Couples Therapy

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A relationship is hard work.

But with the right support, it can also be the source of fun, passion and connection! Every relationship goes through challenging moments. You may feel disconnected, misunderstood, or caught in repeated conflicts that never seem to resolve. Communication may feel strained, intimacy distant, or trust difficult to rebuild.

Couples therapy offers a supportive, structured space where partners can slow down, understand each other more clearly, and work toward healthier patterns of connection. With professional guidance, couples can move beyond cycles of conflict and begin rebuilding emotional closeness and trust.

You’re Not Alone in Relationship Struggles

Many couples seek couples counseling when communication breaks down, emotional distance grows, or unresolved issues begin to affect daily life. These challenges do not mean your relationship is failing. They often signal a need for new tools, insight, and support.

Seeking help from a trained couples therapist allows both partners to feel heard and supported in a neutral, compassionate environment. Marriage counseling and couples therapy are not about assigning blame—they focus on understanding patterns and creating meaningful change together.

At Mindful Child & Family Therapy (MCAFT), we believe relationships can heal and grow with the right support.

Common Questions Couples Often Start With

Before scheduling therapy, many couples try to understand what is happening in their relationship. The concerns below reflect common starting points. Each topic explores one specific pattern in more depth.

What’s going on in our relationship?

Many couples feel confused by repeated conflicts, emotional shutdowns, or growing distance. This page explores how attachment styles, stress responses, and communication cycles shape relationship patterns.
Learn more about understanding relationship dynamics

Is this normal — or are we in trouble?

All couples experience conflict. The difference lies in persistence, intensity, and repair. This page helps distinguish normal tension from patterns that may benefit from professional support.
Learn more about relationship warning signs

Are these signs that we need help?

Some couples wonder whether therapy is “serious enough.” This page outlines common indicators that additional support may reduce long-term strain.
Learn more about when to consider couples therapy

Can this relationship be repaired?

When trust has been damaged or emotional safety feels compromised, couples often question whether healing is possible. This page explores what repair involves and when it is realistic.
Learn more about rebuilding trust

What are the benefits of couples therapy?

Couples therapy does more than resolve conflict. This page explains how therapy improves communication, strengthens emotional regulation, and builds relational resilience.
Learn more about the benefits of couples therapy

How Couples Therapy at MCAFT Helps

At Mindful Child & Family Therapy, couples therapy is evidence-based, collaborative, and tailored to each relationship’s unique needs. Our clinicians understand that every partnership has its own history, strengths, and challenges.

Working with an experienced couples counselor or marriage therapist, therapy may help couples:

  • Improve communication and reduce misunderstandings
  • Navigate conflict more considerately and effectively
  • Rebuild trust after emotional disconnection or hurt
  • Strengthen emotional and physical intimacy
  • Develop healthier relationship patterns

Our marriage counseling approach focuses on long-term relationship health, not quick fixes.

Therapy Approaches Used in Couples Therapy

At Mindful Child & Family Therapy, our couples therapy in Los Altos, San Jose, and Half Moon Bay is grounded in research-backed, attachment-focused approaches that help partners rebuild trust, safety, and emotional connection.

Emotionally Focused Therapy (EFT)

Emotionally Focused Therapy (EFT) is one of the most researched and effective models for couples therapy. Rooted in attachment science, EFT helps partners understand the deeper emotional patterns driving conflict — especially cycles of pursuit, withdrawal, criticism, or shutdown.

In our couples therapy in Los Altos, San Jose, and Half Moon Bay, EFT helps couples:

  • Identify their negative interaction cycle

  • Understand the attachment fears and longings beneath reactivity

  • Express vulnerability in ways that build safety and responsiveness

Rather than focusing only on communication techniques, EFT strengthens secure emotional bonds. When couples feel emotionally safe with each other, lasting change becomes possible.

Internal Family Systems (IFS) for Couples

We also integrate Internal Family Systems (IFS) therapy into our couples therapy work. Conflict is often intensified by protective parts within each partner — the defensive part, the critical part, the shutting-down part.

Using IFS, we help partners:

  • Recognize when protective parts are activated

  • Step back from reactive patterns

  • Access more grounded, Self-led responses

When each partner develops compassion toward their own internal system, it becomes easier to approach one another with curiosity rather than defensiveness. This depth-oriented approach supports meaningful, sustainable relationship change.

Gottman-Informed Couples Therapy

We incorporate research-informed tools from the Gottman Method to help couples strengthen friendship, repair conflict, and build everyday connection.

This may include:

  • Identifying communication patterns that escalate conflict

  • Learning structured repair conversations

  • Increasing moments of appreciation and emotional attunement

These tools support couples in creating stability while deeper attachment work unfolds.

Attachment-Based Communication Work

Communication struggles often reflect unmet attachment needs rather than a lack of skills. In couples therapy across Los Altos, San Jose, and Half Moon Bay, we help partners move from reactive exchanges to emotionally attuned conversations.

This includes:

  • Slowing down escalations

  • Listening for the emotion beneath the words

  • Responding with clarity and care rather than reacting

When emotional safety increases, communication improves naturally.

Couples Communication Therapy / Couples Communication Counseling

Couples communication therapy helps partners recognize unhelpful interaction patterns and develop clearer, more respectful ways of expressing needs and emotions. This work often forms the foundation of lasting change.

Through couples communication counseling, partners learn practical tools to manage conflict, listen actively, and respond rather than react. These skills support emotional safety and mutual understanding.

Intimacy Counseling and Therapy

Emotional or physical distance can develop over time due to stress, conflict, or unresolved hurt. Intimacy counseling and intimacy therapy support couples in rebuilding closeness, trust, and emotional connection at a pace that feels safe, which often translates into a desire for more physical closeness as well.

Marriage Counseling and Marriage Therapy Support

Marriage therapy supports couples navigating long-term relationship challenges, major life transitions, or recurring conflict. A skilled marriage counselor or marriage therapist helps couples explore deeper emotional patterns, strengthen attachment, and foster mutual respect.

Marriage counseling can be beneficial whether couples are experiencing ongoing conflict or simply want to strengthen their relationship foundation.

What to Expect in Couples Therapy

Couples therapy begins with understanding your relationship goals, concerns, and communication patterns. Early sessions focus on creating safety and clarity, while later sessions work toward building healthier habits and emotional connection.

Sessions typically last 45–60 minutes. The length of therapy varies—some couples benefit from short-term support, while others choose longer-term therapy depending on their goals and circumstances.

Why Choose Mindful Child & Family Therapy (MCAFT)?

At Mindful Child & Family Therapy, our clinicians are trained in evidence-based relationship therapies and provide compassionate, inclusive care. We offer:

  • Experienced couples therapists and marriage counselors
  • Evidence-based and trauma-informed approaches
  • A neutral, supportive space for both partners
  • Collaborative, goal-oriented therapy

Our goal is to help couples strengthen connection, communication, and emotional security.

"Childhood trauma makes intimate relationships overwhelming because our body goes into panic when we get close to someone. It remembers when we got the silent treatment, when we were hit, criticized, shamed, or neglected. So, we push people away even when we want them to stay."  - Dr. Nicole LePera

Most Couples Wait Too Long.

Be wise. Take the first step toward a healthier relationship today.

If you and your partner are struggling with communication, conflict, or emotional distance, couples therapy can help you reconnect and move forward together. Why wait?

Schedule a consultation with Mindful Child & Family Therapy (MCAFT) to explore how couples counseling may support your relationship.

Request Free Consultation

Frequently Asked Questions

What is couples therapy?

Couples therapy is a structured form of relationship counseling that helps partners understand interaction patterns, improve communication, and strengthen emotional connection. Rather than focusing on who is right or wrong, therapy examines how cycles develop and how both partners can respond differently. The goal is to create healthier, more stable patterns of connection over time.

How is couples counseling different from individual therapy?

Individual therapy focuses on personal experiences, thoughts, and emotions. Couples counseling focuses on relational dynamics — how two people communicate, respond to stress, and influence each other. While personal history may be discussed, the primary focus is on interaction patterns within the relationship.

Can couples therapy help improve communication?

Yes. Therapy helps partners slow down conversations, identify emotional triggers, and respond rather than react. Couples learn practical communication tools that reduce escalation and increase clarity. Improved communication often becomes the foundation for rebuilding trust and intimacy.

Is marriage counseling only for couples in crisis?

No. While many couples seek help during difficult periods, therapy can also be preventative. Couples may begin counseling to strengthen their foundation, improve communication, or navigate life transitions before conflict escalates.

How long does couples therapy usually last?

The length of therapy varies depending on goals and relationship history. Some couples benefit from short-term work focused on specific concerns, while others engage in longer-term therapy to address deeper patterns. Progress depends on participation, openness, and clarity of goals.