Looking for a full overview of how I work with couples? That lives on my main Couples Therapy page →. This page focuses on what online couples work looks like in practice.
Online couples therapy is often not just a convenient alternative. It is sometimes the more realistic option. Particularly for:
Research on video-delivered couples therapy shows results comparable to in-person work. In my own practice, many couples reach breakthroughs online that they might never have started in person, because the practical barrier to beginning was lower.
What matters is not the room. It is emotional safety, pacing, and the structure of the therapeutic work inside the session.
Sessions are 55 minutes on a secure video platform. The therapeutic structure is identical to in-person couples work: we still slow down conflict cycles in real time, track attachment responses, and work with what arises in the session.
What I pay particular attention to online:
You will get more from sessions if you can protect the space a little. A few practical things that help:
If children or others in the home make a fully private session impossible some weeks, tell me and we will think it through together.
This is one of the most useful practical questions in online couples therapy, and we will discuss it early on.
Joining from the same room is often the easiest option, and can help when part of the work is learning to stay present with each other's reactions. You will need one laptop, a reasonable camera angle, and enough space that both of you are clearly visible.
Joining from different rooms, or different homes, entirely workable, and sometimes essential. Long-distance couples do this by default. Some couples even prefer it in the early stages, when safety between them still needs rebuilding, because it can feel less exposing.
Both approaches can work well. We will find what feels right for the stage of work you are in.
Sessions are delivered through an encrypted, GDPR-compliant video platform. The same professional confidentiality that applies in person applies online. I will talk you through the small practicalities, what happens if the connection drops, how to reach me between sessions, and how to protect notes or reminders you keep at home.
Fees and booking details on the Contact page.
If online couples therapy feels like it might suit you, a free 15-minute consultation is a low-stakes way to meet and talk through whether working together would be a good fit.
Considering psychosexual work online, as an individual or a couple? See Online Psychosexual Therapy →.