Online Therapy for Relationship Challenges
Individual Counseling for Communication, Boundaries, Trust, and Connection
Relationship Challenges
Relationships can be a source of love, safety, belonging, and support. They can also become the place where your deepest fears, unmet needs, attachment wounds, and survival patterns are activated.
You may love someone and still feel lonely in the relationship. You may want connection but struggle to trust it. You may repeatedly explain what you need without feeling heard, or remain silent because expressing your needs has created conflict in the past.
Perhaps you are uncertain whether a relationship can improve, whether you should remain in it, or whether the problem is something you need to change within yourself. You may feel responsible for holding the relationship together while becoming increasingly disconnected from your own feelings and needs.
Relationship challenges are not limited to romantic partnerships. Painful patterns can also develop with parents, adult children, siblings, friends, coworkers, supervisors, or other important people.
Individual therapy can help you understand what is happening within your relationships and what happens inside you when connection feels uncertain, unsafe, unequal, or emotionally unavailable.
The goal is not to tell you whom to love, whether to stay, or whether to leave. It is to help you recognize patterns, trust your perceptions, communicate more clearly, establish boundaries, and make decisions without abandoning yourself.
People make sense once we understand the story behind their survival—and the way you learned to survive often becomes visible in your relationships.
When a Relationship Problem Becomes an Emotional Pattern
Every relationship experiences tension, disappointment, misunderstanding, and conflict. A difficult interaction does not automatically mean that a relationship is unhealthy or that it should end.
However, a problem may require closer attention when it becomes a recurring pattern.
You may find yourself having the same argument in different forms. You may repeatedly explain your feelings without experiencing meaningful change. You may leave conversations feeling confused, guilty, dismissed, or responsible for repairing everything.
The pattern may continue even when the person or relationship changes.
You may repeatedly:
Choose emotionally unavailable people
Become responsible for another person’s well-being
Ignore your needs to preserve connection
Avoid conflict until resentment builds
Stay longer than you want because leaving feels unbearable
Pull away when someone becomes emotionally close
Seek reassurance but struggle to believe it
Overexplain your intentions
Accept inconsistent treatment
Mistake emotional intensity for intimacy
Work harder whenever the other person withdraws
Question whether your expectations are reasonable
Lose yourself inside the relationship
When a pattern appears across several relationships, it may be connected to attachment, trauma, self-worth, fear of abandonment, people-pleasing, emotional neglect, or the roles you learned to perform earlier in life.
Understanding the pattern is not about blaming you for how other people treated you. It is about helping you recognize what you learned to tolerate, pursue, fear, or avoid—and giving you more choices.
The Relationship You Have With Yourself Affects Every Other Relationship
You may spend a great deal of time trying to understand other people.
You may analyze what they meant, why they withdrew, whether they are upset, or what you could do differently. You may become highly skilled at identifying other people’s needs while remaining uncertain about your own.
The relationship you have with yourself influences what you tolerate, what you ask for, how you respond to conflict, and whether you believe your needs deserve consideration.
You may struggle to trust yourself if you were taught that:
Your feelings were dramatic
Your needs were inconvenient
Boundaries were selfish
Disagreement was disrespectful
Love required sacrifice
Conflict meant rejection
Other people knew what was best for you
You were responsible for maintaining peace
Your worth depended on being useful
You had to earn care through good behavior
Therapy can help you develop a relationship with yourself that is not based on criticism, punishment, or abandonment.
When you trust your own perceptions, you are better able to recognize what feels safe, communicate what you need, and make choices that protect your well-being.
Attachment Wounds Can Shape Adult Relationships
Your earliest relationships may have taught you what to expect from closeness.
If care was inconsistent, critical, emotionally unavailable, intrusive, frightening, or dependent on your behavior, you may have learned that connection requires vigilance.
You may become anxious when someone pulls away or uncomfortable when someone gets too close. You may fear being abandoned while also fearing dependence. You may seek reassurance and then question whether it is genuine.
Attachment-related patterns may include:
Becoming intensely attached very quickly
Fear of rejection or abandonment
Difficulty trusting reassurance
Monitoring changes in communication
Feeling panicked when someone needs space
Avoiding emotional vulnerability
Pulling away before someone can hurt you
Choosing unavailable people
Feeling responsible for maintaining connection
Accepting poor treatment to avoid being alone
Testing whether someone cares
Confusing unpredictability with chemistry
Feeling bored or suspicious when a relationship is calm
These patterns are not proof that you are incapable of healthy connection. They may be protective responses developed in relationships where safety and care were uncertain.
Attachment-informed therapy can help you understand these responses, communicate needs more directly, tolerate healthy closeness, and recognize the difference between what is familiar and what is safe.
When You Keep Choosing Emotionally Unavailable People
You may find yourself repeatedly drawn to people who are unable or unwilling to offer consistency, vulnerability, accountability, or mutual care.
The circumstances may change, but the emotional experience remains familiar.
You may work harder when someone withdraws. You may interpret brief moments of closeness as evidence that the relationship is finally changing. You may remain focused on the person’s potential while your own needs continue to go unmet.
Emotionally unavailable relationships can leave you feeling as though you must earn basic connection.
You may believe that if you are patient enough, helpful enough, attractive enough, undemanding enough, or understanding enough, the person will eventually choose you fully.
Therapy can help you explore:
What emotional availability means to you
Why inconsistency feels compelling
Whether you are pursuing connection or trying to resolve an older wound
What you believe you must do to deserve love
Why mutual relationships may feel unfamiliar
How hope can keep you attached to potential rather than reality
What prevents you from acting on what you already know
The goal is not to criticize you for caring. It is to help you recognize when caring for someone has become indistinguishable from abandoning yourself.
Communication Is More Than Finding the Right Words
You may believe that if you explain yourself perfectly, the other person will finally understand.
You may rehearse conversations, soften every statement, choose the right time, and provide examples. If the conversation still goes badly, you may assume you communicated incorrectly.
Healthy communication matters, but communication is not determined by one person alone.
You can express yourself clearly and still encounter defensiveness, avoidance, dismissal, manipulation, or unwillingness to engage. No communication technique can guarantee that another person will respond with empathy or accountability.
Individual therapy can help you:
Identify what you want to communicate
Separate the central issue from accumulated resentment
Speak directly without becoming unnecessarily harsh
Use language that reflects your experience
Listen without immediately becoming defensive
Remain grounded when the other person reacts
Recognize when the conversation is no longer productive
Stop overexplaining after your position is clear
Decide what action you will take if the pattern continues
Communication is not only about expressing a need. It is also about observing what happens after the need is expressed.
Boundaries Are About Your Choices
A boundary is not a method of controlling another person.
A boundary identifies what you will participate in, what you will accept, and what action you will take to protect your well-being.
For example, “You are not allowed to raise your voice” attempts to control the other person. A boundary may sound more like, “If yelling begins, I will end the conversation and return when we can speak respectfully.”
Boundaries may involve your time, body, privacy, finances, communication, emotional energy, work, family involvement, sexuality, or availability.
You may struggle with boundaries if you fear:
Being seen as selfish
Hurting someone’s feelings
Being misunderstood
Creating conflict
Losing the relationship
Being punished or rejected
Appearing difficult
Disappointing your family
Becoming like someone who harmed you
Setting a boundary does not guarantee that the other person will respect it. Their response provides important information about the relationship.
Therapy can help you determine which boundaries you need, communicate them clearly, and follow through without writing an entire legal argument to justify yourself.
People-Pleasing Can Become Self-Abandonment
People-pleasing may have developed as a way to create safety.
You may have learned to monitor other people’s moods, anticipate what they need, remain agreeable, and prevent conflict. These abilities may have helped you maintain important relationships or reduce danger.
As an adult, people-pleasing can leave you overcommitted, resentful, exhausted, and disconnected from yourself.
You may say yes before checking your capacity. You may apologize for needs that are entirely reasonable. You may agree with someone and become angry with yourself later.
You might fear that honesty will make you difficult to love.
Therapy can help you recognize the difference between kindness and fear-based compliance.
You can be considerate without becoming responsible for another adult’s emotions. You can disappoint someone without harming them. You can say no without proving that your reason is important enough.
A relationship that requires you to disappear in order to preserve it is asking for more than compromise.
Trust After Betrayal
Betrayal can change the way you understand the relationship and your own judgment.
Whether the betrayal involved infidelity, deception, secrecy, financial behavior, broken promises, emotional abandonment, or divided loyalty, you may find yourself replaying the past and searching for what you missed.
You may struggle to decide whether trust can be rebuilt.
Part of you may want reassurance and closeness. Another part may remain alert for evidence that the betrayal will happen again. You may feel embarrassed for staying, guilty for considering leaving, or angry that you must now carry the consequences of someone else’s choices.
Therapy can help you explore:
What was lost beyond the specific behavior
What accountability and repair would require
Whether promises are supported by consistent action
What information you need
Which questions can and cannot be answered
How the betrayal has affected your self-worth
Whether the relationship can meet your needs now
What trusting yourself would look like
How to make decisions without pressure
Forgiveness is not required for healing. Forgiveness also does not automatically restore access, remove consequences, or rebuild trust.
Trust is not repaired by demanding that you stop asking questions. It is rebuilt, when possible, through honesty, accountability, consistency, transparency, and time.
Loneliness Inside a Relationship
You can be surrounded by people and still feel profoundly alone.
You may have someone to share a home, schedule, or responsibilities with but no one with whom you feel emotionally known. Conversations may revolve around tasks, problems, children, work, or other people while your inner life remains untouched.
You may feel lonely because:
Your feelings are dismissed
Vulnerability is avoided
Affection has decreased
Communication remains superficial
You carry most of the emotional labor
Your interests or identity are not respected
Conflict is never resolved
You do not feel safe being honest
You have changed in ways the relationship has not acknowledged
You are physically together but emotionally disconnected
Loneliness inside a relationship can be difficult to discuss because other people may assume that partnership protects you from isolation.
Therapy can help you name what is missing, determine whether it can be communicated, and explore what you need in order to experience genuine connection.
Family Relationships and the Roles You Were Assigned
Family relationships often contain long histories, unspoken rules, and deeply established roles.
You may have been identified as the responsible one, difficult one, peacemaker, caretaker, successful one, problem, secret keeper, or person who does not need help.
Even after you change, your family may continue relating to the role you once occupied.
Family challenges may involve:
A critical or emotionally unavailable parent
An intrusive or controlling family member
Sibling conflict
Unequal caregiving responsibilities
Favoritism
Estrangement
Pressure to maintain contact
Conflict about money, inheritance, religion, culture, or politics
Adult children and changing parental roles
Being expected to keep family secrets
Guilt when you establish limits
Grieving the family relationship you needed but did not receive
You may love your family and still need boundaries.
You may understand why someone behaves as they do without continuing to accept the behavior. Compassion for another person’s history does not require you to ignore the impact of their choices.
Therapy can help you decide what kind of contact, closeness, or distance supports your emotional well-being.
Friendship Changes and Loss
Friendship difficulties can be as painful as romantic relationship problems, but they are often given less attention.
A friendship may change because of relocation, marriage, parenthood, career demands, health, changing values, conflict, betrayal, or personal growth. You may realize that a friendship depends on you doing most of the work or remaining in an old version of yourself.
You may grieve a friendship even when ending or reducing contact was necessary.
Therapy can help you process:
Friendship breakups
Growing apart
Unequal effort
Exclusion
Betrayal
Difficulty making friends as an adult
Social anxiety
Changes in community
Feeling lonely despite having acquaintances
Fear of initiating connection
Recognizing that shared history is no longer enough
You are allowed to want friendships that include mutual interest, effort, care, and respect.
Workplace Relationship Challenges
Relationship patterns do not disappear when you enter the workplace.
You may struggle with a critical supervisor, manipulative coworker, unclear expectations, favoritism, bullying, discrimination, or pressure to take responsibility for everyone.
Workplace challenges may activate earlier experiences with authority, criticism, rejection, or conflict.
You may:
Overwork to prove your value
Avoid asking questions
Fear making mistakes
Accept responsibilities outside your role
Struggle to say no
Replay feedback for hours
Remain silent about inappropriate behavior
Feel responsible for maintaining team harmony
Doubt your perceptions
Become emotionally exhausted from masking
Therapy can help you identify what is happening, prepare for communication, establish professional boundaries, document patterns when appropriate, and decide what options are available to you.
Therapy cannot control the workplace, but it can help you respond without automatically returning to survival strategies that cost you your well-being.
Relationships After Emotional or Narcissistic Abuse
After an emotionally abusive or narcissistic relationship, connection may no longer feel safe.
You may question your perceptions, expect hidden motives, or become anxious when someone is kind. You may overexplain because you are accustomed to having your intentions distorted.
You may fear repeating the relationship and blame yourself for not recognizing the behavior sooner.
Recovery may involve:
Rebuilding trust in yourself
Recognizing manipulation and coercive control
Understanding trauma bonding
Processing grief and betrayal
Strengthening boundaries
Identifying warning signs
Learning what emotional safety feels like
Separating familiarity from compatibility
Tolerating healthy relationships that initially feel unfamiliar
Releasing responsibility for the abusive person’s behavior
The responsibility for abuse belongs to the person who chose abusive behavior.
Therapy is not about interrogating why you stayed. It is about understanding the conditions you were surviving and helping you build relationships that do not require self-abandonment.
When You Are Unsure Whether to Stay or Leave
You may enter therapy hoping someone will tell you what decision to make.
You may be exhausted from weighing the history, hope, harm, responsibilities, finances, children, community, and possible future of the relationship.
I will not decide for you.
Therapy can help you examine:
What is happening now
Whether the relationship is emotionally and physically safe
What has and has not changed
Whether accountability is present
What you need from a relationship
What you fear about staying
What you fear about leaving
What resources and support are available
Which choices align with your values
Whether you are responding to current reality or hoped-for potential
If coercive control, threats, stalking, intimidation, or violence are present, safety requires particular attention. Joint or couples counseling may not be appropriate in an abusive relationship.
You deserve support that considers both your emotional well-being and your safety.
Relationship Challenges That May Bring You to Therapy
You do not need to be preparing to end a relationship to seek support.
Individual relationship therapy may help when you are experiencing:
Repeated conflict
Communication breakdowns
Difficulty expressing needs
Fear of confrontation
Emotional distance or loneliness
Loss of trust
Betrayal or infidelity
Jealousy or insecurity
Fear of abandonment
Difficulty establishing boundaries
People-pleasing and overgiving
Unequal emotional or practical responsibility
Resentment
Caregiver exhaustion
Family conflict
Parent and adult-child difficulties
Sibling conflict
Friendship changes or loss
Workplace relationship stress
Difficulty trusting after emotional abuse
Attachment anxiety
Emotional avoidance
Uncertainty about whether to stay or leave
Changes in intimacy or affection
Different expectations about commitment
Conflict regarding relationship structure
Feeling unseen, dismissed, or taken for granted
Difficulty adjusting after a relationship changes
Repeating painful relationship patterns
Sometimes the relationship itself is the primary concern. Other times, relationship difficulties are connected to depression, anxiety, trauma, grief, stress, health changes, neurodivergence, substance use, life transitions, or experiences from childhood.
Therapy can help us understand the larger context rather than reducing the problem to one argument or one person.
This Is Individual Therapy, Not Couples Counseling
I provide individual therapy for relationship challenges.
Your partner, family member, friend, or coworker does not participate in the sessions. The focus is on your experiences, emotional responses, patterns, needs, choices, and well-being.
Individual relationship therapy can help you:
Understand what is happening in the relationship
Identify what you need
Prepare for difficult conversations
Develop clearer boundaries
Recognize your part in recurring patterns
Process betrayal, disappointment, or grief
Evaluate whether the relationship aligns with your values
Decide what you are and are not willing to accept
Respond differently when familiar patterns appear
Rebuild trust in your judgment
Determine what remains within your control
Individual therapy cannot force another person to communicate, change, become emotionally available, respect a boundary, accept responsibility, or participate in repairing the relationship.
It also cannot evaluate or diagnose someone who is not my client.
We can discuss behaviors and patterns that affect you without assigning a mental health diagnosis to the other person. The most useful question is often not, “What diagnosis does this person have?” but, “What is happening in this relationship, how is it affecting you, and what choices are available to you?”
If you are seeking therapy in which both people participate and the relationship itself is the identified client, couples or family therapy may be more appropriate.
Affirming Therapy for Diverse Relationships
Relationships do not all follow the same structure, expectations, or path.
My practice is body-positive, LGBTQIA+ affirming, BIPOC affirming, kink-positive, and polyamory-positive.
You may be navigating:
Same-gender or queer relationships
Gender identity or transition within a relationship
Consensual nonmonogamy
Polyamorous relationships
Kink or BDSM dynamics
Mixed-orientation relationships
Cultural or interracial relationship differences
Chosen family
Relationships that do not follow conventional expectations
Family rejection related to identity or relationship structure
Your identity or relationship structure will not automatically be treated as the problem.
Affirming therapy does not mean avoiding difficult questions or assuming every relationship is healthy. It means evaluating communication, consent, boundaries, power, safety, accountability, and emotional well-being without imposing a narrow definition of what a relationship should look like.
How Individual Therapy Can Help With Relationship Challenges
Individual therapy provides a private place to understand your experience without needing the other person to agree with your perspective or participate in treatment.
Depending on your history, circumstances, and goals, therapy may help you:
Identify recurring relationship patterns
Understand attachment responses
Recognize emotional triggers
Communicate needs more clearly
Develop and maintain boundaries
Reduce people-pleasing
Address fear of conflict
Increase tolerance for another person’s disappointment
Recognize emotionally unavailable or harmful dynamics
Process betrayal and grief
Rebuild trust in your perceptions
Develop emotional-regulation skills
Respond differently during conflict
Understand the difference between care and overfunctioning
Reduce reassurance-seeking
Address shame and self-criticism
Identify what emotional safety means to you
Make relationship decisions with greater confidence
Develop a stronger relationship with yourself
Build connections that allow you to remain fully present as yourself
Therapy may help improve a relationship when you change how you participate in the pattern. It may also help you recognize when your individual effort cannot repair a relationship that lacks mutual honesty, accountability, respect, or willingness.
Therapies That May Help With Relationship Challenges
There is no single approach that fits every relationship concern.
My work may integrate Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Eye Movement Desensitization and Reprocessing, Internal Family Systems, Attachment-Based Therapy, Trauma-Focused Cognitive Behavioral Therapy, and Existential Therapy.
Acceptance and Commitment Therapy can help you clarify your relationship values, tolerate uncertainty, and make choices that reflect those values rather than fear.
Cognitive Behavioral Therapy can help you recognize beliefs and interpretations that intensify conflict, shame, jealousy, rejection sensitivity, or fear of abandonment.
Dialectical Behavior Therapy can provide practical skills for emotional regulation, distress tolerance, boundaries, mindfulness, and effective communication.
Internal Family Systems-informed therapy can help you understand the parts of you that pursue, withdraw, please, criticize, protect, control, or fear abandonment.
Attachment-Based Therapy can help you recognize how earlier relationships shaped your expectations of trust, closeness, conflict, and emotional safety.
EMDR may be appropriate when past betrayal, abuse, abandonment, rejection, or traumatic experiences continue to affect your current relationships. EMDR is not automatically used with every client.
Existential Therapy can help you explore loneliness, authenticity, responsibility, freedom, commitment, identity, and what it means to create meaningful connection.
The approaches we use will depend on your needs, goals, history, and readiness.
What Relationship Therapy With Me Is Like
You do not need to present a perfectly balanced account of the relationship.
We can begin with your experience while remaining curious about patterns, context, and the choices available to you.
I am not a silent, distant therapist who expects you to carry the entire conversation alone. I am engaged and collaborative. I will ask questions, help you make connections, offer education and practical strategies, and provide honest feedback when appropriate.
I will not automatically tell you that every relationship can be repaired. I will also not tell you to end a relationship simply because it is difficult.
We will look at behavior, consistency, accountability, emotional safety, mutuality, and the effect the relationship has on your well-being.
You are allowed to care about another person while being honest about how their behavior affects you.
You are also allowed to examine your own choices without accepting responsibility for someone else’s harmful behavior.
What Progress May Look Like
Progress does not always mean that every relationship becomes easier.
It may mean:
Recognizing a pattern earlier
Expressing a need without apologizing for having it
Saying no without writing a lengthy explanation
Remaining grounded during disagreement
Asking directly instead of testing whether someone cares
Allowing another person to be disappointed
Believing your own perception
Leaving a conversation when it becomes disrespectful
Choosing consistency over emotional intensity
Recovering more quickly after conflict
Spending less time replaying conversations
Accepting that you cannot make another person change
Recognizing when hope is unsupported by action
Allowing yourself to receive care
Making decisions that protect your well-being
Remaining connected to yourself while loving someone else
Progress may change the relationship. It may change your role within it. It may also change what you are willing to continue accepting.
Online Therapy for Relationship Challenges
Online therapy allows you to explore relationship concerns from a private location without adding travel time or a waiting room to your day.
It may be especially helpful if you:
Have a demanding work or caregiving schedule
Need privacy from the person involved
Live far from a trauma-informed therapist
Have limited energy or mobility
Prefer discussing personal concerns from a familiar environment
Are navigating a long-distance or geographically complicated relationship
Need consistent support during a relationship transition
Because this is individual therapy, sessions should occur in a private setting where you can speak openly without being monitored, interrupted, or overheard by the person you are discussing.
You must be physically located in a state where I am licensed or otherwise authorized to practice at the time of your appointment.
I currently provide online individual counseling to adults located in Texas, Colorado, and Florida.
You Should Not Have to Disappear to Maintain Connection
Relationships require compromise. They should not require the loss of your identity, voice, safety, or dignity.
You are allowed to have needs. You are allowed to ask questions. You are allowed to notice patterns that hurt you. You are allowed to reconsider what you once accepted.
Understanding someone’s history may help explain their behavior, but it does not erase the impact of that behavior.
You can love someone and still need boundaries.
You can miss someone and still know the relationship was harmful.
You can want a relationship to work and still recognize that your effort cannot carry both people.
Healthy connection does not require you to repeatedly abandon yourself.
Begin Online Therapy for Relationship Challenges
If you feel lonely, confused, resentful, unheard, uncertain, or exhausted within an important relationship, individual therapy may help you understand what is happening and decide what you need next.
You do not have to wait until the relationship ends or reaches a crisis.
We can begin with what you know:
Something in the relationship does not feel right.
The same patterns keep repeating.
You want connection without losing yourself.
Jennifer L. Hillier, M.A., LPC-S, CCTP, provides trauma-informed online individual therapy for relationship challenges through Mending Hearts Counseling PLLC for adults located in Texas, Colorado, and Florida.
Together, we can understand the relationship patterns shaped by your survival and begin creating connections that leave room for the whole of who you are.
People make sense once we understand the story behind their survival.
Types of Therapy Used for Relationship Challenges
Therapy is individualized based on your relationship concerns, history, and goals. I may integrate:
Attachment-Based Therapy to understand how earlier relationships affect trust, closeness, and fear of abandonment.
Internal Family Systems to explore the parts of you that please, pursue, withdraw, protect, or fear rejection.
Cognitive Behavioral Therapy to address assumptions, self-criticism, jealousy, and unhelpful relationship beliefs.
Dialectical Behavior Therapy to strengthen communication, boundaries, emotional regulation, and conflict-management skills.
Acceptance and Commitment Therapy to clarify your values and make choices that support the relationships you want.
EMDR when betrayal, abuse, abandonment, or earlier relationship trauma continues to affect the present.
Existential Therapy to explore loneliness, identity, authenticity, freedom, and meaningful connection.
These approaches may be used individually or combined within a trauma-informed treatment plan designed around your needs.
Frequently Asked Questions About Relationship Therapy
Do you provide couples counseling?
No. I provide individual therapy for people experiencing relationship challenges. Your partner or family member does not attend the sessions.
Can individual therapy improve my relationship?
Individual therapy may help you communicate differently, regulate emotions, establish boundaries, understand patterns, and make clearer decisions. However, one person cannot create mutual accountability, honesty, or respect by themselves.
Will you tell me whether I should stay or leave?
No. I will help you examine what is happening, identify your needs, consider safety, clarify your values, and understand the available choices. The decision remains yours.
Can you diagnose my partner or family member?
No. I cannot diagnose someone I have not evaluated and who is not my client. We can discuss their behavior and how it affects you without assigning a diagnosis.
What if the other person refuses therapy?
You can still benefit from individual therapy. Their refusal does not prevent you from understanding your experience, changing your participation in patterns, setting boundaries, or making decisions about your well-being.
Can you help me after infidelity or betrayal?
Yes. Individual therapy can help you process the emotional impact, clarify what repair would require, rebuild trust in yourself, and decide what you need moving forward.
What if emotional abuse is occurring?
We can discuss the behaviors you are experiencing, evaluate their impact, strengthen safety and support, and explore your options. Couples counseling may be inappropriate when coercive control or abuse is present.
Can therapy help with family estrangement?
Yes. Therapy can help you process grief, guilt, anger, relief, boundaries, and uncertainty connected to estrangement or limited contact.
Do you work with LGBTQIA+, polyamorous, or kink relationships?
Yes. My practice is LGBTQIA+ affirming, polyamory-positive, and kink-positive. Your identity or relationship structure will not automatically be treated as the source of the problem.
Can I use insurance?
Mending Hearts Counseling PLLC accepts several insurance plans, including Ambetter, Blue Cross Blue Shield, Cigna, Molina, Optum, and UnitedHealthcare. Coverage depends on your specific plan, network, location, and benefits. Out-of-network benefits, HSA/FSA funds, and self-pay may also be available.
Insurance coverage should be verified before beginning services because participation with an insurance company does not guarantee that every plan will cover every service.

