About couples therapy
Couples therapy helps partners improve communication, handle conflict, rebuild trust after a crisis or make decisions together, including separation. Sessions are usually joint, sometimes with individual meetings. It is not about deciding who is right but about understanding the patterns between you.
Couples therapists help partners with communication problems, frequent arguments, infidelity, crises or decisions about the future of the relationship. Sessions are usually joint, sometimes combined with individual ones.
Getting mental health care in Fiji
Public health system · Ministry of Health and Medical Services
Public mental health care is provided by St Giles Hospital in Suva, the country's only psychiatric hospital, together with a Community Mental Health Team and stress management wards in divisional hospitals. Specialist capacity is very limited.
How to check that a professional is licensed
- No statutory regulator (Fiji Psychological Society, professional body). Psychologists are not yet registered by law; recognition and registration were still being discussed in 2023. Ask about qualifications and professional membership.
- Fiji Medical and Dental Council. Psychiatrists are doctors who must be registered and licensed by the Fiji Medical Council.
Urgent help in Fiji
If your life or someone else's is in danger, call the emergency number now. These services can help at any time:
- 911 · Emergency (911)
- 5626 · Empower Pacific 24/7 Counselling Helpline
Information reviewed in November 2026 · Sources: fijivillage.com, rnz.co.nz
Signs to look out for
All couples argue. It may be time to seek help when the same arguments repeat without resolution, conversations quickly turn into criticism or silence, you feel lonely within the relationship, affection or sex have faded and that worries you, trust has been broken, or a big change such as a baby, illness or a move has unbalanced things. Considering separation is also a reason to talk.
What helps: treatments and professionals
Couples therapy approaches with good evidence include emotionally focused therapy, integrative behavioural couple therapy, cognitive-behavioural couples therapy and the Gottman method. Couples therapists, psychologists and psychotherapists with couples training usually lead the work, and a sex therapist can help when sexual concerns are central. Therapy can help couples reconnect, or separate with less damage, especially when children are involved.
When to seek urgent help
If there is physical violence, threats, sexual coercion, or you feel afraid of your partner, your safety comes first: contact your local emergency services if you are in immediate danger, and seek specialised support for domestic violence. Couples therapy is not recommended in these situations. Seek urgent help too if anyone has thoughts of suicide or harming others.
What you can do in the meantime
Choose calm moments to talk about difficult topics, rather than in the middle of an argument. Try to describe how you feel and what you need, instead of criticising. Take a break if things escalate and agree to come back to it. Make time for small moments of connection. Reading reliable information on relationships together can also open useful conversations.
What does a couples therapist do?
A couples therapist helps two people understand and improve their relationship. Day to day they work with couples on communication, recurring arguments, trust after infidelity, intimacy, life transitions such as parenthood or retirement, and decisions about continuing or separating. They stay neutral, make room for both perspectives, and teach practical skills to talk, listen and repair after conflict.
When to see a couples therapist
Couples therapy makes sense when arguments repeat without resolution, you feel distant or misunderstood, trust has been damaged, sexual or emotional intimacy has changed, or you face a big decision together. It also helps couples who want to separate respectfully. If there is violence, control or fear in the relationship, couples therapy is not appropriate; individual support and safety come first.
How to choose
When choosing, check the licence and training, the approach they use and whether they have experience with what you need. Consider practical aspects too: language, price, location or online sessions and availability. The relationship with the professional matters a great deal; if after a few sessions it does not feel right, it is fine to change.
Frequently asked questions
Does the public health system in Fiji cover psychological care?
Public mental health care is provided by St Giles Hospital in Suva, the country's only psychiatric hospital, together with a Community Mental Health Team and stress management wards in divisional hospitals. Specialist capacity is very limited.
How do I check that a couples therapist is licensed in Fiji?
No statutory regulator (Fiji Psychological Society, professional body): Psychologists are not yet registered by law; recognition and registration were still being discussed in 2023. Ask about qualifications and professional membership.