This might be for you if you notice
- The same argument keeps coming back, whatever the topic
- You talk about schedules and chores, and not much else
- Trust has been shaken and you both want to rebuild it
- A big change, like a baby, a move or a new job, has pulled you apart
- You are doing fine and want to stay close as life gets busier
- You are unsure about the future and want to decide with care
What couples counseling is and when it can help
Couples counseling is a form of talk therapy for romantic partners. It helps partners work through conflict and improve how they communicate, with a therapist guiding the conversation so both people get heard.
No relationship is problem-free, however loving it is. Asking for help is a practical step that caring couples take, and you do not need to be in a crisis to take it. Relationships can thrive when both partners learn to communicate and compromise.
Couples come to us married, dating, engaged, living together or co-parenting. Whatever your relationship looks like, you are welcome here.
How couples therapy works
Your therapist does not pick a winner. Their job is to slow things down, help each of you say what you mean, and help the other person hear it. Couples therapy puts the focus on open expression and constructive dialogue, so hard topics become easier to raise.
Therapists on our team draw on approaches such as attachment-focused therapy, solution-focused therapy and cognitive behavioral therapy (CBT). Not every therapist uses every approach, and yours will explain how they work. Together you might look at:
- The pattern your disagreements tend to follow, and where it can be interrupted
- Ways to raise a concern without blame, and to listen without getting defensive
- Rebuilding trust and closeness after a hurt
- Shared decisions about money, parenting, family and time
- Small things to try between sessions, so progress carries into daily life
What online couples sessions look like
Every session is a secure video session. There is no office to visit, which means no travel and no sitting in a waiting room. Virtual visits can be easier to fit around work and children, and some people find them less intimidating than walking into an office.
Most couples sit together on one screen. If you would be joining from two places, ask us when you book, since each of you must be physically located in Pennsylvania, West Virginia or Arizona during the session.
Setting up for a good video session
- Pick a private room where no one can overhear you
- Use a laptop or tablet so you can both be seen and heard
- Check your internet connection and sound before you start
- Give yourselves a few quiet minutes together afterward
Getting started
- Book a free consultationChoose a time at book online or call 267-573-9817. The free 15-minute consultation is a chance to say what is going on and ask questions.
- Get matched with a therapistWe match you with a therapist who works with couples and is licensed in your state. You can read about our clinicians on the team page.
- Check your coverageCoverage for couples counseling depends on your plan and your state. See insurance and fees or ask us to verify your benefits. Self-pay is available.
- Meet by videoYour first sessions are about getting to know you both and agreeing on what you want to change. Evening and weekend appointments are available with some therapists.
A hopeful place to begin
Choosing counseling is a sign that the relationship matters to you. Many couples find that simply having a set time and a steady guide makes hard conversations feel possible again.
Sometimes one partner is also carrying something of their own, such as anxiety or depression. Individual therapy can sit alongside couples work, and we can help you think about what fits.
If you ever feel unsafe with your partner, please tell us privately. Your safety comes first. If you or your partner are in crisis, call or text 988 or call 911: Locascio Wellness does not provide emergency services. More options are on our crisis resources page.
Therapists for couples therapy
These therapists describe related experience in their own profiles. We will help you find the best fit and confirm who is licensed in your state.
Questions people ask
How does online couples counseling work?
You and your partner meet with a licensed therapist by secure video, usually sitting together on one device in a private room. The therapist guides the conversation, helps each of you feel heard and suggests things to practice between sessions. You need an internet connection and a phone, tablet or computer with a camera. There is no office to travel to.
Does insurance cover couples counseling?
It depends on your plan and your state. We are in-network with several major insurers and with Medicare, and self-pay is available, but plans treat couples counseling differently. The simplest step is to ask us to verify your benefits before your first session, so you know what to expect. We do not accept Medicaid.
What if my partner does not want to come?
This is common, and it does not mean you are stuck. You can start on your own. A therapist can teach you coping and communication skills and help you think through the relationship, and that work often changes how conversations go at home. Your partner is welcome to join later if they become open to it.
Do we have to be married, or close to breaking up?
No to both. We work with couples who are dating, engaged, married, living together or raising children together. Some come during a rough stretch. Others come because things are fairly good and they want to keep them that way, or because a big change is coming and they want to face it as a team.
Will the therapist take sides?
No. Your therapist is there for the relationship, not for one partner against the other. Their role is to help both of you speak openly and listen well, and to point out patterns that keep you stuck. If something feels one-sided in a session, say so. A good therapist will want to hear it.
Can we do couples counseling if we live in different states?
Each person must be physically located in Pennsylvania, West Virginia or Arizona during a session, and your therapist must be licensed where you are. If you and your partner are in two different places, tell us when you book and we will let you know what is possible for your situation.
Sources
Published by Locascio Wellness. Last updated October 9, 2026. Clinically reviewed by Anthony Locascio, PsyD, LPC. This page is general information, not medical advice or a diagnosis.