Couples Therapy Frequently Asked Questions

Do you only work with couples who are sure they want to stay together?

No. Couples come in with varying levels of clarity, including uncertainty about the relationship. Therapy can help slow things down, understand the dynamic between you, and clarify what each partner wants without pressure toward a fixed outcome.

What happens in the first couples session?

We focus on what brings you in, how patterns are showing up between you, and what each partner is hoping for. The goal is to begin identifying the relational cycle rather than assigning blame.

What if my partner doesn’t want to come to therapy?

This is common. You’re still welcome to reach out to discuss options. Sometimes individual entry points or early consultation can help create movement toward joint work.

What if we’re arguing all the time or barely talking at all?

Both are common starting points. Some couples experience high conflict, others emotional shutdown or distance. Therapy focuses on the underlying cycle that keeps these patterns repeating.

Do you work with trust issues or betrayal?

Yes. This includes emotional or physical betrayal, secrecy, and relational ruptures. The work focuses on stabilization, understanding what led to the rupture, and rebuilding emotional safety over time.

Do we need to be on the same page to start couples therapy?

No. It’s common for partners to have different levels of readiness. Therapy helps create structure and emotional safety so both people can engage without forcing premature agreement or decisions.

What if things get worse before they get better?

As patterns become clearer, emotions can intensify. The goal is not escalation, but slowing reactivity so you can engage differently rather than repeat automatic cycles.

How long does couples therapy take?

It depends on goals, severity of distress, and how long patterns have been present. Some couples do short-term focused work; others engage longer-term for deeper relational change.

Do you offer premarital or relationship maintenance therapy?

Yes. Some couples seek therapy proactively—before major conflict develops—to strengthen communication, increase relational awareness, and interrupt patterns early. This work often focuses on building stability, connection, and long-term relational resilience.

Do you take insurance for couples therapy?

Couples therapy is private pay only. Most insurance does not cover relationship-focused work unless it is tied to a diagnosable condition for one partner and deemed medically necessary.

Private pay allows for greater flexibility, privacy, and relational focus without insurance-driven limitations or documentation requirements.

Do you offer couples therapy in-person or online?

In-person work is the primary format, as it supports emotional presence, clearer communication patterns, and more grounded relational work. Telehealth may be available when clinically appropriate.

What is your availability?

Sessions are by appointment only Tuesday through Friday. In-person sessions are the primary format offered. When you reach out, include a few general times that work for you and you’ll be contacted within 48 business hours regarding next steps and scheduling availability.