Who this is for
- The same argument on repeat, even after you both agree to do better
- Trust that broke and hasn't come back, including after an affair
- Living like roommates, with distance where closeness used to be
- Intimacy concerns that are hard to talk about without a fight
- Big decisions, like marriage, kids, or a move, that keep stalling
How the work goes
- Choose the care model that fits: joint sessions with the couple, or a blended model that combines joint and individual sessions when clinically appropriate.
- Use individual sessions in the blended model to make communication in the joint sessions clearer and more productive.
- Map the cycle: what sets it off, what each of you does next, and what it protects.
- Make needs and boundaries easier to say and easier to hear.
- Practice repair that holds up after the session, not just during it.
Insurance
Undefeated is in network with UnitedHealthcare. Public provider listings also include Blue Cross Blue Shield or CareFirst, Cigna or Evernorth, Aetna, and TRICARE. Staff verifies your specific benefits before scheduling. How insurance works →
Common questions
Does couples therapy work over video?
For many couples, yes. Video sessions remove the commute and make it easier to keep a steady schedule. Each partner needs a private place, and you can join from the same room or separate locations if both are inside a state where your clinician is licensed.
Does insurance cover couples therapy?
Sometimes. Coverage depends on the plan, medical necessity rules, and how the session is billed. Staff checks your benefits before scheduling and explains self-pay if insurance won't apply.
What if my partner won't come?
You can start on your own. Individual therapy can help you understand your part of the cycle and change how you respond, which often changes the relationship too.
Do you work with couples considering separation?
Yes. Therapy can help you decide with more clarity, whether that means repairing the relationship or ending it with less damage.
Clinically reviewed by Chase Butala, MS, LCPC, LPC, founder of Undefeated Healthcare (verified provider profile). Last reviewed . Educational, not a diagnosis. Availability depends on clinician licensure for your location, the service requested, insurance, and current capacity.