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It is commonly believed by therapists that the answer to “does marriage counseling work?” is more often yes when the couple seeks therapy as soon as possible. If a couple waits until their problems are too far advanced, one person may have already checked out emotionally, and saving the relationship at that point can be difficult. In other cases, communication patterns have become so abusive or negative that the therapist may struggle to teach the couple new communication techniques. For the best chance at success, couples should seek therapy as soon as possible. I have had couples that have come for premarital counseling, and it has been really good for them. Read this article on Psychology Today: