Question 1

What are the session options and pricing?

Accepted Answer

Sessions are 90 minutes and cost $750. The longer format gives us enough time to get into what is happening and to work with it before we stop, because a 50-minute hour often ends right as you reach the conversation you have been avoiding. The practice is private pay, and I can give you a superbill for out-of-network reimbursement.

Question 2

Do you accept insurance?

Accepted Answer

The practice is private pay, and I do not accept insurance. I can provide a superbill for potential out-of-network reimbursement. If you have questions about an HSA, an FSA, or what your plan will reimburse, check with your plan administrator.

Question 3

Are all sessions virtual?

Accepted Answer

Yes. All regular sessions are virtual, on secure video, which gives you privacy and removes the commute from an already full week. I also offer in-home weekend intensives for couples who want concentrated time in a place they choose, in a state where I am licensed. Regular sessions stay on Zoom.

Question 4

What states are you licensed in?

Accepted Answer

I am licensed in Massachusetts, Connecticut, New Hampshire and Rhode Island, and you need to be physically located in one of those states during the session. All regular sessions are virtual, so where you live inside those states does not determine whether we can meet.

Question 5

Our schedules are unconventional. Can you accommodate?

Accepted Answer

Yes. A smaller caseload is what makes flexibility possible, including evening appointments, weekend sessions, and priority scheduling when something urgent comes up between appointments. Travel, shift work, and demanding careers are ordinary here. If you or your partner are in crisis or unsafe, call or text 988, or call 911.

Question 6

Do you offer weekend sessions?

Accepted Answer

Yes. I offer weekend intensives in addition to regular 90-minute sessions on Zoom. An intensive is concentrated, uninterrupted time in your home, or another place you choose, in a state where I am licensed, and it can help when you need momentum, when you are apart during the week, or when you want to begin before moving into regular sessions. For a betrayal or a long-standing resentment, it is a starting point, and ongoing sessions usually follow. Length and fee are in a written proposal after the consultation.

Question 7

How does the consultation work, and are we committing to therapy?

Accepted Answer

The consultation is a reserved 30-minute appointment and costs $100, because I keep a limited caseload. The fee is applied toward your first session if we proceed, and if I determine that I am not the right fit, I refund it. You will tell me what is happening, I will tell you what I see, and we both decide whether working together makes sense. Booking the consultation does not commit you to therapy.

Question 8

What happens in the first session?

Accepted Answer

The first session begins the assessment. I will ask what brought you to therapy now, your relationship history, the patterns you have noticed, what you have already tried, and what you hope will change, and then I will tell you what I see so we can decide where the work needs to focus. After that session together, I meet individually with each of you. Those hours are for understanding the relationship, and I am not there to take a side.

Question 9

What if only one of us wants to do therapy?

Accepted Answer

You do not have to be equally enthusiastic, and it is common for one partner to be ready before the other. Both of you do need to be willing to participate, because this practice is relationship work and the individual assessment sessions are part of it. Sometimes the partner who was unsure becomes more invested once they experience how the work actually happens.

Question 10

Why do you start with weekly sessions?

Accepted Answer

We generally start weekly, because a pattern that has been building for years does not move if we only check in occasionally and spend the session catching up. As what you do at home becomes more consistent, we space the sessions out, and we will talk about ending when you can handle a difficult moment without me in the room. How long that takes depends on the work you do between sessions.

Question 11

How long does therapy typically last?

Accepted Answer

There is no honest answer I can give everyone before meeting them. What brings you in matters, and so does what you are willing to do between sessions. Longer sessions mean more gets done each time we meet, we will talk openly about whether the work is helping, and some couples return later for maintenance.

Question 12

What will be expected of us?

Accepted Answer

I expect honest participation in the session and real follow-through at home. I will ask each of you to look at your own contribution to the pattern, which can feel uncomfortable, and I will still ask, because if all your attention stays on what your partner must change, you leave your ability to feel better entirely in their hands. When the conversation starts circling, I will stop it. I will want to know what you did the next time it happened at home.

Question 13

How do you safeguard our privacy and confidentiality?

Accepted Answer

What we discuss stays confidential, except where the law requires disclosure: risk of harm to yourself or someone else, child abuse, or a court order. Sessions use a HIPAA-compliant, encrypted video platform, there is no waiting room, and you will not run into a neighbor in a lobby. I am not part of your everyday world, so we are unlikely to cross paths at a school event or a business dinner, and we do not share social or professional circles.

Question 14

We're content in our relationship but want to strengthen it. Can you help?

Accepted Answer

Yes. You do not have to wait until you are wondering whether the relationship will survive. If you still like each other and want to protect what is already working, maintenance therapy is for that: we look at what is starting to slip, and we space the sessions as you go. Addressing something while you still like each other is a perfectly reasonable decision. I wish more couples made it.

Question 15

Why choose your practice over another therapist?

Accepted Answer

I only work with couples, sessions are 90 minutes, and the caseload is intentionally small so I can know you and offer more availability between appointments. I am trained in Emotionally Focused Therapy, the Gottman Method at Level 3, Relational Life Therapy, and sex therapy, and I am a Certified Neurodiverse Couples Therapist (AANE). The practice is fully virtual, and I am licensed in Massachusetts, Connecticut, New Hampshire and Rhode Island. LGBTQ+ couples, and couples who are polyamorous or consensually nonmonogamous, are welcome, and you do not need to be married. If you want a 50-minute session at a lower fee, other therapists do solid work in that format. If you want a couples specialist with enough time to get into what is actually happening, that is this practice.

Question 16

Do you work with couples after infidelity or an affair?

Accepted Answer

Yes. Affair recovery is a core part of this practice. We begin by steadying things after discovery, with safety, ground rules, and full responsibility from the person who had the affair, without minimizing and without shifting the blame. Then we look at what was happening in the relationship, while the choice to have the affair stays with the person who made it, and then we look at whether to rebuild and how. Some couples build something stronger than they had before. Some separate with clarity. I do not guarantee that the marriage continues. These conversations rarely reach a natural stopping point in 50 minutes, and ending one mid-thread does real damage, which is why the sessions are 90 minutes.

Question 17

Do you offer marriage counseling in Massachusetts?

Accepted Answer

Yes. I am licensed in Massachusetts, Connecticut, New Hampshire and Rhode Island, and I work with couples anywhere in Massachusetts, including Boston, Cambridge, Somerville, Brookline, Newton, Lexington, Concord, and Wellesley. All regular sessions are virtual, so where you live in Massachusetts does not limit access. You need to be physically located in the state during the session.

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Pricing & Sessions