100 ALLEGHENY AVE, SUITE 200 · TOWSON, MD 21204TELEHEALTH ACROSS MARYLAND · (410) 324-6573

Issues we help couples with in Towson

Couples rarely call about "communication problems." They call about last Tuesday. The blowup over nothing, the silence after it, the feeling of not being heard by the person who knows you best.

Below are the twelve situations that bring couples into this practice, each matched to the method with the best evidence for it. Find the one that sounds like your house. If two of them do, start with the one that showed up first. They are usually related.

Not sure which one

Most couples name the wrong problem first. Fifteen minutes on the phone usually sorts it.

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Conflict and connection

3 situations

Constant arguing and high conflict

Frequent arguments follow a script: raised voices, the same accusations, someone walks away. Gottman research identified the four patterns that predict divorce, and counseling teaches the specific skills that interrupt each one, from softened start-ups to repair attempts that actually land.

Gottman-led

Emotional disconnection and living like roommates

No fighting, no closeness. You manage the house, the kids, the calendar, and the emotional connection quietly went missing. Emotionally Focused Therapy works on the attachment underneath the politeness, which is why it fits this problem better than communication exercises do.

EFT-led

Trust issues

Checked phones, second-guessed stories, the constant low hum of doubt. Whether the cause was a betrayal or a slow accumulation of broken small promises, trust rebuilds through consistent, verifiable behavior over time. The work here is structuring that rebuild so it holds.

Gottman + EFT

Betrayal and intimacy

2 situations

Affair recovery and rebuilding trust

The weeks after disclosure are not the time to decide the marriage. Stabilizing comes first: ground rules for questions, contact, and sleep. Then understanding what the affair meant. Only then the stay-or-go decision, made properly instead of in a panic.

EFT-led, staged

Desire discrepancy and sexual disconnection

One of you wants sex more, and the pursuing and avoiding have both turned bitter. Desire discrepancy is the most common sexual issue in long relationships. Dr. Vance integrates sex therapy training into couples work, so this gets addressed directly rather than danced around.

Integrated sex therapy

Life and family stress

4 situations

Money conflict

Money fights are almost never about math. They are about safety, control, and what each of you learned money means. Naming those meanings usually shrinks the fight to a solvable size.

Gottman-led

Parenting and co-parenting

Two exhausted people disagreeing about the humans they love most. The work builds one parenting alliance out of two family histories, including after separation.

Gottman + PACT

Major life transitions

A move, a diagnosis, a job loss, a new baby. Transitions reshuffle every role in a marriage, and couples who renegotiate the roles on purpose do better than couples who improvise.

EFT-led

Empty nest and midlife

The kids leave and two people look at each other across a quiet table. This stage is a genuine second start for marriages willing to do the work of re-meeting each other.

EFT-led

Mental health and trauma

3 situations

Trauma in the relationship

When one partner carries trauma, the marriage carries it too. PACT's nervous-system focus helps both partners understand triggers and regulation, so reactions stop reading as rejection.

PACT-led

When anxiety or depression moves in

A partner's depression or anxiety changes the daily weather of a marriage. Couples work runs alongside individual treatment, so the relationship becomes support rather than another stressor.

EFT + referral coordination

Addiction and couples in recovery

Recovery reorganizes a relationship, and the sober months bring their own conflicts. This work supports both the recovery and the marriage around it, with referrals to individual treatment where needed.

Structured, with referrals
Where the methods come in

The issue tells us where to start. The method comes after.

Gottman Method →When the fighting itself has become the problem.
EFT →When the distance underneath is the problem.
PACT →When one of you floods or shuts down.

Your first step is the same for all twelve: a free 15-minute call where you describe what is happening and get an honest answer about whether this practice fits. See also the couples we work with and what it costs.

Book a free 15-minute call