First, it is important to realize that Couples Therapy, Marriage Counseling, and Marital Therapy are all the same. These different names have been used to describe the same process, with the difference often based upon which psychotherapy theory is favored by the psychologist using the term, or whether an insurance company requires a specific name for reimbursement.
Couples Therapy is often seen as different from psychotherapy because a relationship is the focus of attention instead of one individual diagnosed with a specific psychological problem. Couples Therapy focuses on the problems existing in the relationship between two people, but these relationship problems always involve individual symptoms and problems, as well as relationship conflicts. For example, if you are constantly arguing with your spouse, you will probably also be chronically anxious, angry, or depressed, (or all three). Or, if you have difficulty controlling your temper, you will have more arguments with your partner. All psychological problems, and all psychological changes, involve both individual symptoms (behavior, emotions, conflicts, thought processes), and changes in interpersonal relationships.
In Couples Therapy, the psychologist will help you and your partner identify the conflict issues within your relationship, and will help you decide what changes are needed, in the relationship, and in the behavior of each partner, for both of you to feel satisfied with the relationship. These changes may be different ways of interacting within the relationship, or they may be individual changes related to personal psychological problems. Couples Therapy involves learning how to communicate more effectively, and how to listen more closely. Couples must learn how to avoid competing with each other and need to identify common life goals, and how to share responsibilities within their relationship. Sometimes, the process is very similar to individual psychotherapy, and sometimes it is more like mediation, while other times it is educational. The combination of these three components is what makes it effective.