COUPLES THERAPY ✧ INDIVIDUAL THERAPY ✧ PITTSBURGH & ONLINE PENNSYLVANIA
Services & FAQs
Learn more about services offered, fees, and what to expect with intake and treatment for couples work as well as frequently asked questions.
Relationships are living things.
They deserve time, attention, and care.
Investing in your relationship is an investment in the foundation of your shared life. Whether you are working through conflict, navigating change, repairing from a rupture, or seeking a deeper connection, therapy provides intentional space to strengthen and care for a bond that serves as a vital source of connection, support, and security.
Emotionally Focused Couples Therapy (EFCT) involves slowing down enough to understand the emotions and needs underlying your familiar cycles of conflict, as well as facilitating healthier interactions to reshape those cycles. This kind of work needs more time than a typical 50–60 minute therapy session allows. Because of this, I offer extended (75min+) sessions as standard of service.
FEES & INSURANCE
Please note that I do not accept insurance. This allows me to offer extended sessions and relationship-centered care without the limitations associated with insurance, such as requiring diagnoses or restricting session length. Learn more.
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DESIGNED FOR DEPTH
I structure my practice around extended (75min+) sessions. The additional time gives us more space slow down and move through difficult things at a pace that supports nervous system safety.
This is always beneficial, but is especially so for neurodivergent people, those with sensitive nervous systems, and those healing from trauma.
SERVICES FOR COUPLES
EXTENDED COUPLES THERAPY SESSIONS
75 Min Couples Session
$195 per session
Seventy-five minute sessions provide adequate time each session for the depth and pace of EFCT. These longer sessions give more space than a typical therapy hour to explore the emotions and experiences shaping your interactions while allowing us to engage deeply in the experiential work, forming new patterns and practicing softer ways of connecting.
90 Min Couples Session
$235 per session
Ninety-minute sessions offer even more space each week for the depth and pace of EFCT, creating additional capacity for the experiential work at the heart of the practice. With additional time, we can stay with important moments for longer and have more dedicated time each session to practice new ways of reaching for and responding to one another. These sessions provide optimal space for depth, reflection, and experiential work.
ADDITIONAL SERVICES for COUPLES
115 Min Couples Session
$295 per session
One-hundred-fifteen minute couples sessions provide dedicated space for deeper emotional processing, corrective bonding experiences, and meaningful relational change. With nearly two hours together, these sessions are especially beneficial when couples feel caught in a persistent cycle or are working to repair a significant attachment injury. The additional time often allows couples to reach deeper places by providing time without feeling rushed and creating greater opportunity for understanding, vulnerability, repair, and connection.
These sessions are offered as a supplemental service alongside ongoing therapy and are ideal for couples seeking focused time to address a specific issue and deepen the work together.
75 Min Individual Session
$145 per session
90 Min Individual Session
$175 per session
Individual sessions for couples are provided as part of the couples therapy intake and allow the therapist to get to know each of you individually and build rapport. During this session, we will explore your individual developmental and attachment history and discuss your experience in the relationship. Individual sessions are a crucial in building a strong foundation for couples work.
SERVICES FOR INDIVIDUALS
INDIVIDUAL THERAPY SESSIONS
50 Min Individual Session
$125 per session
75 Min Individual Session
$145 per session
90 Min Individual Session
$175 per session
Individual therapy sessions designed to support you—whether you are understanding your neurodivergence, exploring LGBTQ+ identity, navigating relationship issues, or healing from trauma. This work is collaborative and body-aware, integrating Brainspotting, Parts Work, and Emotionally Focused Therapy for individuals.
INTAKE & TREATMENT
for COUPLES THERAPY
WHAT TO EXPECT
COUPLES THERAPY
INTAKE & TREATMENT
What to Expect:
The Intake
Our work begins with a multi-session intake process designed to help me understand both your relationship and each of you as individuals.
We'll start with one initial intake session altogether, followed by individual sessions for each partner, and then a final intake session altogether to discuss what I learned from you and our work moving forward. This process allows me to gain a deeper understanding of your relationship dynamics, attachment histories, strengths, and goals so we can begin therapy with a good foundation.
The intake process is able to be customized to you and your relationship and may be scheduled with 75-minute or 90-minute sessions.
SESSION 1
INITIAL INTAKE SESSION
We meet altogether to discuss your relationship history, significant moments, areas of challenge and hopes for therapy.
SESSION 2
INDIVIDUAL SESSION with First Partner
One partner meets one-on-one with Sable to discuss their individual history, developmental and relationship experiences and experience in the relationship.
SESSION 3
INDIVIDUAL SESSION with Second Partner
The other partner meets one-on-one with Sable to discuss their individual history, developmental and relationship experiences and experience in the relationship.
SESSION 4
FINAL INTAKE SESSION
We meet altogether again to discuss what I learned from you, the identified stuckpoints, your cycle, and the work moving forward.
SESSION 5+
BEGIN THE WORK
Having laid a foundation for our work, we now really jump in! We will continue to explore your cycle and stuckpoints, working with what presents itself to begin reshaping the patterns.
Following the intake, it is recommended to begin with weekly sessions for at least 8 weeks, totaling 12 weeks of sessions from the outset of treatment, including the intake process. Sessions are 75 minutes or 90 minutes.
Emotionally Focused Couples Therapy (EFCT) is designed to be a short term model, ranging from 8–20 sessions, though every relationship is unique. Many couples attend regular sessions for 3-6 months, though this varies based on relationship needs. Some couples reach their goals within that timeframe, while others choose to continue longer to address more complex concerns or support ongoing growth.
Many relationships begin to experience relief quickly through de-escalation of conflict cycles, however there are exceptions to this such as highly escalated conflict cycles or cases with complex trauma. Couples may decrease in frequency throughout treatment and often transition to biweekly or monthly over time. Throughout the process, we'll regularly check in about your progress and tailor therapy to your relationship's needs.
The Treatment
AVAILABILITY & SCHEDULING
I currently see clients on Sundays (daytime) and Mondays (evenings). It is recommended that clients begin with weekly sessions for at least 12 weeks, with the option to transition to biweekly sessions as therapy progresses and it feels clinically appropriate.
FAQs — INSURANCE & FEES
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No, I am an out-of-network provider and do not contract with insurance companies. This allows me to provide relationship-centered, affirming, and non-pathologizing care without the limitations associated with insurance, such as requiring a mental health diagnosis, restricting aspects of treatment, or limiting session lengths.
At the same time, I believe therapy should be as accessible as possible and value working with people from diverse socioeconomic backgrounds. To help increase access, I reserve a limited number of reduced-fee appointments. If the cost of therapy is a barrier, I encourage you to reach out to discuss the options.
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This decision is rooted in both the realities of the current healthcare system and my commitment to providing relationship-focused care.
At this time, insurance companies do not reimburse for relational, couples, or family diagnoses. In order for insurance to cover services, one member of the relationship is required to receive a mental health diagnosis and be identified as the primary patient. Insurance companies may also require access to treatment plans, session documentation, and other clinical information in order to determine medical necessity and authorize care.
Because my work is centered on the relationship itself rather than identifying one partner as the "patient," I have chosen to remain out-of-network. This allows me to provide care that aligns with the goals of Emotionally Focused Couples Therapy while maintaining greater privacy, flexibility, and focus on the relationship.
Remaining out-of-network also allows me to offer the extended sessions that are recommended for EFCT and foundational to my practice. These longer sessions create the time and space needed for deeper emotional processing, meaningful connection, and nervous system-aware relationship work.
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Yes, I value making therapy more accessible and offer a limited number of reduced rate appointments to help increase access to therapy for those who need it.
While I'm not able to offer reduced fees to all clients, if the cost of therapy is a barrier, I encourage you to reach out to discuss your needs and current availability of reduced fee appointments.
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Many insurance plans include out-of-network benefits, which allow you to receive partial reimbursement for therapy services from a provider who is not contracted with your insurance company. If your plan includes these benefits, you pay for sessions upfront and then submit a Superbill (an itemized receipt that I provide) to your insurance company for possible reimbursement.
Choosing an out-of-network provider allows you to work with a therapist who is the best fit for your needs rather than being limited to providers within your insurance network. Working outside of insurance also allows for a greater level of specialized care. Insurance companies often place limits on session length, frequency, treatment goals, or the overall number of sessions covered. As an out-of-network provider, I am able to tailor treatment to your unique needs, offer extended sessions when needed, and focus on meaningful, relationship-centered work rather than insurance-driven requirements.
I recommend contacting your insurance company by calling the number on the back of your insurance card to ask whether your plan includes out-of-network mental health benefits and what reimbursement you may be eligible to receive.
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Yes. While I do not participate directly with insurance panels, I can provide Superbills—a detailed receipt containing the information required by many insurance companies—upon request. These itemized receipts may be submitted to your insurance company for possible out-of-network reimbursement, depending on your individual plan and out-of-network benefits.
FAQs — GENERAL
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Emotionally Focused Couples Therapy (EFCT) is designed as a short-term model, ranging from 8–20 sessions. However, the length of treatment can vary depending on factors such as the complexity of patterns, the presence of trauma, frequency of sessions, and each partner's readiness to change, commitment to therapy, and capacity for engagement in the process.
Many couples experience relief within the first three to four months of therapy as they complete the initial deescalation stage of treatment. Some choose to conclude therapy at that point once conflict has decreased and things feel calmer day-to-day. Others continue into deeper work focused on strengthening the connection and integrating lasting changes.
We will regularly discuss your goals and progress to determine what your relationship needs.
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Every relationship is unique, and our work together is be shaped by your specific strengths, challenges, and goals. At the same time, Emotionally Focused Couples Therapy (EFCT) provides a clear roadmap for understanding relationship distress. Each session, we'll explore your negative cycle and hone in on the moments that keeps you stuck.
Because EFCT is an experiential approach, sessions go beyond discussing problems or analyzing communication. Instead, we focus on what is happening in real time between partners, creating opportunities for new emotional experiences, deeper understanding, and more secure connection. At times, our work may also incorporate mindfulness, body awareness, parts work, or other experiential interventions to help access and express experiences that can be difficult to put into words.
My approach is collaborative, integrative, and and paced with care. Nothing is forced. Rather than focusing solely on communication skills, the goal is to create new experiences of safety, responsiveness, and emotional engagement that foster lasting change both within and beyond the therapy room.
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Yes! Virtual therapy can be just as effective as in-person therapy for couples and individuals, as long as you have a stable internet connection and a private space to focus on the work.
For virtual couples therapy, it is best when partners are able to join from the same location and can minimize distractions. This helps support focus, clear communication, and the ability to stay present and attuned with one another during sessions.
There may be times when partners are not in the same location and need to join from separate spaces. This should only be reserved for special circumstances as being together in the same room is generally most supportive for relational work.
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Not at all. I work with couples in all stages of their relationship, including those who are dating, engaged, married, long-term partners, and those navigating separation or major relationship decisions. Therapy can also be helpful before marriage or during significant life transitions to strengthen your relationship and deepen your connection.
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No. My role isn't to determine who's right or wrong. Instead, I help both partners understand the patterns that keep them feeling stuck and create a space where each person feels heard, understood, and respected. The focus is on strengthening the relationship—not assigning blame.
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It's very common for one partner to feel more unsure than the other. You don't both have to feel equally excited to begin—only willing to show up with openness and curiosity. Many people find that once they experience a supportive, nonjudgmental environment, therapy feels much less intimidating than they expected.
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Absolutely. My practice is affirming of LGBTQ+ identities, neurodivergent partners, and diverse relationship structures, including polyamorous and non-monogamous relationships. I believe therapy should honor your identities, values, and relationship structure rather than expecting you to fit a traditional mold. My approach is tailored to your unique relationship and the goals you hope to achieve together.
