Serving Cary, Cornelius & Pittsboro | Virtual Across NC
Serving Cary, Cornelius & Pittsboro | Virtual Across NC
Couples Counseling In NC
Compassionate Couples Counseling
Whether you're struggling with communication, conflict, trust, or feeling disconnected, our experienced couples therapist provides compassionate care to help you reconnect and move forward. Sessions are available virtually throughout North Carolina, in person in Cornelius, and via PSYPACT for clients located in participating states.
When You Relationship Feels Stuck, Change Is Possible
Every relationship faces challenges. Over time, stress, parenting, work demands, life transitions, or past hurts can create distance between partners. You may find yourselves having the same arguments, avoiding difficult conversations, or wondering how you became so disconnected.
The good news is that relationships can heal. Couples counseling provides a safe, supportive environment where both partners can feel heard, understand unhealthy patterns, improve communication, rebuild trust, and strengthen their connection. Whether you've been together for a few years or several decades, seeking support is a sign of commitment to your relationship—not failure.
Couples often come to counseling because they are experiencing:
- Frequent arguments or ongoing conflict
- Communication difficulties
- Emotional distance or feeling disconnected
- Trust concerns or infidelity
- Parenting disagreements
- Intimacy or relationship concerns
- Major life transitions
- Premarital counseling and relationship preparation
How Couples Counseling Can Help
Healthy relationships require attention, communication, and a willingness to grow together. Couples counseling helps you recognize the patterns that keep you feeling stuck, improve communication, rebuild trust, and strengthen your connection.
Couples counseling isn't about deciding who is right or wrong. Your therapist works with both partners to better understand one another, improve communication, resolve conflict more effectively, and develop practical strategies that support lasting change.
Through Couples Counseling You May Learn to:
- Communicate more effectively
- Resolve conflict in healthier ways
- Rebuild trust after difficult experiences
- Strengthen emotional and physical intimacy
- Navigate parenting and family stress
- Navigate life transitions as a team
- Develop a stronger, more connected relationship
What To Expect During Couples Counseling
Beginning couples counseling can feel intimidating. Many couples worry they'll be blamed, judged, or asked to choose sides. Our goal is to create a supportive, balanced environment where both partners feel heard, respected, and understood.
Your therapist provides a balanced, supportive environment where both partners have the opportunity to be heard. Together, you'll identify unhealthy patterns, strengthen communication, and work toward practical solutions that support your relationship goals.
Every relationship is unique, so your treatment plan is tailored to your specific concerns, strengths, and hopes for the future.
During Counseling, You Can Expect:
- A respectful, nonjudgmental environment
- Equal attention to both partners' perspectives
- Practical tools you can use between sessions
- Goals tailored to your relationship
- A focus on long-term growth, not just immediate conflict
Meet Our Couples Counselors
Samantha Prieto, LMFT In-Person & Virtual
Samantha Prieto, LMFT In-Person & Virtual
Samantha Prieto, LMFT In-Person & Virtual
Samantha Prieto, LMFT, provides compassionate couples counseling for partners seeking to improve communication, rebuild trust, strengthen emotional connection, and navigate life's challenges together. She sees couples in person at our Cornelius office and virtually throughout North Carolina, making it easier to access care that fits your schedule.
Dr. Sarah Spade Virtual
Samantha Prieto, LMFT In-Person & Virtual
Samantha Prieto, LMFT In-Person & Virtual
Dr. Sarah Spade provides virtual couples counseling for clients throughout North Carolina and, through PSYPACT authorization, for clients located in participating PSYPACT states. She works with couples experiencing communication difficulties, conflict, relationship transitions, and other concerns while offering the convenience of secure telehealth.
Couples Counseling In Cary, NC
Samantha Prieto, LMFT In-Person & Virtual
Couples Counseling In Cary, NC
Eden Toledano, LMFT is a Licensed Marriage and Family Counselor. Eden is available to see you in person in Cary, NC and virtually for folks in North and South Carolina.
Frequently Asked Questions
Couples typically begin by meeting with the therapist together for one or more sessions. The therapist may then meet individually with each partner to better understand their perspectives, relationship history, and goals for counseling. After the initial assessment process, sessions generally continue with both partners together. Your therapist will explain the recommended structure based on your relationship and treatment needs.
Yes. We offer secure virtual couples counseling throughout North Carolina. Dr. Sarah Spade also provides telehealth services to clients located in participating PSYPACT states.
Yes. We provide counseling for married couples, engaged couples seeking premarital counseling, dating couples, and long-term partners who want to strengthen their relationship.
Couples seek counseling for many reasons, including communication difficulties, conflict, trust concerns, infidelity, parenting challenges, intimacy concerns, life transitions, and emotional disconnection. Therapy can also help couples strengthen an already healthy relationship.
The length and frequency of sessions depend on your needs and treatment goals. Your therapist will discuss recommendations during your initial appointment.
True couples counseling focuses on the relationship as the client rather than one individual. Because of this, it is generally not a covered benefit under health insurance plans, including most commercial insurance and Medicare.
When one partner is receiving treatment for a diagnosed mental health condition and involving their partner is clinically appropriate as part of that individual's treatment, insurance may cover family-assisted psychotherapy under certain circumstances. This is a different service than traditional couples counseling.
We believe it's important for clients to understand these distinctions before beginning treatment so there are no surprises regarding fees or insurance coverage.
Our administrative team is happy to explain these differences, discuss fees, and answer questions before you schedule your first appointment.
No. We do not use artificial intelligence (AI) to record or transcribe therapy sessions, and we will never ask you to consent to AI transcription as a condition of receiving care. We believe protecting your privacy and confidentiality is fundamental to building trust. Your therapy sessions remain between you and your clinician.
Take The First Step Toward A Stronger Relationship
Every relationship has challenges, but you don't have to face them alone. Whether you're hoping to improve communication, rebuild trust, heal after a difficult season, or strengthen an already healthy relationship, our couples counselors are here to help.
The first step is simply reaching out. We'll answer your questions, explain the counseling process, and help you determine whether couples counseling is the right fit for you and your partner.
Schedule a confidential consultation today and take the first step toward building the relationship you both deserve.
Not sure if couples counseling is the right next step?
Our administrative team is happy to answer your questions, explain what to expect, and help you determine whether couples counseling is the right fit for you and your partner. There's no pressure—just honest guidance to help you make an informed decision.
Every relationship is different, and finding the right support matters. We're here to help you take that first step with confidence.
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