In this conversation, Anna O'Brien speaks with Elizabeth Earnshaw, a licensed family and marriage therapist, about the nuances of couples counseling compared to individual therapy. They discuss the importance of referrals, the impact of relationship health on overall well-being, and the need for therapists to recognize their limitations. Elizabeth emphasizes the significance of collaboration between therapists and the need to overcome the stigma surrounding couples counseling. The conversation also touches on resources for therapists to better understand couples counseling and how to approach referrals effectively.   Couples counseling provides immediate feedback about each partner. Therapists must be trained specifically for couples therapy. Referrals are often necessary for individual issues uncovered in couples therapy. Healthy relationships are crucial for overall well-being. Codependence exists on a spectrum and needs balance. Recognizing signs for referral can enhance therapy effectiveness. Stigma around couples counseling can hinder progress. Collaboration between therapists can provide deeper insights. Therapists should present referrals as a thread of hope. Resources and training can enhance understanding of couples dynamics.