FOR COUPLES | ONLINE ACROSS CA
Couples Therapy
Go beyond communication skills. Nervous System-Based support for couples.
You love each other. But something needs to shift.
YOU’RE HAVING THE SAME ARGUMENTS AND THE SAME MOMENTS OF DISCONNECTION.
Maybe the tension has been building slowly over time. Or maybe something significant has happened, and now you’re trying to find your way back to each other.
Either way, it’s not just about conflict—it’s the feeling that something deeper isn’t being understood.
As much as you care about each other, you may be starting to wonder what it will actually take for things to change.
You’re not looking for more surface-level conversations. You’re ready for something to shift—for real, lasting change in how you relate to each other.
Ly Franshaua Pipkins, Psy.D., specializes in nervous system-based therapy, offered primarily online throughout California, with limited in-person availability in Oakland. Using culturally responsive approaches that go beyond communication skills, we nurture the space between.
You’re ready to:
Navigate differences without treating one another as the problem
Understand what keeps pulling you into the same patterns
See each other more clearly—without losing yourself in the process
Slow down conflict so it doesn’t escalate the same way every time
Feel heard and understood, even in difficult conversations
Make sense of how your histories, stress, and expectations are shaping the relationship
Reconnect in a way that feels more steady, honest, and sustainable
Recognize the cycle beneath recurring arguments
Express needs more directly, without blame or withdrawal
Repair after conflict instead of carrying resentment forward
Build greater trust, emotional safety, and responsiveness
Who I Work With
As a couple: You’re ready to navigate differences without treating one another as “the problem.” And you’re both committed to beginning with three extended sessions focused on understanding your relationship and creating a foundation for change. After this initial phase, you’ll decide together whether to continue into the 90-day relationship process.
HOW IT WORKS
It’s possible to mend fractures and move into the future together, all without losing your authentic selves.
We all have expectations about how our relationships should work. When those expectations aren’t met, it becomes a recipe for anger, disappointment, and resentment. In couples counseling, we start by naming those expectations—together. Which are reasonable, which are negotiable, and which are unrealistic? This creates a shared foundation to work from, so you can understand each other more clearly and relate more intentionally.
Each of you is also bringing your own past into this relationship. You’ve been programmed to think or act in certain ways—ways that may feel normal to you but can be hurtful or harmful when left unacknowledged. Relationships naturally cycle through harmony, disharmony, and repair.
Using Brainspotting, Attachment work, dialogue, we get to the source of what each of you is carrying — the patterns and triggers that predate this relationship and quietly drive the dynamic you're both stuck in.
Then, with nervous system-informed therapy, I can help you create new ways of relating to one another. We’ll address the stuck patterns, build relational integrity, and practice new ways of connecting—ways that are honest and rooted in mutual respect. You’ll learn how to show up differently to conflict, improve communication, and rebuild that strong connection that brought you together in the first place.
Most therapy teaches you skills. In our work together, we deal with the part of you that won’t actually use them.
My goal is that you leave each session with something tangible to apply to your day-to-day: something to think about, something to try, something to read, or another tool to begin making the small tweaks that add up to big change.
My services are available online throughout California, with limited in-person availability in Oakland. Please ask about current in-person options.
The Process
While every couple is different, this work often moves through a natural progression.
We begin with a focused initial phase to create safety and clarity.
From there, most couples choose a structured period of continued work, where we meet regularly over 90 days to practice and deepen the changes that matter most.
The exact number of sessions and areas of focus are tailored to your relationship, your pace, and the patterns we’re working to shift.
This work is for couples who are:
Curious, and willing to look at themselves—not just each other
Ready to move beyond surface-level communication strategies
Committed to understanding the deeper patterns shaping the relationship
Open to a more structured process, not just occasional sessions
It may not be the right fit if:
One or both of you are not willing to engage in the process
You’re looking for a quick fix or someone to take sides
What happens next?
We start with a consultation to get a sense of what’s happening in your relationship and whether this approach fits what you’re looking for.
If it feels like a good fit, we’ll talk through next steps and how to begin.
The relationship you want is possible. It doesn’t have to take years to get there.
Frequently Asked Questions
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Many couples therapy approaches focus on communication skills, emotional expression, or structured interventions.
In our work, we also focus on what happens beneath those moments—the patterns, nervous system responses, and reactions that make those skills difficult to access in real time.
By combining dialogue with mind–body approaches like Brainspotting, we’re able to work both with the relationship dynamic and what each partner is carrying into it. This allows for change that is not just understood, but felt and sustained.
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Most sessions are 90 minutes and take place with both partners together. Rather than primarily talking to me about one another, you’ll face each other and work directly together, with me providing structure and support. Sessions may also include experiential emotion-exposure work, with each partner supported in staying present with difficult emotions and responding to one another in new ways.
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Yes. This work is ideal for couples who want to build a strong foundation for the road ahead and receive guided, experiential support as they deepen their understanding of themselves and one another.
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Your work begins with a $2,000 Initial Phase, which includes three extended sessions focused on creating your relationship vision, learning to Dialogue, and understanding how childhood experiences shape your partnership.
A payment plan is available: $400 when you schedule, followed by two payments of $800, due before the second and third sessions.
After completing the Initial Phase, you’ll decide together whether you’d like to continue into the 90-Day Relationship Process, focused on healing relational wounds, changing recurring patterns, and rebuilding connection, intimacy, and joy.
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I do not accept insurance. Superbills are available upon request for clients with out-of-network benefits; however, reimbursement for couples therapy is not guaranteed. I encourage you to confirm your coverage directly with your insurance provider.
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Most of our work will take place online. Limited in-person availability may also be available; please ask about current options during your consultation.
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The Initial Phase begins with your shared vision for the relationship and creates greater safety for the work ahead. You’ll begin developing a common language, learning how to speak with one another more directly, and building a foundation for truly understanding each other.
Talking—and feeling genuinely understood—is some of the hardest work we do as human beings. Our brains naturally rely on familiar patterns and assumptions. These initial sessions help create a stronger space between you: one that can hold what emerges as the work deepens.
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Not always—but most couples find that real change takes more than a few sessions.
It’s one thing to understand your patterns. It’s another to respond differently in the moments that matter.
The 90-day structure allows time not only for practice and integration, but also for moving through the point where motivation naturally dips. This is a normal part of any change process—and often where the most meaningful shifts begin.
It also allows us to build on what you’ve learned, developing more advanced ways of relating over time rather than trying to do everything at once.
You’re welcome to begin with the initial phase and continue from there in a way that feels right for you.
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It’s normal for this work to feel more effortful at times.
As new patterns are being practiced, you may notice moments of resistance or thoughts like, “This is harder than I expected.” That doesn’t mean something is going wrong—it often means something important is beginning to shift.
We move at a pace that feels manageable, and you’re always free to take what you’ve gained and continue on your own.
If you’d like additional support later, you’re welcome to return and pick up where we left off.
Many couples find that moving through this phase is where the most meaningful changes begin to take hold.
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Brainspotting is a brain–body approach that helps process emotional activation at the level of the nervous system.
In couples work, it allows each partner to work through what gets triggered beneath the surface—so reactions become less automatic and more manageable.
This often makes it easier to stay present, communicate clearly, and move through conflict without escalating in the same way.
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Substance use and other addictive behaviors can significantly affect trust, safety, and connection within a relationship. I assess these concerns openly and without judgment to determine whether couples therapy can be helpful and what additional support may be needed.
Couples therapy is not a substitute for addiction treatment. If an addiction is active or creating instability in the relationship, individual treatment, recovery support, or a higher level of care may need to be in place before—or alongside—our work together. We will continually assess whether there is enough honesty, safety, and stability for couples therapy to remain appropriate.
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Yes. Many couples seek therapy after a rupture in trust, including infidelity or other forms of betrayal.
When something like this happens, it can feel disorienting—what once felt stable may no longer feel secure in the same way.
In our work, we move carefully. This often includes making space for what each of you is experiencing, understanding what led to the rupture, and beginning to rebuild a sense of clarity and safety over time.
For some couples, this process leads toward repair and a different kind of relationship. For others, it brings important clarity about what they want moving forward.
The goal is not to rush a decision, but to support you in moving through this in a way that is thoughtful, grounded, and aligned with what matters most to you.
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Couples therapy requires both partners to be able to participate honestly without fear of violence, intimidation, retaliation, or coercion. During the Initial Phase, I will assess whether working together is appropriate and can proceed safely. When those conditions are not present, I may recommend individual therapy or other specialized support instead of couples therapy.
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The Initial Phase helps us determine what needs to be taken off the table so that meaningful work can begin. This includes establishing agreements that support emotional and physical safety and allow both partners to participate without threats, intimidation, or retaliation. If we cannot create those conditions, couples therapy may not be the appropriate next step.
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This work is designed as a structured process rather than drop-in or one-time sessions.
For new couples, we begin with a focused initial phase and, for many, continue into a more consistent period of work so that changes have time to take hold.
Part of this process is understanding that relationships evolve over time. As life circumstances shift and new stressors arise, it’s natural for couples to need support at different points.
After completing the initial phases of work, some couples choose to return for occasional sessions or more focused support as needed.
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We begin with a brief consultation to understand what you’re looking for and whether this work feels like a good fit.
From there, we’ll outline next steps and begin building a structured path forward.