Every Thursday evening, they’d cosy up in their living room, a cup of coffee or glass of wine in hand, and huddle in front of a laptop. They were each armed with a list; some weeks, it would be long, others, it was shorter. But no matter what, however intense it could become, Pooja and Priesh would sit down and go over the list together. On it was everything that had annoyed them about each other that week, jotted down in the heat of the moment, and ready to be thrashed out during this weekly allotted hour.
They’d only been married for six months and, by their own declaration, had “no glaring issues” in their relationship. So, why had they decided to embark on gruelling couples therapy together? I sat down with them, and others, to find out…
Couples counselling has historically been seen as a last-ditch attempt to save a long-term marriage, but recently, more and more young couples are starting to knock at the therapist’s door. And, while some of them are at crisis point, others, like Pooja and Priesh, both 33, are using couples therapy as a way of fine-tuning their relationship. Or, as psychotherapist Natalie Cawley puts it, like “seeing a personal trainer or the dental hygienist”.
Over the last few decades, as our understanding of and sensitivity towards mental health issues has deepened, therapy has become significantly less taboo. So much so that in certain circles, it’s even considered unusual not to be in therapy. As of 2024, according to the British Association for Counselling and Psychotherapy (BACP), 72% of people now agree that there’s less stigma attached to seeing a counsellor, with nearly a third of adults in the UK seeking help from a therapist in the past year.
At the same time, so-called ‘therapy-speak’ has, for better and worse, become a day-to-day part of our vocabulary — especially among those of us who are extremely online. We all know, and are critical of, our various attachment styles; accusations of ‘red-flag behaviour’, ‘gaslighting’ and ‘narcissism’ are bandied around both online and off; and, for some, whether a potential partner is in therapy or not is a dating dealbreaker.
It makes sense, then, that couples therapy would start to be seen as a natural follow-on to all of this. After all, if you’re unpacking your partner’s anxious attachment behaviours in your own therapy anyway, why not get them to come and do it with you? Counselling charity Relate reported a 30% increase in clients in their 20s and 30s seeking couples therapy in the UK between 2014 and 2019.
So, what’s going on? Is this spike simply evidence of a positive desire for personal growth, or is it a sign that we’re desperately trying to cling on to doomed relationships? Do we now need an expert to step in and tell us when it’s time to just… dump someone?
Before Pooja and Priesh started therapy, they were, in Pooja’s words, “not communicating”. It was September 2022, and they were about to move from Pooja’s home in New York to Priesh’s in London — a prospect Pooja in particular found overwhelming.
“There were a lot of stressors involved in terms of finances, housing, and careers,” she recalls. “We had all these different viewpoints of what to do, and so we would argue a lot. If one of us was irked by something the other had done, we tended to just brush it under the rug. But then something minor would happen and we’d blow up.”
Their therapist — a middle-aged white woman who Pooja describes as “neutral and objective” — encouraged them to start writing these annoyances down, and then meet once a week to go over them. “This gave us a dedicated time to really sit down and solve our frustrations.” The pair were also advised to start writing letters to each other about the positive things related to their move — for example, the prospect of travel, as the proximity of the UK to Europe would give them the ability to go on holiday more easily. “That was nice because it had been negative, negative, negative, and that [enabled us to see] the silver linings that we had to look forward to.”
That’s not to say the sessions were always simple. “There were definitely times when we were shouting at each other,” admits Pooja. “I was crying; he was pissed off. But we needed to be very honest, because that was the only way we’d be [able to navigate through it].”
While the pair knew that their reasons for going to therapy were valid, they still felt the stigma of it. “I was worried that if any of our friends or family found out that we were doing couples therapy just six months into our marriage, they would think that our relationship was doomed,” admits Pooja. Neither she nor Priesh told their friends they were doing couples therapy until after it was over — largely because they didn’t want the scrutiny. “It doesn’t always mean there’s something wrong with your relationship, but people [struggle] to see past that,” she adds.
Priesh, who, unlike his wife, has never done individual therapy, confesses that he was reluctant when Pooja first floated the idea, but says that the more he thought about it, the more his apprehensions went away. “My friends and I are beginning to get to a phase where we’re openly discussing our mental health, but I still like to keep aspects of my relationship private,” he says. “Speaking to a third party who’s impartial to either side [felt like it might be a helpful compromise].”
But while Priesh came around to it, there is, for many (heterosexual) couples, truth to the popular ‘Men would rather [insert activity] than go to therapy’ meme. According to a 2018 study in the Journal of Social and Personal Relationships, even if men feel dissatisfied in their relationships, they’re less likely than women to suggest therapy — in part because of a conformity to masculine norms, but also because of self-stigma and attitudes towards seeking help.
“Although it’s shifting, many men still feel a lot of shame about admitting [their emotions and relationship problems],” explains sex and relationships therapist Cate Mackenzie. “Often they’d rather just speak with their partner.” A 2019 report by Movember found that 45% of men aged 18 to 34 have avoided talking about their problems, while 58% said they believe society expects them to be ‘emotionally strong’. This may be exacerbated when you consider that couples therapy is still sadly, and mistakenly, associated with failure — a fear of which affects us all, but is especially pronounced in macho idealism.
Then there’s the cost. Typically between £80 and £150 per session, with an average of between 12 and 25 sessions, you’re looking at a £960 minimum spend to improve your relationship. If you do have that kind of money, do the sessions come with a sense of ‘throw money at a problem and it’ll go away’? And, if you don’t (which, let’s face it, is probably the majority of us), with the current messaging that therapy is a catch-all, fix-all solution, are we sending the message that only the wealthy can stay together?
Mackenzie says she encourages couples to consider the extent of their investment from the start, likening her method to a car MOT. “When you take your car in, the mechanic says, ‘You need to do all of this and it’s going to cost this’, and they’ll get you to agree to it before they do it,” she explains. “I tell couples, ‘You can definitely shift a load of things, but it might take quite a bit of work. Are you both up for that?’”
“Since therapy, it feels like the relationship is in an even worse state,” says 24-year-old Maria* from London. She and her partner Daniel*, 35 — who’ve been together for two and a half years and now live in New York — did five months of couples therapy last year, in part, she says, because of her frustrations with “carrying the mental load in the relationship”.
The hope was that going to therapy would help Daniel to see how much she had to deal with in the relationship and that he would then make changes. But it didn’t pan out that way. “Our therapist helped us understand why we did certain things, but, for me, the ‘why’ isn’t important [if the action doesn’t change],” she reflects, explaining that Daniel would take things on board during therapy, but would “forget the steps he made in between sessions”, and, after they stopped, “all the effort unravelled”.
When it comes to relationships, though, what’s a ‘normal’ amount of work, and what’s pushing it? If you’ve been together a short time and you’re already seeing a therapist, is this a sign you’re not compatible? Or is it better to iron these issues out now, rather than take them into the future? Also, if therapy just provides a space to argue in, but not the tools to deal with it outside of sessions, then how helpful is that really?
Cawley lists some signs of potential incompatibility: “If you’ve not been seeing each other for long and you’re relying on this kind of support; if there’s one person pursuing the therapy and the other feels dragged along; if there’s an incongruence and one person can’t see the pitfalls [of the relationship]; or if you’re becoming reliant on long-term work, and you feel that the only way to communicate is within those sessions.”
The thing about couples therapy is there’s no clear outcome to what ‘success’ looks like. Maria is now considering breaking up with Daniel, but does that mean their trips to therapy were a failure, or that they simply pointed out that the relationship was not one to be saved? “One of the most painful things about being in a long-term relationship is when it splits,” says Mackenzie. “And so sometimes couples counselling isn’t about having to stay together, but about asking: ‘How did we get here?’ And that can be really healing.”
For Pooja and Priesh, therapy successfully scratched their particular itch. “There are still parts of me that would be resentful towards the move if we hadn’t done therapy,” asserts Pooja. “I wouldn’t have the same outlook.”
It’s no secret that we live in a society that prioritises romantic relationships above all else. You only have to look at the hooks of our favourite films and TV shows, our obsession with celebrities’ dating lives or the literal structure of our society (hello, marriage benefits, split bills, and Two Together railcards) as evidence of this. But there are downsides to putting so much weight on romantic partners to fulfil all of our emotional needs. As per a 2023 survey by the dating site Plenty of Fish, 44% of singles said they’d stayed in an unhappy relationship because they were afraid of being alone and having to start all over again.
This is bound to be exacerbated at a time when dating feels harder, more fractured, and more expensive than ever. But equally, dating app culture’s illusion of endless choice stops many from having any tolerance for compromise or patience for imperfection, because ‘I can probably find someone better in a few swipes.’ So, is therapy just helping us re-learn the reality that while we shouldn’t settle, no relationship is perfect?
“We’ve still got this idea that you’ve got to find ‘the one’ and then things will work,” says Mackenzie. But real relationships aren’t as simple as that. Even if you’re with your perceived ‘soulmate’, it’s never going to be totally smooth sailing. “[Couples therapy can help] you learn some really good tools to make it work better,” she continues. Or it might help you realise that this partner isn’t right for you any more. “Maybe there isn’t ‘the one’, but different ‘ones’.”
Although it’s still prevalent, this idea of ‘the one’ has diminished in the last few decades, with single positivity and self-love gaining traction instead. Take Emma Watson describing herself as ‘self-partnered’, for example, or Taylor Swift’s reclaiming of the ‘childless cat lady’ stereotype. There’s also greater discussion about different relationship structures, such as non-monogamy and polyamory, and how we don’t all have to fit into one mould.
When it comes to couples therapy, the latter might even go some way to explain the boom in young clients, as alternative relationship styles can take time and effort to get to grips with. This poses another challenge for those seeking therapy, though: how do you find a therapist who is knowledgeable about this stuff? What happens if you end up with a therapist who still has more traditional ideas as to what a healthy and happy relationship looks like?
That’s exactly what Eloise*, 27, who goes by they/them pronouns, and Tristan*, 29, found last year. The pair, who’ve been together for three years, were struggling with the boundaries and rules of their non-monogamous relationship. “In non-monogamy, you’re creating your own relationship structures based on what you both need,” says Eloise. “But the process of, first, understanding [that], and then communicating it, can be difficult. I’ve done personal therapy for years and I’m a big advocate for everyone doing it — if they can have access to it — and I thought therapy would be helpful in this process, too.”
However, they both finished the process feeling deflated, having not connected with the therapist they chose. “We probably jumped the gun by going with the first therapist we found,” says Eloise, who, like all the couples I spoke to, found their therapist online. “Our therapist [had] a lot of opinions and shaped the conversation. She had misconceptions about our relationship, as well as some very strong opinions about exactly what the structures of polyamory should look like — which didn’t fit with us.”
Nonetheless, both Eloise and Tristan do say they still learned from the experience. “It taught me a lot about my own fear around vulnerability, my need for independence, and issues with trust,” reflects Eloise. “And even if all of those things aren’t resolved, confronting them with the person I love — and being able to connect with them and not push them away [while doing it] — was ultimately really helpful. The process itself definitely put a strain on the relationship, but we’ve come out of it healthier, more honest and much closer.”
“I feel that I’m able to be a much better partner now than I was six months ago,” adds Tristan. “Both to myself and Eloise.”
Now a buzzword, of sorts, 20- and 30-somethings are acutely aware of the alleged importance of ‘doing the work’. This is, in part, because we’ve grown up at a time when therapy is largely destigmatised, but also because mental health issues appear to be much more prevalent among younger generations today. The jury’s still out on whether this is down to an increased awareness of mental health issues, rather than a rise in problems, but there’s no doubt that depression and anxiety is rife. In fact, 2024 data by the Resolution Foundation think-tank found that one in three 18- to 24-year-olds suffers from a mental health issue, compared to one in four in 2000.
It’s no wonder: we are under an unprecedented amount of stress. We’re overworked and underpaid; job and housing security is practically non-existent; the internet, and especially social media, demands that we be ‘always on’, simultaneously sapping our energy and yet isolating us further from our IRL communities; and our helplessness in the face of global disasters and the far-right radicalisation of politics (and young men) is leaving many of us feeling nihilistic about the future. It should come as no surprise that this is impacting our relationships, too. A 2019 BACP survey found that a quarter of people who go to couples therapy do so because of mental health problems — a stat that’s bound to have risen post-pandemic and amid a cost of living crisis.
That’s not to say we’re all reaping the rewards of therapy, nor of our overzealous use of therapy-speak, especially when it comes to our relationships. As someone who spends a lot of time trawling conversations about sex, dating, and relationships on social media, it seems to me that spurious relationship advice and the pathologising of shitty (not abusive) behaviours often actually does more harm than good.
What’s more, at a time when traditional family values are once again being promoted in the US and beyond, as well as on social media via tradwife ideology and growing anti-feminism, it’s worth questioning whether the rise of couples therapy could signal a backslide. One of the great things about the destigmatisation of singledom, alternative relationship styles, and divorce, is that there isn’t so much pressure on unhappy couples to stay together at all costs — like there was for our parents and grandparents. We shouldn’t lose sight of this by trying to ‘fix’ the unfixable.
Couples therapy should be viewed as a new way of getting to know yourself, your partner, and your relationship — and even if that leads to splitting up, you should be able to trust that you’re doing the right thing (even if it sucks for a while!). Having spoken to the couples in this feature, as well as my own friends who’ve done couples therapy, I’m hopeful that it’s helping us move forwards, rather than backwards. As Pooja says: “The foundation of our marriage was solid. So, if we’re already in a good place and [couples therapy] is only going to improve our relationship further, then what’s the harm?”
FYI Charities like Marriage Care offer discounted rates for relationship counselling and won’t turn anyone away for lack of funds. For LGBTQ+ people or those in non-traditional partnerships, search for suitable therapists at Pink Therapy. If you’re looking for a therapist with expertise in supporting people of colour, visit The Black, African and Asian Therapy Network. Couples counsellors can also be found via BACP.
*Names have been changed
Credit: Cosmopolitan