Individual Therapy
Online in North Carolina, Ohio, Virginia, and West Virginia
In-person in Cary, NC
What are the benefits of individual therapy with a trained couples therapist?
Many therapists are skilled at supporting individuals, but not all are trained in systemic approaches that address the dynamics of the relationship as a whole. If your issues live in the relational space—how you attach, trust, connect, fight, or feel safe with others—a trained couples therapist brings specialized depth that general individual therapists often don't have. You're not just venting about your relationship; you're doing real work on the attachment patterns underneath it.
If you're in a relationship, individual therapy gives you space to understand your patterns, work on your part, and show up differently without the pressure of your partner in the room. Sometimes you need to get honest about what's actually happening before you can decide your next move. And if your partner isn't ready for couples work yet, starting on your own can shift the entire dynamic.
If you're single, now is actually the ideal time for individual therapy. You can figure out the patterns you bring to relationships, understand why things keep ending the same way, and build the skills for healthier connections before the next person shows up. You're getting ahead of the problem instead of waiting to repeat it.
Common Areas of Focus in Individual Therapy
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Individual counseling with a couples-trained therapist helps you understand the specific relational patterns ADHD/Autism creates—the parent-child dynamic, communication mismatches, invisible effort going unseen, executive function impacts on intimacy. It also helps you develop strategies for your part, before or alongside couples work, rather than just managing symptoms in isolation.
You get specialized insight into how neurodivergence affects partnership dynamics (not just daily functioning) and can work on changing your responses, communicating your needs clearly, and showing up differently in the relationship.
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Explore your sexual identity while also understanding how it affects your current relationship—whether you need support coming out to your partner, deciding if the relationship can survive this shift, or navigating the grief and logistics of ending a partnership that no longer fits who you're discovering yourself to be.
Individual therapy gives you space to figure out your identity without pressure, while also getting specialized guidance on the relational impact rather than just exploring sexuality in isolation from your real-life partnership and family.
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Process the grief, confusion, and betrayal you feel when your partner comes out or questions their sexual identity. You need space to figure out whether you can or want to stay in a relationship that may fundamentally change, while also getting support for the very real loss you're experiencing without being made to feel selfish for having your own needs.
You get specialized guidance on navigating whether the relationship can survive this shift, how to support your partner while not abandoning yourself, and handling the logistics of potentially restructuring or ending a shared life.
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Understand the specific attachment wounds driving your trust issues by identifying your triggers, protest behaviors, and pursuing/withdrawing patterns. Then, you can learn to recognize when you're responding from old trauma versus current reality and start showing up differently in relationships.
You get specialized work on building secure attachment responses and capacity for vulnerability, whether you're currently partnered or preparing for future relationships, rather than just talking about "trust issues" in the abstract.
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Identify and interrupt your destructive conflict patterns—contempt, criticism, stonewalling, flooding, harsh startup—by understanding both the concrete behaviors and the underlying emotions driving them, so you can learn to self-soothe, manage your triggers, make repair attempts, and show up differently in conflict.
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Understand what's driving your emotional disconnection whether it's protective withdrawal, difficulty identifying emotions, fear of vulnerability, or attachment patterns learned early. Then, learn to build emotional awareness, express feelings instead of shutting down, and show up with presence and attunement rather than just managing logistics. You develop the capacity for emotional intimacy and connection that makes relationships work.
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Identify the specific relationship patterns you keep repeating—choosing emotionally unavailable people, sabotaging when things get good, pursuing/withdrawing cycles—and understand the attachment wounds or fears driving them, so you can actually interrupt the pattern and show up differently in your current or next relationship.
Individual therapy allows for specialized insight into relational dynamics rather than just talking about "why relationships are hard," and can work on changing your part.
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Explore the appeal of ENM, polyamory, or kink without shame or judgment. We’ll explore how to navigate the relational impact, prepare for difficult conversations, set boundaries, and understand whether your current relationship can accommodate this or whether you're facing incompatibility, rather than just exploring desires in isolation from your real partnership.
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Individual therapy with a sex-therapy-trained couples counselor helps you understand the pattern of sexual difficulties you're experiencing—pain, desire discrepancy, performance anxiety, shame, trauma—and address the psychological and relational factors driving them without the pressure of having your partner in the room.
You get specialized guidance on whether issues are medical versus psychological, how past experiences affect current functioning, and strategies for showing up differently sexually.
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Understand the patterns showing up in your dating life—choosing emotionally unavailable people, moving too fast or too slow, ignoring red flags, sabotaging when things get good—and develop the skills to communicate boundaries, recognize compatibility versus chemistry, and build healthy foundations early rather than repeating the same mistakes.
You’ll getinsight into how your attachment style and relationship patterns play out from the first date, so you can make better choices and show up more securely before a relationship even begins.
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Process the grief, anger, and identity loss of separation or divorce while also understanding what actually broke in the relationship—not just blaming your ex but recognizing patterns you contributed to—so you don't repeat them in the next relationship.
You get specialized guidance on navigating co-parenting conflicts, setting boundaries with your ex, rebuilding your sense of self outside the relationship, and doing the work to show up differently next time rather than just venting about what went wrong.
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Individual therapy gives you space to get honest about what's actually broken in your relationship, understand your own patterns and contributions, and gain clarity on whether the problems are fixable or fundamental incompatibility—without your partner's presence making you defensive or protective.
You get specialized guidance on deciding whether to stay and do the work, whether your partner is even capable of change, or whether leaving is the healthier choice, plus support for whichever path you choose without pressure to save or end the relationship.
How We Approach Individual Therapy
Emotionally Focused Therapy (EFT)
Emotionally Focused Therapy (EFT) is a research-based approach that helps you understand the patterns you get stuck in during conflict—including the stories you tell yourself about who you are, who your partner is, and what your relationship means in those heated moments.
Individuals who want to understand how their own patterns contribute to relationship dynamics can benefit from seeing an EFT-trained couples counselor, even without their partner in the room.
Gottman
A Gottman-informed therapist can help you recognize the destructive conflict patterns showing up in your relationship—criticism, contempt, defensiveness, and stonewalling (the "Four Horsemen")—and learn concrete skills to interrupt them.
Even in individual therapy, you can work on changing your part of the conflict cycle, building the tools to show up differently in fights, and learning to self-soothe when things escalate.
Individual Therapy Clinicians
Lisa Caprioli
LCSW, LISW
Telehealth in NC, OH, and VA
In-person in Cary, NC
Individual Therapy Specialties:
ADHD and Autism in Relationships
Questioning Sexual Identity (self or partner)
Attachment and Trust
Conflict Patterns
Emotional Disconnection
Relationship Patterns
Dating
Separation or Divorce
Relationship Decisions
Elizabeth Reed
LCSW, LISW
Telehealth in NC, OH, VA, and WV
Individual Therapy Specialties:
ADHD and Autism in Relationships
Questioning Sexual Identity (self or partner)
Attachment and Trust
Conflict Patterns
Emotional Disconnection
Relationship Patterns
Ethical Non-Monogamy (ENM), Polyamory, Kink
Sexual Difficulties in Relationships
Dating
Separation or Divorce
Relationship Decisions
Frequently Asked Questions (FAQs)
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Because if your issues live in the relationship space—how you attach, trust, communicate, handle conflict, or connect emotionally—a couples-trained therapist brings specialized expertise that general therapists often don't have. We understand relationship dynamics, attachment patterns, and conflict cycles at a deeper level. You're not just talking about your feelings; you're doing specific work on how you show up in relationships.
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No. That's your decision, not mine. What I will do is help you get clarity on what's actually broken, understand your own patterns and contributions, and figure out whether the problems are fixable or fundamental incompatibility. Sometimes that clarity leads to staying and doing hard work. Sometimes it leads to leaving. Either way, you'll make the decision from a place of insight instead of confusion or fear.
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Yes. You can't control whether your partner shows up, but you can work on your part. When you change how you respond in conflict, manage your triggers differently, or show up with less defensiveness, it often shifts the entire dynamic.
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Not at all. If you're single and keep repeating the same relationship patterns—choosing emotionally unavailable people, sabotaging when things get good, moving too fast or too slow—this is actually the perfect time to work on it. You can do the hard work now so you don't carry the same baggage into the next relationship. Prevention beats repair.
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Regular therapy might help you feel supported and understood, which is valuable. But couples-trained therapy is more targeted—we're specifically working on your attachment patterns, conflict behaviors, emotional regulation in relationships, and the cycles you get stuck in with partners. You'll leave with concrete skills and insight into your relational dynamics, not just validation that relationships are hard.
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We DO NOT accept insurance for this service.
Intake sessions for individual therapy, 60 minutes, $175
Follow up sessions for individual therapy, 50 minutes, $150
If you're hesitant about starting individual therapy,
that's completely normal.
Big decisions deserve careful thought. You might be in a relationship and wondering if you should work on things without your partner in the room, or you're single and questioning whether now is the right time. Maybe you've tried therapy before and it didn't fit, so you're wondering what would make this different.
Choosing therapy means you're taking your relationships seriously enough to invest real time and energy into getting better at them. You're recognizing that the same fights, disconnections, or patterns keep showing up, and you're ready to actually change something instead of just hoping it improves on its own. That's not weakness—that's wisdom. You don't have to have it all figured out before you start. That's exactly why we're here.
Ready to get started?
Click "Schedule my free consultation" below and complete the contact form. If you know which clinician you'd like to work with please chose their name. Otherwise, select "any" and we will connect you with the best fit. You can also visit Elizabeth or Lisa's bio page and click "Schedule" to see their availability.