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Couples Counseling

Do you feel like your relationship is at a standstill? Are you and your partner stuck in the same argument loop every night? Do you feel like  you and your partner are drifting away? Do you desire more intimacy between you and your partner?

All things can be improved, changed and bettered, with just a little support, no matter how big or small. With couples therapy, you’ll learn how to communicate your feelings and needs, and get what you want out of your relationship.

Some issues that bring couples to therapy are:

  • Addiction/Partner Addiction Support
  • Balance (Work/Life/Family)
  • Blended Families
  • Chronic Illness
  • Divorce
  • Extended Family
  • Infidelity/Cheating
  • Intimacy
  • Mental Illness

Mike, Hillary, Dan, Macy and Casie work with couples in therapy sessions to help develop the necessary skills needed to maintain sustaining love and increase communication. Hillary focuses her couples session with those who have addiction in their family.   Dan specializes in working with couples and families walking the journey of adoption. Our therapy model offers couples an extended session as most find the typical 45-50 minutes is not long enough to work through difficult topics.  Our couples sessions are 75 minutes in length allowing for further depth and movement in sessions.

Can we use insurance for couples therapy?

This is a common question and not easily answered.  Insurances tend to be a bit vague about how to manage couples therapy and billing.  In order to bill any insurance for couples/family counseling there must be ONE identified client with a mental health diagnosis and the session notes must reflect the goals/work in session is being done to support that mental health diagnosis.  Insurances have the right to review files and notes to assure the billing is accurate and in line with their regulations.  The session length when using insurance is 40-45 minutes. If you fall into the aforementioned scenario where one person has a diagnosis and the sessions revolve around that diagnosis, we will bill insurance if we are in network and you are working with a therapist who accepts your insurance.  An example of this scenario is: spouse has bipolar disorder and the sessions revolve around the difficulties the disorder creates in the marriage and helping to support that spouse with the diagnosis.

Our initial intakes might be billable to insurance if a diagnosis is determined appropriate at the time of the intake.  Many difficulties such as communication or relationship conflict, is not a billable diagnosis to insurances.


  • The intake is $145 for couples for 1 hour. 
  • For 70 minutes intake it is $165

On-going session costs:

  • 45-52 minutes $105
  • 53-60 minutes $130
  • 61 – 70 minutes $155
  • and $25 for ever 10 minutes after that

Matters of the Heart Counseling, LLC

Michael Osborne, LPC & Clinical Supervisor
Macy Stanley, MA, NCC
Casie Fisher, MAMFT
Hillary Bossert-Davis, LCSW