Many terms have been used to describe couples counselling or couples therapy: intense, rewarding, challenging, necessary, to name a few. Members of our counselling team have worked with couples from all over the world, including those born and raised in Hong Kong. The city’s fast pace and many other unique attributes set the stage for both opportunities and risks in relationships and marriage. Invariably, the most difficult step is to schedule the first appointment. However, this move is also accompanied by a sense of relief as action is finally taken to address issues in the relationship with the help of a third party.