I always say “Come to couples’ therapy when there is something to work on. It is an easier road than when you wait until you are injured and broken and looking for salvation and healing.” One of the gratifying aspects of being a couples and sex therapist is when a couple decides to come see me when they are building their future rather than when they come to me in distress. Premarital therapy is one of those opportunities where both partners are looking to learn more, grow together and find some open curiosity. However, this can also be a time of great stress and challenging relationships.