Couples therapy sessions are held collaboratively, meaning that both partners must be present. Sometimes it may be necessary to see or speak with one partner separately. Couples can be separated For many reasons in couples therapy, for safety reasons, During the assessment phase or to process information more efficiently and safely, information in couples therapy that is shared in an individual session is never kept secret from the other partner. Lastly, the therapist does not keep secrets. 

Numerous questions, some challenging an individual's ideas or perspectives are likely to be asked by the therapist. While practitioners do not take sides in arguments, the role of the therapist is to help the couple identify patterns of conflict that may already exist, and this can sometimes feel uncomfortable in the process of discovering these conflicts

For instance, Emotionally Focused Therapy (EFT) is an effective method in couples therapy that aims to enhance partners' emotional bond and communication. Through the use of EFT, therapists assist couples in understanding and recognizing the underlying emotions and attachment needs that drive their actions. The therapy is typically divided into three stages: de-escalation of negative cycles, interaction restructuring, and consolidation of new patterns. By fostering mutual understanding, empathy, and validation, therapists assist couples in forging a stronger emotional bond.