Couples Therapy

The journey of intimacy can be the most enriching adventure we take, the rewards being growth, stability, and a profound connection to one another. Yet, it can also present a variety of obstacles. Recognising and addressing these challenges is an essential part of maintaining a healthy and supportive partnership.

black city bike parked beside brown tree trunk
black city bike parked beside brown tree trunk
a couple of people standing next to each other
a couple of people standing next to each other
person holding white ceramic mugs
person holding white ceramic mugs

Resolution

How I work as a couples therapist and what to expect

Couples therapy provides a safe and constructive space where underlying issues are explored. This process encourages open dialogue and emotional understanding, which paves the way for healthier and more meaningful connections between partners.

As a couples therapist, I also see myself as a space holder, witness and facilitator.

Space holder – this means allowing your relationship to emerge within the therapeutic space in whatever shape it takes, without my jumping in to rescue, but rather supporting you both in hearing what is difficult to hear and speaking what is difficult to voice. My role is to support both people and to not take sides.

Witness - The struggles of relationships often stay behind closed doors, or each person may tell a friend or relative their version of why things are a struggle. Allowing a couple's therapist to see the bare bones of your relationship is an important way of moving forward.

Facilitator - A transformative shift in therapy often occurs when individuals are able to move into a more vulnerable space. To facilitate this, I may introduce exercises designed to encourage more openness, provided it is relevant to the couple’s needs. These exercises aim to nurture genuine connection and help couples move beyond surface-level defences.

Beyond words – Communication is not limited to words; body language, eyes, tone of voice, and even a vibe, can tell us a lot about the relationship dynamic. Using these elements to help explore relationship dynamics can help couples connect with the underlying causes of their struggles.

Fees: £95.00 for one hour and fifteen minutes

The fee needs to be paid three days in advance

Below are some of the reasons why a couple might decide to seek couples therapy

Why therapy

Practicalities

How many sessions?

The process begins with an initial consultation, during which the issues you wish to address are explored. This session provides an opportunity to identify key concerns and set expectations for the sessions to follow. Some couples find that they are able to move forward quite quickly and may feel ready to conclude after six sessions. Others, however, may require more time to work through their issues at a pace that feels appropriate for them.

How often?

The frequency of couples therapy sessions varies according to the needs and urgency of each couple. Some may attend weekly sessions, others opt for appointments every two weeks, while some choose to meet monthly. The appropriate schedule will be discussed and agreed upon during the initial consultation to ensure it aligns with the specific issues being addressed.

The Consultation

The first step in couples therapy is the initial consultation. During this meeting, the couple discusses the issues they wish to address and together we consider whether myself and the way I work is a suitable match for your relationship needs.

This session also covers practical matters, such as relevant medical information, the frequency of sessions, fees, and scheduling.

The consultation provides couples with the chance to ask any questions you may have about the process or expectations.

Where?

Sessions are held in Bristol (Clifton) and Stroud

It is perfectly normal for relationships to go through ups and downs; disagreements and disputes are simply parts of sharing a life. However, when conflict becomes constant, tension lingers, or communication feels strained and difficult, it may be time to consider reaching out for support.

When to seek professional support in your relationship

Practical information

Some of the relationship skills you can expect to work on

Constant destructive arguing: It is natural for couples to experience arguments and disagreements. Such conflicts can be indicative of a healthy dynamic, where individuals feel comfortable expressing differing viewpoints. However, when conflict becomes pervasive and overshadows the relationship, it may be a sign that vulnerability and trust have diminished.

Persistent disagreements often mask deeper, unspoken emotions. Addressing and voicing these underlying feelings is crucial for restoring trust and encouraging vulnerability between partners. Open communication about these deeper concerns can help break cycles of conflict. Couples therapy provides a safe and structured space for partners to navigate conflict, share their feelings, and work toward rebuilding trust. Through guided conversations and therapy exercises, therapy supports couples in rediscovering vulnerability and strengthening their relationship.

Constant destructive arguing

when a partner triggers us, it’s often because unconsciously they remind us of someone in our past, and we (or our nervous system) respond in ways that are more appropriate to the past than the present,e.g. rage, controlling behaviour, people pleasing. Disentangling what belongs to the past, and present can bring major shifts in relationship dynamics. These can include proximity issues, attachment styles, mother/father projections, parent/child transference, etc.

Triggers

Loss of trust

Trust forms the foundation of any strong relationship. When trust is compromised, each person may begin to act defensively or even confrontationally, which only deepens the sense of separation between them. In these situations, couples therapy plays a vital role by encouraging openness and vulnerability in both partners—qualities that are essential for rebuilding the relationship and moving forward together.

Lack of communication: Good communication forms the foundation of every relationship. It involves sharing our internal experiences—our feelings, thoughts, and desires—with our partner. Whether discussing daily responsibilities, intimacy, financial matters, or our deepest hopes and fears, it is vital to express ourselves authentically and with integrity. Equally important is being receptive to our partner’s perspective. While genuine communication is essential, it is not always easy to achieve for a variety of reasons. Couples therapy offers valuable support in developing healthy communication skills, helping partners learn how to express themselves and listen to one another effectively.

Lack of communication

Unconscious attachment patterns greatly shape how individuals form and maintain relationships, affecting communication, intimacy, and how conflicts are managed. The dynamics established in our earliest bonds with caregivers often serve as a blueprint that influences all future relationships. This foundational pattern can manifest in various ways, such as creating distance through phone addiction, emotionally shutting others out, excessive neediness, doubts about a partner's availability, and issues related to proximity. Recognizing and addressing these attachment styles is essential for fostering meaningful change and healthier connections.

Attachment styles

When one person feels betrayed or deceived by the other, it can feel like there’s no going back – yet infidelity is not always a simple case of right and wrong; it can also be a catalyst for change. Couples therapy can help you decipher what this change needs to be.

Infidelity

Financial difficulties can emerge due to various circumstances, such as the birth of a child, redundancy, accidents, or changes in the global economy. These events can significantly impact the financial stability of individuals and couples. Financial struggles often contribute to increased tension, anxiety, and stress within relationships. The pressures arising from monetary concerns can affect communication and mutual understanding between partners. By acknowledging and addressing these anxieties together, couples can better support each other and strengthen their partnership in the face of financial challenges.

It is natural for couples to experience arguments and disagreements. Such conflicts can be indicative of a healthy dynamic, where individuals feel comfortable expressing differing viewpoints. However, when conflict becomes pervasive and overshadows the relationship, it may be a sign that vulnerability and trust have diminished.

Money issues

Thankfully we have become a culture where we can talk more openly about sex, but we can still carry shame around certain areas such as, erectile dysfunction – Vaginismus – lack of desire – one person wants more sex than the other - Intimacy but no sex - Sex but no intimacy – sexual/body shame – porn addiction - Being able to discuss sexual needs, desires, boundaries, consent, power dynamic, are often tricky areas to navigate, but necessary to persevere for a healthy sexual connection.

Sexual issues

woman lying on bed in room
woman lying on bed in room

Couples often face significant changes, such as children leaving home, co-parenting, adjusting to new relationships, welcoming a new child, moving to a new home, or coping with the loss of a family member. Each of these transitions presents unique challenges that can impact both individuals and their partnership. Couples therapy can help partners discuss and navigate these changes, offering a supportive environment to facilitate smooth transitions, enhance communication, and help couples navigate new challenges together.

Adapting to new circumstances

Ending a relationship often involves experiencing grief and loss. However, there are times when either both partners or just one recognises that it is time to move on and seeks support in finding closure.

Couples therapy can provide a supportive space for this process, especially when factors such as children, shared pets, a home, the beginning of a new relationship for one partner, or significant changes in circumstances are involved. The unique situation of each relationship will shape the most appropriate path forward for achieving closure.

A desire to end amicably

If your relationship is moving along steadily but you’d like to deepen your connection, it can be valuable to focus intentionally on emotional and sexual intimacy. Strengthening communication, rekindling romance, and carving out time for play and shared experiences are all important steps.

These sessions might include engaging in intimacy exercises as a couple, whether during the sessions themselves or at home. You might also set aside dedicated time for date nights, creating opportunities for meaningful connection. These experiences can then be reflected on and discussed in future sessions, supporting ongoing growth in your relationship.

Relationship recharge

A breakdown in sexual intimacy can arise for a variety of reasons, encompassing both physical and emotional factors. Recognising the root causes is essential for moving forward and fostering connection.

The initial and most crucial step involves open communication between partners, allowing each person to openly share what they are experiencing and express the changes they desire. Through honest dialogue, couples can clarify their concerns and set the stage for meaningful resolution.

As a body psychotherapist with over twenty years of experience, and a facilitator of workshops dedicated to exploring intimacy, I am particularly invested in this area. I can offer methods that extend beyond verbal communication, providing alternative ways to explore and restore intimacy within relationships.

Sexual intimacy

Developing a meaningful emotional connection relies on several key factors, such as, healthy boundaries, listening skills, empathy, play, touch, knowing how to be with difficult feelings and communicating clearly.

Many individuals find some of these aspects challenging to master. Working within a safe and structured space, particularly with the support of a therapist, can be pivotal. This setting not only allows for the development and strengthening of these skills but also provides an opportunity to address and understand any barriers that may arise.

Emotional Connection

One of the most common reasons people experience difficulties in their relationships is a lack of open, heartfelt communication. Conversations can quickly become fraught—sometimes turning into contentious arguments, periods of cold silence, or exchanges of sarcastic remarks. In such situations, people often build emotional walls to protect themselves, making meaningful connection even more challenging.

When communication breaks down, it’s easy for comments from a partner to feel like personal attacks, prompting defensive responses and further escalation. This cycle of misunderstanding and hurt can quickly spin out of control, making it hard to resolve underlying issues.

Therapy offers a safe environment to address and work through these patterns. It’s not only about learning polite ways to speak to one another; rather, it’s about fostering honest, authentic dialogue and recognising that the relationship itself is something unique and worth nurturing. Therapy provides space to explore what lies beneath the surface, beyond the immediate arguments.

A crucial aspect of this process involves learning to tolerate uncomfortable feelings and understanding that vulnerability is a strength, not a weakness. Within therapy, individuals can come to recognise that they are safe, and that some of their emotional responses may be rooted in past experiences. These are just a few of the areas that might be explored in a session, with the shared goal of building a healthier, more resilient relationship.

Improving Communication