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Couples Therapy
Holding Hands in the Sunshine

We assist couples with a variety of relationship concerns, including:

  • Communication issues

  • Conflict resolution skills

  • Contemplating separation

  • Co-parenting

  • Emotional expression

  • Infidelity

  • Intimacy

  • Parenting

  • Partners' trauma history

  • Sharing household responsibilities

Carnival Couple rubbing noses

What You Can Expect:

  • INITIAL CONTACT: After you request services, we will respond to you via phone or email. If we have availability, we will send you an initial list of questions, such as what you are hoping to work on in therapy. When you are referred to a therapist within the group, this is a great time for you to ask any initial questions you have about the process.

  • PAPERWORK: If you are becoming a client, your therapist will send you intake paperwork before you start your first session. Please review all paperwork carefully and let your therapist know if you have any questions. Both partners will need to complete paperwork.

  • VIDEO PLATFORM: Your therapist will send you a link so that you can easily access their video platform for sessions. Our clients are consistently reporting that video sessions are either as good or almost as good as in-person sessions.

  • ASSESSMENT: Your first 1-3 sessions with your couples therapist will be for assessment purposes. As part of an ongoing assessment process, your therapist will inquire about both partners' family history. Inevitably, the family that we grew up with influences us in adulthood. By examining family history, your therapist may assist in identifying patterns and cycles within your family history. Often times, both partners' family history collides in their relationship. This can result in developing beautiful traditions, complementary styles, etc, but can also result in miscommunication, struggles with power dynamic, and more.

  • GOALS: Your therapist will develop a treatment plan which outlines several of your primary goals in couples therapy.

  • AT YOUR OWN PACE: Couples therapy can go at your pace! If there is something you are hesitant to talk about, you can rest assured that any disclosure of personal information can happen on your timeline, if/when the time feels right to both of you. 

  • TAILORED APPROACH: The therapeutic approach is always individually tailored to each couple, allowing the therapist to weave together different therapeutic models to best assist you in your path.

  • DEVELOPING INSIGHT: Your therapist will ask questions to help them get a better understanding of both partners' perspectives and life experiences. They will use this information to identify patterns, stressors, support systems, and coping strategies. This has the potential to bring great insight into the current emotional state and behavior.

  • HOMEWORK: Your therapist may assign "homework" between sessions so that therapeutic work is not restricted to the therapy hour, allowing greater room for personal and relationship growth.

Couple with Mobile Phone

Our Approaches:

  • Acceptance and Commitment Therapy

  • Cognitive Behavioral Therapy (CBT)

  • Compassion Focused Therapy

  • Collaborative Approach

  • Family Systems

  • Mindfulness-Based Cognitive Therapy (MBCT)

  • Motivational Interviewing (scroll down for details)

  • Person-Centered Therapy

Therapists that Offer Couples Therapy:

Allison Carey LMFT Therapist Keene NH counselor telehealth video

To request a session with any of the above therapists please fill out and submit our contact form​.



  • How long are sessions?

    • A standard couples session is 55 minutes​

  • How often do we go to sessions?

    • Weekly sessions are recommended at the start of couples treatment, then frequency may decrease over time as progress is made. If you are unable to attend therapy weekly due to financial or logistical reasons, then bi-weekly therapy is possible, however please do note that this can impact how quickly you make progress on your goals.​

  • How much do sessions cost?

    • A standard couples session is $250.​

  • Will insurance cover the cost of my sessions?

    • Couples therapy at Mindful Balance is not covered by insurance benefits. If you have questions about this, please contact us.

  • Should I go to individual therapy or couples therapy if I am experiencing relationship issues?

    • Individual therapy is appropriate if you are experiencing domestic violence, do not want to continue in your relationship, your partner has a significant substance use issue, if you want to individually explore your relationship issues, your partner is not willing to attend therapy, or you are questioning if you'd like to continue in your relationship. Couples therapy is appropriate if both partners are committed to change and personal growth, even if to a mild degree, and both are receptive to engaging in ongoing couples therapy.​ If you are questioning which service is right for you, it is often helpful to start with individual therapy and your therapist can help to assess if couples therapy is indicated.

  • What if I and/or my partner are struggling with substance use?

    • Substance abuse treatment typically focuses on the individual working toward recovery.  However, sometimes the integration of couples or family therapy into substance abuse treatment is indicated.  Each couple or family is a system.  It has been shown that when one part of the system changes (e.g. a family member enters recovery), change presents in other parts as well and sometimes the changes are not anticipated or what we expected.  It can be confusing and indicative of the family system needing its own treatment focus to aid in the overall family functioning.  Some goals may address the transformation from maladaptive communication patterns that previously existed to improving family members intimacy, relations, or boundaries;  to help the family adapt as a unit to the changes taking place in efforts of helping maintain a sober serene lifestyle for one or all members; or to address other unique specific needs. ​

  • Are you LGBTQ+ friendly?

    • Yes​! We are proud to create a safe space for all clients who work with us. 

Gay Couple with their Daughter
Gay Couple Eating Popsicles
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