Do you take insurance?

No. I’ve chosen not to accept insurance so I can offer a space that protects your privacy and centers your needs — not a diagnosis, treatment, or limits session frequency. I am then also not required to share any information about our sessions your insurance company.

By not billing through insurance, we are free to work at your pace, focus on what matters to you — without needing to “fit” into a medical model. If your plan includes out-of-network benefits, I can provide a superbill to support reimbursement.

Are you currently taking new clients?

Yes.

Are sessions in person or virtual?

I offer both.

Currently, in person session availability is limited. In person sessions are held in an office in Beachwood, unless scheduled as a concierge session.

Sessions offered virtually, allow couples to participate from shared or separate locations.

Is couples counseling only for relationships in crisis?

No. Many couples seek counseling during periods of transition, stagnation, or uncertainty — not only during crisis. Some come in feeling disconnected, others navigating a specific challenge, and some simply wanting greater clarity about what is happening between them. You do not need to be at a breaking point to begin this work. The earlier a couple seeks counseling is generally in the best interest of both parties and the relationship.

Do both partners need to want counseling for it to be helpful?

Ideally, both partners are open to the process, but openness can look different for each person. It is common for one partner to feel more ready than the other, and pursue finding a therapist. Counseling can still be productive when there is a willingness to show up, reflect, and engage thoughtfully, even if motivation or certainty differs at first.

What happens in couples counseling sessions?

Sessions offer a structured, supportive space to slow conversations down and explore patterns that have developed over time. The work focuses on understanding, communication, and meaning-making rather than blame or quick fixes. The pace and focus are guided by your goals and what feels most relevant to your relationship.

Do you take sides?

No. Couples counseling is not about determining who is “right.” My role is to help both partners feel heard and understood, and to support thoughtful exploration of the relationship dynamics that have unfolded.

Do you work with same-sex or non-married couples?

Yes. River Couples welcomes couples of all sexual orientations, gender identities and relationship structures. Counseling focuses on the relationship and what partners want to understand or work through together.

What issues do couples bring to counseling?

Couples seek support for many reasons, including communication breakdowns, recurring conflict, life transitions, financial-related stress, deciding family size, division of household and care giving responsibilities, loss, shifts in connection and/or intimacy, or uncertainty about what comes next. There is no “right” reason to seek counseling — only the recognition that the relationship matters.

How long does couples counseling last?

There is no set timeline. Some couples come for short-term support around a specific concern, while others engage in longer-term work. Some will come as their schedule allows to talk about what they feel like is not conveyed and understood well while outside of a counseling session. We will periodically reflect on what feels helpful and reassess goals as the work continues.

Why the name - River Couples?

The name reflects the belief that relationships, like rivers, are shaped over time — by shared and individual experiences and history, changing conditions, and moments of movement or pause. River Couples represents a steady space to reflect on where a relationship has been, where it is now, and how partners want to move forward together. The name also recognizes people and relationships change over time, they do not stay the same even if the surface looks still and the same.

How do we get started?

You are welcome to reach out with questions or to explore whether couples counseling may be a good fit. Beginning with curiosity — rather than certainty — is often enough. You can fill out the information on the CONTACT US form, or email me directly at hello@rivercouples.com