Couples

Our clinicians support couples navigating communication breakdowns, recurring conflict, trust and intimacy issues, life transitions, parenting differences, and the stress of fertility journeys. We also offer parent coaching and family therapy. Whether you are in crisis or simply want to strengthen a healthy relationship, we tailor the work to your goals.

Most couples work happens with both partners present, since that is where the meaningful change occurs. That said, individual sessions are sometimes used strategically, and your clinician will recommend the right structure for your situation. We will discuss this together during your first appointment.

Length depends on your goals and the complexity of the concerns. Many couples notice improved communication within the first several sessions, while rebuilding trust or working through deeper patterns can take a few months. Your clinician will set clear goals and check in on progress regularly.

Yes. Couples therapy can help partners decide whether to rebuild the relationship or part ways respectfully, and it can ease that process when children are involved. There is no predetermined outcome — our role is to help you communicate clearly and make decisions that are right for you both.

Couples counseling focuses on the relationship between two partners, while family therapy includes children or other family members to address how the whole family system interacts. Many families benefit from both at different times, and we can help you determine where to begin.

Yes. Your sessions are protected by law, and as a private-pay practice we are not required to report records or diagnoses to an insurer. Your clinician will also explain how confidentiality is handled when both partners and, at times, individual sessions are involved.

Yes. We offer secure telehealth sessions across Virginia and 41 other states (via PSYPACT) as well as in-person appointments in Old Town Alexandria, which makes it easier for busy couples to attend together even with demanding schedules.