Couple therapy

Strengthening Your Partner Relationship

Compassionate Couple Therapy in El Dorado Hills

Couple therapy at Every Heart Dreams Counseling helps couples navigate relational patterns, communication differences, recurring conflicts, and upcoming transitions through specialized therapeutic support. Our experienced couple therapists work collaboratively with you and your partner to identify obstacles, strengthen your connection, and develop healthier patterns and ways of relating to one another.

Couple therapy approaches at our group practice are tailored to meet your relationship’s needs, recognizing that every couple has its own story, it’s own way of relating to each other and the world around them, and it’s own set of challenges and strengths. We serve couples throughout El Dorado Hills, Cameron Park, Placerville, Folsom, and Sacramento from our single convenient location, making it easier for families in the surrounding areas to access the support they need.

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How Couple Therapy Can Strengthen your Relationship

Couple therapy is a specialized form of therapy that focuses on improving communication, resolving conflicts, and strengthening relationships within the couple unit. Unlike individual therapy, couple therapy works with partners simultaneously to address issues that affect their unique relationship dynamic.

Our mental health professionals understand that when one partner struggles, the couple relationship is affected. Through couple therapy, we help partners:

  • Improve communication between partners

  • Develop effective strategies for resolving couple conflicts

  • Establish healthy boundaries within and outside of their relationship

  • Navigate challenging life transitions and changes for long term couples

  • Build a stronger emotional connection with your partner

  • Create sustainable solutions for long-term partnership and marriage

  • Develop skills needed for solving problems and working through issues together

Couple therapy can help your relationship move from tension and misunderstanding to connection and support. By working with a skilled couple therapist, partners learn new ways to interact that foster greater well-being for each person and for the partnership as a whole.

Our Specialized Couple Therapy Approaches

At Every Heart Dreams Counseling, we integrate several evidence-based therapeutic approaches to address your partner relationship specific needs:


DBT-Informed Couple Therapy

Dialectical Behavior Therapy (DBT) principles help partners struggling with emotional regulation and interpersonal conflicts. Our DBT-informed couple therapy helps partners:

  • Develop mindfulness practices as a family

  • Improve emotional regulation skills

  • Enhance distress tolerance during conflicts

  • Build effective interpersonal communication

Trauma-Informed Couple Therapy

For families affected by traumatic experiences, our trauma-informed approach incorporates specialized modalities including EMDR Therapy and Brainspotting. Our therapists create safe spaces where family members can:

  • Process traumatic experiences together

  • Understand how trauma affects family interactions

  • Develop skills for managing trauma responses

  • Build collective resilience and coping strategies

Common Couple Challenges We Address

Families throughout El Dorado Hills and surrounding areas seek our services for many reasons, including goals of:


Improved Communication

When communication breaks down, misunderstandings, conflicts, and emotional distance can develop. Our couple therapists help couples:

  • Identify communication patterns that create misunderstandings

  • Learn active and reflective listening techniques

  • Express feelings and needs constructively

  • Navigate difficult conversations

  • Develop skills that foster connection with their partner


Navigating Conflicts Effectively

Partners often seek couple therapy when:

  • Partners are engaging in recurring conflicts

  • Partners have a pattern for handling conflict that is ineffective

  • Partners may engage in conflicts due to insufficient boundaries with outside systems, ie. friends and extended family

  • Partners may struggle with codependence versus independence and want to create a healthier dynamic

  • Couples may be affected by outside parties, whether it is the intrusion of an outside relationship or affair partner, or there is betrayal and mistrust damaging the partnership

Our therapists support partners in developing consistent, effective strategies for navigating conflicts, while helping each individual express their needs appropriately within the couple unit.


Relationship Dynamics Within Couples

When relationships between couples are examined from an attachment lens, therapy can help address dysfunctional dynamics:

  • Examining relationship dynamics in each partners’ family of origin

  • Intergenerational family trauma and mental health issues that impact the couple relationship

  • Partners may struggle with codependence vs. independence and want to create a healthier interdependent dynamic

  • Emotional immaturity affecting partner dynamics leading to defensiveness and lack of responsive emotional connection

  • Adult children of emotionally immature parents navigating partner relationships that may resemble family of origin dynamics


Couple Transitions and Changes

Major life transitions can strain partner relationships, including:

  • Career conflicts, job changes, or relocation

  • Beginning a family and establishing parenting roles

  • Rebalancing couple relationship when adult children leave home

  • Health issues affecting a partner and caregiving roles

  • Navigating grief and loss and its impacts on the couple

Our couple therapists guide couples through these transitions, helping them maintain stability while adapting to new circumstances.


Mental Health Conditions Affecting the Couple

When one partner experiences a mental health condition, the couple is affected. Our therapists address:

  • How anxiety and depression impact the partner relationship

  • The consequences of trauma on relationship functioning

  • Outside responses to a partner's mental health challenges

  • Creating supportive environments for each partner, including the one who is providing more support, and is often viewed as “not struggling.”

The Couple Therapy Process

When you choose family therapy at Every Heart Dreams Counseling, you can expect a thoughtful, structured approach:


Initial Assessment

The couple work begins with a comprehensive assessment to understand your relationship’s specific challenges, strengths, and treatment goals. During this phase:

  • Participating partners attend initial sessions together

  • Our mental health professionals gather information about each partner’s history and relationship dynamics

  • Current challenges and concerns are identified and goals are tailored to meet the couple’s needs

  • Partners share their perspectives and feelings

  • Collaborative goals for couple therapy are established

Active Treatment Phase

Following assessment, you and your partner will engage in regular therapy sessions focused on addressing identified challenges and building skills. During these sessions, your couple therapist might:

  • Facilitate structured discussions about specific issues

  • Teach communication and problem-solving skills

  • Guide couples through experiential exercises and role play

  • Help the couple establish new interaction patterns

  • Assign "homework" to practice skills between sessions

Progress and Growth

As you and your partner develop new skills and patterns, you'll begin to notice:

  • Improved communication between you and your partner

  • Reduced conflicts and ways of handling disagreements more effectively

  • Stronger emotional connection, increased understanding and support

  • More effective problem-solving as a couple

  • Greater ability to adapt to changes and challenges from within and outside the couple

Many couples find that occasional "booster" sessions help them maintain positive change after completing regular therapy.

Benefits of Couple Therapy for Partners

Couple therapy offers unique benefits for your relationship.


Benefits for Couples and Parenting Roles

  • Development of collaborative and effective parenting strategies

  • Reduced stress, anxiety, and improved emotional well-being

  • Greater confidence and support in handling parenting issues and resolving conflicts

  • Guidance in navigating parenting roles and improved relationship satisfaction

Benefits for Couples in Connection with Extended Family

  • Support for healthy individuation while maintaining family connections

  • Examination and resolution of lingering childhood traumas

  • Navigating of each partner’s relationships with parents and in-laws

  • Clarification of boundaries and expectations with extended family members

  • Culturally sensitive examination of family of origin values and morals

Benefits for Couples Navigating Mental Health Challenges

  • A safe space to express thoughts and feelings

  • Improved relationship connection and emotional support

  • Better understanding of mental health issues and its impact on relationship dynamics

  • Development of emotional regulation skills for both partners

  • Increased sense of security and outside support for coping with mental health struggles

Benefits for Relationship Termination or Uncoupling

  • Uncoupling in the kindest and most congenial way possible

  • Exploring maintaining connections for co-parenting and friendship

  • Direct and clear boundaries within the uncoupling process

  • A framework for navigating grief and loss during the breakup and relationship termination

Integrated Services to Support Your Couple Relationship

At Every Heart Dreams Counseling, we often complement couple therapy with other specialized services:

Individual Therapy

Individual therapy can work alongside couple therapy to address personal issues that impact relationship functioning. This integrated approach allows partners to individually process personal feelings and develop healthy coping strategies. However, it is recommended that partners seek different therapists for their individual versus couple therapy in order to preserve and protect the therapeutic boundaries by not forming a separate alliance with the therapist that may impact the partnership.

Psychological Assessments

Psychological assessments can provide valuable insights into family dynamics and individual functioning, helping to:

  • Identify specific challenges affecting members of the couple unit

  • Clarify questions about mental health conditions and diagnosis

  • Guide comprehensive treatment planning for the couple within their relationship

Specialized Trauma Therapy

For couples affected by trauma, specialized trauma therapies like EMDR and Brainspotting can be integrated with couple therapy to address both individual trauma responses and their impact on the couple relationship.

Trauma-Informed Yoga

Our practice offers trauma-informed yoga as a complementary approach to help partners develop body awareness, learn regulation skills through movement, and connect with each other in new ways.

Is Couple Therapy Right for Your Situation?

Couple therapy is particularly beneficial when:

  • Couple conflicts are affecting daily functioning

  • Communication has broken down between partners

  • You and your partner are navigating significant life transitions or changes

  • Parenting challenges are creating stress in the home

  • Trauma has affected patterns of relating in the couple relationship and the overall health of the relationship

  • Mental health conditions are impacting one or more partners

If you're unsure whether family therapy is appropriate for your situation, our mental health professionals can help you evaluate your needs and recommend the most effective approach.

Starting Your Couple Therapy Journey

Beginning couple therapy represents an important step toward healing and strengthening your relationship with your partner. Here's how to get started with our group practice:

  1. Contact our office to discuss your relationship needs

  2. Schedule a free 15-minute consultation to learn more about our services

  3. Attend your first couple therapy appointment where we'll build rapport, discuss concerns and goals for both you and your partner, and create a preliminary treatment plan

We recommend that both partners who will participate in couple therapy attend the initial session when possible.

Why Choose Every Heart Dreams Counseling for Couple Therapy

Couples throughout El Dorado Hills, Cameron Park, Placerville, Folsom, and Sacramento choose our group practice for several important reasons:


Specialized Expertise

Our couple therapists have extensive training and experience in couple therapy, with specialized expertise in trauma-informed approaches, DBT skills for families, and attachment focused therapy.


Comprehensive Services

As a group practice, we offer a wide range of services that complement Couple therapy, ensuring that all aspects of your relationship’s well-being are addressed.


Convenient Location

Our practice is centrally located to serve families throughout El Dorado Hills, Cameron Park, Placerville, Folsom, and Sacramento, making it easier for busy families to access the support they need.

Take the Next Step Toward Healing Your Relationship with your Partner

If you are ready to strengthen your connection with your partner, improve communication, and navigate challenges more effectively, the couple therapists at Every Heart Dreams Counseling are here to help. Our group practice offers specialized couple therapy services designed to address your unique needs and support partners in creating positive change.

Contact us today to schedule your initial consultation and begin your journey toward healing and growth in your relationship. Together, we can help you and your partner to build a stronger relationship and create the connection you've always dreamed of having.

Located at:

El Dorado Hills, CA

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FREQUENTLY ASKED QUESTIONS

  • Couples therapy

    (or counseling) isprofessional guidance for partners to resolve conflicts, improve communication, and build deeper understanding with a trained therapist's help, teaching skills to navigate issues like infidelity, finances, or general disagreements, leading to healthier interactions, increased empathy, and stronger connection for long-term relationship well-being. It helps identify root causes, rebuild trust, and provides tools to manage challenges, preventing resentment and fostering growth. 

  • Who Should Go

    • Couples experiencing distress: Facing frequent arguments, feeling emotionally disconnected, loss of trust (infidelity), or considering separation/divorce.

    • Couples navigating transitions: Adjusting to a new baby, career change, financial stress, or loss of a loved one.

    • Couples wanting to strengthen their bond: Even happy couples can benefit from premarital counseling, improving intimacy, setting goals, or managing different values/upbringings.

    • All relationship types: Therapy supports married, unmarried, same-sex, or long-term partners. 

  • Typical Timelines

    The duration of therapy generally falls into three categories: 

    • Short-Term (8–12 sessions): Often used for specific, immediate concerns like minor communication tune-ups or premarital counseling. Most couples begin to notice a shift in communication and understanding within the first 3 to 4 sessions.

    • Medium-Term (12–25 sessions): The most common range, typically taking 4 to 10 months. This timeframe allows for addressing deeper emotional patterns and moderate relationship problems.

    • Long-Term (25+ sessions): May last a year or more for couples dealing with complex, entrenched issues such as long-term resentment, chronic communication breakdowns, or rebuilding trust after infidelity. 


  • 1. Communication and Conflict

    • Communication Breakdowns: Replacing harmful patterns like criticism, defensiveness, stonewalling, and contempt with active listening and clear expression of needs.

    • Conflict Resolution: Learning "fair fighting" techniques to resolve recurring arguments and identify the underlying triggers of disputes. 

    2. Trust and Intimacy

    • Infidelity: Processing the pain of betrayal and establishing a structured path toward rebuilding trust.

    • Sexual Harmony: Addressing mismatched libidos, differing sexual needs, and a drop in physical intimacy.

    • Emotional Distance: Reconnecting when partners feel they have grown apart or are "living parallel lives". 

    • 3. Practical and Life Stressors

      • Financial Disagreements: Managing tension caused by different spending habits, financial goals, or sudden money troubles.

      • Parenting Challenges: Navigating different parenting styles, discipline methods, and the complexities of blended families or step-parenting.

      • Life Transitions: Managing the stress of major changes such as a new baby, relocation, career shifts, or caring for aging family members. 

      4. Specialized Concerns

      • Mental Health and Substance Abuse: Addressing how individual issues like anxiety, depression, or addiction impact the relationship dynamic.

      • Unresolved Past Issues: Working through long-standing resentments or transgressions that continue to impact the present relationship.

      • Relationship Discernment: Helping couples who are unsure about their future decide whether to recommit, separate, or divorce. 

  • How Couple Therapy Supports Parents

    Therapy provides a structured environment to handle parental stressors that might otherwise lead to resentment or disconnection: 

    • Aligning Parenting Styles: Partners often have different views on discipline, routines, or values. Therapy helps negotiate these differences to present a "united front" to children, which increases child security and reduces conflict.

    • Improving Communication: Parents often fall into purely "functional" communication about logistics (schedules, chores). Therapy teaches active listening and "I" statements to express needs without triggering defensiveness.

    • Sharing Responsibilities: Counselors help couples discuss the division of labor—such as night duties and household chores—to prevent one partner from feeling overburdened and resentful.

    • Transition Support: For new parents, therapy addresses the identity shift from a romantic couple to a co-parenting team, helping them maintain an emotional bond despite the chaos of early childhood. 

  • 1. Attachment and Emotional Safety

    • Secure Bonding: Using approaches like Emotionally Focused Therapy (EFT) to move beyond surface-level arguments and address core attachment needs for security and closeness.

    • Vulnerability Barriers: Identifying "defensive" behaviors that prevent partners from sharing true feelings and needs. 

    2. Modern Relationship Dynamics

    • Digital Communication Patterns: Managing the impact of technology, social media, and "digital distance" on modern intimacy.

    • Systemic Pressures: Addressing how external societal factors—such as racism, heteronormativity, or intense workplace burnout—distort a couple's internal relationship.

    • Unbalanced Labor: Navigating resentments stemming from uneven distribution of domestic chores, parenting, and "emotional labor". 

    • 3. Trust and Trauma

      • Betrayal Trauma: Processing "emotional earthquakes" caused by infidelity (physical or emotional), financial secrecy, or broken major promises.

      • Intergenerational Issues: Exploring how childhood experiences and "unhealed wounds" from previous family generations influence current reactions to a partner.

      • PTSD in the Relationship: Helping partners navigate intimacy when one or both are managing individual trauma symptoms. 

      4. Specific Life Stressors

      • Parenting and Blended Families: Aligning different discipline styles and navigating the complexities of merging two separate family units.

      • Transitional Stress: Supporting couples through "non-crisis" changes like a new child, relocation, job loss, or adjusting to an empty nest.

      • Financial Value Alignment: Moving past budgeting to address underlying beliefs about money that drive recurring conflict.

      • 5. Intimacy and Connection

        • Sexual Harmony: Addressing mismatched libidos, sexual dissatisfaction, and the loss of "romantic spark".

        • Growth Disparity: Helping couples who feel they are "growing apart" or pursuing different visions for the future to realign their goals. 

        These guides discuss various therapeutic issues couples face, focusing on attachment, relationship dynamics, trust, trauma, and life stressors.

  • No, couple therapy is

    not only for partners in crisis. While it is a critical resource for relationships on the brink of separation, in 2026 it is increasingly used as a proactive tool for relationship maintenance and personal growth. 

    Many couples seek therapy when things are "fine" to prevent future issues and strengthen their bond. 

    1. Preventative "Tune-Ups"

    Just as individuals seek physical checkups, healthy couples use therapy for routine "maintenance" to identify blind spots before they become major rifts. 

    • Early Intervention: Addressing small misalignments early is easier than trying to repair deeply ingrained unhealthy patterns later.

    • Future-Proofing: Partners use sessions to build resilience and develop a "toolkit" of communication and conflict-resolution skills for future challenges. 


    2. Navigating Life Transitions

    Therapy provides a neutral space for couples to plan for major life changes, even when they aren't currently fighting. 

    • Premarital Counseling: Aligning on core values like finances, parenting styles, and career goals before marriage.

    • Major Milestones: Preparing for a new baby, relocating for a job, or transitioning into retirement. 

    3. Enhancing a Good Relationship

    Some couples attend therapy simply to deepen their connection. 

    • Increasing Intimacy: Rekindling romantic sparks or improving physical and emotional connection.

    • Personal Growth: Understanding how individual attachment styles and past experiences impact the relationship dynamic. 


    4. Improving Functional Dynamics

    Even in loving relationships, day-to-day logistics can cause friction. 

    • Equitable Labor: Discussing and rebalancing household responsibilities or parenting duties to prevent resentment.

    • Communication Habits: Identifying and replacing repetitive, circular arguments with productive dialogue

  • Yes, couple therapy is a valuable tool for ending a relationship thoughtfully and with less conflict

    . In 2026, therapists increasingly help partners navigate "conscious uncoupling" or amicable separations to minimize emotional and practical damage. 

    How Therapy Facilitates Ending a Relationship

    • Gaining Clarity (Discernment Counseling): For couples in "relationship limbo," specialized Discernment Counseling (typically 1–5 sessions) helps partners decide whether to stay and work on the relationship or move toward separation.

    • Reducing Emotional Reactivity: Therapy provides a neutral, safe space to process complex emotions like anger, guilt, and grief. This prevents discussions about the breakup from escalating into destructive conflict.

    • Constructive Communication: Counselors help partners have honest, difficult conversations about their decision and how to share the news with family and friends.

    • Negotiating Practical Logistics: Unlike legal mediation which focuses on binding agreements, therapy addresses the emotional hurdles in deciding matters like asset division, living arrangements, and initial parenting schedules.

    • Achieving Closure: Therapy helps both partners build a shared narrative of why the relationship ended, which can foster forgiveness and make it easier to move forward into new chapters without lingering resentment. 

  • Deciding whether to pursue couple therapy or handle issues independently

    depends on the intensity, duration, and nature of your conflicts. While every relationship faces "ups and downs," professional intervention is often necessary when self-help strategies (like books, podcasts, or joint discussions) no longer produce lasting change. 

    Signs You Can Likely Work It Out Alone

    You may not need formal therapy if you can answer "yes" to these questions:

    • Productive Conflict: When you fight, do you generally feel better afterward because you reached a resolution or understood each other better?

    • Mutual Responsibility: Are both of you able to acknowledge your role in a problem without simply blaming the other?

    • Shared Positive Perspective: Do your positive interactions still significantly outweigh your negative ones?

    • Successful Repair: When a "rupture" occurs (a hurt or misunderstanding), are you able to apologize and reconnect relatively quickly? 


    Signs You May Need Couple Therapy

    Consider professional help if you recognize these red flags:

    • Recurring "Perpetual" Issues: You have the same argument repeatedly with no resolution, leading to a sense of being "stuck".

    • The "Four Horsemen": Your communication frequently involves contempt (acting superior), criticism (personal attacks), defensiveness (playing the victim), or stonewalling (shutting down).

    • Emotional or Physical Withdrawal: You feel more like roommates than romantic partners, or you feel "relieved" when you are apart from each other.

    • Breach of Trust: You are dealing with the aftermath of infidelity (emotional or physical), financial secrets, or chronic lying.

    • Walking on Eggshells: You avoid bringing up certain topics out of fear of your partner's reaction or an inevitable explosion.

  • Getting started with couple therapy in 2026 involves a structured process of preparation, selection, and initial assessment. Most couples wait an average of

    six years before seeking help, but initiating the process early—even for "maintenance"—can significantly improve outcomes. 

    1. Initial Preparation

    Before reaching out to a therapist, have a preliminary discussion with your partner to ensure you are on the same page. 

    • Confirm Motivation: Therapy is most effective when both partners are willing to engage and take responsibility for their part in the relationship dynamic.

    • Define Goals: Discuss what you hope to achieve (e.g., better communication, rebuilding trust, or navigating a specific life transition).

    • Identify Dealbreakers: Be honest about existing "atomic bomb" issues such as active affairs or physical safety concerns, as these may require specific interventions or even individual therapy first. 

    • 2. Finding the Right Therapist?

      At Every Heart Dreams Counseling, we have a team of highly knowledgable therapist with specialized training in relationship dynamics in addition to individual therapy. 

      • Credentials to Looks for: Licensed Marriage and Family Therapists (LMFT), though LCSWs, LPCs, or Psychologists with specialized couples training are also common.

      • Therapeutic Models: At Every Heart Dreams Counseling, we offer a variety of trauma informed therapeutic approaches to help you address your relationship needs.

         3. The Consultation and Intake

        Many therapists offer a free 15-minute consultation to gauge fit. 

        • Key Questions to Ask:

          • What is your specific training and approach to working with couples?

          • How do you ensure you stay neutral and don't "take sides"?

          • Do you assign homework or tools to use between sessions?

        • Intake Forms: Be prepared to complete detailed paperwork covering your relationship history, individual backgrounds, and current stressors before the first session. 

        4. What to Expect in the First Session

        The initial meeting is typically an "on-ramp" focused on assessment rather than immediate resolution. 

        • Relationship History: The therapist will ask how you met and what initially attracted you to each other to understand your foundational bond.

        • Identifying Patterns: You will discuss current challenges and how you typically handle conflict.

        • Ground Rules: The therapist will establish guidelines, such as not talking over each other and maintaining a "no secrets" policy.

        • Timeline: While progress varies, it often takes four sessions to determine if a therapist is a good fit and potentially 3–6 months to achieve significant goals. 

        These resources offer insights into the preparation, therapeutic models, and initial sessions involved in starting couple therapy.