When starting couples therapy, we recommend meeting on a weekly basis for the first two to four months, then tapering off as issues become more manageable and the relationship improves. We also recommend meeting for a longer session at the start of treatment (90 minute sessions are ideal). In the beginning of treatment we make an effort to gain a thorough understanding of what each partner brings to the couple dynamic (family history, individual pathology, etc.), as well as a history of your relationship, and current issues effecting the relationship. Sometimes it makes sense to do this through fewer, longer sessions rather than more frequent, shorter sessions. As treatment progresses, we recommend shorter sessions and less frequent visits.