Services · Couples therapy

Couples therapy in Richmond, VA

Couples therapy at Westwood means the two of you in the room with one therapist, who works with the relationship itself rather than taking a side. You bring the argument you keep having, and the work is understanding what drives it and finding something different to do with it at home. Sessions are at our Staples Mill Road office in Richmond, or by video.

Most major insurance plans accepted. Check your coverage →

Supportive care for couples therapy at The Westwood Group in Richmond, VA

A couples session costs the same as an individual one: $175.

The first visit is an intake evaluation at $200. Your portion is due at the time of service, by cash, check, or credit card.

Who it’s for
Couples & partners
Formats
In-person & telehealth
Session fee
$175, intake $200
Insurance
Coverage varies by plan
Who it helps

Is this what you are looking for?

You don’t need a crisis to start, and you don’t have to agree on what the problem is before you come in. People book couples work here for reasons like these.

  • You want a room where the same argument goes differently
  • You’d rather work on the relationship than each go it alone
  • One of you is ready and the other is unsure
  • You want steps to practice between sessions, not only talk
  • You’re rebuilding after a betrayal and want it paced
  • A transition is straining things: a new baby, a move, an aging parent
  • Parenting or blended-family conflict keeps landing on one child
  • You want to start before resentment sets in

You don’t need to check every box. If a few of these feel familiar, get in touch.

How we treat couples therapy

How the work actually goes.

Your clinician shapes this around your goals, your history and your pace. These are the approaches they draw on.

Gottman-method couples work

Structured sessions that slow the argument down, so you can see what sets it off and how to repair afterward. You practice the same steps at home between sessions. Teresa Buczek, PhD, works this way.

Emotionally focused work

Attention to the feeling underneath the conflict, so you can say what you need plainly instead of the version that arrives as criticism or silence. Hank Matthews, LPC is trained in Emotionally Focused Therapy for couples.

One of you in individual therapy too

Couples work and individual work can run at the same time with different clinicians here, which keeps the couples sessions allied with the relationship rather than with one person in it.

Individual sessions alongside

Every clinician here also sees individuals. If one of you wants your own therapy while the couples work continues, we can usually arrange it in the same practice.

What to expect

Here’s what to expect.

  1. Reach out

    Call 804-264-0966 and our front desk will help match you with the right clinician, usually in a single phone call. Check with your insurer separately to confirm that clinician is in network.

  2. Your first session

    A relaxed, conversational meeting about what brings you in, what you’ve tried, and what you’re hoping for. You won’t be judged, and there’s no pressure to have it all figured out.

  3. Ongoing care

    Most clients start weekly, then taper as things improve. You and your clinician set the goals and revisit them together.

Our clinicians

Clinicians who offer couples therapy.

Each of these clinicians offers couples therapy. Browse profiles to find the right fit, or let our front desk help you choose.

See all 14 providers →
Common questions

Couples therapy, answered.

Still have a question? Call 804-264-0966 . Our front desk is glad to help.

What happens in a first couples session?

You come in together, and your therapist asks what brought you in now and how the pattern looks from each side. Nobody is put on trial, and nobody has to tell the whole story on day one. By the end you should have a sense of how the work would go and how often to meet. That first visit is the intake evaluation, $200. To book it, call 804-264-0966 or use the appointment request form.

Do we both have to want therapy for it to work?

It helps, but it is common for one partner to be more hesitant. A first session often eases that, and even one motivated partner can shift the pattern.

Will the therapist take sides?

No. A couples therapist here is allied with the relationship, and the aim is that each of you leaves feeling understood rather than judged.

Do you see families with children and teens?

Yes, though that is family therapy rather than couples therapy and it has its own page. Two of our clinicians see parents and children together. If what you want is the two of you and the relationship between you, this is the right page.

What does couples therapy cost, and how is it billed?

A couples session is $175 and the first intake evaluation is $200, due at the time of service. Billing is worth settling before you start: couples work usually runs through one partner’s insurance with that partner named as the client, and plans differ in how they cover it. Talk it through with your clinician at the first appointment, and call the member services number on your card to ask whether the clinician you want is in network. We do not check benefits for you.

Can our couples therapist also be one of our individual therapists?

Generally no, and that is on purpose. If the couples sessions are billed under one partner’s plan with that partner as the client, the clinician doing that work will not also be that person’s individual therapist. It keeps the couples work on the side of the relationship. If one of you wants individual therapy alongside, we have fourteen clinicians and can usually arrange it here.

Ready to talk to someone?

We’re accepting new clients now. Reach out today and we’ll help you take the first step, usually within a week or two.

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