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Couples & relationship therapy

Couples Therapy via Telehealth

Affirming therapy for couples, polycules, and relationship structures of all kinds. LGBTQ+-affirming, kink-affirming, and neurodivergent-affirming. Telehealth only — no commute, no waiting room.

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A couple tells me in the first ten minutes that they do not really fight. They say it the way people say something they are proud of, and I understand why, because everything they have ever read told them that arguing is the thing that ends a marriage. Then one of them mentions, almost in passing, that there was an incident about the dishwasher three weeks ago that neither of them has brought up since, and the other one goes very still, and I know we have found the actual work.

The couples who do not argue are the most volatile ones I see. The disagreements did not disappear. They went under the waterline, where they kept accumulating, and the collapse that eventually arrives looks like it came from nowhere because nobody was watching the part of the structure where the water was rising.

What this work looks like

We work on what is actually happening between you, which is usually not the thing you came in arguing about.

Most of what shows up in a couples session is a story one of you has been telling yourself about the other one and has never checked out loud, the story where the silence meant contempt, where the short reply meant withdrawal, where the forgotten date was evidence of how little you matter, where the change in tone last weekend confirmed something you have been suspecting for months. Your mind builds these in the absence of information, and what it builds is almost always worse than what is actually there. I call it monster making, and naming it out loud is most of what dissolves it.

From there we work on timing, on capacity, and on whether the two of you can argue well, which is a different question from whether you argue often. Arguing well means you can disagree without the relationship dissolving, you can hear something hard without immediately defending against it, you can stay regulated enough that the older parts of your nervous system do not execute something you will later regret, and you can come back afterward and repair what needs repairing. That capacity is the actual prerequisite for anything else the two of you are planning together. It matters more than the financial planning and the logistical planning and the question of whose furniture stays, because those are all solvable by people who can argue well and unsolvable by people who cannot.

Who this is for

Couples, and any relationship structure with more than two people in it. Monogamous, ethically non-monogamous, polyamorous, open, kink-structured, asexual, aromantic, solo, closed polycule, or something you have not found a word for yet.

Partners in mixed-neurotype relationships, where one of you is autistic or ADHD or both and the gap between how you each process the world has been reading as a character problem when it is a wiring difference.

Queer couples, trans and gender-expansive partners, kink-aware and NCSF-informed work, and people whose relationship structure has never been something they could safely describe to a previous therapist.

Partners opening a relationship, closing one, renegotiating terms, or trying to work out whether the structure they have is the structure they actually want.

What this is not

I do not decide which of you is right. Outside of consent violations, criminal acts, and abuse, where the moral framing is correct and I will say so plainly, most conflict between partners is not a moral dispute at all. It is a values mismatch, and framing it morally is what makes it unresolvable. If your partner is the bad person, your only options are to change them or leave. Neither works well. If your values diverge in a specific and nameable way, that is a question with an answer.

Quick takeaways

  • Couples who report no arguments are usually the ones whose disagreements have gone underground.
  • Most of what a couple is fighting about is a story neither of them has checked out loud.
  • The capacity to argue well is the prerequisite for every other shared endeavor, and it can be built.
  • Outside of harm, most conflict is a values mismatch rather than a moral dispute, and that difference is what makes it workable.
  • All relationship structures are welcome here, including the ones you have had to leave out of previous intake forms.

How telehealth couples sessions work

Sessions are conducted via secure, HIPAA-compliant video. Both partners join from wherever they are — same location or different. No commute, no waiting room, no parking. Available to clients in Wisconsin, Illinois, and 11 other licensed states.

Licensed in: WI, IL, NY, TX, FL, AZ, OH, MI, IN, NM, HI, ID, AK

Ready to get started?

Schedule a free 15-minute consultation to see if we're a good fit.