Does Insurance Cover Couples Therapy?

Little Known Ways to Absolutely Guarantee you'll find out if it does (and alternatives if it doesn't) 

Is couples therapy covered by insurance?

Marital or relationship problems severely impact the health and wellbeing of the individual and the family. We know from clinical research that relationship distress worsens common ailments such as depression and anxiety. And while treatment for marital distress has had a legitimate insurance diagnostic code for decades, and in its most recent form since 2016, (Z63.0), few clinicians use it. We'll answer why and many other questions in this article.

Is marriage counseling covered by insurance?

Perhaps a better question is: "Can I find marriage counseling near me that take insurance?" And the answer to that question is a resounding "Yes." It is insurance fraud (and a federal crime...) but this fraud is widely committed by many therapists across the USA. And like tax fraud, it might take months or even years to face any consequences.

Overwhelmingly, insurance plans don't actually cover marriage counseling but this is commonly sidestepped by clinicians eager to help clients in need. Many therapists seek out and find a diagnostic code that they can label you with. Then, they pretend that they are treating your other half as a "collateral" (only to help you with your mental health challenge...) 

And many psychotherapists don't actually understand the difference between a collateral, a procedural code, and a diagnostic code. I know because I have cleared up this confusion over my 30 years as a licensed psychologist and graduate psychology instructor.

I'll explain what a collateral is in a minute.

If you previously had couples therapy paid by your insurance, and you aren't a "C" level executive with a solid gold insurance plan, this is likely what happened. You or your spouse was given a psychiatric diagnosis. I'll discuss the problems with doing this later.

Focus on skill, not simply cost, just as you would any specialist

Finding the most advanced and skilled couples therapist you can afford should be your top priority when searching for a couples therapist. Your wellbeing and that of your family may rest on the professional's clinical knowledge, training in couples therapy, and experience helping couples just like you.

Is marriage counseling using your insurance helpful?

Many counselors working on insurance panels believe they have the requisite skills to practice couples therapy but few have effective evidence-based training that enables them to do so. They practice at half the required time needed (45-60 minutes instead of 80-90 minutes) and bring few demonstrable skills to effectively help you and your marriage. Your insurance will cover it, with fudging, but you may or may not get the help you are looking for.

There is no doubt that a therapist near you will accept your insurance, either as an in-network or out-of-network provider. And some will try to provide evidence-based 90-minute sessions for you by "double dipping" your insurance and giving each of you a diagnosis. Then they  see you back-to-back and bill your insurance company as separate sessions. But even that has consequences I'll later discuss called "clawbacks."

 Fifty-minute sessions are enough time for you to get into a fight with your partner, but not enough time to resolve them. They typically result in long, silent car-rides home and continued fighting or stony silences once you get there.

Then, two weeks later, you go back for another 50-minute session and repeat the same pattern.

Most couples quit after 4 of these "marriage counseling" sessions, believing it is their marriage, and not the inadequate care, that is responsible for this "failure in couples therapy."

Compare costs to a divorce attorney's retainer

The cost you pay for a good couples therapist should be compared not to what you'd pay if you used your insurance. It should be compared against the cost of hiring a good divorce attorney, as well as financing separate homes and separate lifestyles. However, while the couples therapist job is to keep you together, the divorce attorney's job is to separate you for good.

The choice is yours.

Follow along as John and Sheila try to get reimbursed for couples therapy. They thought they had all their bases covered, but realized only later what they needed to know:

Step One: Know the Lingo

The insurance clerk on the other end of the phone told John they cover couples therapy. He even got an authorization number.

He’s all set to go, right? No.

In addition, be familiar with the following phrases:

"Medically Necessary"

Most health insurance companies limit treatment to conditions considered a “medical necessity.” Health insurance is a business designed to pay for necessary services, only. For example, they will pay for a deviated septum, but not a rhinoplasty (nose job)." They consider the first a medical necessity; the latter is not. Does Insurance Cover Couples Therapy? It will depend upon whether they pay for Z codes or not. A troubled marriage is a problem, but most insurance companies don't consider it their problem. A troubled marriage is not a "mental illness."

A “Collateral”

Simply put, a collateral is a family member or friend who comes into treatment to help the patient with a diagnosable mental disorder. The collateral can learn more about the condition, learning better ways to react to the patient's disordered behavior, and how to stay emotionally regulated when, for example, the loved one's disorder keeps him or her up at night, causes them extreme irritability, or in other ways impedes the successful functioning of the family.

If John had a severe depression, his therapist might ask his wife, Sheila, to join them for several sessions. She would be there as a “collateral,” and this would be fully covered under John's insurance.

A collateral is usually a spouse, family member, or friend, who participates in therapy to assist the identified patient. The collateral is not considered to be a patient and is not the subject of the treatment, nor are they responsible for payment.

John and Sheila would NOT be doing couples therapy, even if Sheila might learn to be more tolerant or helpful to John in his current condition.

Your insurance may cover "both of you in a a therapy office" only if one of you is a "collateral." But while an important service, this isn't actually couples therapy.

Being considered a "collateral" means that one person is labeled as having the mental illness ("the problem,") while the other is not the focus of treatment. The focus of treatment is on that patient. Their spouse is not only NOT the patient, but they are entitled to no laws that govern confidentiality, like they would be if they were the patient. 

This is not actually couples therapy, although it is effective treatment for mental illness when used appropriately.
Few of our clients want to be labeled "the problem" in couples therapy. In fact, often they come in pointing the finger at each other as the one who "needs help." Clinical labels, even if only used for reimbursement purposes, we've learned, are more destructive than helpful to productive couples therapy.

A Procedural Code (CPT)

A Procedural Terminology (CPTcodes, also known as service codes, are a universal system that identifies medical procedures. Each procedure is given its own unique five-digit code that identifies to health insurance companies what type of care was provided. In mental health, the procedural code will change depending upon whether one or more people are in the room while therapy is going on.

A Diagnostic Code

This is the most confusing part to most people. Your insurance will pay for both spouses being in the room (Procedural Code) and often the clerk on the phone will say “Yes, we cover couples counseling,” because they see the Procedural Code “Couples/Family Therapy” on their computer screen.

But a Procedural Code ("Who’s in the Room") doesn’t kick out the claim. It is the Diagnostic Code that causes the claim to be rejected.  Whether or not your insurance covers couples therapy depends upon whether they cover z-codes.

The diagnostic code tells the insurance company what condition is being treated. When the condition is a troubled relationship, the correct diagnostic code is Z63.00. But unless you realize that the CPT only refers to how many people are in a room, and NOT what treatment is being provided, you can be misled.

So Why Do They Cover Marriage and Family Therapy as a Procedure code only?

Understanding The claims department process

Most of today's claims are submitted electronically, and the processors in the claims department review the claim to ensure accuracy in reporting and to determine if the treatment identified falls within the scope of the contract (“the insurance policy”). While the claim may have a procedural code outlining that two or more people were in the room, the diagnostic code informs the company whether the service is covered.

The diagnostic code is all important.

When health insurance coverage for marriage counseling becomes more trouble than it is worth. 

Five big reasons:


There are five big reasons why accepting a mental illness diagnosis in order to have your marriage counseling covered by your health insurance is a bad idea. The first two address ethics and your wallet; this practice is insurance fraud and the therapist might have their funds "clawed back" and drop your insurance company (and you in the process).

The other three are more personal. Diagnosis information goes onto your permanent health record potentially impacting; employment, firearms ownership, and security clearances as well as military service. Z-codes used to cover marriage counseling do not have this impact on your health records.

I. Insurance fraud

Lying to get benefits you don’t deserve is INSURANCE FRAUD. Misrepresenting non–covered treatments as a medical necessity is also blatantly illegal. False or misleading information deliberately provided to a health insurance company to procure unauthorized benefits to the policy holder‚ or to the therapist providing services is a federal crime.

Even if your provider of health services, commits the fraud, if you knowingly participate, you are culpable.

Most therapist require you to sign an agreement stating that you are responsible for payment of their full fee (often higher than they accept from insurance companies) if your insurance company does not pay for coverage. 

II. "Clawbacks"

Insurance companies are well aware that 40% of people calling therapy offices are looking for help with a troubled relationship. They also know that including Z-codes as part of their standard coverage would drive up insurance premiums and costs astronomically.

They are also aware of fraudulent efforts to treat couples while claiming it is actually treatment for a diagnosable mental illness. They are increasingly clamping down on therapists who practice this way.

In fact, it happened a few years ago in New England to about 50 psychotherapy practices. Health New England (HNE) was one company. You will not hear anything about why these therapists have suddenly stopped accepting Health New England, because therapists have a “gag rule” that prevents your therapist from telling you the truth, but here it is:

HNE doesn’t PAY for couples therapy and never has. They sent a letter out to hundreds of therapists telling them: “We’re holding back tens of thousands of dollars from you, Dr. Therapist, because you’ve billed us incorrectly."

It's all done effortlessly and electronically after comparing payment records.

Future funds are then withheld. These therapists are now forced to either "see you for free" or cancel their contract, (and your treatment) at the same time. And they may ask you to pay out of pocket. They could also keep the insurance and ask you to pay for past treatment they are no longer (technically) being reimbursed for.

The kicker is that the gag rules prevent them from even telling you why they can no longer accept your insurance or the other impossible decisions they must make.

III. Employment-related issues

While insurance records are required to be kept private, an employer can request access to an incoming employee's mental health records, as long as they make the same request of all incoming employees.

IV. Firearms Licenses

The FBI’s gun-purchase background check systems include mental health records in their National Instant Criminal Background Check System (NICS).

V. Military and Security Clearance

Also, while treatment using straight Z-code (Z-63.0) for marital counseling do not flag NICS security clearance question 21, other diagnostic codes, including other Z-codes, can and do flag this question and must be answered in the affirmative (for example, treatment for domestic violence (counseling for spousal or partner abuse problems (Z69.1))

Step Two:  Read your policy

John was too upset to sleep one night, after a big fight with his wife, so he read the member’s contract aka “his insurance policy,” from cover to cover.

He read that they will pay only for what they consider to be “medically necessary.” This means that they have the right to withhold payment if it is considered outside the scope of the policy.

He looked for language that sounded like this:

“A quote of benefits or authorization does not guarantee payment or verify eligibility. Payment of benefits are subject to all terms, conditions, limitations, and exclusions of the member’s contract at time of service.”

This means that just because you are told over the phone that the marriage counseling service is covered by insurance, doesn't mean that it actually is.

John now knows he must be particularly careful about what he asks and verify that information by looking in his insurance materials.

John will look for exclusionary-type language in his policy that might look like this:

The individual has a behavioral health condition, but it is unrelated to the presenting problem (e.g., a Partner Relational Problem in which one of the partners has an incidental behavioral health condition), and the problem – not the behavioral health condition – is the focus of diagnosis or treatment.”

This language tells John that a "problem" is a "diagnosable mental disorder" and the "incidental behavioral health condition" is his troubled marriage. The first is covered. The second one is not.

"Incidental behavioral health condition" describes relationship difficulties and is specifically excluded from coverage by health insurance companies.

Step Three: John calls his Insurance Company

John was smart and knew what to ask.

He didn't care what Procedural Codes his insurance would reimburse for. He now wanted to know only whether his insurance will reimburse for the proper Diagnostic Code for "marriage counseling" which is: Z-63.00.

Verbal authorization is no guarantee of coverage. 

He knew this was true even if the clerk told him that "all codes are covered" and gave him an authorization number.

He pressed on to ask her to "look up this particular code: Z-63.00."

Don't Say

“Do you pay for marriage counseling?” because they may say “Yes,” meaning “You both can be there in the same room.”

You now know that that’s called a Procedural Code, (the procedural code for couples or family work is 90847, and it pays for 50-minutes of treatment).

Do Say

“Do you pay for the Diagnostic Codes Z63.0?” (You can see a list of all DSM-V/ Z-codes here.) 

Make them look it up. Don’t settle for some general answer like “We pay for all the codes.”


Highly regarded and sought-after plastic surgeons do not disguise what they do to get insurance reimbursement. They know that some insurance plans will cover many types of plastic surgeries, while most restrict what can and can't be done and under what circumstance. 

Botox, for example, isn't covered by health insurance for cosmetic use, but is fully covered by both commercial plans and Medicare for migraine treatment. Otherwise, it costs between $400 to $700 per treatment.

Is Botox covered by health insurance?
If you questioned enough plastic surgeons, you may find one or two who would be willing to commit insurance fraud to cover your cosmetic Botox injections and say they were  being used for the treatment of migraines.

Is this ethical? No. But is it insurance fraud? Yes, it is.

Might it be possible to find someone who will commit this type of fraud? Possibly.

But is the ethics of this practice in debate? Certainly not.

Botox is used both cosmetically and for migraines. These are separate diagnostic codes, uses, and purposes. One is covered by insurance and one is not.

You expect a professional to maintain integrity, and to practice within the bounds of their area of expertise. You also expect them to maintain this integrity in every aspect of their professional lives and not violate ethical guidelines to be "nice" or "helpful."

Can John go to Marriage Counseling?


Will it be Insurance Cover Couples Therapy under his policy?

Unfortunately, no.

The person on the other end of the telephone told him they cover couples therapy. He even got an authorization number. He’s all set to go, right?

If he took their word for it, here is how it would go:

John would find a therapist in his plan and he and his wife would set up an appointment. They would pay a $30 co-pay at the time they were seen. They would be seen for 50- minutes, which is what their insurance would reimburse.

The therapists, who would be an “in-network provider,” would then send a bill to his insurance company for the balance. That "claim" would include information about:

  • Dates and Location of Service:  When and where they were seen;
  • Procedural Code:  Whether John was seen alone, with his wife, or with other family members; and
  • The Diagnostic Code: (what mental illness the patient has).

John wanted a skilled couples therapist. He did not want to carry a mental health diagnosis, for several reasons including his need for a security clearance and his license to carry a firearm (requiring FBI clearance. He learned a Z code doesn't have to be reported), and other related issues. He wanted the diagnostic code to be listed as "Z63.00 Relationships Problem."

It would then be submitted to insurance and then rejected.

But armed with his current knowledge after reading his contract and speaking to his insurance company, he realized that they would only reimburse treatment if one of them was given a mental health diagnosis, and they would only be seen for 50-minutes.

From his previous research, John knew that this was inadequate time for effective couples therapy.

So, what about couples therapy?

In his persistence, he learned that his insurance policy would not cover any diagnosis with a Z-codes.

Now he knows. 

Does Blue Cross Blue Shield cover marriage counseling?

Insurance companies are not required to cover couples counseling. While Blue Cross Blue Shield is often generous with reimbursements for psychotherapy and widely accepted by therapists in the USA, it is unlikely that a claim submitted for marriage counseling would be paid.

Does Cigna cover marriage therapy?

While you can find Marriage and Family Therapists on most insurance panels, this is no assurance that they've had more than a single course in marriage therapy. Ask specifically about what type of training they've conducted after graduate school and see if it is from a reputable training institute. Insurance companies are not required to cover marriage therapy. To determine your benefits, call Cigna using the number on the back of your ID card, or check under "View Medical Benefits Details." 

Does United Healthcare cover marriage counseling?

If you find ads that promise to take your United Healthcare coverage for marriage counseling, be wary. Be sure to ask how they know what insurance plan you have, and exactly how they intent to bill. Remember that the diagnostic code is linked to a diagnosable mental disorder, and that's not an issue to take lightly. Your therapist might recommend the Diagnostic code F43. 23 used for Adjustment Disorder (AD) with Mixed Anxiety and Depressed Mood. It is sometimes known as situational depression. It occurs when an individual is unable to adjust to or cope with a particular stress or a major life event. While it seems harmless, and such a diagnosis is required by law to be kept confidential, many employment contract have clauses allowing them to view relevant medical records. 

Does health insurance cover sex therapy?

Sex therapy is a a set of specific therapy approaches that helps change their beliefs and behaviors about sex inside and outside the bedroom. You can attend alone, but it's even more effective when you attend with your partner. Women with Hypoactive Sexual Desire Disorder and orgasmic disorder were particularly helped when it was mainly due to relationship issues or other emotional or psychological factors. CBT and even mindfulness practices have been used to teach women how to tune in to erotic sensations. Some, but not all insurance companies provide coverage. A medical referral may be necessary.

While most of us have heard of "the little blue pill" (Viagra)  pharmaceuticals alone don't often resolve sexual disorders. Working with a qualified sex therapist is often needed. To find out if your health insurance cover sex therapy, first contact your insurance provider and then to find a qualified provider.

Online couples therapy that takes insurance?

It should, if your insurance covers face-to-face couples therapy. But again, there is no requirement for insurance companies to cover Z codes (Z00–Z99). These are behavioral or situational diagnosis codes used when a client doesn’t have a known mental health disorder.

If your insurance provider doesn't cover couples therapy in person, it is unlikely they will do so online. For other diagnoses, however, there should be parity. If your online provider promises to take your insurance for online marriage counseling, check before you are seen about what psychiatric diagnosis you will be given.

About Couples Therapy

Effective couples therapy is a specialty field that requires not only post-graduate training, but also supervised experience. Research has demonstrated that longer sessions are more productive than 50-minutes.

Couples Therapy Inc. International - Minneapolis office.

What are legitimate ways to get marriage counseling covered?

Here are four totally legit ways to get the help you need:

1. Employee-Assistance Programs

Your employer’s Employee Assistance Program (EAP) may be the first place to check whether you can get marriage counseling covered as a benefit. Many EAP's cover a broader range of health care benefits than insurance plans alone. An Employee Assistance Program (EAP) is a voluntary, work-based program that offers free and confidential assessments, short-term counseling, referrals, and follow-up services to employees who have personal and/or work-related problems. 

Best of all? While some EAP programs are kept in-house, others are contracted to outside mental health providers, so you may find yourself going into a private office, and not a company HR Department.

2. Collateral coverage

Simply put, a collateral is a helper. Parents go to "play therapy" to get guidance as to how to best handle the child, but it is billed under the child's diagnosis. The parent is only there as a "helper" or "interested party."

But if your partner is suffering from a severe disorder that is impacting your relationship, you can become a helper who learns more about the illness and how you can respond effectively to this disorder. It's an effective use of your insurance dollars, whether or not you are covered under your partner's health insurance plan. These sessions can be schedule with the both of you, or privately with you alone, and you'll still be covered under the patient's insurance.


A collateral spouse is NOT the patient and is not the focus of treatment. Neither are your marital troubles as a stand-alone issue. Further, the collateral is under no obligation to pay for this treatment. But can it improve your marriage? Sure, it can.

If your husband has alcoholism, or your wife was hospitalized for depression, you may be asked to participate in treatment for a wide variety of reasons:

  • to gain vital knowledge of the mental health condition
  • to establish appropriate boundaries 
  • to learn how to respond to emotional outbursts, chronic irritability or delusions.

But in every one of these cases, the treatment is focused on your partner and how you can assist them in healing.

3. Find university clinics or public health clinics that work under grants

There are many excellent university and training clinics that offer free or low-cost marriage counseling. Many have been given block grants or grants from the National Institute of Mental Health to support the community and have greater flexibility in providing couples with longer and more frequent sessions than private practice providers can.

Just because these services are low cost or free, doesn't mean you have to accept whatever you're offered. Make sure that the therapist you see is fully trained as a couples therapist (not just has a degree in Marriage and Family Therapy) and has received or is currently receiving supervision from an experienced couples therapist.

These research departments may be conducting ongoing studies as to how to better help spouses where one or both partners are suffering from serious mental disorders such as mood disorders (depression, bipolar disorder, dysthymic disorder), thought disorders (such as schizophrenia or schizoid disorder), or anxiety disorders (such as generalized anxiety, agoraphobia, or social phobias.)

Taking part in these types of services not only provides you with the most innovative treatment available, but also helps further the entire field of mental health. 

The University of Minnesota, for example was instrumental in developing Discernment Counseling with faculty member Dr. Bill Doherty. Those lucky couples who sought low or no cost treatment received innovative services from an internationally recognized expert. 

Contact your local university or mental health clinic and ask if they have ongoing research projects or train graduate interns in couples therapy. While an intern may have less years of clinical experience, they may also have had the most up-to-date clinical training. In addition, they are supervised by more senior, experienced, staff members.

4. Receive treatment for a sexual dysfunction when covered by your plan.

While it is possible to receive individual treatment for sexual health problems, conjoint treatment (the two of you seen together) is a perfectly legitimate way to have your couples therapy covered. Be certain that your therapist has the qualifications to practice as a sex therapist. It may be necessary and preferable for couples therapy to be an integral part of the clinical work done on helping one or both of you with your sexual problems. But be sure treatment of sexual disordered is covered by your plan. Many do not, even though it's not a Z-code and is listed as a diagnosable mental disorder.

Three unlikely ways health insurance covers marriage counseling:

1. ACA Health Insurance 

While the Affordable Care Act (ACA) considers mental health to be an “essential benefit” for individuals, marriage counseling isn't covered because it is not a treatment for mental illness. Collateral coverage is often the exception.


Cobra is an extension of your employer coverage. If this coverage included payments for Z-codes (Z-63.00: relationship problems), you would continue to receive this reimbursement. If it didn't cover Z-codes while you were working, it's not likely to do so now. Read your policy carefully.

3. Medicare

Medicare Part B covers collateral family counseling. In other words, if you are a "collateral" there to offer support, gain knowledge about your spouse's condition (such as dementia), and how to adapt to it more effectively, your spouse's Medicare coverage will kick in. 

But this is no small thing. The slow and insidious onset of dementia disorders like Alzheimer's Disease requires couples to work together early in the disease progression. It allows both to plan for the inevitable decline of cognitive and self-care function, so your spouse isn't left on their own. Also, don't forsake your own need for individual therapy during this time. It's an appropriate use of health insurance funds.

Medicare does not cover marriage and family therapists (MFT's) unless a clinical facility, hospital, or other Medicare eligible agencies employs them. 

When does health insurance cover marriage counseling?

Covering Z-code

codes are a special group of codes used for reporting issues that impact health status (like a troubled marriage) but are not considered a mental illness. There are some insurance providers who will cover Z-codes, often for a limited number of sessions (typically 8-10 sessions.)

About the 45-50-minute session and marriage counseling

Please note however, that this is coverage for 50-minutes, and not evidence-based 80-90 minute sessions.

Fifty-minute sessions are enough time for you to get into a fight with your partner, but not enough time to resolve them. They typically result in long, silent car-rides home and continued fighting or stony silences once you get there. Then, two weeks later, you go back for another 50-minute session and repeat the same pattern.

Most couples quit after 4 of these "marriage counseling" sessions, believing it is their marriage, and not the inadequate care, that is responsible for this "failure in couples therapy."

If health insurance covers relationship counseling, it will do so because all Z-codes are covered by your health insurance plan.

A Z-code accurately describes marriage counseling but, few providers use it when seeking reimbursement. As I've already explained, it is because they are well aware that most health insurance companies do not reimburse for relationship problems. They’d rather not risk wasting their time and the client’s time submitting a claim when it is most likely to get rejected by your insurance company.

Aa Dan Stober, a therapist from Tennessee says:

"Your health insurance is like that. The benefits may be limited to treatment that are considered a “medical necessity.” My health insurance will pay for my appendectomy, but not my face lift (or my marriage counseling)."

What to do when you can't afford couples therapy

Community Mental Health Centers

SAMHSA publishes a comprehensive list of public health centers by state. There are over 12,000 mental health clinics in the USA that offer low- and no-cost mental health services. Check this list to determine if a community mental health center is near to you.

A Relationship Phone App

Try a phone app devoted to improving relationships like GetLasting or Coral: Relationship Coach are just a few of many apps designed to bring you closer.  Love Nudge focusing on the five different languages of love: physical touch, acts of service, quality time, words of affirmation, and receiving gifts.

Read Our Blog

It's filled with hundreds of useful articles explaining science-based couples therapy and practical techniques you can use to enhance your bond.

Take a Course

Our Relationship is a program that has helped more than 5,000 people improve their relationships with an approach that's proven to be effective. The project was developed and funded by the U.S. Department of Health and Human Services, Administration for Children and Families, so you've already paid for it with your tax dollars!

If your insurance does not cover Couples Therapy...

Then use insurance benefits to resolve other mental health problems

Seek out skilled individual therapists who are trained to do exactly that.

Here are the most common mental health diagnoses used today:


Mood Disorders
  • Resolving mood disorders such as depression or bipolar disorder is essential for healthy functioning.
  • Proven treatments such as cognitive-behavioral therapy are widely available.
  • Health Insurance will fully reimburse this treatment.


Anxiety Disorders
  • Panic attacks often runs in families.
  • Agoraphobia makes it difficult to travel and socialize comfortably.
  • Social anxiety makes it challenging to make and keep friends.


Eating Disorders
  • The culture makes obsession with weight and food common.
  • Diets have been proven through research to worsen eating disorders.
  • Treatment that don't involve dieting are now available to manage food and body obsession.

Know what makes a good couples therapist.


A good marriage is essential. Don't leave getting the right help to chance.

Does Insurance Cover Couples Therapy

What Makes Us Different

Couples Therapy Inc. is an international organization offering comprehensive science-based couples therapy. We’ve built our reputation around working effectively with the toughest couples using an all-inclusive model.

It begins with you providing us a colossal amount of information, ("the assessment") done first at home and then with your therapist. It is the start of your incredible journey. 

Momentum matters in therapy. You pay one all-inclusive fee that captures both assessment and treatment, and we do the rest, designing tailor-made interventions that target your biggest relationship challenges.

No one model can effectively help every couple. The most effective couples therapists are experienced, cross-trained professionals capable of conducting a variety of evidence-based practices. These specialists make up our Team.

Couples interested in working with us can request a no-obligation 15-minute call with one of our Client Services professionals. We'll answer your questions, see if our services are the right fit, and help you to select one of our couples therapists. Then we'll set up your initial consultation with that specialist, when you are ready to move forward.


The most well-known evidence-based therapy includes Gottman Method, Emotionally Focused Therapy, Solution Focused Therapy and Integrative Behavioral Couples Therapy. But being even certified in one of these methods isn't enough. We strengthen our expertise with training in multiple models to help troubled couples.

Comprehensive Couples therapy

Comprehensive couples therapy is a complete service providing both assessment and treatment. You pay one all-inclusive fee and we do the rest, designing tailor-made interventions that target your biggest relationship challenges. Our work is directed by both our clinical findings and your needs. Choose either 2.5 days or services provided over 3 months.

 senior, experienced clinicians

It takes both specialized training in evidence based couples therapy and closely observed supervision to have the know-how to work with relationships. Many of our marriage counselors have 20-30 years as relationship professionals. We also have board-certified sex therapists on our Team.

 Headquarters of Couples Therapy Inc.

125 Guest Street, Boston, MA, 02135, USA

Call Toll Free: 844-926-8753
International Callers: +1 212-519-7523

 Want to learn more about comprehensive evidence based  couples therapy?