A question I hear often in my practice is: “Will the improvements we see in couples therapy last, or will the same issues come back in a year or two?”

The answer isn’t a simple yes or no. Like most things in psychotherapy, it depends on whether the underlying issues in the relationship have been addressed.

Here’s the key:

• If the root problems are addressed in marriage counselling or couples therapy, the changes are often permanent.
• If therapy only touches surface issues and goes in circles, any improvement is usually temporary.

To make this clearer, let’s use a simple analogy from medicine.

Taking the first step toward couples counselling doesn’t have to feel overwhelming. A discovery meeting offers a calm, private space to understand how the process works – without pressure or commitment. Whether you attend alone or together, this guided conversation helps clarify your challenges, explore realistic goals, and determine whether counselling could be beneficial for you. Many couples find this step reduces uncertainty and makes therapy feel more approachable. If you’re feeling stuck, unsure, or hesitant, a discovery meeting can provide clarity, direction, and reassurance. It’s a thoughtful way to explore support and decide, at your own pace, what feels right moving forward. For those who are unsure about starting couples counselling, we offer a Discovery Meeting for $120. This is a full 60-minute, no-commitment consultation that can be booked individually or as a couple. It provides a calm, professional space to understand how counselling works, explore concerns, and decide whether therapy feels like the right next step.

Imagine a kidney is injured and cannot process toxins properly. This causes fatigue, sleep problems, and stress on other organs.

• If the kidney injury is properly diagnosed and treated, the person recovers fully, the fatigue disappears, sleep improves, and other organs are relieved. This is permanent change.
• If the injury isn’t addressed, the person might treat the symptoms, like fatigue or sleep issues, but the underlying problem remains. Any relief is temporary, and new symptoms may appear.

Now let’s translate this to couples therapy.

Suppose a husband experiences a business loss but feels embarrassed to share it with his wife. To cope, he urges her to spend less. Arguments start, intimacy decreases, and emotional distance grows, these are the secondary symptoms of the underlying issue: the financial loss and lack of communication.

• In effective marriage counselling, the therapist helps the couple uncover and process the underlying issue. When the root cause is addressed, the arguments, emotional distance, and other symptoms naturally decrease. This is lasting improvement.
• If therapy only focuses on symptoms, like fighting less or improving intimacy, without addressing the root cause, any improvement is usually short-lived. Once therapy ends, new conflicts often emerge, stemming from the original unresolved problem.

Every relationship has unique underlying issues, financial stress, unmet emotional needs, past hurts, or communication breakdowns. Often, these issues are unintentional and come from a place of love. But over time, unaddressed issues create distance, conflict, and secondary symptoms that can feel overwhelming.

In my experience as a couples therapist, the most reliable path to permanent change is addressing these underlying issues directly, no matter how long they have been present or how much secondary damage has occurred. When the root is healed, lasting improvement naturally follows, and couples can rebuild trust, intimacy, and connection that endure.

If you want your relationship to not just improve temporarily but truly transform, the key is finding the right marriage counselling or couples therapy professional who focuses on what matters most, the heart of the problem.