Does couples therapy really work?
- Anissa AM Thérapeute
- Mar 26
- 3 min read
This is often the first question people ask themselves before taking the plunge. They've heard conflicting opinions, they're unsure what to expect, and above all, they wonder if it's really worth talking to someone about it. The short answer is yes, couples therapy works. But as with any form of support, a few conditions make all the difference.
What the research says
Studies in relationship psychology are clear: couples therapy is effective in the vast majority of cases when both partners are genuinely committed. Systemic approaches, in particular, show solid long-term results because they don't just treat the visible symptoms (arguments, silence, distance) but seek to understand the underlying causes.
It's not magic, and it's not a guarantee either. But it's a powerful tool, provided you give it time to do its work.
For whom does it actually work?
Couple therapy works particularly well for couples who find themselves in one of these situations: arguments that go around in circles without ever being resolved, communication that has gradually closed off, a difficult event that has created a break (infidelity, bereavement, birth, professional shock), or simply a feeling that something has died without really knowing why.
It also works as a preventative measure, for couples who are generally doing well but feel they would like to deepen their relationship, understand each other better, or go through an important life transition together.
Misconceptions that hold us back
Many couples wait too long before seeking help, often out of fear of being judged, or because they think you have to be "really in a bad way" to consult a therapist. This is a costly misconception: the longer you wait, the more wounds accumulate and the longer the process takes.
Others believe the therapist will take sides, or that they will "fix" one of you. In systemic therapy, the focus is on the dynamics between you, not on who is right or wrong. The goal is not to assign blame but to understand how you function together, and how you could function better.
What if one of us doesn't want to come?
This is a very common situation. One partner is ready, the other resists. In this case, it's perfectly possible to start alone. Working on oneself has an effect on the system: when one person changes their way of being in the relationship, the other changes too, often without even realizing it. This is one of the fundamental principles of the systemic approach.
And sometimes, seeing your partner return transformed after a few sessions is enough to convince even the most skeptical to join the process.
Couple therapy in Lyon and via video call: how does it work in practice?
Whether you're in Lyon or anywhere else in the world, the first session is primarily an opportunity to meet, establish boundaries, and understand your reasons for seeking therapy. There's no "right way" to begin couples therapy: some come in the midst of a crisis, others with a general desire to feel better. Both are welcome.
Video sessions work just as well as in-person sessions for the vast majority of relationship issues. They also offer the comfort of staying at home, in a familiar environment.
Ready to take the first step?
If you're asking yourself, "Can this help us?", the answer is often yes. Simply looking for a solution is already a sign that you value your relationship.
Take care of yourself and your relationship. Contact me for more information or to schedule an appointment; I'd be happy to answer your questions, with no obligation.




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