Couples Therapy

for adults in San Diego, CA

Deepening Connection at Every Stage

Whether you’re just starting your journey together or have been partners for decades, relationships evolve and face unique challenges.

At Orion, we work with couples at every stage—whether you’re newly engaged, celebrating many years of marriage, or navigating a separation. Our couples therapy is designed to help you and your partner improve communication, understand each other more deeply, and strengthen your bond. We provide a compassionate space where you both can feel heard, supported, and connected.

Orion Psychology and Therapy Collective

We work with people of all backgrounds, identities, sexual orientations, and life experiences

What We Can Work On Together

We specialize in the real relationship challenges that come up behind closed doors — the ones people don’t always talk about, but definitely feel.

Couples Therapy

Communication Difficulties

Couples Therapy

Parenting / Co-Parenting

Couples Therapy

Finding Family/Work Balance

Couples Therapy

Unresolved Conflicts

Couples Therapy

Infidelity

Couples Therapy

Jealousy

Couples Therapy

Lifestyle Transitions

Couples Therapy

Issues with Family-in-law

Couples Therapy

Sexual Dysfunctions

Couples Therapy

Decline in Sexual Desire

Couples Therapy

Body Image

Couples Therapy

Intimacy Issues

Couples Therapy

Relationship Difficulties

Does Any of This Sound Familiar?

If so, you’re not alone — and we can help.

You’re talking, but it’s like you’re not hearing each other.

We’ll help you slow it down, unpack what’s underneath, and learn how to speak and listen without shutting down or blowing up.

Kids, work, in-laws, bills. It’s easy to lose connection when you’re in survival mode.

We help couples get back on the same team and create space for each other again.

Some fights keep coming back — because they’re about more than what’s on the surface.

We help you get to the root and build a way to truly repair and reconnect.

Whether you’re trying to stay together or unsure where things stand, we help couples navigate the aftermath of betrayal with honesty, compassion, and care.

Old wounds. New fears. Comparison.

We help you understand where jealousy is coming from and how to build trust that feels real and mutual.

Navigating boundaries with extended family isn’t easy.

We’ll help you both feel heard and work through loyalty conflicts and cultural tensions without it breaking your bond.

Raising kids can bring out your differences fast.

We help couples and co-parents align values, communicate clearly, and show up for their kids and each other.

From pain to performance pressure to disconnection — whatever’s going on, we create a non-judgmental space where you can talk about it openly and start to feel close again.

If one of you wants more and the other less, it can feel frustrating and lonely.

We help couples talk about sex without shame, and explore ways to reconnect on your terms.

 

If you recognize yourself in any of these, know that it doesn’t mean your relationship is brokenit means you’re human. And you don’t have to figure it all out on your own.

It's time to try something new.​

Schedule Your Free 15-Minute Consultation

New to Therapy?

Starting therapy can feel overwhelming—we’re here to make it simple and stress-free. Here’s how we help:

We Make Getting Started Easy​

From scheduling your first appointment to understanding your goals, we’ll walk you through every step of the process.

Clear and Transparent Insurance Options

We’ll work with you to understand your coverage or help you explore affordable payment options.

Common Questions

Getting Started

If you’ve been having the same fights, avoiding certain conversations, feeling distant, or just wondering “are we okay?” — therapy can help. You don’t have to be in crisis to benefit. Think of it as maintenance for your relationship, not just repair.

The first session is about understanding what brings you both in. We’ll talk about your relationship history, what’s been working (and what hasn’t), and what you each want out of therapy.

You don’t have to have all the answers — just show up ready to be honest. We’ll take it from there.

That’s completely normal. During the intake consultation, our team will listen to what you’re looking for and help guide you toward the right therapist and approach. Therapy is personalized to fit your needs, not the other way around.

That’s more common than you’d think. If one partner is hesitant, we suggest having a conversation about what therapy actually is — a chance to get support, not a space for blame.

Sometimes it helps to come to the first session together with low pressure. And if they’re not ready, you can still come on your own — and that can make a difference, too.

Nope. We’re not here to judge or play referee. We’re here to support both of you, help you understand each other better, and build new ways of connecting.

That means holding space for each of your experiences while staying focused on the relationship as a whole.

 

We hear this a lot — especially when things feel really stuck.

The truth? It’s rarely too late. If you’re both still willing to show up and try, that’s already a starting point. Therapy doesn’t guarantee a perfect outcome, but it does give you the tools and support to make clearer, healthier choices — together or apart.

Absolutely. We welcome all relationship structures — including queer, polyamorous, open, and non-traditional partnerships.

Our approach is inclusive, affirming, and tailored to your specific relationship values.

Logistics & Scheduling

We offer all three—fully in-person, fully virtual, or a combination of both, depending on what works best for you.

We know life gets busy. You can reschedule sessions as long as it’s at least 12 hours in advance. Late cancellations are subject to a $100 fee.

Yes, we offer a free 15-minute consultation to match you with the right therapist. After that, you’ll complete intake forms and schedule your first full session.

Finding the Right Therapist

We believe the therapist-client relationship is one of the most important factors in successful therapy. Our mission is to have providers that reflect the populations we support.

Our intake team carefully matches clients with therapists based on both their specialty areas and demographic needs. Finding the right fit is an ongoing process, and we are always assessing whether a client and therapist are the best match.

Orion Psychology utilizes a broad range of therapeutic approaches to meet clients where they are. We offer evidence-based treatments such as:

  • Cognitive Behavioral Therapy (CBT)
  • Dialectical Behavior Therapy (DBT)
  • Trauma-Informed Therapy
  • Mindfulness-Based Therapy
  • And many other approaches tailored to your needs

Start with someone you both feel comfortable with — someone who can hold space for both of your experiences without taking sides.

At Orion, we’ll help match you with a therapist who fits your needs, your values, and your relationship dynamic. We’re a diverse collective for a reason — because one size doesn’t fit all.

That’s okay — chemistry matters. Therapy works best when there’s a good fit. If something feels off, let us know. No ego here. We’re happy to switch things up and connect you with someone else on our team.

The goal is for both of you to feel safe, heard, and supported.

 

Yes. Our collective includes therapists with experience in areas like intimacy and sexual health, cultural and intergenerational issues, infidelity, parenting, non-traditional relationship structures, trauma, and more.

Let us know what you’re looking for, and we’ll help guide you to the right fit.

The Therapy Process

We meet you where you’re at — no pressure to show up perfectly, no therapy jargon thrown at you. We’ll explain everything step by step, check in on your comfort level, and move at a pace that works for both of you.

First-time clients often tell us they were surprised by how relaxed and human the process felt.

The first few sessions are about getting to know you — how you communicate, what’s been hard, what you each want from therapy. Your therapist will ask questions to get a full picture, but it won’t be an interrogation. Think of it more like a guided conversation with a purpose.

The length of therapy varies for each person. Some clients benefit from short-term therapy focused on a specific issue, while others find long-term therapy helpful for ongoing growth and support. Your therapist will work with you to create a treatment plan that fits your goals.

That’s real — and frustrating. Maybe the therapist didn’t get you. Maybe it felt one-sided. Maybe it wasn’t the right time. Whatever the reason, it makes sense to feel cautious about trying again. At Orion, we take that seriously.

We’ll talk about what didn’t work last time so we don’t repeat it. We tailor the process to your dynamic, not some cookie-cutter template. And we stay focused on creating a space that feels safe, honest, and actually useful. If you’re open to trying again, we’ll meet you there — no judgment, no pressure.

Totally normal. You don’t need to have a list or script. That’s our job — to help guide the conversation and get to what matters, even if you’re not sure where to start. Some couples come in saying “things are fine” but still feel off. Others just know they’re stuck but can’t name why.

You’re not expected to have it all figured out. You just have to show up. We’ll ask questions, listen closely, and help you both put words to what’s underneath the surface.

That’s always your choice. Therapy isn’t something you should feel trapped in — it should feel helpful. If you’re thinking about stopping, we’ll talk about it together. Maybe it means your goals are shifting, maybe something’s not clicking, or maybe you’ve gotten what you needed for now.

Either way, we’re here to support your decision — not to sell you more sessions. If you do stop, we’ll help you close things out in a way that feels thoughtful, not abrupt. And if you ever want to come back, the door’s open.

Therapy is your choice.

If you decide to pause or stop, your therapist will help you wrap up in a way that feels right for you.

Insurance & Costs

Yes. During the onboarding process, you’ll input your insurance information into the client portal, and our billing team will verify your coverage.

We’ll let you know your out-of-pocket costs before your first session. If you’re paying out of pocket, insurance submission isn’t required.

We believe in transparency when it comes to therapy costs. The price of sessions varies based on your therapist’s credentials and whether you’re using insurance or paying out of pocket. Here’s a breakdown of our standard rates:

Out-of-Pocket Rates

Associate Therapists (APCC, AMFT, ACSW)

  • $100 per individual session

Most affordable option, working under licensed supervision

Licensed Therapists (LMFT, LPCC, LCSW)

  • $150 per individual session


Psychologists (PsyD, PhD)

  • $200 per individual session

Best for in-depth psychological work and complex mental health concerns

We accept insurance and will verify your coverage during the onboarding process. Once verified, we’ll provide you with a clear breakdown of your out-of-pocket costs based on your plan. If you’re paying out of pocket, no insurance submission is required

If cost is a concern, we encourage you to ask about our lower-cost associate therapists or potential sliding scale options based on financial need.

 

We believe in transparency when it comes to therapy costs. The price of sessions varies based on your therapist’s credentials and whether you’re using insurance or paying out of pocket. Here’s a breakdown of our standard rates:

Out-of-Pocket Rates

Associate Therapists (APCC, AMFT, ACSW)

  • $100 per individual session

Most affordable option, working under licensed supervision

Licensed Therapists (LMFT, LPCC, LCSW)

  • $150 per individual session


Psychologists (PsyD, PhD)

  • $200 per individual session

Best for in-depth psychological work and complex mental health concerns

We accept insurance and will verify your coverage during the onboarding process. Once verified, we’ll provide you with a clear breakdown of your out-of-pocket costs based on your plan. If you’re paying out of pocket, no insurance submission is required

If cost is a concern, we encourage you to ask about our lower-cost associate therapists or potential sliding scale options based on financial need.

 

Why Does the Cost Vary?

The cost of therapy is based on the therapist’s level of experience and qualifications:

  • Associates (APCC, AMFT, ACSW) are fully trained and work under licensed supervision.
  • Licensed Therapists (LMFT, LPCC, LCSW) have years of experience and can practice independently.
  • Psychologists (PsyD, PhD) have the highest level of training, specializing in complex cases and assessments.

Regardless of the provider you choose, you’ll receive high-quality, professional care from a therapist committed to your growth and well-being.

If cost is a concern, let us know. We can explore out-of-network reimbursement, sliding-scale rates, or alternative resources to help make therapy more accessible.

Let's Connect.

To get started, click the button below to schedule a free, 15-minute introductory call with us. 
We’ll talk about your availability and preferences and match you with a therapist that will best meet your needs.

Our Services

© All Rights Reserved. Orion Psychology and Therapy Collective Inc. 2024

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