How to Know If Couples Therapy Is Helping Your Relationship...

How to Know If Couples Therapy Is Helping Your Relationship

That’s such a real question. And honestly, it’s one I respect a lot because it means you’re paying attention. You’re not just showing up and hoping for the best. You’re actually asking, “Is this doing anything?”

Here’s what I want you to hear first. Most people come into couples therapy looking to fix something. And that makes complete sense. Something feels broken, you want it repaired, you want to know it’s working. But the way I’d invite you to measure progress is probably not the way your brain is currently measuring it.

The paradoxical truth about good couples therapy is that it’s not trying to fix your problems directly. What it’s actually doing is helping you find moments of real connection in the room, in the present moment. And when you can go from disconnected and defensive and on opposite sides of the table to feeling like you’re actually on the same team, even once, even for five minutes, that is the evidence. That is it working.

I’ve seen couples go from feeling like everything is hopeless and terrible at the start of a session to feeling more connected than they ever have. Not because we solved the issue, but because they visited the painful places underneath the issue together. And that visit changes something.

So here are the honest signs I’d be looking for.

Are you starting to understand what the fight is actually about, underneath the surface? Not the preschool drop-off, not the housework, but what’s really underneath it. The “are you there for me?” or the “am I enough for you?” question that’s actually driving the cycle.

Is there even one moment, in the session or after, where you felt your partner actually got you? Where they softened toward you instead of defending against you? Where you felt less alone with your pain?

Are you starting to be able to say something vulnerable, something that comes from the scared part of you rather than the angry or withdrawn part of you, and have your partner actually receive it?

If any of that is starting to happen, even imperfectly, even just once, therapy is working. That’s not me being optimistic. That’s the mechanism. Connection in the present moment is the whole thing. You can grow it from there.

Now, is therapy NOT working? Here’s when I’d be concerned. If every session ends with both of you more defended than when you walked in. If nothing underneath the cycle is being touched, just the surface content being managed. If you’re not feeling at any point witnessed or understood in the room.

The other thing I’d say is this. Good couples therapy, the kind I believe in, is hard. It’s an invitation into the heat, as I often put it. If it feels too comfortable all the time, you might not be going deep enough. But hard and not-working are two different things. You can feel the work happening even when it’s painful.

What does your gut say? Because usually when people ask this question, they already have a sense of something. What are you noticing?

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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.

Read more: What to Expect in Your First Couples Therapy Session

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Fiachra "Figs" O’Sullivan is a renowned couples therapist and the founder of Empathi.com. He believes the principles of secure attachment and sound money are the two essential protocols for building a future filled with hope. A husband and dad, he lives in Hawaii, where he’s an outrigger canoe paddler, getting humbled daily by the wind and waves. He’s also incessantly funny, to the point that he should probably see someone about that.

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Frequently Asked Questions

How long does it take to see results from couples therapy?+
Here's the thing: your brain is probably measuring the wrong stuff. Most people expect their fights to stop or their partner to change behaviors within a few sessions. But real progress in couples therapy isn't about eliminating conflict. It's about finding moments of genuine connection, even tiny ones, where you actually see each other instead of just your protective strategies colliding. I tell couples to look for micro-moments where the Waltz of Pain stops spinning, even briefly. Maybe your partner says something vulnerable and instead of defending, you actually hear them. Those moments are gold, and they usually happen before the big behavioral changes everyone thinks they want.
What are signs that couples therapy isn't working?+
If you're stuck in what I call the Versus Illusion after several months, treating your partner like the enemy instead of seeing the pattern as the problem, that's a red flag. Another warning sign is if you're only doing what I call Time Machine repairs, jumping straight to problem-solving without the emotional connection piece. You'll know therapy isn't working if you leave sessions feeling more disconnected, or if your therapist is just giving you communication techniques without helping you understand why you're both so triggered in the first place. Good therapy should help you recognize you're both just scared babies trying to protect yourselves, not adversaries trying to win.
Should we quit couples therapy if we're still fighting?+
Absolutely not. Fighting doesn't mean therapy isn't working. In fact, couples often fight more in the beginning of good therapy because you're finally talking about real stuff instead of surface-level logistics. What matters is whether you're starting to repair after the fights, whether you can see the Infinity Loop happening (you're hurting, you're reacting, they're hurting, they're reacting), and whether those repairs are becoming the proof-of-work of empathy your relationship needs. The goal isn't to stop being human. It's to get better at coming back to each other. If you need support between sessions, Figlet, our AI relationship coach, can help you navigate those moments when you're activated.