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Marriage Counseling
in San Diego

Every marriage brings together two people with different histories, different needs, and different ways of handling stress. Sometimes those differences show up in small ways, like a disagreement over how the dishwasher gets loaded, and sometimes they show up in bigger conversations that feel harder than either of you expected. Moments like these are a normal part of sharing a life with someone, and they don’t mean something is wrong with your marriage.

Most of us were never taught how to be married. We learned by watching the marriages we grew up around, and the patterns we picked up there don’t always fit the relationship we’re building today. Through marriage counseling in San Diego, we help you recognize the patterns that keep getting you stuck, understand what is happening between you, and learn how to do something different. What that work looks like depends on what you want for your relationship.

" You don’t have to figure this out alone, and you don’t have to keep handling things the same way. "

When Does a Marriage Need Counseling?

There’s no single right moment to reach out. Some couples come to us when the same disagreement keeps resurfacing, some when they miss the closeness they once shared, and others when a major life change has them rethinking how they connect. Below are a few of the situations we most often help married couples work through.

How Does Marriage Counseling Work?

Reading about communication skills and actually using them when your spouse is upset are two very different things. Our job is to help you do it, together, with someone in the room who can slow things down.

We begin marriage therapy with a four-session assessment, so our recommendations are built around your marriage rather than a one-size-fits-all template.

In your first session, you’ll meet with your therapist together and share the story of your relationship. In sessions two and three, each of you meets privately with your therapist to talk openly about what hurts most, what you believe needs to change, and what would need to be different for therapy to feel like a worthwhile use of your time and energy. In your fourth session, you’ll come back together to hear about your strengths as a couple, your areas for growth, and your recurring patterns, and to build a treatment plan shaped by what your therapist has learned.

Each of you will also complete the Gottman Relationship Checkup on your own. The Checkup is a comprehensive online assessment of approximately 400 questions on the Gottman Connect platform. Your results show your therapist which areas of your relationship may warrant a deeper look, and your therapist uses those results along with what they learn in your assessment sessions to develop your treatment plan.

After the assessment, sessions typically continue weekly through the first few months as you begin putting your treatment plan into practice. Meeting consistently matters. When several weeks pass between appointments, sessions tend to turn into a recap of the latest argument instead of a place to build on what you’re learning.

Our marriage therapists in San Diego draw on the Gottman Method, along with Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), Internal Family Systems (IFS), and other evidence-based approaches. You can also learn more about our approach to couples therapy and what to expect in your first session.

" We don’t just talk about your problems. We help you build the skills to work through them together. "

Why Choose Us for Marriage Counseling in San Diego?

  • Relationships are our focus. Since 2017, our practice has specialized in helping people understand their relationship dynamics and patterns. Our clinicians have specialized training in recognizing what happens beneath the surface of conflict and using evidence-based tools to help couples respond differently. Meet our marriage therapists.
  • We won’t decide the outcome for you. If your goal is to repair and strengthen your marriage, we’ll actively work toward that goal with you. If the work leads you to a different decision, we’ll help you navigate that decision thoughtfully as well.
  • Gottman training you can feel in session. Dr. McNeil is a Certified Gottman Therapist and Gottman Method Clinical Trainer. Her advanced training means you’ll learn research-tested tools for handling conflict, repairing after arguments, and building connection.
  • All kinds of relationships. We work with LGBTQ+ clients and same-sex couples, an area informed by Dr. McNeil’s doctoral research. We also have experience working with consensually non-monogamous and polyamorous relationships, including couples who are considering opening their relationship and partners navigating an open relationship structure they already share.
  • Room for your own work, too. Part of strengthening a marriage is understanding what each of you brings into it. If you want to focus more deeply on your own relationship patterns, attachment injuries, or the impact of past experiences, individual therapy or an individual intensive may be a helpful option.
  • A comfortable, private office. First sessions take place at our Fourth Avenue office, a space designed to feel comfortable and private. Telehealth sessions are available throughout California, and in Texas with Dr. McNeil and Jeffrey Young.
  • Intensive formats. Couples Therapy Getaway® Intensives give you one therapist and one continuous, focused experience centered on your relationship. Returning couples can book an Alumni Getaway, and Fly Me To You brings Dr. McNeil to your location.

" Whatever brought you here, a San Diego marriage counselor who focuses on relationships can help you see what’s hard to spot from the inside. "

What Couples Say About Working With Us

Hear from those who've experienced positive changes through our services.

Not sure what kind of help your marriage needs? You don’t have to know before you reach out. Many couples call us before they’ve figured that out, and these three paths show where people usually begin.

Marriage Counseling in San Diego

Path 1: Understand Yourself and Your Relationship Patterns

If you’d like to focus on the patterns you bring into your marriage, individual counseling and coaching give you space to understand those patterns and change what you’d like to. Explore Path 1

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Path 2: Gain Clarity About What Comes Next

If one of you is unsure about the future of the marriage, this path focuses on getting clear before deciding what comes next. Explore Path 2
 
 

Marriage Counseling in San Diego

Path 3: Repair, Rebuild, or Redefine Your Relationship

If you both want to work on your marriage, couples therapy and intensives help you strengthen it together. Marriage counseling lives here. Explore Path 3
 

San Diego Marriage Counseling FAQs

You probably have a few practical questions before reaching out. Here are answers to the ones we hear most. If yours isn’t here, bring it to your free consultation.

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Start With a Complimentary 15-Minute Consultation

You don’t need to know what kind of help you need before you contact us. Tell us what’s happening, and we’ll meet you where you are.

Our administrative team can answer your questions, explain how our services work, and help you schedule your first step. Schedule your complimentary consultation.

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Make Today the Day!

You don’t have to figure this out alone. Three ways for us to connect with you:

Call Now

If you're ready to get started, the fastest way to connect is to call our office directly. Our care team can answer your questions, review fees and availability, and help you understand next steps.

Click to Call (619) 535-8890

Request More Information

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Name*
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Preferred Office Location*
Please indicate your preferred location for sessions after the phone consultation.
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Schedule a 15 Minute Consultation

Make Today the Day!

You don’t have to figure this out alone. Three ways for us to connect with you:

Call Now

If you're ready to get started, the fastest way to connect is to call our office directly. Our care team can answer your questions, review fees and availability, and help you understand next steps.

Click to Call (619) 535-8890

Request More Information

"*" indicates required fields

This field is for validation purposes and should be left unchanged.
Name*
ZIP Code*
Preferred Office Location*
Please indicate your preferred location for sessions after the phone consultation.
You’ll be reached out to in the next 24 hours, what is the best window of time to call you?*

Schedule a 15 Minute Consultation

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