Couples Therapy in Cambridge, Massachusetts

Couples therapy is $350 per 60-minute session and is private pay. Individual therapy is $300 per 60-minute session; select insurance plans may be available with limited openings. I can provide a superbill for possible out-of-network reimbursement, but coverage depends on your plan and is not guaranteed. See the rates page for current fees and insurance details.

AtReef Therapy is based in Cambridge, Massachusetts, and sessions take place by secure video, not in person. You can join from a private space anywhere in Massachusetts, provided you are physically in the state during your session. For couples, that applies to both partners. If you live elsewhere or expect to travel, discuss your location with me before booking so we can clarify what is possible.

Sessions are 60 minutes. Most couples begin weekly so there is enough continuity to understand and change recurring patterns. We discuss a frequency that fits your concerns and goals, then review it as the work develops rather than treating it as a fixed commitment.

The free 30-minute video consultation is a conversation about what brings you here, what you want to change, and whether my approach feels like a fit. There is no obligation to continue. If we decide to work together, the first therapy session focuses on your history, what you have already tried, and the goals we will work toward.

Sessions take place through a secure video platform. Join from a private space where you can speak without being overheard. Confidentiality has legal and ethical limits, including certain safety concerns and disclosures required by law; these are explained in the intake documents. Couples can also ask how information shared individually is handled before therapy begins.

I work with adults and couples who may be functioning well professionally while feeling stuck in anxiety, burnout, perfectionism, emotional distance, or recurring relationship patterns. Couples work may also address betrayal, intimacy, and major relationship decisions. You do not have to be in crisis to begin; therapy can also focus on self-understanding, personal growth, and changing patterns that insight alone has not shifted.

Previous therapy can help us identify what you need now, including what helped, what felt missing, and what did not change. My approach is active, relational, and depth-oriented. I draw from methods such as CBT, DBT, and Gottman-informed couples work as appropriate, connecting insight with changes in how you respond, relate, and make decisions. We can discuss whether that approach fits your needs during the consultation.

I do not approach couples therapy by choosing a winner. I work to understand both partners while naming behavior clearly and challenging either of you when needed. The focus is the pattern between you, not proving one person right. That does not mean treating all behavior as equivalent: coercion, intimidation, or safety concerns need to be addressed directly. Safety takes priority over joint work.

Both partners need to be willing to participate in couples therapy, but you do not have to arrive with the same level of certainty. A consultation can make room for each person's concerns. If one of you is unsure about staying together, say so; it changes the focus of the conversation. If your partner does not want to participate, individual therapy may be a more appropriate place to begin.

We look for changes outside the session, not just useful conversations during it. Depending on your goals, that might mean less escalation, more effective repair, clearer boundaries, reduced anxiety, or different decisions under pressure. We review what is changing and what remains stuck so the work can be adjusted. If therapy is not helping, we discuss what needs to change. There is no fixed number of sessions or guaranteed outcome.