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Couples & Relationships
ACT-based couples work for communication, connection,
and values-directed action.
WHAT THIS WORK IS
Nurturing Connections Through Acceptance and Commitment Therapy (ACT)
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Relationships are complex systems shaped by histories, expectations, and old patterns. ACT helps couples notice reactive loops, explore shared values, and take committed action toward the kind of relationship they want to build — together or separately.
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This isn’t about deciding who’s “right.” It’s about what works.
Our
Approach
We use Acceptance & Commitment Therapy (ACT) adapted for couples, drawing on schema-aware ACT models developed by Avigail Lev and Matthew McKay.
This integration helps partners:
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✔ identify unworkable patterns
✔ understand schemas and emotional triggers
✔ increase psychological flexibility
✔ build perspective-taking and empathy
✔ reconnect with values under load
✔ choose behavior that aligns with what matters
Couples seek ACT-based relational work for:
• conflict and communication loops
• emotional distance and disconnection
• repetitive patterns (“same fight, different day”)
• navigating life transitions and decisions
• intimacy and meaning
• rebuilding after ruptures
• clarifying the future of the relationship
COMMON THEMES
OUR 8-STEP PROCESS
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Identify Patterns & Schemas
Recognize recurring loops and underlying beliefs. -
Values Exploration
Clarify individual and shared values. -
Barriers & Blocks
Identify what gets in the way of living those values. -
Values-Based Action
Take steps aligned with chosen directions. -
Mindfulness Training
Use present-moment awareness to reduce reactivity. -
Defusion Skills
Unhook from unhelpful thoughts and narratives. -
Self-as-Context
Gain perspective and reduce defensive escalation. -
Committed Action
Build relational habits that support what matters.
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WHO THIS IS FOR
This work is a good fit for couples who are:
✓ motivated to engage
✓ willing to reflect on their part of the system
✓ open to values and skills-based work
✓ not in active crisis or domestic violence contexts
It can support couples staying together or separating with clarity and dignity.
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SESSION STRUCTURE
Couples sessions are:
• 60 minutes
• typically weekly or bi-weekly
• with skill practice between sessions
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RATES & OPTIONS
Insurance does not cover couples counseling.
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Rates:
• $150/hour with licensed clinician
• $60/hour with intern therapist
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Intern clinicians are in the final stage of licensure and are supervised by both our lead clinician and their academic program (RIC or JWU).
Training Clinic Pathway Available
Couples work may also be available through our Flexible Access Program (Supervised ACT Training Clinic) when appropriate.