Research shows that couples counseling is effective for many relationships. Emotionally Focused Therapy (EFT), one of the most widely used approaches, has a success rate of about 70–75% in helping couples improve their connection and resolve conflict. That said, success often depends on both partners’ willingness to engage in the process and apply what they learn outside of sessions.

While exact percentages vary, studies suggest that around 70% of couples report improved satisfaction in their relationship after therapy. However, not all couples choose to stay together—and for some, therapy provides clarity and closure that leads to a healthier separation. Success isn’t always about staying together, but about finding the path that brings the most healing and growth.

Sometimes, but it depends on your insurance plan and how the sessions are billed. Insurance typically covers therapy for a diagnosable mental health condition, so couples counseling may be reimbursable if one partner has a qualifying diagnosis. Many couples pay out-of-pocket, and some therapists can provide superbills for potential reimbursement. It’s best to check directly with your provider or therapist’s office.