Couples, Marriage and Relationship Counseling


Rethinking communication and intimacy. Our clinicians offer couples, marriage, decernment and relationship counseling that offer real solutions for busy lifestyles with complex problems.

Helping Couples of all Types Thrive

There was a time when you and your partner could have conquered the world together. But recently, you feel like you’re spending more time battling each other than taking on life’s challenges.

You were that ‘perfect’ couple once; inseparable, passionate and envied by all your friends. You struck the balance of supporting each other’s individual dreams and passions, while being partners and always considering the “We” before the “I”. You were the power couple who let nothing stand in their way.

Looking at the photos today, it seems like only a memory of days gone by. It’s heartbreaking to see how different your relationship has become. Or worse yet, the pain has given way to disdain and betrayal. This wasn’t supposed to happen. Nothing was going to come between your love, and yet here you are.

Or else, maybe you and your partner are feeling more like roommates than lovers and are looking for a way to put the spark back into your relationship. You know you still love each other but don’t know how to get that “spark” back again.

You are not alone. Most couples struggle as time goes on, and many reach a critical crossroads in their relationship that can be best addressed with a relationship expert’s help. Our approach at Acuity is based on educating couples on common relationship missteps and rethinking what a relationship needs in order to thrive.

We know that communication changes are best made when paired with deeper emotional work. In this way our therapy is meant for couples with complicated, budding or frustrating relationships.

We offer Couples Counseling for:

Intimacy and Sexual Concerns »

Infidelity Repair or Loss of Trust »

Communication and Conflict Resolution »

Family Counseling/Parental Challeges »

Our Clinicians also help with:

  • Preparing for Partnership & Premarital Counseling
  • Life Transitions (beginning, ending or changing your relationship status)
  • Marriage Counseling
  • Relationship Discernment Counseling

Contact us to schedule an appointment or ask a question.

10 + 13 =

Let’s learn to work together, together with us.

The busyness of life and obligations that seem to have torn you apart do not have to remain. You can reconnect and feel the love you used to feel. Despite the many challenges that get in your way, you can learn better ways to communicate and show the admiration and appreciation that still exists in your relationship.

Couples counseling offers a unique space where you and your partner can feel safe to explore your relationship. With the help of a trained couples therapist, you can look at the barriers that are keeping you from having the connection you desire. Our goal is to facilitate open discussion about the obstacles in your relationship, such as the hurt and resentments that have built over time and other concerns that prevent you from growing together and as individuals.

Get Started: Contact UsSchedule a Session Online

Inclusive Couples Therapy 

Consistent with our commitment to inclusivity and diversity, Acuity Counseling provides a non-judgmental space to explore all types of relationships including polyamorous relationships, same-sex romantic relationships and the diverse spectrum of other relationship types. Our focus is on helping you find the connection you are longing for and become the partner you truly desire to be.

Acuity Counseling is a multi-disciplinary team of couples counselors and marriage therapists, specializing in a variety of relationship counseling approaches including Gottman Method, Emotionally-Focused Therapy and Systems Approaches. We take great care in matching you with the right counselor for you and your specific concerns. Each therapist tailors their approach to help you reach your goals and provide the kind of care that acknowledges the uniqueness of your relationship.

Premarital Counseling

Couples that undergo premarital counseling universally improve the quality of their relationship when compared to couples who do not talk with a premarital counselor. The truth is that people receive more information about the common risks, warning signs and obligations when opening a credit card than they do when they sign a marriage certificate. We understand that there are many things all couples should be aware of before they get married or commit to a long term relationship. This is where our premarital counseling can help prepare couples for the future.

The unfortunate truth is that most divorces could be avoided if couples were properly educated about what marriage entails mentally, emotionally and physically. That is why we work with couples to identify crisis points long before they arise down the road and we prepare them with skills to deal with issues as they arise (and not after).

We guide couples through conversations about relationship essentials such as: communication, conflict resolution, intimacy (physical and emotional), trust, and roles and responsibilities. We’ve found that many couples have never explicitly talked about these topics and outlined their needs, expectations and limits. Some don’t know what questions to ask and some view it as an “unsexy” conversation. Either way we help couples navigate the start of marriage.

Sex Therapy and Couples Intimacy

Couples that find themselves losing the spark or who are thinking of each other as more like roommates than anything else, find great success when they seek intimacy help early. The truth is that every couple faces these challenges at one point or another, and most couples aren’t yet fully ingrained in their behaviors to prevent them from changing in order to save the relationship. When studies suggest that many couples seek help too late, they mean that too few people seek help at this stage of relationship deterioration.

Losing the feeling of connection with your partner doesn’t have to be permanent, instead our couples counselors have helped many couples rediscover the connection that brought them together in the first place.

Couples Counseling for Crisis/Infidelity

The next type of couple that we see are those who are facing crisis, whether that be infidelity, betrayal or any other number of issues that can put a relationship ‘on the line.’

These are people that have typically had issues with romantic connection over the previous 2-6 years. Typically one (or both) partners have long stopped thinking of their partner as someone to pursue, but instead take them for granted.

The Acuity approach to helping these couples stands out because we use the crisis as something to learn and grow from. Many couples grow out of such dire conditions because once they hit rock bottom they realize that nothing worse than this can happen in the future. For couples that are at the end of their rope and who are ready for change, consider our relationship crisis counseling.

Discernment/Divorce Counseling

For couples seriously contemplating divorce or separation, we offer discernment counseling. Typically couples that have tried most other things pursue a discernment process in order to decide if the relationship is even worth continuing. 

One of our discernment counselors typically walks couples through their expectations and needs for the future and compares their options to see what the best path is for everyone involved. This means deciding quickly whether the relationship should end and starting the relationship grieving process, or if both partners can genuinely commit to rebuilding the relationship over the next 6 months.

We work with couples to develop a clear plan with specific rules, expectations and timelines so that both partners understand what must be done going forward. A clear plan in which both partner’s emotions and thoughts are taken into account is key to future relationship happiness.

Frequently Asked Questions about Couples Therapy

Should we come in separately?

If you feel that you are the one in the relationship that is always pushing for communication and your partner is the main issue, then why should you come into therapy together? Well to start you can’t be sure that your own communication is perfect (you may be oversharing or overbearing for one), but also know that a relationship is a system. How one partner acts and reacts changes how the other partner acts in the relationship and vice versa. You have to work on the system as a whole and not piecemeal.

Will you take sides?

Generally no. We understand that both couples need to be challenged in a relationship. While sometimes one partner can contribute more to relationship issues, the solution takes work from both sides. At times we may ask more of one partner to reconcile for a past wrong, but we work hard to keep our counseling simultaneously challenging and unbiased.

Which therapist is right for me?

Let us help you find the right therapist. Many of our therapists specialize in anxiety, so view our profiles online to learn more about specific counselors specializing in anxiety treatment or speak with our Client Care Coordinator, who can help you with a personalized match to the right therapist for your needs. 

Finding the RIGHT therapist is the most important piece of reaching your goals.

How long does Therapy take?

Counseling works best within the framework of a safe and trusted therapeutic alliance. Since it takes time to build this relationship with your therapist, we recommend committing to weekly sessions for at least 8 weeks. Research shows that consistency adds to the positive outcomes of therapy. Once you reach your 8-week goal, you and your therapist can discuss a frequency of sessions that will support your continued success.

I’ve never done therapy before...What can I expect in my sessions?

The unknown of anything new can make it scary. Especially if you’ve never been to counseling before. Let us show you the “roadmap” so you know what to expect:

1st Session:
This first meeting is an introduction for both you and your counselor. Your therapist will explain the therapy process and go over the specifics of informed consent. From there, your therapist will gather additional information about your history, current circumstances, as well as struggles and personal strengths, which will help them to define a treatment plan that aligns with your goals. 

This is also the chance for you to learn more about your therapist. We encourage you to ask questions and get to know them; the relationship you build with your therapist will be the most important part of your work together. 

2nd Session and Future sessions:
In your weekly sessions, you and your therapist will use evidenced based therapies such as CBT, Mindfulness or ACT, to help you address your symptoms of worry, stress and anxiety. For anxiety rooted in trauma, or related to obsessive compulsive disorder (OCD), your therapist may recommend treatment with EMDR.

Closing Sessions:
Our goal is for you to find relief from your anxiety and be ready to “graduate” from therapy. In the last few sessions with your therapist, you will review your initial goals, the progress you have made, and solidify your new skills for managing anxiety in your life. At your last meeting together, you’ll have the time for the meaningful goodbye with your therapist.

How much does Counseling cost?

We strive to create access to high quality mental healthcare for everyone. Our therapists’ rates vary by experience and specialized training. We will make every effort to find the right therapist for you. 

Acuity Counseling also accepts health insurance and offers both in-network and out-of-network coverage. 

We are in-network partners with: 



First Choice

Premera Blue Cross

* We do not participate in EAP plans

Why don’t you only use Cognitive Behavioral Therapy (CBT)?

While we use CBT as an aspect of our therapeutic approaches, we know that every individual is different. No one responds to any method perfectly, so by employing many techniques we are able to provide the most personalized support. Cognitive Behavioral Therapy is talked about in relation to mental health so often because it has a large body of research behind it and is easy to replicate across all cases. This is why you may hear it called “evidence based,” which it certainly is. However, we use other evidence based therapies in conjunction with CBT in our therapies.

How can I evaluate whether therapy is working?

Acuity is unique because we use research backed questionnaires to assess your mood, goals and progress. From time to time we may share with you your progress on these reports, “you report being angry 30% less days than when you started therapy,” and then ask what your goals for the future may be. We have found that by having clients set their own goals and following up regularly we can achieve better results.

If I go to Acuity for help, does it mean there is something wrong with me?

No. We try to break this stigma constantly.

Many people come to Acuity just to gain a better perspective of themselves and work on some issues that they are having in their daily life. There aren’t many places for people to vent and seek honest help, so we provide that space for people as well as psychologically informed advice to better cope with life’s persistent problems. Even if you have a mental health diagnosis there is nothing wrong with you. We all experience and react to the world in different ways, it’s hard to argue that there is anything wrong with that.

Is medication used in conjunction with your therapy?

Some conditions for some people are best treated with the help of medication. If we find it necessary after our initial assessments, we will discuss types of medication, your comfort with it, and the pros and cons of medication with you. If you so choose, we can refer you to the appropriate psychopharmacologist in the area. If you are already on medication, we will coordinate treatment with your primary provider.

Break-free and begin your journey to

Your best

There is a future life where trauma does not control your day. Imagine yourself feeling calm, confident and ready to handle new situations with ease. The tools to living the life you have always envisioned are here, at your fingertips.

Acuity Counseling can help.


Schedule your therapy session online

Reach out directly to our Client Care Coordinator for questions, matching, and scheduling:

Online Counseling

Our services are also available online through Zoom. Telehealth/Online counseling gives you the opportunity to explore your challenges in life without complicating your daily schedule.


If you have questions and would like to talk about any of our counseling services, please reach out for a complimentary phone consultation or send us an email.

First Session Within 72 Hours of Calling

We book you an appointment within 24 hours of contacting us (usually less) and make sure your first appointment is soon after.

Seattle: 206-922-2376

Bellevue: 425-549-3242

Bothell/Woodinville: 206-910-9476

for Billing questions call:



Use our Online Scheduling Tool or call our office to schedule your appointment, or for any changes regarding scheduling.

Schedule by phone: 206-910-9476


Counseling services are often covered in full or in part by your health insurance company. Acuity Counseling proudly accepts most major health insurance plans.


First Choice





Sound Health & Wellness

We do not participate
in EAP Plans

Acuity Counseling Locations




Falcon View
12900 NE 180th St, Suite 160
Bothell, WA 98011
(206) 910-9476

Plaza 600 Building
600 Stewart St, Suite 1228
Seattle WA 98101
(206) 910-9476

–Coming Fall 2021–
221 N Wall St.
Spokane WA 99201

(206) 910-9476

Pin It on Pinterest