Relationships can become difficult when communication breaks down, trust suffers, or emotional distance grows. Couples therapy gives you a neutral space to talk openly with an experienced therapist who can help both partners understand the issues and work towards practical solutions.
Our psychiatry team helps couples work through repeated arguments, communication problems, damaged trust, emotional distance, and other relationship concerns. We give both partners equal space to speak and make sure each person feels heard.
Sessions stay private, structured, and focused on your goals. Whether you are married, engaged, or facing ongoing relationship difficulties, therapy can help you understand the pattern and build healthier ways to communicate. Book your first couples therapy session and take the first step towards a healthier relationship.
A widely cited figure from the Gottman Institute says couples wait around six years before asking for help. That matches what we see. By then the arguments have a script and both partners can recite it from memory.
Earlier is easier. A couple who arrives while they still like each other has far more to work with than a couple arriving to decide whether to separate. You do not need a crisis to justify the appointment.
Step 1. You both come to the first appointment. No exceptions on this one. Our therapist wants to see the two of you in the same room before anything else.
Step 2. We ask about the beginning. How you met, what the good years looked like, what changed and roughly when. Simple questions. They tell us more than most couples expect.
Step 3. We ask what each of you wants. Separately, out loud, in front of each other. Sometimes that is the first time in years either of you has heard the answer.
Step 4. We stop the room being taken over. If one of you starts filling all the space, expect to be interrupted. We are not being rude. That handover of airtime is usually part of the problem, and it is far easier to work with while it is happening in front of us.
Step 5. We often see each of you alone once. People say things in that room they would never say across the dinner table. It saves weeks.
Step 6. You come back together and we agree on the plan. One you have both signed off on, not one handed to you.
This one catches people off guard, so we say it early. Anything raised in an individual session that directly affects the relationship cannot stay hidden from your partner indefinitely. Your therapist will not act as a keeper of secrets.
What is said in the room stays inside the clinic. It just does not create a private alliance with one of you. Couples who understand this from the first session tend to move faster, and it protects the partner who senses something is being held back.
Distance builds quietly. Two people share a home, a calendar and a mortgage, then stop actually talking. Sessions target the unmet need sitting underneath the withdrawal rather than the surface complaint.
Most couples do not have a talking problem. They have a listening problem and a timing problem. You practise raising hard subjects calmly, and hearing them without going straight on the defence.
Some fights are never about the dishes. We trace the recurring argument back to what genuinely sets it off, then work on repair afterwards, which is the skill most couples were never taught. Where children are caught in the middle of it, family therapy can run alongside your sessions.
Broken trust does not heal through a promise that it will not happen again. Repair needs accountability, transparency and time. Sessions give that process a shape, so the injured partner is not left checking a phone at two in the morning.
Affection drops for plenty of reasons. Stress, exhaustion, resentment, low mood. We look at the cause before treating the symptom, and where burnout or persistent low mood is driving it, stress and depression management is handled at the same time.
Premarital sessions cover money, family expectations, children, careers and where you plan to be living in five years. Awkward conversations are cheaper now than later.
A new baby. A job loss. A relocation. A parent falling ill back home. The relationship rarely breaks on its own. The load shifts and nobody renegotiates who carries what.
Expat marriages carry weight that marriages back home do not. Family support sits thousands of kilometres away. One partner may be on the other’s visa, which quietly changes how safe it feels to argue. Working hours are long here. Friends leave every summer.
We treat that as part of the case, not background noise. Mixed nationality couples also bring two sets of family expectations into one apartment, and that deserves real time in the room rather than a polite nod.
Come on your own. It is a common way to start, not a failed one. Individual relationship sessions still work. You can change your side of the pattern, get clear on what you actually want and stop the escalation. Plenty of reluctant partners join later, once they realise the session is not a hearing with them as the accused.
We will say so if it is not. Where there is fear, intimidation or violence in a relationship, joint sessions are not a safe starting point and individual support comes first. If one partner has already privately decided to leave, therapy tends to become a way of softening the exit rather than repairing anything.
Being straight about this costs us the occasional booking. It saves couples a lot of money and several months.
Sessions run around sixty minutes, weekly at the start. Most couples work through roughly eight to sixteen sessions, then space them further apart.
Communication and conflict patterns often shift early, inside the first four or five sessions. Trust repair takes longer and pretending otherwise helps nobody. Your therapist reviews progress with both of you and says plainly whether the work is moving.
Our full psychiatry department supports couples therapy. When one partner needs individual care, our team can provide that support within the same clinic. This approach keeps care connected and makes it easier to address issues that affect the relationship.
Sessions usually last around sixty minutes. Couples often meet weekly during the early stage. Many complete eight to sixteen sessions before spacing them further apart.
Communication and conflict patterns can start to change within the first four or five sessions. Trust repair often takes longer. Your therapist reviews progress with both of you and explains clearly whether the therapy is working.
Health insurance often does not cover couples therapy because insurers usually link coverage to an individual diagnosis. However, some plans cover individual sessions when one partner receives treatment for anxiety or low mood.
Send your policy details to reception. Our team will check your benefits and explain the expected cost before your first appointment.
We keep your records private within the clinic. We do not share information with employers, family members, or anyone else without written permission from both partners.


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