Couples Therapy & Marriage Counseling in NYC
You keep having the same fight on repeat. Couples therapy, also called couples counseling, is structured clinical work with both partners together that targets the patterns driving recurring conflict and builds the skills to change them. At our Manhattan practice, the clinician can also treat the anxiety, ADHD, or depression underneath.
- In-person · Manhattan
- Telehealth · New York
Start with an assessment
Short, private check-ins that help you put words to what you're noticing before your first conversation.
Child ADHD
A check on a child's focus, follow-through, and emotional reactions.
Adult ADHD
A check on focus, organization, and follow-through in adults.
Anxiety
A check on worry, tension, and how much they shape your days.
Depression
A check on mood, energy, and interest in everyday life.
Our clinicians are affiliated with
What is Couples Therapy
Couples therapy is structured clinical work with two partners in the room together, focused on the recurring patterns running the relationship: communication, conflict, intimacy, trust, and the histories each partner brings. It's for any two partners, married or not, same-sex, opposite-sex, or non-monogamous, who want to understand and change what's happening between them. Marriage counseling describes a narrower, decision-focused version of the same work, often for a married couple at a specific inflection point. Both are offered here.
The short version
- Couples therapy is broader and pattern-focused; marriage counseling is usually narrower and decision-focused. Both are offered here.
- The work uses evidence-based relational approaches, including emotionally focused therapy and the Gottman method.
- When one partner’s anxiety, ADHD, depression, or trauma is shaping the dynamic, the practice can evaluate and treat it or coordinate individual care alongside the joint work.
- LGBTQ-affirming couples work is standard here, not a separate track.
- Available in person at our Manhattan office, or by telehealth anywhere in New York State.
You're likely a good fit
You're likely a good fit if several of these feel familiar:
- You've had the same fight three different ways this month, and the surface topic changes while the undercurrent doesn't.
- One of you feels unheard; the other feels criticized, and neither can find the exit.
- A breach of trust, an affair, or a major life event shifted something you can't shift back.
- You're at a decision point and need clarity on whether to rebuild or part well.
- One partner's anxiety, ADHD, depression, or trauma keeps surfacing in the conflict.
- You want a clinician who won't make you explain the basics before you reach the actual issue.
The evidence behind couples therapy
move from distress to recovery with emotionally focused therapy in controlled trials (Johnson et al., Clinical Psychology: Science and Practice, 1999)
are well-supported, including emotionally focused, behavioral, and integrative behavioral couples therapy (Roddy et al., Journal of Consulting and Clinical Psychology, 2020)
across follow-up in meta-analysis of couple therapy outcomes (Roddy et al., Journal of Consulting and Clinical Psychology, 2020)
How Couples Therapy Works and What to Expect
Couples therapy follows a clear arc, and it starts before anyone sits down together.
The Sigmund Assessment covers each partner separately
Keeping them separate lets each of you be honest without managing the other's reaction in the room. Your clinician reads both before the first joint session, so that session goes straight to the pattern instead of basic history.
Joint sessions, typically weekly or biweekly
The early sessions map the pattern: what triggers it, what each partner does in response, what it costs, and what you've already tried. Later sessions build and test new skills, including communication frameworks, regulation tools, and conflict-repair work.
Individual or medication support, when it helps
If one partner's anxiety, ADHD, depression, or trauma is contributing, your clinician can evaluate and address it as part of the plan or coordinate individual care alongside the joint work. That's an open conversation, not a decision made behind the scenes.
Measurement-based progress
Like all care here, couples work tracks specific indicators on a regular cadence, so a shift shows up in the data and you can tell whether the plan needs to adjust.
The approaches draw on evidence-based relational models, primarily emotionally focused therapy and the Gottman method, alongside cognitive behavioral therapy (CBT) for thought and behavior patterns and DBT skills for emotion regulation in high-conflict moments. Sessions run 30 to 90 minutes, and couples sessions often run longer.
Couples Therapy at Integrative Psych
Couples work here is delivered by board-certified clinicians who also evaluate and treat individual mental-health conditions. That's the difference. A lot of what shows up in the room isn't purely relational: one partner's anxiety is driving the reactivity, ADHD is driving the "you never follow through," or depression is driving the withdrawal. When an individual condition is part of the picture, your clinician can treat it or arrange medication management and individual care as one coordinated plan, rather than leaving you to assemble it yourself.
That coordination starts with the Sigmund Assessment for each partner, which your clinician reviews before the first joint appointment, so your clinician arrives already understanding both cases. We then match you on clinical fit, approach, and communication style. The practice houses clinicians affiliated with the National Institutes of Health, Columbia University, and New York-Presbyterian Hospital, and you can explore the research if you want to look deeper. Care is available in person at our Manhattan office and by telehealth anywhere in New York State.
Clinicians who provide couples therapy
Board-certified psychiatrists and psychiatric nurse practitioners. The practice houses clinicians affiliated with NIH, Columbia, and New York-Presbyterian.
What Patients Say
Insurance and Billing
Integrative Psych is an out-of-network practice. You pay at the time of service and receive a monthly superbill to submit to your insurer for potential out-of-network reimbursement. Many PPO plans reimburse a portion, and your insurer is the best source for what your specific plan covers. To check yours, call the number on your card and ask about out-of-network reimbursement for outpatient couples and family psychotherapy.
Billing, simply
- Out-of-network; you pay at the time of service.
- Monthly superbill provided for reimbursement.
- Many PPO plans reimburse a portion of out-of-network care.
- Call the number on your card to confirm your benefits.
Frequently Asked Questions
What is the difference between couples therapy and marriage counseling?
Couples therapy is the broader category, covering the patterns running any relationship, married or not. Marriage counseling is typically narrower and decision-focused, used by married couples at an inflection point: whether to stay, repair after a breach, or part well. The skills overlap; the emphasis differs. Your clinician helps you clarify which frame fits.
How do I know if couples therapy is right for us?
It's a strong fit if you keep landing in the same conflict, if a breach of trust or a major life event shifted something between you, or if you're at a decision point and need clarity. It's especially useful when one partner's anxiety, ADHD, depression, or trauma is shaping the dynamic, because your clinician can address that within the plan.
How long does couples therapy typically take?
Most couples notice early shifts in the pattern they came in with within 6 to 10 weeks of regular sessions. Full length varies with complexity. Decision-focused marriage counseling often runs 8 to 16 sessions; open-ended work on longer-standing patterns can run several months. Your clinician gives you a realistic arc after the evaluation.
Do you offer LGBTQ-affirming couples therapy?
Yes, and it's standard across the practice, not a separate track. Several clinicians list LGBTQ-affirming care among their primary specializations and see same-sex, queer, trans, and nonbinary partners, and non-monogamous configurations regularly. External stressors like family rejection or discrimination are treated as real clinical context, and session time goes to your relationship, not to educating the clinician.
Can couples therapy help if only one partner attends?
Sometimes, though, it's different work. With one partner, it becomes individual therapy focused on that person's relational patterns and responses. Real couples work needs both partners present, but individual work can genuinely shift a dynamic and clarify what the attending partner wants. If that's your situation, raise it during your first appointment.
What evidence-based approaches do you use?
The work draws primarily on emotionally focused therapy and the Gottman method, with cognitive behavioral therapy (CBT) for thought and behavior patterns and DBT skills for emotion regulation in high-conflict moments. When an individual condition like anxiety, ADHD, or depression is contributing, it's evaluated and addressed as part of the same plan.
Where can I find couples therapy near me in NYC?
Our office is at 80 8th Ave in Manhattan, where we offer couples work in person. Telehealth anywhere in New York State works well when both partners are in the same room on one screen, and your clinician can advise which format fits your situation.
Start Here
Relationships are repairable and patterns are changeable, and the right clinician can name what's actually happening faster than you can work it out alone. We'll map the pattern, address any mental-health factors driving it, and tell you honestly whether this practice fits what you're navigating. Appointments are in person at our Manhattan office or by telehealth anywhere in New York State.