Navigating insurance for couples therapy can feel confusing—and sometimes disappointing—if you’re not sure what your plan actually covers. As a Seattle LMFT, I walk couples through the realities of diagnosis requirements, out-of-network benefits, and when HSA/FSA funds or superbills can help. Here’s what every couple should understand before relying on insurance to pay for relationship work.

As an Issaquah LMFT specializing in high-conflict and emotionally abusive dynamics, here’s my direct, clinical answer: It depends.
Couples therapy can help when there’s remorse, safety, and mutual investment. It can’t help — and may even be harmful — when coercive control or retaliation is present.
Read the full guide to understand the difference.

Most couples don’t say it out loud, but they’re all wondering the same thing: Will this actually work?
After six years of working with high-conflict, trauma-impacted, and “almost done” couples, I can tell you this—therapy works when both partners are willing to show up fully. Not when one is dragged in. Not when someone is waiting for their partner to change first. Real transformation happens when both people choose the relationship over their defenses.
In the full post, I break down the exact signs therapy will work for your relationship—and the signs it won’t.

High conflict couples therapy is different from couples therapy. High conflict couples have different needs compared to other relationships with less frequent or severe conflict. It’s important to know the difference so that you can get the help you need, and make sure your therapist can work with you and your partner effectively.

Intensive couples therapy offers couples the opportunity to create breakthroughs in their relationship, break down walls they've built up between each other, and experience a renewed sense of hope in their relationship. Marriage intensives help couples clean house so that weekly therapy can be more effective and supportive in their daily lives.