Couples Therapy

Sessions are collaborative rather than mediated arguments. We work with both partners to slow down recurring conflict, understand the attachment patterns underneath it, anxious, avoidant, or a mix of both, and rebuild communication and trust from there. Our approach to couples therapy in Los Angeles is relational and attachment-focused rather than a generic skills workshop, which means the work is tailored to your specific dynamic rather than a one-size-fits-all script.

We don't bill insurance directly for couples counseling, but we provide a monthly superbill you can submit to your insurance provider for possible out-of-network reimbursement. Many PPO plans reimburse a portion of the session fee. We recommend calling your provider beforehand to ask about your out-of-network mental health benefits, since reimbursement varies by plan. Pricing is discussed during your free consultation so there are no surprises before your first session.

This is one of the most common reasons couples wait longer than they should. It's completely normal for one partner to feel more ready than the other, and it doesn't mean therapy won't work. Many couples start with one partner reaching out, and we're glad to talk through how to invite a hesitant partner into the process without it feeling like an ultimatum. Sometimes starting with an individual session for the more hesitant partner helps build comfort before the first joint session.

No. Some of the couples we see are navigating infidelity or considering separation, but just as many come in during a life transition, a new baby, a move, a career change, or simply because communication has quietly gotten harder over time. Couples therapy tends to be most effective the earlier it starts, so you don't need to wait for a crisis to justify seeking couples therapy in LA.

Yes. Not every couple that starts therapy is working toward staying together, and that's a legitimate use of the process. Therapy can help you gain clarity on what's actually going on in the relationship, whether the underlying issues are workable, and how to move forward, together or apart, with less reactivity and more understanding of what happened.

It depends on what you're working through. Couples addressing a specific, recent issue often see meaningful movement within a handful of sessions. Longstanding patterns, particularly those involving trust, intimacy, or deeper attachment wounds, generally take longer because there's more to understand and rebuild. We revisit goals and pacing together throughout the process rather than committing you to a fixed number of sessions upfront.

If you're asking the question, it's worth taking seriously. Persistent patterns, the same argument on a loop, growing distance, a breach of trust that hasn't actually been repaired, are worth addressing sooner rather than later. Read more in our blog post on how do you know if you need couples therapy.