Online couples therapy— Reconnect. Repair. Reignite.
Whatever you’re dealing with as a couple, you don’t have to figure it out alone. I work with all kinds of relationships and all kinds of problems.
For partners who feel stuck in conflict, distant from one another, or want to rebuild emotional and sexual intimacy.
Work toward deeper understanding, better communication, and a more connected relationship.
Most couples don't seek therapy when things fall apart — they seek it when they're exhausted from trying everything else and nothing has worked. The distance has grown. The same argument keeps happening. Sex has become rare, awkward, or absent. You love each other, but you don't know how to get back to feeling close.
I'm Dr. Anna Smith, a Licensed Psychologist and AASECT Certified Sex Therapist specializing in couples therapy. I use Emotionally Focused Therapy (EFT) — one of the most research-supported approaches for couples — as well as trauma-informed methods to help partners understand their patterns, break negative cycles, and rebuild genuine intimacy, both emotionally and sexually.
Every couple hits rough patches. The question isn’t whether you’ll face problems — it’s whether you’ll have the right support when you do. I works with couples of all genders, orientations, and relationship structures.
Here’s some of what I could help with:
Conflict that goes in circles: The same argument resurfaces no matter how many times you try to resolve it. You’re not fighting about dishes— you’re fighting about feeling unseen, unimportant, or alone.
Emotional distance and disconnection: You coexist but don’t connect. Things stay surface level. You’ve become roommates rather than intimate partners.
Trust and Betrayal: Whether it’s an affair, a broken agreement, or ongoing pattern of let-downs, rebuilding trust takes time and a structured process I can guide you through.
Conflict Resolution: Fights keep escalating or one of you shuts down completely. I can help you find a different way through those painful moments.
Desire and intimacy differences: Different libidos, needs for closeness, or ideas of what intimacy should look like— these are workable and therapy helps navigate those differences.
Relationship Transitions: Moving in together, getting married, having kids, changing relationship structure, or splitting up — therapy provides a space to adapt and reconnect.
It's never too early nor too late to jump into this important work. It would be an honor to learn more about your unique relationship.
My approach to couples therapy
I draw primarily on Emotionally Focused Therapy (EFT), developed by Dr. Sue Johnson. EFT is one of the most extensively researched couples therapy models in the world. Rather than just teaching you communication techniques, EFT helps you understand the emotional patterns and attachment needs that drive your conflicts — and helps you build new, safer ways of reaching for each other.
I also bring expertise in sex therapy that most couples therapists don't have. Many couples find that emotional and sexual disconnection go hand in hand. Having a therapist who is equipped to address both — openly, without judgment — means you don't have to tiptoe around the physical side of your relationship.
What to expect in couples therapy sessions
Our first session is 90 minutes — longer than typical to give couples enough time to actually get somewhere in that first meeting
I’ll meet with each of you one-on-one for breakouts after the intake appointment so I can hear your unique experience and see you outside of your cycle.
We meet via secure HIPAA-compliant video — from the privacy and comfort of your own home
I'm warm but direct: you'll feel supported and also gently challenged to grow
Progress usually becomes noticeable within 8–12 sessions, though the journey is yours to set
Intensives are also available for couples who want concentrated progress in a shorter timeframe
Whether you're recovering from betrayal, navigating a sexless marriage, or simply feeling stuck, couples therapy creates space to slow down, understand what's happening beneath the surface, and build a stronger foundation for your relationship. Couples therapy isn't about assigning blame—it's about learning how to communicate differently, respond with intention, and rebuild a partnership that feels secure, connected, and resilient.
Through our work together, we’ll set the foundation for connection and growth for each person in the relationship and the relationship as a whole.
Offering online couples therapy in North Carolina, Virginia, Pennsylvania, New York, Washington DC, and beyond.