Couples Counseling for Real Relationships—messy, beautiful, and worth the fight.
Online Couples Counseling in North Carolina, Virginia, West Virginia, and Ohio.
In-Person Appointments Available in Cary, North Carolina
We don't work with perfect couples. We work with real ones—
the ones who love each other fiercely but still fight about whose turn it is to unload the dishwasher.
the ones who have great sex one week and can't remember the last time they touched the next.
the ones who cry in the car before coming inside
the ones who say things they regret
the ones who forget important things
the ones who are trying so damn hard even when it doesn't look like it.
Your relationship doesn't have to look like anyone else's to be worth saving.
It doesn't have to be easy to be beautiful.
And it definitely doesn't have to be Instagram-perfect to deserve support.
Meet the Team: the Relationship Nerds
Hey, we’re Elizabeth and Elizabeth (don’t worry, one of us goes by Lisa!).
When we’re not deep into a Netflix documentary (the more obscure, the better), treating our dogs like the royalty they clearly believe they are, or hunting down the perfect oat milk latte, we’re in our favorite role — Relationship Nerds.
Think of us as your relationship guides—equal parts cheerleaders and truth-tellers. We’ll get real with you, laugh with you, maybe even drop a well-placed curse word, and help you untangle the patterns that keep you stuck. Think of us as your behind-the-scenes crew, helping you trade eyerolls for inside jokes and build the kind of connection that actually lasts.
Couples Counseling Specialties
We believe in expert and evidence-backed treatment. We have real experience and see real results.
Couples Affected by ADHD and/or Autism
Postpartum Depression/Anxiety
Infidelity/Affair Recovery
Transitioning to Parenthood
LGBTQIA+ Relationships
Poly/Kink
Ethical Non-Monogamy
Financial Infidelity
Lack of Intimacy
Premarital Counseling
Learn more about our couples counseling specialities:
Does This Sound Like Your Life?
You and your partner are bickering about bedtime routines while the kids are melting down. One wants to be the "fun parent," the other's trying to stick to the schedule, and now everyone's crying—including you, maybe, after the kids finally fall asleep.
You plan to talk about bills, but ADHD distractions turn it into a half-finished conversation. You sit down with good intentions, but then someone remembers they need to respond to that email, or the dog needs to go out, or wait—did we ever pay that thing? The conversation fizzles. The bills pile up. The resentment builds.
Your phone feels easier to reach for than your partner's hand at night. You're both on the couch, scrolling in silence. You're exhausted. They're exhausted. Connection feels like one more thing you don't have energy for.
You're avoiding intimacy because you're touched out and exhausted. Between kids climbing on you all day, work stress, and the mental load of managing everything, the idea of being touched one more time—even lovingly—makes you want to hide in the bathroom. And your partner? They're feeling rejected and lonely, wondering if you even want them anymore.
These aren’t signs your relationship is broken.
They’re signs you’re stuck in patterns that need help to shift.
What if instead of surviving, you were actually thriving?
You and your partner are laughing together again—not the polite chuckle, but the real, deep belly laughs over something ridiculous. You remember why you liked each other in the first place.
You're tag-teaming morning chores instead of fighting through them—one makes lunches while the other wrangles kids. You're on the same team, not enemies in the chaos. Maybe someone even remembers where the keys are.
Arguments aren't blowing up like they used to—the resentment is melting. You can talk about hard stuff without it becoming World War III. You're actually hearing each other, not just waiting for your turn to defend yourself.
Affection and intimacy return—not perfectly, not Instagram-worthy, but real. You reach for each other again. Touch feels connecting instead of draining. You remember what it's like to feel desired and safe at the same time.
This isn't fantasy.
This is what's possible with the right support.
We support all relationships.
Your relationship—whatever it looks like—deserves support.
We are LGBTQIA+ affirming, allied, and informed. We support and are trained in sex positivity, kink/poly relationships, and ethical non-monogamy. You don't need to explain or justify your relationship structure. You just need to show up, and we'll meet you there.
All couples are welcome here. Period.
It’s time to take that courageous step toward a healthier, happier connection.
Your journey begins here and we’re honored to walk beside you.
We do not accept any insurance plans.
We choose to not work directly with insurance companies so we can provide the highest level of care to the couples we serve.
Why we do not accept insurance:
Insurance often requires a mental health diagnosis for one partner, which doesn't fit the reality of couples therapy. You're not broken. Your relationship isn't sick. You're stuck in a cycle, and we're here to help you break it—not to label one of you as "the problem."
Insurance limits your care—the number of sessions, types of therapy, and frequency are often dictated by the insurance company, not what's best for your relationship. We want to work at your pace, not theirs.
We focus on your goals, not insurance requirements. By operating outside the insurance model, we maintain full confidentiality and develop a treatment plan tailored specifically to your relationship and what you need. No one else is calling the shots.
We know therapy is an investment. We also know your relationship is worth it. And we're here to support you in getting the care that actually works, not just the care insurance will pay for.