Perinatal mental health care for women across Los Angeles County
Our Approach

Couples counseling for the season nobody warned you about.

The transition into parenthood reshapes a relationship in ways most couples are not prepared for. Sleep collapses, roles shift, expectations diverge, intimacy changes, and the smallest disagreements can carry weight they didn't carry before. Couples counseling at our practice is for the partners who are willing to look at it together, instead of letting it solidify in silence.

Couples Counseling at Pasadena Clinical Group, Los Angeles County
What it is

Structured, evidence-informed work for couples in transition.

Our couples counseling is delivered by licensed clinicians trained in evidence-based approaches including Gottman Method principles, Emotionally Focused Therapy (EFT), and integrative perinatal-specific frameworks. Sessions are typically 50–80 minutes, weekly or every other week, with both partners present.

The work is not about who is "right." It is about the patterns the two of you have fallen into, what those patterns are doing to each of you, and what a different version could look like — without erasing what you've already weathered together.

Couple in counseling at Pasadena Clinical Group
When couples come in

The recognizable moments that bring partners to therapy.

Most couples don't show up because of one big rupture. They show up because something has been quietly off for months and the perinatal year has made it impossible to keep ignoring.

The same fight, on a loop

You're having the same disagreement weekly — about night feeds, in-laws, money, screen time, sex — and neither of you is convinced the other has actually heard you yet.

Disconnection after birth

You used to laugh together. Now you tag-team. The relationship feels operational, not connected, and neither of you is sure when that shifted.

Pregnancy or postpartum has surfaced something old

The transition into parenting has activated patterns from each of your families of origin in ways you hadn't anticipated.

Loss, grief, and what comes after

Miscarriage, stillbirth, infertility, or fertility treatment has been carried by both of you in different ways — and you're not sure how to make space for both.

How the work moves

Three or four arcs over a course of care.

Most couples we see move through a recognizable shape over 8–20 sessions: an early phase of de-escalation and shared understanding of the pattern; a middle phase of new conversations that wouldn't have been possible at the start; and a closing phase of integration where the couple consolidates what changed and decides whether to continue, pause, or move to maintenance.

The work is honest. We will not pretend the marriage is fine when it isn't, and we will not pretend it is broken when it isn't. We help you see what is actually there.

Couple during pregnancy in supportive setting
Related

Other ways we work

Individual Therapy

Sometimes the relational work needs an individual track in parallel. We coordinate with care.

Family Therapy

For families where the dynamic extends beyond the couple — multi-generational or blended-family work.

Frequently asked

Questions clients ask before starting

If your question isn't here, our care coordinator can answer it directly — call or send a message.

Do both partners have to attend every session?
Most sessions include both partners. Occasionally your clinician may suggest a brief individual session with one partner to gather context; if so, that decision will be discussed openly with both of you and is not the default rhythm of the work.
How long does couples counseling typically last?
Most couples we see move through a recognizable arc over 8–20 sessions: an early phase of de-escalation, a middle phase of new conversations that wouldn't have been possible at the start, and a closing phase of integration. Some couples continue in maintenance; others pause once the work has done what it needed to do.
What if my partner doesn't think we need therapy?
This is one of the most common situations couples bring in. We are happy to talk with the more-hesitant partner separately first, answer questions, and explore what the format actually looks like before any commitment is made. The decision to begin is mutual.
Is couples counseling covered by insurance?
Insurance coverage of couples counseling varies. Some plans cover it under specific clinical circumstances; many do not. Our care coordinator will verify your specific benefits and discuss self-pay or sliding-scale options if coverage is limited.
Can couples counseling work after a betrayal or affair?
It can. The work is honest and paced. Repair after betrayal is one of the more difficult arcs in couples therapy, and not every couple chooses to pursue it; for those who do, evidence-informed approaches (Gottman Method, Emotionally Focused Therapy, integrative trauma frameworks) provide a structured path forward.
What approaches do you use?
Our couples clinicians draw from Gottman Method principles, Emotionally Focused Therapy (EFT), and integrative perinatal-specific frameworks. The choice of approach is matched to what your relationship actually needs, not applied formulaically.
Begin When You're Ready

You don't have to figure this out alone.

Our care coordinator can verify your insurance benefits and help you book a first session — usually within the same week.