• Relational Issues
  • Communication Problems
  • Blended Families
  • Parenting Problems
  • Premarital Counseling
  • Divorce & Co-Parenting

To borrow from Dickens, “It was the best of times. It was the worst of times.” Most relationships start out with the “best of times,” and somewhere along the way, many couples run into some of the “worst of times.”

Couples TherapyWe specialize in working with couples during the worst of times – those stuck places, dark times, and miserable patches. The goals are to relieve psychological suffering, create conditions for healing and reconnection, move you both toward a more comfortable way of being together, and to find the way ahead.

Couples Therapy is done with my partner, Hope Panara, MA, LPA, as a Co-Therapist. Together, both of us work with you as a couple to resolve problems using a depth psychological model that aims to get below the surface of the problems.

Dialogue Therapy 

Our model for couples therapy is called Dialogue Therapy, and was developed by Polly Young-Eisendrath and Ed Epstein. Our Couples Therapy can offer you both deep insight into the root causes of your issues, and can open up the possibility for a new acceptance of your partner and yourself. You will learn ways to have more intimate conversations. After the emotional landscape of harmful patterns is clarified, you will learn skills for recognizing and avoiding re-wounding while encouraging renewed connections. Combining psychoanalytic methods with aspects of psychodrama and mindfulness, Dialogue Therapy is a unique approach to healing chronic relationship problems and not simply papering over them.

Dialogue Therapy, even from the first session, requires you both to speak with each other and develop skills that do not depend on the therapist. There is a special opportunity for each of you to explore your relationship together as well as to develop individually.

How it Works

Our work with you is time limited with the goal of meeting for seven sessions as outlined below. Dialogue Therapy is done with Co-Therapists. The first session is three hours, and all other sessions are two hours in length. While the session times are longer, we believe this allows you to work deeply to get at the heart of the issues. Sessions are typically scheduled once a month for 6 months, with a follow-up six months after that.

Session #1 – Introduction, Evaluation, Relational History (3 hours)
Session #2 – First Session of Dialogue Therapy: Working on a Conflict (2 hours)
Session #3 – Second Session of Dialogue Therapy: Practicing Skills (2 hours)
Session #4 – Building Empathy for Your Partner and Yourself (2 hours)
Session #5 – Using the Skills of Dialogue Therapy and Empathy to Repair Trust (2 hours)
Session #6 – Final Session: Refining Your Skills (2 hours)
Session #7 – Follow-up: Six months later (2 hours)


Health insurance providers will not reimburse for Couples Therapy using this co-therapist model. While an added expense on the front end, couples find that the use of co-therapists and extended session times are beneficial for working through their long-standing difficulties in a more thorough manner. Meeting monthly and limiting the work to only seven sessions keeps overall costs in line. The fee for Couples Therapy is not reimbursable by insurance providers.


Session #1  (3 hours)  –  $420
Session #2 – 7 (2 hours) – $280 per session