Couples therapy vs individual therapy...

Couples therapy vs individual therapy

That’s a question I get a lot, and it matters more than most people realize when they’re sitting in pain and just want help fast.

Here’s how I think about it.

Couples therapy and individual therapy are not interchangeable. They’re not even competing. They serve fundamentally different purposes, and choosing the wrong one at the wrong time can actually make things worse.

When couples therapy is the right room to be in:

If you and your partner are stuck in a painful cycle, what I call the Waltz of Pain, where one of you is pushing harder for connection and the other keeps pulling back, and both of you are hurting and neither of you can figure out why the same fight keeps happening over and over, that’s couples work. That’s relational. You can’t fix a dance by coaching only one dancer. The cycle lives between you. It needs to be seen and worked with together.

The goal of couples therapy is to get you both to what I call Sovereign Us. That’s the place where you stop fighting each other and start fighting for each other. Where the relationship itself becomes the thing you’re both protecting. You can’t build that alone on a therapist’s couch by yourself.

When individual therapy has to come first:

And here’s where I need to be direct with you, because this matters a great deal.

If there is any domestic violence, coercion, threats, financial control, or a genuine risk of someone’s physical safety, couples therapy is not appropriate. Full stop. It is not the right tool. In those situations, the systemic framing I use, where we look at how both people are contributing to a painful cycle, that framing can actually cause harm. It can inadvertently suggest that someone being abused is somehow co-creating their own abuse. That is not okay and it is not what the work is for.

In those situations, individual therapy comes first. The nervous system needs to stabilize. The window of tolerance needs to expand. Safety has to be established before any relational repair work can even begin.

There’s also another scenario worth naming. If one partner genuinely cannot or will not engage in mutual vulnerability, if they feel no distress about the dynamic and have no interest in shared accountability, then couples therapy hits a wall. You need two people willing to step into the discomfort together. If that’s not available, individual therapy can help you get clear on what you’re dealing with and what you need.

The simple way I hold it:

Couples therapy heals the space between you. Individual therapy heals the space inside you. Sometimes you need both, running alongside each other. Sometimes you need one before the other. But knowing which room you’re walking into, and why, that clarity alone can change everything.

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About Figs O’Sullivan, LMFT
Figs is a licensed marriage and family therapist with 16+ years of experience working with couples. He’s the co-founder of Empathi, host of the “Come Here to Me” podcast, and author of an upcoming book on relationships and the systems that shape how we love.

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Figs O'Sullivan is a Licensed Marriage and Family Therapist (LMFT) and the founder of Empathi. For 17 years he has helped couples move out of disconnection and back into secure, loving connection, drawing on Emotionally Focused Therapy and attachment science. With his wife Teale, he runs a San Francisco couples therapy practice, is a relationship expert to the Stars and Silicon Valley, and built Figlet, an AI relationship coach trained on their clinical work. His approach has guided more than 41,000 relationship assessments.

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Frequently Asked Questions

When should I choose couples therapy over individual therapy?+
If you and your partner are stuck in what I call the Waltz of Pain (where one of you pursues connection while the other withdraws, and you keep having the same fight over and over), that's couples work. You can't fix a relational pattern in individual therapy any more than you can learn to dance alone. The fight isn't about what you think it's about. It's about two childhood strategies colliding, creating a reenactment of wounds neither partner caused. Individual therapy helps you understand your own patterns, but couples therapy is where you learn to interrupt the cycle together.
Can individual therapy hurt my relationship?+
Yes, it can, especially if you're dealing with relationship issues. I've seen individual therapy become a safe protest where one partner gets validation for viewing their spouse as the problem, reinforcing the Versus Illusion. When your individual therapist only hears your side of the story, they might inadvertently help you build a case against your partner instead of helping you see the systemic pattern. If the core issue is relational (not individual trauma or mental health), individual therapy can actually make the disconnection worse by giving you somewhere else to go instead of learning to repair together.
What if my partner won't go to couples therapy?+
This is tough, and I get this question constantly. If your partner refuses couples work, individual therapy can help you understand your own part in the cycle and sometimes shift the dynamic enough to create an opening. But here's the reality: you can't change a relational pattern unilaterally. It's like trying to fix a dance by having only one person learn new steps. If you're dealing with this, Figlet, our AI relationship coach, can help you navigate these conversations and understand what's driving their resistance. Sometimes the reluctant partner just needs to feel safer before they'll step into the vulnerable space of couples work.