Couples Therapy in Maryland

Couples therapy in Maryland

Couples therapy across Maryland.

Most couples wait six years longer than they should before coming to therapy. By the time they arrive, the patterns are deeper than they need to be. Sanare Counseling Group connects partners across Maryland with therapists who specialize in couples work — communication, connection, conflict, intimacy, parenting friction, and the slow drift that affects so many long-term relationships.

What it looks like

Reasons couples reach out.

Communication breakdowns

The same conversation, over and over, that never resolves. You both leave it feeling worse.

Lost connection

Roommates more than partners. Caring without feeling close. The friendship faded somewhere along the way.

Parenting conflict

You handle the kids differently. Resentment builds about who carries what.

Intimacy changes

Sex feels different. Affection feels rare. Difficult to bring up without it becoming another conflict.

How we work

Approaches that actually move things.

Emotionally Focused Therapy

The most-researched approach for couples. Identifies the underlying emotional patterns and helps partners reach each other again.

Gottman-informed work

Decades of research on what differentiates healthy from struggling couples. Concrete skills for repair, conflict, and connection.

Communication coaching

Hands-on practice during sessions — slowing down conversations, naming what’s underneath the surface argument.

Premarital and pre-baby

Strong couples come too. Therapy is for preventive maintenance as much as crisis repair.

Insurance for couples

In-network with major Maryland plans. Couples sessions typically covered when one partner has a clinical diagnosis. Most clients pay $0 to $50 per session.

CareFirst BCBS
United Healthcare
Aetna
Cigna
Maryland Medicaid
Our couples specialists

Therapists who get couples work.

Maria Perrootts, LCPC

Couples, communication, life transitions. Read bio →

Nithya Ramesh, LGPC

Couples, identity, LGBTQ+-affirming. Read bio →

Adam Miller, LCPC

Couples, men in relationships, families. Read bio →

Victoria Vargas, LGPC

Couples, trauma-informed, integrative. Read bio →

Couples therapy by city

Find couples therapy in your city.

Common questions

A few honest answers.

Does couples therapy actually work?

Yes — EFT and Gottman-based approaches have substantial research support, with 70 to 75 percent of couples reporting significant improvement.

What if my partner doesn’t want to come?

Common. Many start skeptical and stay because the sessions feel different from what they expected. We can also start with just you.

Are you LGBTQ+ affirming?

Yes. Several therapists work specifically with queer couples, polyamorous partnerships, and non-traditional relationship structures.

How long does it take?

Most couples come weekly for 12 to 20 sessions. Some shorter for specific issues. Some longer for deeper rebuilding.

Can we attend from different locations?

Yes. Virtual makes this easy — each partner can join from their own location if needed.

Ready when you are

The relationship is worth the effort.