Many couples are required through their religious organizations to undergo premarital counseling. Others may want to do so just to begin on a positive note to make sure they optimize communication and problem-solving abilities. Dr. Gamble offers a 5-session package and includes a workbook and a free follow-up session following the wedding. This practice area falls outside of the purview of managed care. Her website address is http://www.drsusangamble.com/