How ‘Couples Therapy’ Gets People to Go There

One night after a blowout fight with his fiancée, Josh Perez was lying in bed, typing silently on his phone.

He was searching for contacts for the producers behind “Couples Therapy,” a documentary series he and his fiancée began watching during the pandemic. The show, which follows real couples in the New York area as they undergo about five months of therapy, had become a conduit for having difficult conversations about their own relationship. Perez hoped that being selected for the show could help them even more.

Months later, Perez and his fiancée, Natasha Marks, sat on a couch inside a soundstage in the Brooklyn neighborhood of Greenpoint. Across from them, on a TV set built to look like a therapist’s office, was Orna Guralnik, the psychoanalyst and therapeutic maestro of “Couples Therapy.”

“I guess if I was to sum up why we’re here,” Marks said, searching Perez’s face as she spoke, “we just recently had a little baby boy, and our emotional and physical intimacy, for a while, has taken a tank.”

Across the show’s four seasons — the latest was recently released on Paramount Plus with Showtime — a total of 20 couples and one polyamorous trio have revealed the kind of intimacies that Marks shared for the dissection of Guralnik and, by extension, a national TV audience. Online, the show has an active fandom that probes its relationships as if trading gossip inside a friend group. The attention has left most of the show’s couples grappling with both anticipated and unexpected consequences of televised therapy.