navigate challenges together as a couple

Getty

Types of counselling: relationship counselling

One of the most common types of relationship counseling includes an altered form of cognitive-behavioral therapy (CBT) designed to work in couple’s therapy. This type of therapy helps couples identify negative thought patterns that influence behaviors and work on changing them to improve the relationship. In some cases, therapists may meet with each partner in individual sessions to gain a more comprehensive perspective on the relationship’s challenges.

Emotionally focused therapy (EFT) is another commonly used science-based approach to building healthy emotional attachments. EFT uses carefully guided conversations to help couples understand and change how they respond to conflict. Professor John Gottman developed the Gottman method (GM), another type of relationship counseling, after decades of study and research into what builds (and breaks down) relationships. This modality uses various research-based tools inside and outside counselling sessions, such as worksheets, role-playing, journaling exercises, and video exercises.

How to choose the right counselor

Choosing the right therapist may involve researching their experience and credentials and taking the time to identify your needs. Consider your therapy goals and what issues you want to address to find a therapist with a relevant specialization. If it's important to your specific needs, look for a therapist who understands and respects your cultural background and identity.

When vetting counselors, seek recommendations from friends, family, or your primary care physician for therapists they've had positive experiences with. You might also utilize online therapist directories to filter by location and specialization. Consider their professional accreditation by checking if they're registered with an organization like the British Association for Counselling and Psychotherapy (BACP) or the British Psychological Society (BPS). Verify that the therapist holds an official professional title such as “psychotherapist” or “counsellor” and review their level of experience and training. Essential qualities in a therapist include, but aren’t limited to:

Active listening skills
Empathy and understanding
Respectful communication
Ability to build rapport

Questions to ask before choosing a counselor

Before you choose a therapist, schedule a consultation with the counselor to discuss your needs and ask questions to assess if you are comfortable and can build a trusting relationship with them. You might ask a therapist the following questions before committing to them as your counselor:

What are your credentials and training?
What is your experience?
How long have you been a couple’s counselor?
What kinds of treatment do you use?
What type(s) of treatment can best help us?
How does the therapy work?
What can we expect the therapy sessions to look like?
Are there complimentary exercises we should be doing outside of sessions?
How will we measure our progress?
What is the payment structure, and do you accept insurance?
What is your scheduling availability and cancellation policy?

In-person counseling options

There are several reasons why some couples prefer to visit a counselor in traditional face-to-face sessions. For example, couples may find a therapist's office a more neutral space to discuss their issues openly. Some find it easier to establish rapport and trust in person, and specific complex topics such as intimacy concerns or past trauma might be easier to navigate in a face-to-face setting.

Publicly funded counselling/relationship counselling

Publicly funded counseling services are often delivered by charities or organizations that receive government funding or collaborate with the NHS. Relate is one of the most well-known, offering support for couples, families, and individuals coping with relationship challenges. Tavistock Relationships and Family Action are other organizations offering free or low-cost couples and family counseling options, depending on eligibility and funding availability.

Discreet relationship counselling options

Some people pay for counseling services to receive timely support and explore a variety of therapists and therapeutic approaches that align with their needs. You may find practitioners through directories like the Counselling Directory, the UK Council for Psychotherapy (UKCP), and the British Association for Counselling and Psychotherapy (BACP). Verify costs when vetting your therapists; independent practice sessions can vary depending on the therapist's experience, location, and session length.

A man and a woman sit next to each other as they look down at a tablet sitting in front of them. The man scratches his head with an upset expression. — Getty/LPETTET

Online and virtual marriage counselling options

The rise in popularity of online marriage counseling has made therapy convenient for many couples. Online therapy offers flexibility in scheduling, without the need for travel, and may provide affordable options. For instance, platforms like BetterHelp offer subscriptions starting at £65 (weekly), billed every four weeks.

Research suggests that online couples therapy can be as effective as in-person therapy, with research showing positive outcomes regarding relationship satisfaction and mental health. For example, one 2022 mixed methods study found no significant differences between couples participating in online therapy and those attending in-person treatment when using the same therapeutic method. Both groups “showed positive changes in terms of relationship satisfaction and decreases in symptoms of depression, anxiety, and stress." Additionally, researchers found online therapy was as effective as traditional face-to-face in building therapeutic alliances.

Takeaway

Due to decreased stigma, increased proximity of treatment, and other factors, more couples are investing in their relationships by seeking professional help than ever before. For many, couples therapy is a proactive, positive step towards building a strong and lasting partnership. If you or someone you know is struggling with relationship challenges or would like to strengthen your relationship, help is available. Reach out and discover how couples therapy in the UK can assist partners in navigating challenges and strengthening their relationships.

Frequently asked questions

Read more below for answers to questions commonly asked about this topic.

How much does couples therapy cost in the UK?

The cost of relationship psychotherapy in the UK averages approximately £70 per session. In some cases, relationship psychotherapy may be covered by the NHS if the relationship’s problems are directly related to the diagnosed mental health disorder of one partner.

What percentage of couples survive after couples therapy?

Some research suggests that around 70% of relationships stay together after couples psychotherapy. However, the process is unique to everyone, and some people may decide to separate.

How does couples therapy work in the UK?

Couples psychotherapy usually involves a therapist acting as a mediator, helping people in a relationship discuss their thoughts and emotions in a healthy way. Many therapists assign tasks for people to do outside of psychotherapy as well, such as spending quality time together and trying new things together.

Relationship psychology in United Kingdom offers insightful perspectives regarding dynamics between individuals engaged in emotional bonds. Focus remains on understanding interactions, communication patterns, and underlying emotional drives. Professionals specializing in human connections provide treatment aimed at enhancing awareness, empathy, and mutual respect. Emphasis placed upon exploration of personal histories, behavioral patterns, and recurring emotional responses assists partners in navigating complex interactions. Research centers in major cities continuously develop innovative methods addressing stress, misunderstandings, and conflicts arising within intimate bonds.

Specialists employ varied approaches including systemic therapies, cognitive behavioral interventions, and mindfulness techniques. Each method offers unique benefits depending on individual needs, personality traits, and relational history. Modern treatments encourage self-exploration, honest expression, and emotional vulnerability, ensuring growth of healthier interactions and nurturing of supportive relationships. Research findings consistently reveal increased insight into personal triggers and patterns significantly enhances relationship satisfaction.

Institutions across United Kingdom support mental health initiatives with resources, workshops, and seminars fostering emotional intelligence and relational awareness. Professionals and clients work toward enhanced understanding of individual roles within relational systems, ultimately fostering thriving connections, resilience, and emotional well-being. Mental health services continue evolving with innovative practices and advances, promoting strategies for managing conflicts and reinforcing robust emotional bonds.

How much does couples therapy cost?

The cost of relationship psychotherapy can vary greatly. In the UK, one session may cost around £70.

Do both parties pay for couples therapy?

While it depends on the specific situation, there is usually one flat rate that must be paid for relationship talk-therapy. When insurance covers relationship psychotherapy, only one person’s insurance is typically billed.

Is therapy expensive in the UK?

The cost of psychotherapy can vary in the UK. The NHS covers therapy, but people can also choose to see independent therapists or attend psychotherapy online.

How many couples divorce after couples therapy?

It’s thought that around 30% of couples divorce after psychotherapy. Whether a couple stays together may depend on their specific difficulties, level of self-awareness, and willingness to explore compromise.

What can couples therapy not fix?

Relationship therapy cannot fix abuse. It is advised to seek support to safely end a relationship in which abuse is present.

What is the difference between couples therapy and couples counselling?

Couples psychotherapy and couples counselling refer to the same service. They both use the same strategies to help people in a relationship talk in a healthy way and find answers to their questions about the relationship and its future.

Does BetterHelp work in the UK?

Yes, BetterHelp works in the UK. This online psychotherapy platform can make it easy to connect with a therapist who has expertise in helping others with similar challenges.

Explore mental health and healing in therapy

Try online therapy

The information on this page is not intended to be a substitution for diagnosis, treatment, or informed professional advice. You should not take any action or avoid taking any action without consulting with a qualified mental health professional. For more information, please read our terms of use.

Get the support you need from one of our therapistsGet started

Top categories

See all categories