Nature of Couples Therapy
Issues commonly addressed in Couples Therapy
Common needs
- Deal with past or present difficulties
- Revive romance and strengthen relationship (no particular problem present)
- Prepare for a major life transition, e.g., starting a family, moving in together, separation, marriage, etc.
Examples of difficulties
- Disagreements about the share of household chores or child care
- Feeling unappreciated or misunderstood
- Emotional withdrawal/detachment
- Breach of trust
- Unsatisfactory communication
- Arguments that escalate out of control
- Interactions characterised by criticism, contempt, defensiveness, or stonewalling
- Strong negative feelings, such as anger, between partners
- Dysfunctional decision-making
- Little or no success after following relationship advice from self-help media, friends, and family
- An unsuccessful trial of couples counselling/therapy
- Intimacy problems
- Unfaithfulness or thinking thereof
- Not enjoying each other’s company
Examples of enrichment goals
- To develop a closer and deeper connection with your partner
- To prepare for major life transitions, e.g., starting a family, moving in together, or marrying
- To learn how to enjoy talking and spending time together again
- To improve skills in decision-making and conflict management
- To learn how to maintain a relationship that is going well and keep on growing together
What is Couples Therapy at the Bath Couples Therapy Practice?
The aim of the Bath Couples Therapy Practice is to make use of the best available scientific evidence on what makes relationships happy, fulfilling, and enduring. I will use my skills as a Clinical Psychologist to tailor it to your specific needs.
Apart from addressing issues in the here and now, I will also help you to strengthen and deepen your connection and, if relevant and desired, help you with specific issues, such as major life transitions and other matters in the past or future.
What is Dr Ryden’s personal style as a therapist?
I am glad you are asking this question. There is evidence to suggest that therapy is more successful when the personal style of the therapist is to the client’s liking.
You may have come across or read about therapists being quiet for the majority of the consultation and perhaps at the end offering interpretations of what you are saying. Other therapy approaches can come across as formulaic, inflexible, and jargon-laden. I aim to offer something completely different from those ways of carrying out therapy.
As an evidence-based practitioner and by the nature of my personality, I consider you to be the experts on your lives and the issues you bring. I am keen to listen and learn from all that you bring without judging or taking sides. On my part, I bring expertise in the knowledge-base and practice of Couples Therapy, and practical skills from my long experience of helping people both in the NHS and private practice.
I employ a wide range of psychological methods from the literature of what works to help you reach your goals for therapy and facilitate healing and change. If you already have experience and knowledge of Couples Therapy, we will build on what already works for you and incorporate that with our jointly developed treatment programme. My approach to the realisation of therapy is outcome-focused, non-dogmatic, and collaborative. I also aim to bring healthy doses of humour and congeniality to our sessions.
It is, of course, easy to say and write the above things. For this reason, I offer an initial professional consultation which gives you an opportunity to explore what has brought you to therapy, clarify your goals, and consider the most constructive way forward.
It also provides an opportunity for you to gain a sense of how I work and whether my approach is likely to meet your needs. It is an independent consultation without any commitment to start therapy.
How do we get the most out of therapy?
There is no need to do anything before therapy begins. However, if you have any questions or worries about therapy, it would be a good thing to write them down to ensure they are covered when we meet.
It is likely that the therapy programme we develop together will involve spending time between sessions doing things. The best way to make Couples Therapy work effectively is to practice at home what you learn and discover in therapy.
A common mechanism perpetuating relationship difficulties is summed up nicely in the adage — old habits die hard. The good news is that there are powerful psychological methods to break those old habits and, importantly, replace them with new habits that will nurture the health and happiness of your relationship. Those methods, together with a sincere willingness to try things out and being committed to each other and the therapy process, have been found in research to lead to successful outcomes in therapy.
Another upside is that many of the things you will do as part of the therapy programme are gratifying and even fun at times.
Unsure about therapy?
Concerns & undecided
It is common to be wary of therapy. Will it work for me? Will it work for our specific issues? Is it too late? Can therapy make it worse? Will I or my partner be able to cope with it?
In addition, partners often have different ideas of what is happening in their relationship and how to make things better.
If hesitant, one of the best ways to deal with these valid and understandable concerns is to come for an Initial Consultation and discuss your concerns without the need to start therapy.
Surveying many thousands of couples in therapy, Professor Gottman found that people wait around six years from the start of problems in the relationship before seeking help. That is a very long time of unnecessary suffering when effective therapy is available.
Couples Therapy cannot solve all problems, but it is among the most effective evidence-based approaches we know to help you find ways to improve your relationship satisfaction and long-term happiness.
How can I encourage my partner to come to Couples Therapy?
First, it is important to keep in mind the difference between encouragement and unhelpful attempts to persuade. Coercion, threats of breaking up, and ultimatums are unhelpful and are likely to be counter-productive. Even if coaxing makes a person come, they will be less likely to engage with the therapy.
The good news is that an equal level of motivation is not necessary for therapy to work. However, a successful outcome is more likely if the person owns the decision to come.
There are ways to make you both interested in giving Couples Therapy a try by making use of specific ways of encouragement and nudges. Scientific studies have found that people are more likely to make a certain decision if: 1) it is recommended by a credible expert; 2) they like the person who recommends it; 3) they become aware that the decision is taken by other people in the same situation as them. To apply this to your situation, you may wish to encourage your partner to read about the effectiveness of specific Couples Therapies and how therapy has helped friends, acquaintances, and perhaps well-known public figures.
Are there other ways to encourage my partner to come?
If possible, it can be helpful to explore together the underlying reasons for their reluctance. For example, there are alas plenty of myths about therapy that stop people from seeking help. Some people avoid therapy because they believe the therapist will take sides and be judgemental. At the Bath Couples Therapy Practice, I will be on both of your sides and guide the therapy to provide equal time to talk and be listened to. If there are other concerns, joint fact-finding about specific therapies can go a long way in encouraging a person to come.
It is often a good idea to have an initial meeting with your preferred Couples Therapist to get to know them and the services they offer. At the Bath Couples Therapy Practice, I would be delighted to meet you and help you with your decision about therapy.
Do we need therapy?
Why could Couples Therapy be a good idea?
A close, secure, and mutually rewarding relationship can be one of the greatest sources of happiness, resilience, and wellbeing in our lives. It provides love, support, companionship, and a secure base from which to cope with life's inevitable challenges. Yet, despite its importance, many of us struggle at times to build and maintain the kind of relationship we would like. The good news is that, for most couples, there are many effective, evidence-based ways to strengthen a relationship and improve life together.
As a Couples Therapist, you will not be surprised to hear me say that Couples Therapy can make real and lasting positive changes in people's lives. But you do not have to take my word for it; more and more people are talking openly about the benefits to them.
I would be very happy to talk to you and assist you with your decision-making without any commitment to start therapy.
Our relationship is not in crisis, we are just looking for ways to enhance it; can you help us with this?
Most certainly. Couples Therapy is not only about remedying things that are not going well. The ongoing care and nurturing of the positive aspects of coupleship and, if needed and relevant, the preparation for pending life transitions are equally important.
For example, couples come to therapy to learn more about how to maintain passion and loving bonds, and new and exciting ways to interact and grow closer. Others come to prepare themselves for having their first child, moving house, taking on new caring responsibilities, or coping with demanding situations such as health issues or financial difficulties.
We will make use of over 40 years of research on what makes and maintains a mutually rewarding relationship to support your long-term happiness as a couple.
Couples that are happy together, are they just lucky?
Good question. To answer this, I need to understand what you mean by “luck.” If the question is about whether there are couples who have met by lucky chance and are happy without making efforts or having problems, then I would say that would be untrue for most people. Having a successful and loving relationship in the long-term is the result of continuous effort for most of us. Interestingly, a study found that only one-third of couples fell in love at first sight. Thus, it seems that even in the beginning of a relationship, things other than just good fortune are at play.
No relationship is perfect, so where do we draw the line between seeking help and making the best of what we have?
This is a good question. To respond to it well and as accurately as possible, I would need more information about your situation. In general, we know that couples in on-and-off unhappy relationships wait a long time before seeking help, if they do it at all. A common situation that can prolong unhappiness unnecessarily is avoidance, like sweeping things under the carpet. Although this is a natural and common response to difficulties, it is rarely a good strategy. One study found that couples who attend therapy have waited on average six years. This is heartbreaking because long periods of unhappiness can be avoided by nipping problems in the bud. It is easier to repair relationship issues early and thereby avoid the entrenchment of negative thoughts, emotions, and behaviour.
So, how do you decide whether or not you and your partner can benefit from therapy? Apart from reading about it and perhaps talking to people who have been through therapy, probably the easiest and most discreet way would be to have an introductory meeting with a Couples Therapist without any need to commit. I will be more than happy to talk and help you with your decision.
Can we also have individual sessions as part of Couples Therapy?
What if one or both of us have a lot of personal issues to work on as well?
Yes, in many cases this is entirely appropriate. Some clients find that working on their relationship while also addressing individual difficulties in separate therapy can be particularly helpful. Individual therapy may support personal wellbeing, emotional regulation, trauma recovery, anxiety, depression, or other concerns, while Couples Therapy remains focused on strengthening the relationship.
The key requirement is that the purpose of each therapy remains clear. Our work together will continue to focus on your relationship rather than becoming individual therapy for either partner. If issues arise that would be better addressed within personal therapy, we will discuss how best to manage this while maintaining clear therapeutic boundaries.
At times, however, two therapies may become emotionally demanding or begin to overlap in their goals. If this happens, we will review whether continuing both therapies is in your best interests. In some situations, it may be advisable to pause Couples Therapy temporarily until individual work has reached a more stable stage. Any such decision would always be made collaboratively, taking into account your wellbeing, your capacity to engage safely in both therapies, and the integrity of each treatment.
Can we do both individual therapy and Couples Therapy with you?
There would be some clear advantages to such an arrangement, such as having an existing good working relationship with a therapist familiar with you and some of your needs. However, there are also significant drawbacks.
For example, you may experience therapy overload, and the therapy aims in the two therapies may be incompatible. There is also a real possibility that the therapist will be perceived as taking sides because they have developed a closer working relationship with one of you.
Even if you both are seen for individual therapy, other unhelpful issues could arise. A no-secrets policy concerning what is shared with the therapist in Couples Therapy is essential to the effectiveness of this therapy, but such a constraint in individual therapy could limit its usefulness and make it more difficult to be open and frank about your individual needs.
For the above reasons, my practice is consistent with professional guidance on maintaining clear therapeutic boundaries and avoiding conflicts of role.
Process of therapy
Do Couples Therapists take sides?
Most therapists are aware that taking sides is unhelpful and that they should remain neutral, and seek to understand and support both partners equally. As your therapist, I take this very seriously and will take steps throughout the therapy to make sure the process of therapy is fair and balanced.
Can Evidence-Based Couples Therapy make things worse?
Unlikely. It is worth bearing in mind, though, that many people find it difficult to acknowledge and face up to things that are not going well. This, together with the effects of trying something new and waiting for the therapy to take effect, can make one feel worse before feeling better. This is not unique to Couples Therapy but applies to all talking therapies.
The upside is that “approach” as opposed to “avoidance” is one of the healing ingredients of Couples Therapy. By its nature, therapy is an excellent place to practice “approach” (facing and overcoming difficulties instead of avoiding them) because of the presence of a non-judgemental, supportive, and specialist other person — your therapist — who is on both of your sides.
A thing to bear in mind when choosing a therapy provider is that there are a multitude of therapies and counselling approaches for relationship problems, and their delivery is unregulated and widely diverse. Not all therapies deliver successful outcomes, and the delivery of them is sometimes counter-productive.
At the Bath Couples Therapy Practice, I aim to give you access to some of the most effective therapy methods as evidenced by scientific research, and to offer you reassurance in its competent application in my capacity as an associate fellow of the British Psychological Society and a Doctor of Clinical Psychology.
Practical questions
Can I contact you between sessions?
Yes. If you have a brief administrative question or a short clinical query, you are welcome to email me. I aim to reply as promptly as my clinical commitments allow.
Most therapeutic support is provided within scheduled appointments, where we have sufficient time and space to consider your concerns thoughtfully. If additional support would be helpful between regular sessions, we can arrange an extra appointment, subject to availability.
Maintaining these boundaries helps ensure that all clients receive a consistent, high-quality service while allowing me to give my full attention to each session.
I do not provide an emergency or crisis service and cannot guarantee availability outside scheduled appointments. If you require urgent support, please contact your GP, NHS 111, or an appropriate crisis or emergency service. You can also find a list of mental health support services from the NHS website.
What is your cancellation policy?
If you need to cancel or rearrange an appointment, please let me know as soon as possible. I appreciate that unforeseen circumstances can arise. To ensure appointments are available fairly for all clients and to preserve dedicated clinical time, the cancellation policy applies consistently to all appointments.
Appointments cancelled or rearranged with more than 48 working hours' notice (excluding weekends and bank holidays) are fully refundable, less any payment processing fees. Appointments cancelled, missed, or changed within this period are charged in full.
What is your confidentiality policy?
At the Bath Couples Therapy Practice, data protection, your privacy, and control over your Personal Data are of the highest priority. There are limited circumstances in which I may be legally or professionally required to share information, for example where there are serious concerns about safety or where required by law.
For more details about confidentiality and data protection, please see my Privacy Notice.
Getting started
The first step is a brief confidential enquiry process designed to help us clarify your current situation together and explore how this practice may be able to help.
The process is secure, discreet, and takes about 6 to 10 minutes.

