Los Angeles has no shortage of couples therapists. That is the problem. When every profile promises a warm, safe space and better communication, they start to look interchangeable, and they are not. The person you pick matters more than almost any other choice you make about your marriage. Here is how to choose well.
I'm Dr. Jené Verchick, a licensed psychologist, and I have spent 26+ years working only with couples. This is the guide I would give a friend.
Look at the credential, and know what it means
Most couples therapists in Los Angeles are master's-level: an MFT (marriage and family therapist) or an LCSW (clinical social worker). Many are excellent. But the title tells you the level of training, and the levels are not the same.
A psychologist holds a doctorate (PsyD or PhD), the highest clinical training in the field, plus years of supervised hours and a state license.
An MFT or LCSW holds a master's degree and a license.
Neither is automatically "better" for every couple. But if there is a betrayal, a mental-health issue in the mix, or years of stuck patterns, doctoral-level depth is worth seeking out. Ask the credential directly. Do not guess from the website.
Make sure couples work is their actual focus
Couples therapy is its own skill. It is not individual therapy with a second chair. A therapist who mostly sees individuals and takes couples on the side is learning on you.
Ask one question: what portion of your practice is couples? You want someone for whom it is the center of the work, not a sideline.
Ask how active they are
This is the difference most people never think to check, and it is the one that decides whether therapy helps.
A passive therapist reflects and validates. They let you each talk, they nod, and they keep the peace in the room. For a couple in real trouble, that lets the same fight play out untouched, week after week, until you conclude therapy does not work.
An active therapist gets into the actual argument with you. They name the pattern as it is happening, slow it down before it spirals, and coach you through a different response in the moment. The change happens in the room, not as homework you forget by Wednesday.
Ask it plainly: when we start fighting in session, what do you do? If the answer is some version of "I hold space," keep looking.
Ask what methods they use, and listen for real ones
Good couples therapists work from established, evidence-based approaches. The names to listen for:
The Gottman Method and Emotionally Focused Therapy (EFT), the two most researched couples frameworks.
Discernment counseling, for couples where one person is leaning out and the other is leaning in and you are not sure whether to stay or go.
Cognitive behavioral tools for the individual anxiety or depression underneath the conflict.
You are not looking for a therapist who runs one technique on every couple. You are looking for someone who draws on several and matches the method to the two people in front of them. "I don't really follow a framework" is a yellow flag.
The questions to ask on the first call
Before you commit, ask:
What portion of your practice is couples?
What is your credential and training?
How active are you when a couple fights in session?
What approaches do you draw on?
Have you worked with our specific issue (infidelity, a mixed agenda, an affair, chronic conflict, a major life change)?
What does progress look like, and how will we know if this is working?
You are allowed to interview them. A good therapist welcomes it.
Red flags
Promises a guaranteed outcome, or a fixed number of sessions that will "fix" the marriage.
Only ever validates, never redirects.
Takes one partner's side, or lets one person dominate every session.
Cannot name a single method they use.
Solicits or advertises client reviews and testimonials as ratings (psychologists are ethically barred from that).
If your partner will not go
This is common, and it is not a dead end. Often, when one partner starts the work, the pattern at home shifts and the more reluctant partner becomes willing to join. And if the two of you want fundamentally different things right now, one leaning in and one leaning out, that is exactly what discernment counseling is built for. It is a clarity-first process, not a pressure to stay.
How to tell if it is working
You will not feel fixed in three sessions. But within the first several, you should feel two things: that both of you are genuinely heard, not managed, and that you are learning to catch your pattern a little earlier each time. If months pass and nothing moves, say so out loud. A good therapist will adjust or tell you honestly. If neither happens, it is fair to switch.
Where I fit
I am a doctoral-level psychologist in Los Angeles, and couples are the whole of my practice, not a part of it. I stay active in the room, I draw on the methods above matched to each couple, and I work across the hardest cases, rebuilding trust after infidelity, mixed-agenda couples deciding whether to stay, and long marriages that quietly went distant. If you want to see how I work, start with couples therapy in Los Angeles.
Whoever you choose, choose on purpose. The credential, the focus, and the willingness to get in and do the work with you are what separate the therapist who changes your marriage from the one who just watches it.
Frequently asked questions
Is a psychologist better than an MFT for couples therapy? Not automatically. Both can be excellent. A psychologist has doctoral-level training, which matters most when there is a betrayal, a mental-health issue, or a deeply stuck pattern. Focus and style matter as much as the letters.
How do I know if a couples therapist is any good? The three tests: couples work is their actual focus, they are active rather than passive in session, and they can name the evidence-based methods they use. Ask all three directly on the first call.
What if only one of us is willing to go? Start anyway. The home pattern often shifts once one person begins, and a discernment-style process is designed for exactly the case where one partner is unsure.
How long does couples therapy take? It depends on the couple. Some feel a real shift in a handful of sessions. Repairing a betrayal or undoing years of resentment takes longer. Be wary of anyone who promises a fixed number.
AUTHOR BIO
Dr. Jené Verchick, PsyD, is a licensed clinical psychologist in Los Angeles with 26+ years working with couples. Learn more at https://www.drjeneverchick.com