Every session is different, but the general rhythm is the same — we slow things down, look at what's happening between you and your partner beneath the surface, and work on shifting the patterns that keep you stuck. It's not homework and communication tips. It's real, in-the-moment work that you'll feel, not just think about.

The first session is about getting the lay of the land. I want to hear what's going on, what's brought you in, and what you're hoping for. There's no pressure to dive into the deep end right away — we'll move at a pace that feels right. My main goal in session one is for you to leave feeling heard and like this could actually help.

This is more common than you think — and it doesn't mean therapy can't happen. Sometimes starting on your own is the best first step. As you begin to shift how you show up in the relationship, your partner often notices. That said, I find that couples therapy is most effective when both partners are engaged, so I'm always happy to have a conversation about how to approach the topic with them.

Both can help — but they do different things. Individual therapy gives you space to explore your own patterns, history, and emotional responses. Couples therapy puts the relationship itself on the table and works with what's happening between you in real time. For a lot of the couples I see, the most powerful work happens when both partners are in the room and we can slow down the cycle together.

It depends on what you're working through. Many couples start feeling real relief within 8–12 sessions — the fights get shorter, the air clears faster. Significant, lasting improvement typically takes longer — often 12–20 sessions over 4–6 months — especially for couples working through betrayal, deep-rooted family patterns, or years of disconnection. I'd rather be honest about that arc than promise a quick fix that doesn't stick.

Yes — with very few exceptions required by law, everything you share in session stays in session. Confidentiality is the foundation of this work, and I take it seriously. In couples therapy, I'll walk you through my specific confidentiality policies in our first session so both partners feel clear and safe from the start.

Both. Some couples prefer being in the room together, and others find that telehealth fits their schedule and comfort level better. We'll figure out what works best for you.

I'm based in Rocky River, Ohio — right in the Downtown River district — and see clients both in-person and via telehealth. Rocky River is a Cleveland suburb just west of the city, which is why you'll see me describe myself as a Cleveland-area therapist. My office address is 20006 Detroit Road, Suite 307, Rocky River, OH 44116. Telehealth sessions are available to anyone located in the state of Ohio — so whether you're in Cleveland, Columbus, Cincinnati, or anywhere in between, we can work together.

Individual sessions are $170, and couples sessions are $190. Double and family sessions run longer and are priced accordingly. EFT Intensives are priced separately based on length — you can find those details on the Intensives page. I'm happy to discuss fees on your first call.

I'm an out-of-network provider, which means I don't bill insurance directly. However, I can provide a superbill — a detailed receipt you can submit to your insurance company for potential reimbursement through your out-of-network benefits. I'd encourage you to call your insurance company ahead of time to ask about your out-of-network coverage for outpatient mental health services.

Under the No Surprises Act, you have the right to receive a Good Faith Estimate of expected charges before starting therapy. I'll provide this to you in writing before your first session so there are no surprises about cost. If you have questions about this, just ask — I'm happy to walk you through it.