Couples Therapy
Support for partners who want to interrupt repeating patterns, repair more effectively, and feel more connected. In person in Issaquah. Telehealth across Washington, Utah, and Nevada.
What couples therapy can help with
Couples therapy focuses on what happens between you, not just who is right about the latest argument.
We slow the cycle down, understand what each person does when things get hard, and practice different responses.
Who it is for
- Partners who keep having the same conflict
- Couples facing an important decision or transition
- Partners experiencing distance, shutdown, or loss of connection
- Couples repairing trust after a rupture
- Partners who want to strengthen a relationship before something becomes a crisis
Common concerns
The same fight keeps returning
The subject may change, but the pattern does not.
Distance or shutdown
One or both partners pull away, go quiet, or become difficult to reach.
Decision pressure
An important choice needs more structure than another conversation at home.
Repair after a rupture
Trust or connection has been damaged and needs deliberate work.
How Anastasia works
The work is structured, collaborative, and practical. Sessions may include mapping the pattern, learning a useful concept, practicing a different response, and choosing what to try between sessions.
Availability
In-person sessions are available in Issaquah.
Telehealth is available across Washington, Utah, and Nevada.
When an Intensive may fit
A two-day Intensive may fit when weekly sessions feel too short or too spread out for the issue you are trying to address.
Common questions
What kinds of concerns fit couples therapy?›
Communication, conflict, trust, connection, difficult decisions, transitions, and repeating relationship patterns are all common reasons to come in.
What if we have tried couples therapy before?›
Previous therapy can help us understand what you have already tried and where you still feel stuck. We can discuss whether a different approach would be useful.
When might an Intensive fit better?›
When you want concentrated time for a specific issue rather than working in 55-minute sessions over a longer period.
Ready to talk?
A free 20-minute consult can help you decide whether couples therapy or an Intensive fits better.
Related
If you are still orienting, these pages give more context.
Sex Therapy
Read the companion page when sex and intimacy are part of the picture.
Intensive
See the two-day Intensive if you want a more concentrated format.
Couples Intensive
Explore intensive work for couples when weekly therapy feels too slow.
Intensive After Infidelity
Concentrated support for rebuilding trust and clarity after betrayal.
All Therapy Services
See individual therapy, pre-commitment therapy, and links to every other service.