Couples Therapy
Therapy for Couples Who Want More Than Better Communication
Most couples don’t come to therapy because they don’t care.
They come because something feels stuck—despite love, effort, and good intentions.
You may feel disconnected, caught in the same arguments, struggling to repair after conflict, or unsure how to rebuild closeness. Many couples are still functioning—parenting, working, managing life—while quietly feeling lonely or emotionally distant in their relationship.
At Boutique Psychotherapy, we provide couples therapy for partners who want to understand what’s happening beneath the surface and make meaningful, lasting changes—not just learn communication scripts or have a mediator in the room.
What We Treat in Couples Therapy
Relationship struggles are rarely about one issue alone.
We commonly work with couples navigating:
• Emotional disconnection despite love
• Repetitive conflict or communication breakdowns
• Difficulty repairing after arguments
• Loss of intimacy or closeness
• Trust ruptures or lingering resentment
• Life transitions impacting the relationship
• Parenting stress and role strain
• Anxiety, burnout, or external stress affecting the partnership
Many couples arrive feeling discouraged because they’ve talked about the problem—but nothing changes.
Why Relationships Get Stuck
Most couples don’t lack insight or effort. They lack emotional safety and effective repair.
Under stress, partners often fall into predictable patterns:
pursue / withdraw
defend / shut down
criticize / avoid
Over time, these patterns create distance—even when both partners want connection. Often times these patterns are deeply woven into family dynamics from families of origin and
Couples therapy helps slow these cycles down so you can understand why they happen and learn how to respond differently.
Accountability Without Blame
Support alone doesn’t change relationship dynamics. Our couples therapy includes gentle accountability, meaning: • noticing patterns as they happen • practicing new responses in real time • reflecting on what works—and what doesn’t • making small, sustainable shifts that add up over time Change happens through awareness and action.
Sex, Intimacy & Emotional Connection
Sex, Intimacy & Emotional Connection Emotional and sexual intimacy are closely connected. We support couples navigating:
• changes in desire or intimacy
• anxiety or avoidance around sex
• mismatched needs
• intimacy challenges after childbirth, illness, or stress
Sex and intimacy work is approached thoughtfully, without pressure, shame, or performance-based expectations.
Expert-Led Care & Clinical Oversight
All couples therapy at Boutique Psychotherapy is supervised and supported by Dr. Carli Blau, a renowned sex therapist and psychotherapist with extensive experience in relationships, intimacy, and attachment-based care.
Dr. Blau provides ongoing clinical leadership, consultation, and training to ensure that couples receive thoughtful, high-quality care across the practice.
This allows couples to benefit from:
a specialized clinical team
consistent therapeutic philosophy
expert oversight and depth
Therapy That Helps Couples Reconnect
Relationships change under stress—but they can also grow with the right support.
At Boutique Psychotherapy, we offer couples therapy for partners across New York City, Westchester County, New Jersey, and Florida, with in-person and virtual options available.
Couples therapy isn’t about winning arguments—it’s about rebuilding connection.
If you’re ready for therapy that helps you understand your relationship patterns and create real change, we’re here.
👉 Schedule a consultation to explore couples therapy.