Everything You Need to Know About Couples Therapy in New York

Relationships are complicated. Even strong, loving couples can hit rough patches—whether it’s due to communication breakdowns, trust issues, life transitions, or simply feeling disconnected. If you’re considering couples therapy, you might be wondering what to expect. Below, I’ve answered the most common questions couples have when exploring therapy together.

What Issues Can Couples Therapy Help With?

Couples therapy can support you through a wide range of challenges, including:

  • Communication issues – Feeling misunderstood, unheard, or constantly misaligned.
  • Conflict resolution – Learning how to argue in healthy, productive ways.
  • Trust issues – Rebuilding after betrayals or navigating ongoing insecurity.
  • Intimacy and connection – Rekindling emotional or physical closeness.
  • Life transitions – Adjusting to changes like becoming parents, relocating, or dealing with loss.
  • Recurring patterns – Breaking cycles that leave you stuck in the same arguments or dynamics.

Whether you’re dating, engaged, married, or somewhere in between, therapy can help you feel more connected and aligned.

How Long Does Couples Therapy Typically Take?

There’s no one-size-fits-all answer. Some couples benefit from short-term therapy (6–12 sessions), especially if the issues are recent or specific. Others may engage in therapy for a longer period to address deeper-rooted patterns or trust injuries. We’ll determine the best pace together based on your goals.

What Can We Expect in a Couples Therapy Session?

Couples sessions are a mix of open dialogue, reflection, and practical tools. You can expect to:

  • Share your perspectives in a structured, supported space.
  • Explore underlying dynamics and unmet needs.
  • Learn new ways to communicate, listen, and respond.
  • Practice conflict-resolution skills and boundary-setting.

You won’t be forced to “perform” or side with one partner over the other—this space is for both of you.

Is Couples Therapy Effective for Every Relationship?

Couples therapy can be incredibly effective, especially when both partners are willing to show up and do the work. That said, it’s not about guaranteeing a specific outcome—it’s about creating space for clarity, connection, and growth. In some cases, therapy helps couples reconnect; in others, it helps them part ways more peacefully.

Do Both Partners Need to Attend Every Session?

While most sessions are with both partners present, there may be times when individual sessions are helpful—especially early on. This gives space for deeper reflection without interruption. We’ll tailor the approach based on your needs.

How Do We Know If We Need Couples Therapy?

If any of these sound familiar, it might be time to seek support:

  • You’re stuck in the same arguments without resolution.
  • You feel emotionally disconnected or more like roommates.
  • You’re navigating a major life transition or decision.
  • There’s been a breach of trust or ongoing tension.
  • One or both of you feel unheard, unappreciated, or overwhelmed.

Therapy isn’t just for couples in crisis—it’s also a powerful tool for prevention and growth.

What If My Partner Is Reluctant to Attend Therapy?

It’s not uncommon for one person to feel more ready than the other. If your partner is hesitant, it can help to:

  • Share why therapy matters to you (not just what’s wrong).
  • Reframe it as a tool for growth, not blame.
  • Offer to try just one session together.

And even if your partner doesn’t attend, individual therapy can still support you in navigating the relationship more intentionally.

Is Everything Discussed in Therapy Confidential?

Yes. What’s shared in couples therapy is confidential, with a few standard exceptions (which we’ll go over in your first session). If individual sessions are included, we’ll clarify how confidentiality is handled in those contexts too.

Can Couples Therapy Work If We’re Considering Separation or Divorce?

Absolutely. In fact, therapy can be especially helpful during these moments of uncertainty. Whether you’re hoping to repair, pause, or consciously uncouple, couples therapy provides a space to explore your next steps with clarity and support.

How Do We Prepare for Our First Couples Therapy Session?

No need to overthink it. Just come as you are. That said, it can help to:

  • Reflect on what each of you hopes to get out of therapy.
  • Be open to honest, respectful conversation.
  • Avoid assigning blame—think of this as a shared effort.

You don’t have to have it all figured out. We’ll do that part together.

What Qualifications and Experience Do You Have in Couples Therapy?

I’m a Licensed Clinical Social Worker (LCSW) based in New York, with extensive experience supporting couples through relationship challenges, communication issues, trust ruptures, and transitions. My approach is compassionate, honest, and collaborative—always rooted in helping you both feel seen and supported.

How Much Does Couples Therapy Cost, and Is It Covered by Insurance?

The cost of Couples Therapy in New York City typically ranges from $150 to $450 per session, but the exact cost depends on session length and frequency, and of course the therapists experience levels. Some insurance plans cover couples therapy, though many don’t. I recommend checking with your provider. I’m also happy to discuss rates and payment options if you’d like. 

What If We Don’t See Improvement in Our Relationship?

Therapy isn’t always linear—and change can take time. If something isn’t working, we’ll talk about it. We can adjust the approach, revisit goals, or explore what other support might be helpful.

How Do We Book a Session, and What Is Your Cancellation Policy?

Booking is easy—just [click here] to schedule a consultation. I’ll also share my cancellation policy during the intake process so you know exactly what to expect.

Do You Offer Virtual Couples Therapy Sessions in New York?

Yes, I offer virtual sessions for couples across New York. Online therapy makes it easier for both partners to join from separate locations if needed, and it’s just as effective as in-person work.

Final Thoughts
Couples therapy isn’t about picking sides—it’s about finding common ground, improving how you communicate, and strengthening your connection. If your relationship could use support, structure, or just a safe space to talk, I’d love to help. Reach out today to take the next step together.

Couple in therapy session with a compassionate female therapist, discussing communication and relationship issues in a calm, neutral-toned office.