You can expect to make progress in the first session. Many couples are surprised to hear their partner name many of their complaints. This is, of course, a two-way street. Each partner has a contribution. Couples often know what the problems are but have difficulty enacting change. The extended time in the first session gives couples a chance to talk with therapist about barriers to change and walk away with a specific plan they can put into practice at once. If couples don't feel they are making progress in the first session, they can end the session at 60 minutes and the charge is waived.