Why People Really Go to Therapy: 10 Reasons You Didn’t See Coming (and 10 You Totally Did)

When most people think about why someone goes to therapy, the usual suspects come to mind: anxiety, depression, grief. And sure, those are common reasons, but they’re far from the whole story. Therapy isn’t just for life’s “rock bottom” moments—it’s also for the quiet struggles, the weird patterns, and the “Why does this keep happening?” moments. Let’s break it down.

The 10 Obvious Reasons People Go to Therapy:

1. Anxiety or stress
2. Depression or low mood
3. Grief and loss
4. Trauma and PTSD
5. Major life transitions (like divorce, job loss, or moving)
6. Relationship issues (Pre-Marital, Affair Repair, Divorce couseling)
7. Low self-esteem or confidence
8. Addiction or unhealthy coping habits
9. Parenting challenges
10. Mental health diagnoses (like OCD, bipolar disorder, etc.)

The 10 Not-So-Obvious Reasons People Go to Therapy (That Totally Make Sense):

For Couples:

1. The “Who Loads the Dishwasher Right?” Fight: It’s never just about the dishwasher. Therapy helps couples stop arguing about the small stuff and start hearing each other’s deeper needs.
2. Because the Kids Left, and Now It’s… Quiet. The empty nest can feel less like freedom and more like, Do we even like each other anymore? Therapy helps couples reconnect after the parenting chapter closes.
3. To Stop Feeling Like Roommates with Joint Custody of the Couch: When life gets busy, romance can flatline. Therapy helps couples move from “co-managers of chaos” back to “partners in love.”
4. To Argue Like Adults (Not Exhausted Teenagers): Conflict is normal—therapy teaches couples how to fight fair, without turning it into a full-blown Cold War.
5. Because One of You Talks Too Much, and the Other Shuts Down: Therapy helps bridge the gap between “Can we please talk about it?” and “Do we have to?”

For Individuals:

6. To Stop Saying “Yes” When You Mean “I’d Rather Swallow a Cactus”: People-pleasing is exhausting. Therapy helps you find your boundaries—and stick to them.
7. Because You’re Crying at Dog Food Commercials (and You Don’t Even Have a Dog): Random emotions are usually about more than just a sad soundtrack. Therapy helps you figure out what’s really going on.
8. To Break the Cycle of “Why Do I Keep Doing This?!” Whether it’s dating the same type of person or procrastinating again, therapy helps you break old patterns.
9. Because “Work-Life Balance” Feels Like a Joke: Therapy helps you stop feeling like you’re failing at everything and start finding peace in the chaos.
10. To Have One Space That’s Just Yours: No advice, no judgment—just someone listening while you untangle the mental spaghetti. The Bottom Line: Therapy isn’t just for crisis mode. It’s for the moments when life feels off, when patterns don’t make sense, and when you’re tired of pretending everything’s fine.

Wondering if therapy might help you - Let’s talk. Schedule your first session today and see how clarity can change everything.

5 Common Reasons Why Couples Go to Therapy: How an Expert Therapist Can Help

Each couple that walks into a therapy office is different. Their stories of how they met and fell in love are captivating and warming. Couple's "engagement story" always makes them smile and when they talk about the details of their wedding day, the whole tempo of the room can shift to a happy, joyous rhythm. But, don't be fooled, by the time a couple makes their first call to a marriage counselor's office they are far from this rhythm and by the time they sit down on a therapist's couch, they ALL have one thing in common; pain.

Couples rarely seek counseling until they are in fear of permanently losing their primary love connection. They wake up one morning (usually it's the middle of the night) and they realize that if things don't change, they may lose the person they once loved so dearly. They feel they've tried everything, except... reach for expert help.

Once the phone call has been made to a marriage therapist and an appointment is on their calendar, couples often breathe easier. For the moment, the pressure is off. Someone else is now in charge of "fixing it."

If this sounds like you, but you're not sure if this is the right avenue for your marriage, read on. You deserve to breathe easier too.

Here are 5 common reasons that couples seek expert counseling:

1. Difference of Values

Individual values can change throughout a lifetime and couples may not always start like-minded. Early in a relationship, couples often look past their differences. But, as time moves on, what was once a tolerable difference can now become a rub.

For example, you may value alone time while your spouse values and draws energy from time with friends; you may have spiritual differences that have become more expansive now that you have a baby or you may have changed your position on a core value that as a couple you shared, leading to turbulence in your relationship. Therapy can help you understand and respect each other on a deeper level, making living with the difference acceptable (instead of merely trying to change each other’s view.)

2. Communication

Couples can experience feelings of isolation and alienation due to a lack of connected communication. It's awful to feel alone while you're sitting next to the person you married.

In a new relationship, texting is flirty and fun. But, as time passes, you need to develop ways to effectively communicate from beyond a screen. Couples who experience communication difficulties have a tendency to dodge hard topics and minimize each other’s feelings, which can deteriorate a relationship. With the help of an expert therapist, couples who struggle with safe, connected communication can learn how to navigate conversations without hurting each other’s feelings (while gaining deeper insight into your lover's needs.) Yay! That's what we all want.

3. Money

Spending habits are a deeply held personal value, often tied to core emotional and psychological needs. We're often not aware of how we truly feel about money until we're in a relationship, and now we're dividing dinner bills and travel expenses (and mortgage down payments and Peleton memberships).

Couples can have differences when it comes to their money values based on how they were raised, how money was spoken about in their family of origin, their earning potential or past money traumas. Even if a couple's in basic agreement about their financial values, they can still have differences in opinion; like what to spend and what to save. Financial disagreements can cause tension and stress in a relationship. An expert therapist can help a couple safely unpack their money differences and then, reconnect with a higher level of understanding and empathy. They can also teach the couple how to spot money triggers and stay calm and connected while discussing how money can make them feel safe or unsafe.

4. Jealousy

Jealous feelings are often directly attached to relational wounds, both rational and irrational. Jealous behavior can come from a place of suspicion and insecurity. The behavior itself can often threaten to destroy a relationship.

Jealously is often comingled with feelings of inadequacy or inferiority—a byproduct of fear or triggered by old or recent traumas. Whether a partner obsessively checks the other’s computer and phone records, or they fear that a business trip is really a cover to continue an affair, jealousy can quickly dismantle a relationship by making well-meaning people act in ways that they never imagined. Working with an expert therapist can help couples understand why jealousy is driving unhealthy actions. It can help the couple decrease the chance of escalation (and disconnection which leads to more jealousy), help the couple to understand and put in place safe boundaries around their relationship and enable the couple to rebuild a solid foundation of trust.

5. Infidelity

Once infidelity is discovered or revealed, intense pain and a roller coaster of exaggerated emotions are the norms. Trust gets shattered and love goes into hiding.

Infidelity causes major trauma in a love relationship. Obsessiveness, depression, anxiety, and a profound sense of loss often follow. Heightened emotions can cause more damage to an already wounded love. Despite the powerful emotions after the disclosure or discovery of infidelity, marriage therapy with an expert marriage therapist can help couples understand and manage these feelings quickly and also learn what to expect in the hours, days and weeks to come. It's tough territory to navigate alone, for a love relationship. An expert marriage counselor will also provide tools for you to reestablish safety in your marriage, spot emotional triggers, communicate in a safe way and eventually reestablish the foundation of trust and respect needed to move forward in the marriage. When both partners commit to healing the relationship, statistics show that through expert counseling the vast majority of relationships can successfully move forward.

Jennifer Sigman, MS, LMFT is an expert in marriage and relationship counseling. Throughout her 29 years as a licensed Marriage and Family Therapist, she has successfully guided countless couples through challenging times in their relationship. Jennifer also has expertise in the area of trauma and trauma recovery.