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Couples therapy

Same fight, different night? Let's change the pattern.

Couples therapy for communication that keeps breaking down, trust that needs rebuilding, distance that crept in, and the big decisions in between. Telehealth across Florida, with licensed marriage and family therapists, including a doctoral-level LMFT who works with couples every week.

Call for a free 15-min consult How we work with couples
✓ Telehealth across Florida
✓ EFT & Gottman-informed
✓ First session typically within 7 days

Couples therapy at 360° Therapy — at a glance

360° Therapy provides couples therapy across Florida via secure telehealth, with licensed marriage and family therapists, including a doctoral-level LMFT who works with couples every week. We support communication, conflict, trust and repair, intimacy, and life transitions — drawing on Emotionally Focused Therapy (EFT), Gottman-informed skills, and a systems and family lens. First session typically within 7 days.

Most insurance doesn't cover couples therapy on its own, so we treat it as a private-pay service ($175–$300 per session depending on the clinician), with the exact rate confirmed before your first session. Where an individual diagnosis applies and your plan allows it, some sessions may be billable; superbills are available where relevant.

What brings couples in

It's rarely one big thing. It's the pattern.

Most couples don't arrive after a single blowup. They arrive worn down by the same argument on repeat, or by a quiet that's grown between them. Here's what we hear most.

The loop you can't break
The same argument in different clothes. One pushes, one withdraws. Nobody feels heard. You already know how it ends before it starts.
The distance that grew
More roommates than partners. Logistics replaced connection. Touch faded. You love each other but you're not sure you're still in it together.
The rupture you're carrying
A betrayal, a lie, a line that got crossed. You want to move forward but don't know how, or whether trust can actually come back.

"You don't have to be on the brink of breaking up to come to couples therapy. Some of the best work happens when two people who still care decide to fix the pattern before it hardens."

— 360° Therapy clinical team

Our clinical approach

Not taking sides. Taking on the pattern between you.

Good couples work isn't a referee deciding who's right. It's a skilled therapist helping you see the cycle you're both caught in, and building something better in its place. We draw on proven relationship methods and fit them to you.

Emotionally Focused Therapy (EFT)

The leading evidence-based model for couples. EFT gets underneath the surface fights to the fears and needs driving them, and rebuilds the emotional bond so you feel like a team again, not opponents.

Gottman-informed skills

Decades of research on what makes relationships last. Concrete tools for conflict, repair, and connection, so you leave with skills you can actually use in the moment, not just insight.

Systems & family lens

Our couples work is led by marriage and family therapists trained to see the whole picture — in-laws, kids, culture, money, history, and how each of you learned to love. Depth, not just technique.

Who we work with

Every kind of couple, at every stage.

Before the big step

Premarital and pre-commitment couples building a strong foundation. Money, family, expectations, and the conversations worth having before, not after.

In the thick of it

Long-term partners worn down by conflict, distance, or the load of work and kids. Reconnecting after years of running on autopilot.

After a rupture

Recovering from infidelity, dishonesty, or a breach of trust. Deciding, together, whether and how to rebuild.

All couples, affirming

Married, dating, or partnered. LGBTQ+ affirming. Blended families and co-parents. Bilingual couples, with English, Spanish, and Hebrew available.

A note on cost & insurance

Most insurance doesn't cover couples therapy. Here's the honest version.

Insurance reimburses therapy for a diagnosed mental health condition in one person. Couples and relationship counseling, on its own, usually doesn't meet that bar, so most plans won't cover it. That's an industry-wide reality, not a 360° Therapy policy.

Because of that, we treat couples therapy as a private-pay service, with sessions ranging from $175 to $300 depending on the clinician. We confirm the exact rate before your first session, so there are no surprises. If one partner is being treated for an individual diagnosis and your plan allows it, some sessions may be billable; we'll tell you honestly what applies to your situation and can provide superbills where relevant.

Questions about cost are welcome on your free 15-minute intake call.

We'd been having the same fight for three years. What changed wasn't that we stopped disagreeing, it's that we finally understood what the fight was actually about. That shift saved us.
Common questions

What couples ask us most.

What issues does couples therapy help with?+
Couples therapy helps with communication breakdowns, recurring conflict, loss of trust after infidelity or dishonesty, emotional or physical distance, intimacy concerns, parenting disagreements, financial stress, life transitions, and deciding whether to stay together. You don't need to be in crisis to benefit; many couples come to strengthen a relationship that's basically working.
Does insurance cover couples therapy?+
Often it doesn't. Most insurance plans only reimburse therapy tied to a diagnosable mental health condition for one individual, and couples or relationship counseling on its own usually doesn't qualify. Some plans cover it in specific circumstances. We recommend planning for couples therapy as a private-pay service, and we're transparent about cost upfront. During intake we'll tell you honestly what to expect and, where appropriate, whether any portion may be billable.
How much does couples therapy cost?+
Couples therapy is generally a private-pay service, since most insurance plans don't cover relationship counseling. Private-pay rates range from $175 to $300 per session depending on the clinician. We'll confirm the exact rate for your matched clinician before your first session, with no surprises. If you have a plan that may cover it in your situation, we can provide superbills for you to submit.
Do both partners need to attend every session?+
Usually yes, since the work happens between you. Your therapist may occasionally meet with each partner individually to understand each perspective, but the shared sessions are where change happens. If one partner is hesitant, a single conversation is often enough to decide whether to continue together.
Can couples therapy work over telehealth?+
Yes. Research supports telehealth couples therapy as effective as in-person work. Meeting from home can actually help; you're in the space where much of your life together happens, and it removes the logistics of both partners getting to one office at the same time. You can even join from two different locations when needed.
What if we're not sure we want to stay together?+
That's a valid reason to come in. Some couples use therapy to rebuild, and others use it to gain clarity, and sometimes to separate with less harm, especially when children are involved. A good therapist doesn't push you toward a predetermined outcome. The goal is honesty about what each of you needs, and a clear-eyed decision either way.

Reaching out together is a good sign.

15 minutes with our intake coordinator. We'll listen, answer your questions about cost and process, and match you with the right couples therapist.

Call (305) 396-6009 info@360therapy.care

Mon–Fri, 9am–5pm ET · We aim to respond within 2 business hours