Couples Therapy

You can love each other and still be building a relationship neither of you wants to live in.

Maybe you keep having the same fight. Maybe one of you is carrying the relationship while the other feels like nothing they do is ever enough. Maybe there has been betrayal. Maybe sex has changed. Maybe you barely fight anymore because one or both of you have stopped expecting anything to change.

We help couples understand and change the relational system beneath recurring conflict, disconnection, resentment, betrayal, and intimacy problems.

Recurring conflict Betrayal Sex + intimacy Disconnection Premarital Discernment
6 clinicians Every Simply Midori clinician works with couples.
90 to 120 min Enough time to begin real relationship work.
Complimentary Your first full couples session is provided at no charge.
We help match you You do not have to figure out which clinician you need before beginning.
You may already know the argument by heart

The topic changes. The relationship keeps having the same experience.

Couples often come to therapy knowing exactly what they fight about and still not understanding why the fight keeps returning.

01

“My partner keeps saying things will change. Then we end up right back here.”

02

“I am exhausted from carrying things they do not even seem to notice.”

03

“Everything I do seems to be wrong, so I have started shutting down.”

04

“We still love each other. I just do not know how much longer we can live like this.”

05

“They think this is about sex. It is not only about sex.”

06

“I do not need another apology. I need to know whether anything is actually going to become different.”

A marriage does not have to be chaotic to become lonely.
Beneath the argument

The argument is often not the real problem.

What matters is what begins happening between you once one person feels disappointed, rejected, unseen, controlled, criticized, alone, or unsafe.

01

One person brings up something that hurts.

02

The other hears criticism, accusation, or failure.

03

They explain, defend, fix, shut down, or pull away.

04

The first person becomes louder, more detailed, or more hopeless.

05

Both begin responding to years of meaning rather than today's sentence.

The forgotten task may become “I cannot depend on you.”
The argument about sex may become “Do you still want me?”
The argument about money may become “Am I safe building a life with you?”
The request for help may become “Why am I carrying this relationship by myself?”
Defensiveness may be saying “I feel like I am always failing you.”
Withdrawal may be saying “I do not know how to stay here without making it worse.”
Responsibility

Sometimes the problem is not communication.

Sometimes one person has become responsible for noticing, remembering, initiating, planning, repairing, and carrying too much of the relationship.

One person has become the relationship manager.

They remember appointments, anticipate problems, initiate difficult conversations, manage logistics, track the children, plan connection, and notice when something between you needs repair.

The other person may genuinely believe they are trying.

They complete what is requested and still hear, “That is not what I mean.” The deeper issue may no longer be whether they will do what they are asked. It may be whether they will notice what your shared life requires without needing to be managed.

Resentment begins replacing intimacy.

It becomes difficult to feel like lovers when one person increasingly experiences themselves as the supervisor, parent, pursuer, fixer, or emotional administrator of the relationship.

Fair therapy does not require false 50/50 blame.

Both people can participate in a relationship pattern without contributing equally to every injury. We can understand both experiences without obscuring responsibility.

Sometimes the question underneath the argument is: “Will you notice what our life requires without making me responsible for noticing it for both of us?”

Repair + trust

An apology is not the same thing as repair.

Some couples are not short on apologies. They are short on evidence that the relationship is becoming different.

A sincere apology can matter. But trust is usually rebuilt through repeated experience.

The question eventually becomes less “Are you sorry?” and more “Is life with you becoming different?”
01

Keeping your word without needing reminders.

02

Telling the truth before you are confronted.

03

Acknowledging impact before explaining intent.

04

Initiating rather than waiting to be managed.

05

Remaining present when your partner is disappointed.

06

Allowing trust to return at the pace supported by your behavior.

Betrayal

Betrayal changes the work.

Affairs, pornography, secret relationships, financial deception, hidden behavior, partial truths, and repeated discoveries can destabilize the shared reality of a relationship.

The person who was hurt may need to revisit what happened because they are trying to understand what was real. The other person may want desperately to move forward because shame, guilt, or fear makes staying with the injury difficult.

Understanding why something happened is not the same as excusing it. Forgiveness is not the same as restoring trust before trustworthy behavior exists.

Sex + intimacy

We can talk about sex directly.

Sexual difficulty is rarely only a question of frequency.

Sex can carry meanings about desire, rejection, pressure, attractiveness, loneliness, resentment, safety, power, shame, betrayal, pain, and whether someone still feels chosen.

Sometimes one person is saying, “I am losing you.” Sometimes the other is saying, “You want access to my body while the rest of me still feels alone.”

We want to understand the relational experience beneath the number rather than turn intimacy into another scoreboard.

The Simply Midori approach

One relationship. More than one lens.

Relationship problems rarely stay neatly inside communication. Conflict can involve attachment, emotion, sexuality, betrayal, responsibility, family history, trauma, identity, faith, behavior, and the meaning each partner has learned to assign to what happens between them.

We do not start with a technique. We start with what is happening between you.

01

Emotion + attachment

02

Behavior + responsibility

03

History + trauma

04

Sex + intimacy

05

Identity + self-concept

06

Meaning + faith

07

Trust + repair

08

Patterns + repetition

Begin from where you actually are

You do not both have to arrive with the same amount of hope.

What if one of us does not really want therapy?

That is common. One person may be looking for help while the other is skeptical, exhausted, tired of therapy, unsure anything can change, or simply agreeing to come because their partner asked.

You do not need to agree about what the problem is before the first session. We can begin with the fact that the two of you currently experience the relationship differently.

What if we do not know whether we want to stay together?

Couples therapy is not about preserving a relationship at any cost.

Sometimes the work is about rebuilding. Sometimes it is about determining whether rebuilding is possible. Sometimes it is about understanding the relationship clearly enough to make a more grounded decision about what comes next.

Couples come to us for many reasons

You do not need to wait until the relationship is falling apart.

Recurring conflict Emotional distance Affairs + betrayal Pornography + secrecy Sex + intimacy Resentment Unequal responsibility Parenting Money Family-of-origin patterns Trauma Premarital counseling Remarriage Blended families Faith + ministry Intercultural relationships Interracial relationships Executives + leaders High-capacity couples Separation Divorce discernment
The Simply Midori clinical team

Six clinicians. You do not have to choose alone.

Every Simply Midori clinician works with couples. Tell us what is happening and where you are located. We will help determine which clinician may be the strongest fit for the relationship.

01

Joshua Doumani

MA, LCPC

02

Kelly McCauley

MA, LCPC

03

Victoria O'Connor

AM, LCSW

04

Michael Lang

MA, LCPC

05

Tiffany Sanchez

MA, LPC

06

Joseph Rubin

MA, LCPC

Different relationships need different clinicians. You do not need to diagnose the problem or compare six therapists before asking for help. Start with what is happening. We will help with the rest.

Meet Our Therapists
What happens next

Starting should not require another complicated decision.

You do not have to know exactly what is wrong, what kind of therapy you need, or which clinician you should choose.

01

Contact Stephanie.

Send your names, state, and preferred days or times. You do not need to put private relationship details into an email.

02

We help determine fit.

We consider the relationship, clinician fit, licensure, location, and availability.

03

We coordinate a time.

Stephanie works with you to get your complimentary first session scheduled.

04

You begin real work.

Your first 90 to 120 minutes are a full couples session, not a sales call.

The goal is not a good therapy session. The goal is a different relationship on Tuesday night.

Virtual couples therapy

Our clinical team currently serves couples across multiple states.

Clinician availability depends on location, licensure, and fit.

Illinois Texas Oklahoma New York California Rhode Island Wisconsin Louisiana Arkansas Washington, D.C. Virginia Maine Connecticut
Before you begin

A few things you may still be wondering.

You may not need more certainty about the relationship before starting. You may simply need fewer unknowns about starting therapy.

What if my partner is unsure about therapy?
That is okay. You do not both need to arrive equally hopeful, equally convinced, or with the same explanation of the problem. We can begin by understanding each person's experience of the relationship.
What if we are considering separation or divorce?
You do not have to decide whether the relationship can or should continue before beginning. Couples work can help clarify what has happened, what would need to change, whether repair is possible, and what each person actually wants moving forward.
Do you work with affairs, betrayal, pornography, or secrecy?
Yes. We work with relationships affected by affairs, betrayal, pornography, hidden behavior, secrecy, partial truths, and the loss of trust that can follow.
Do we choose our clinician?
You are welcome to tell us if you already have a preference, but you do not have to choose from the team yourself. Tell us where you are located and that you are looking for couples therapy. We will help determine which clinician may be the strongest fit.
How long are couples sessions?
Couples sessions are typically 90 to 120 minutes. We intentionally use longer sessions because complex relationship work can be difficult to contain inside a short appointment.
How much does couples therapy cost?
Your first 90 to 120 minute couples session is complimentary. Ongoing couples sessions are $400 per session across the Simply Midori clinical team.
Is the first session really a full session?
Yes. It is not a brief consultation or sales conversation. We use the session to begin hearing both perspectives, understanding what has been happening between you, identifying important patterns, and determining whether continued work together makes sense.
What happens after I email Stephanie?
Stephanie will follow up to help determine clinician fit and coordinate a time for your first session. You can also use our contact form if you would rather begin there.

Looking for help for yourself rather than your relationship? Explore Individual Work

You can begin before you know the ending

You do not have to decide the future of your relationship today.

You do not need to know whether it can be repaired. You do not need to convince your partner that therapy will work. You do not even need to agree about what went wrong.

You only have to decide whether what is happening between you is worth understanding more clearly.

Start with a complimentary 90 to 120 minute couples session. Stephanie will help coordinate the clinician and time so you do not have to figure out the next step alone.

Request Your Complimentary Session
No obligation to continue after the first session.