Couples

Couples therapy & counseling in Florida

Couples therapy is not about deciding who is right. It is about seeing the cycle you get stuck in, then building a better way to respond when it matters most.

Orlando-based, Florida statewide telehealth only. Sessions are 50–55 minutes.

Two people holding hands across a table with coffee cups

What couples therapy and counseling can help with

  • Repeated arguments that never seem to resolve
  • Emotional disconnection or feeling roommates with each other
  • Trust injuries — affairs, dishonesty, broken agreements — and the long work of repair
  • Communication breakdown, including the pursue/withdraw and criticize/defend cycles
  • Differences in values, intimacy, parenting, or the impact of substance use
  • Conflict about gaming, phones, or screen time (see gaming addiction therapy)

How I work

Integrative couples therapy and counseling informed by:

  • EFT-informed strategies — emotion-focused work that gets underneath the surface argument
  • Behavioral and integrative principles — practical changes in how conflict, repair, and agreements happen between sessions
  • Gottman-informed tools — structured prompts for communication, conflict, repair attempts, and friendship
  • Pattern-based, insight-oriented work when long-standing dynamics keep repeating across years

Confidentiality and communication

For couples, confidentiality and information-sharing rules are established in writing case-by-case at the beginning of treatment. We will clarify:

  • Whether individual disclosures can be kept confidential, and under what conditions
  • How individual check-ins (if we use them) are handled
  • How we communicate between sessions and what's appropriate for email or forms

Couples work depends on a clear container. The written agreement isn't paperwork — it's the structural condition that makes honest conversation safe.

Session structure

  • Length: 50–55 minutes per session
  • Pace: Weekly is typical, especially in early stabilization or repair work
  • Format: Telehealth only; both partners must be located in Florida at the time of the session
  • Insurance: Insurance, including Medicare, may pay for a couples session when it is part of treating one partner's diagnosed mental health condition. Couples counseling for the relationship alone is usually not covered. When insurance does not apply, couples sessions are $160 to $200.

The first sessions clarify goals, fit, and whether telehealth couples work is clinically appropriate for the situation.

Next steps

Send a secure inquiry. One sentence about what brings you both in is enough. You don't need to write a full account.

Request appointment Fees & insurance

Common questions about couples therapy

How long does couples therapy take?

There is no fixed length. Some couples come for a focused 8–12 session arc around a specific issue (e.g., communication breakdown after a transition). Others work longer when long-standing patterns or trust repair are involved. We'll talk about pace and goals in the first few sessions and re-evaluate periodically.

Will you take sides?

No. The work is about the cycle you get stuck in, not about deciding who is right. I'll name patterns I see in both directions and ask each of you to look at your part in the dynamic. That's different from blame — it's the only thing either of you can change.

What if we're not sure we want to stay together?

Couples therapy can hold both directions. Some couples come to repair; others come to clarify whether the relationship is workable as-is. Either is legitimate. The work is honest assessment, not a guaranteed reconciliation outcome.

Do you do individual sessions inside couples work?

Occasionally, when it serves the couples work and within a documented confidentiality framework we agree to up front. Confidentiality and information-sharing rules are established in writing case-by-case at the beginning of treatment. See the confidentiality section below.

This practice is not an emergency service. If you need immediate help, call or text 988. If you are in immediate danger, call 911.

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